Wound healing requires a complex interaction and coordination of different cells and molecules.Any alteration in these highly coordinated events can lead to either delayed or excessive healing.This review provides an ...Wound healing requires a complex interaction and coordination of different cells and molecules.Any alteration in these highly coordinated events can lead to either delayed or excessive healing.This review provides an overview of adult wound healing physiology.A review of the literature focused on wound healing physiology and current advances in wound healing was conducted using the online MEDLINE/PubMed database.The aim of this review was to inspire further investigation into wound healing physiology that will ultimately translate into improved patient care.展开更多
Aim:The aim was to study the role of jet force technology(JFT)in wound management.Methods:This is a retrospective analysis of 18 cases of chronic nonhealing wounds in which JFT was used.Chronic wounds which had alread...Aim:The aim was to study the role of jet force technology(JFT)in wound management.Methods:This is a retrospective analysis of 18 cases of chronic nonhealing wounds in which JFT was used.Chronic wounds which had already undergone surgical debridement but which were not ready for reconstruction(skin graft/flap)secondary to a persistent bacterial load or infection(tissue culture positive)were included in the study.Patients were divided into two groups.Group 1 included those patients who were poor candidates for anesthesia or who refused for reconstruction and were managed with JFT only.Group 2 included those patients who were cleared for anesthesia and who were and who were managed with JFT and skin graft or flap coverage.The time to negative wound cultures after JFT and the total duration of healing were noted.Results:In both the groups,all tissue culture positive chronic wounds became negative after 2±1 weeks and were ready for reconstruction.In Group 1(6 patients),the wounds completely healed in 5-6 weeks with JFT only.In Group 2(12 patients),the wounds completely healed in 3-4 weeks with JFT and skin graft/flap.Conclusion:Hydrotherapy with JFT helps in the removal of contaminants,debris,and microbial colonization of the wound leading to spontaneous wound healing and facilitating wound bed preparation for wound coverage by a skin graft or flap.展开更多
Acne keloidalis nuchae(AKN)is a disease of unclear etiology that mainly affects males.Medical treatment of AKN is difficult,with refractory cases often requiring ablation by laser or surgical resection.We report herei...Acne keloidalis nuchae(AKN)is a disease of unclear etiology that mainly affects males.Medical treatment of AKN is difficult,with refractory cases often requiring ablation by laser or surgical resection.We report herein,a 23-year-old male with refractory AKN treated successfully with combined laser ablation,using an 810-nm diode laser and a 1064-nm Nd:YAG laser.展开更多
121Sir,Unburied K-wires left projecting from the fingers after hand surgery can lead to inadvertent injuries if left open,especially in children or disoriented patients,particularly at the time of reversal of anesthes...121Sir,Unburied K-wires left projecting from the fingers after hand surgery can lead to inadvertent injuries if left open,especially in children or disoriented patients,particularly at the time of reversal of anesthesia and in the immediate postoperative period.Different ways have been described to circumvent this.Many surgeons twist the K-wire on itself along with capping of the wire tip,but this requires considerable twisting force on an already inserted K-wire,which can lead to malalignment or even refracture.[1]Furthermore,the bent K-wire acts like a hook,catching onto dressing materials or clothes and subsequently may migrate out.展开更多
文摘Wound healing requires a complex interaction and coordination of different cells and molecules.Any alteration in these highly coordinated events can lead to either delayed or excessive healing.This review provides an overview of adult wound healing physiology.A review of the literature focused on wound healing physiology and current advances in wound healing was conducted using the online MEDLINE/PubMed database.The aim of this review was to inspire further investigation into wound healing physiology that will ultimately translate into improved patient care.
文摘Aim:The aim was to study the role of jet force technology(JFT)in wound management.Methods:This is a retrospective analysis of 18 cases of chronic nonhealing wounds in which JFT was used.Chronic wounds which had already undergone surgical debridement but which were not ready for reconstruction(skin graft/flap)secondary to a persistent bacterial load or infection(tissue culture positive)were included in the study.Patients were divided into two groups.Group 1 included those patients who were poor candidates for anesthesia or who refused for reconstruction and were managed with JFT only.Group 2 included those patients who were cleared for anesthesia and who were and who were managed with JFT and skin graft or flap coverage.The time to negative wound cultures after JFT and the total duration of healing were noted.Results:In both the groups,all tissue culture positive chronic wounds became negative after 2±1 weeks and were ready for reconstruction.In Group 1(6 patients),the wounds completely healed in 5-6 weeks with JFT only.In Group 2(12 patients),the wounds completely healed in 3-4 weeks with JFT and skin graft/flap.Conclusion:Hydrotherapy with JFT helps in the removal of contaminants,debris,and microbial colonization of the wound leading to spontaneous wound healing and facilitating wound bed preparation for wound coverage by a skin graft or flap.
文摘Acne keloidalis nuchae(AKN)is a disease of unclear etiology that mainly affects males.Medical treatment of AKN is difficult,with refractory cases often requiring ablation by laser or surgical resection.We report herein,a 23-year-old male with refractory AKN treated successfully with combined laser ablation,using an 810-nm diode laser and a 1064-nm Nd:YAG laser.
文摘121Sir,Unburied K-wires left projecting from the fingers after hand surgery can lead to inadvertent injuries if left open,especially in children or disoriented patients,particularly at the time of reversal of anesthesia and in the immediate postoperative period.Different ways have been described to circumvent this.Many surgeons twist the K-wire on itself along with capping of the wire tip,but this requires considerable twisting force on an already inserted K-wire,which can lead to malalignment or even refracture.[1]Furthermore,the bent K-wire acts like a hook,catching onto dressing materials or clothes and subsequently may migrate out.
