lucas.conrado – Page 3

A first experience of Low Level Laser Therapy as an adjunct to accelerate wound healing in chronic leg ulcers

In this case series, three patients with different wound aetiologies had LLLT applied to their wound as an adjunct therapy to their standard care. The healing rates were quite impressive. A limitation of this study is the small sample size. A larger study needs to be conducted to show consistently good results. The LLLT is […]

Disaster management in Indonesia: what we have learned

Indonesia is located along the Pacific Ring of Fire — an area with a high degree of tectonic activity— and has to cope with the constant risk of volcanic eruptions, earthquakes, floods and tsunamis. Indonesia has more active volcanoes than any other country and houses some of the world’s most famous volcanoes, Krakatau (Krakatoa), Tambora, […]

Managing a crush injury of the foot and diabetic heel ulcer with osteomyelitis with chitosan-based dressings

In this article, the authors present two interesting case studies. The first case was a patient with a crush injury of the foot with multiple fractures and extensor tendons cut, while the second case was a patient with a chronic, non-healing diabetic heel ulcer, which was complicated by osteomyelitis. In both cases, the authors wanted […]

Reviewing the evidence for using TLC-NOSF dressings

In 2018, the now seminal Explorer Study was published in The Lancet Diabetes & Endocrinology, attracting the attention of many wound care professionals (Edmonds et al, 2018). The study’s findings swayed a number of healthcare facilities in Europe to include Technology Lipido-Colloid (TLC) Nano Oligosaccharide Factor (NOSF) technology in their clinical protocols for the management […]

The use of an organic wound ointment as a topical therapeutic to aid wound healing in chronic wounds

The incidence of chronic wounds among patients with diabetes continues to pose a burden to healthcare systems worldwide (Game, 2016). Conservative management in wound care has been shown to improve the severity of amputations related to diabetic wounds (Xie et al, 2018). This evaluation looked at the impact of a newly formulated organic ointment on […]

A novel device for the management of venous ulcers caused by chronic venous insufficiency

The aim of this evaluation was to investigate the effect of a Sequential Contraction Compression Device (FlowAid FA-100; FlowAid Medical Technologies Corp; New York, USA) on patients with chronic venous insufficiency who had developed venous leg ulcers on their lower limbs. Patients were assessed, cleansed, debrided and standard dressing protocols were followed. FlowAid was used […]

To evaluate the safety and efficacy of Retro-Tec® dressings in 50 patients with chronic wounds

Objective: To evaluate the safety and efficacy of Retro-Tec Dressings (RTD) in 50 patients with chronic wounds. Methodology: 50 patients with wounds who were ambulatory and met the inclusion criteria were selected. The study was comprised of a screening and baseline stage during which the wounds were assessed. Medical history, as well as previous wound […]

Save the date: 3rd Global Wound Conference 2020

The Malaysian Society of Wound Care Professionals (MSWCP) is delighted to announce the 3rd Global Wound Conference 2020 is taking place from 2nd–4th October at Sunway Pyramid Convention Centre, Selangor, Malaysia In a galaxy far, far away… The Malaysian Society of Wound Care Professionals (MSWCP) is delighted to announce the 3rd Global Wound Conference 2020 […]

Patient Involvement — the big reveal

If you missed Wounds UK Annual conference 2019, you can view Prof. Kerry Reid-Searl, School of Nursing, Midwifery, Central Queenslamd University, Australia. discuss patient involvement.

A case of necrotizing fasciitis managed with modified collagen plus glycerine gel in combination with sodium polyacrylate

A 46-year-old Chinese gentleman presented to the Kuala Lumpur Hospital for surgical management of necrotizing fasciitis, having been transferred from another hospital. Surgical debridement was performed to remove all of the devitalized tissue. The patient was then referred to the wound care team for further wound management. Sodium polyacrylate powder and modified collagen with glycerine […]

Greetings from the editorial board meeting of the Wounds Asia journal

A new approach to the debridement and treatment of chronic wounds in Hong Kong and Taiwan

As is the case in many countries worldwide, chronic wounds are a major healthcare burden in Asia and provide significant clinical challenges for healthcare workers. Devitalized tissue (slough and eschar) is particularly prevalent in chronic wounds, delaying their healing. Critical to the successful treatment of these wounds is the removal of the devitalized tissue by […]

Advancing wound care in Malaysia and other Asian nations

Dear Readers, it is a pleasure to be able to bring you another excellent edition of Wounds Asia. Although this journal was only started in 2018, we have received the good news that the journal has been accepted for indexing in Scopus (the largest abstract and citation database of peer-reviewed literature: scientific journals, books and […]

Upper limb infections with amputation in patients with diabetes

Diabetes mellitus is a global health problem and a major public health concern in Malaysia as it contributes to high mortality and morbidity rates. According to International Diabetes Federation (IDF) data in 2017, the prevalence of people with known diabetes in Malaysia was 3,492,600 (IDF, 2017). Based on Disability Adjusted Life Years (DALYs) measure, diabetes […]

Effects of manual lymph drainage on lymphoedema and dysphagia in head and neck cancer

Objective: This study examined whether manual lymph drainage (MLD) administered to head and neck cancer patients with external lymphoedema improved internal lymphoedema, symptoms such as dysphagia and swallowing function. Methods: In this case series, head and neck cancer patients with dysphagia and secondary external lymphoedema on physical examination completed a 4-week, eighttreatment MLD therapy programme. Severity of internal […]

First experiences with a novel epidermal harvesting system in a Singaporean vascular surgical unit: two patients with chronic wounds due to limb ischaemia

The CelluTomeTM Epidermal Harvesting System (Acelity) has recently been touted as a promising alternative to traditional skin grafting for chronic wounds, and can be performed without anaesthesia in the outpatient setting with minimal to no pain. A chronic wound is usually defined as any wound that has not healed for six weeks or more. Slow and […]

Complex physical therapy for scleroderma-like skin induration induced by taxane-based anticancer agents in a lymphoedema case after breast cancer surgery

Scleroderma-like skin induration (SLSI) induced by taxane-based anticancer agents is an adverse effect of chemotherapy that typically affects the extremities, especially the lower legs. Skin induration often remains after chemotherapy is complete, with a significant decrease in the patient’s quality of life and the potential for severe restrictions in joint mobility. Treatment options are limited […]

Managing chronic, autoimmune disease-related wounds with a polymeric membrane dressing

Patients with wounds due to an underlying autoimmune disorder present a unique challenge for wound care professionals. Firstly, the complexity of the wound and its aetiology requires a multidisciplinary approach. Secondly, the use of immunosuppressive therapy — essential to control the systemic immune response — increases the risk of infection and slows down the normal […]

Case study: facial and ear reconstruction

The case report involved a 36-year-old man. He was injured in a road traffic accident and had extensive 3th degree and 4th degree facial burns over the right side of his face, with complete loss of his right auricle. We performed a free flap coverage of the right face with the anterolateral thigh (ALT) flap. […]

Venous leg ulcer resistant to compression and conservative treatment for 5 years cured by staged endovenous surgery and foam sclerotherapy — a case report from India

In November 2017, a 69-year-old lady presented with two venous leg ulcers on her left leg, resistant to compression and conservative treatment for 5 years, presented. Duplex ultrasound showed normal deep veins, but venous reflux in the great saphenous vein and perforators. After one of the authors attended a specialist vein clinic in the UK, […]

A patented formulation of SiO2 – + Ag+ + Chlorhexidine + Hyaluronic acid

In the management of chronic wounds, some of the important objectives include reduction of wound size and elimination of infection signs and pain management (Malaysian Ministry of Health [MOH], 2014). Most wound dressings are not able to support wound healing with a single product or therapy, hence, the introduction of a new formulation (Nair, 2017). […]

Investigation and review on the efficacy of super-oxidized solution (HYDROCYN aqua®) against biofilm

Super-oxidized solution (SOS) is widely known for its effectiveness in aiding chronic wounds to heal compared with other traditional antiseptic solutions. There is a growing body of literature that recognizes the role of SOS in wound management, but studies on their efficacy toward biofilms are scarce. In this paper, we provide a short review on […]

V.A.C. Veraflo™ therapy case study competition deadline for entries: Monday 1st November 2019

Wounds International and KCI are proud to introduce the V.A.C. VERAFLO™ Therapy (Acelity) case study competition. Wounds International and KCI are proud to introduce the V.A.C. VERAFLO™ Therapy (Acelity) case study competition. SUBMIT TODAY AT www.npwt-instillation.com Download the guidelines click here Open to all using V.A.C. VERAFLO™ Therapy (NPWTi-d; Negative Pressure Wound Therapy with […]

Retrospective case studies evaluation: BETAplast® PRO-N dressing

This document contains a series of case reports describing the use of BETAplast® PRO-N Dressing in patients with a range of chronic and acute wounds of varying aetiology and severity. Each case study was carried out for a period of 1 month, or longer, with regular assessments. A photographic record of the wound was also […]

Multidisciplinary working and forming partnerships are key to improving patient outcomes

Wound management has evolved by leaps and bounds. What started off as wound medicine, whereby medication was applied on the wound bed, has evolved to wound care and wound healing, whereby the holistic care of the patient suffering with wounds are taken into account. The multidisciplinary approach has also been propagated in the wound world […]

An observational study of the surgical site infection rate in a General Surgery Department at a General Hospital in Malaysia

Background: Surgical site infection (SSI) is one of the most common healthcare-associated infections globally. A consequence of infection is wound dehiscence with an associated high mortality rate. Method: A surveillance study of SSI was undertaken in a Surgical Department of a General Hospital in East Malaysia to determine the SSI incidence and to identify the risk factors and […]

Ten top tips: skin tears

Skin tears are acute wounds with the potential to heal by primary intention (LeBlanc et al 2018). Skin tear prevalence in long-term care is estimated to be between 16–33% (USA), 10–54% (Australia), 14.7% (Canada; Woo and LeBlanc, 2018), 30% in palliative care, 25.7% in spinal cord injury patients, 20% in the community and 17% in […]

Managing infection in chronic wounds with nano colloidal silver

Wound infections present a significant clinical challenge that impacts on patient morbidity and treatment cost. This case study evaluated patients receiving standard wound management coupled with a nano colloidal silver (NCS) spray of 30 ppm. The evaluation included 17 patients (12 male, 5 female) aged between 27 to 77 years who presented with chronic nonhealing […]

The usage of highly absorbent antimicrobial polyurethane foam in wound management of pyomyositis

Intra-muscular abscess is a suppurative infection involving the skeletal muscle. Operative management remains the mainstay together with timely administration of systemic antibiotics. Timely usage of antimicrobial dressings assists the wound bed preparation for secondary closure.

Successful orthopaedic limb salvage with negative pressure wound therapy (NPWT) in a high-grade open fracture

High-energy trauma often causes severe soft tissue damage and highgrade open fracture, associated with exposed bone and tendon. Treatment of acute complex traumatic wounds remains a challenge in clinical practice. Early and suitable treatment for open fracture is essential, as an open fracture is associated with a higher risk of infection and complications during treatment. […]

Using advanced wound dressings to manage wounds in a primary care in Kuala Terengganu

In this article, a team of wound care professionals working at the primary care centre in Kuala Terengganu present a case series of of five patients. The patients were treated by the team applying the principle of T.I.M.E. — a well evidenced concept of wound bed preparation and management. The acronym stands for ‘T’issue management, […]

Botryomycosis presented as chronic non-healing ulcer

Botryomycosis is a chronic suppurative infection characterized by a granulomatous inflammatory response to bacterial pathogens which may present with cutaneous or visceral involvement (Winslow et al, 1959). The name “botryomycosis” was coined in 1884, but its bacterial nature was not discovered until 1919 (Bersoff-Matcha et al, 1998). The term “botryomycosis” is derived from the Greek […]

The hybrid approach to treating severe lower-extremity lymphoedema

Treating patients with severe lymphoedema can be challenging due to the recurrence of oedema over time. This case study illustrates how using different approaches provided a longer-term solution for a patient. A combination of traditional combined decongestive therapy, self-care and surgery were used to provide a successful outcome.

The Malaysian Society of Wound Care Professionals (MSWCP) is delighted to announce their programme for the joint meeting of the 16th Asia Pacific Conference on Diabetic Limb Problems and the 2nd Global Wound Conference 2019

The Malaysian Society of Wound Care Professionals (MSWCP) is delighted to announce their programme for the joint meeting of the 16th Asia Pacific Conference on Diabetic Limb Problems and the 2nd Global Wound Conference 2019. This year’s conference will bring together colleagues and key specialists from various countries and disciplines to share their […]

Managing skin tears in practice

Skin tears are acute wounds that can be painful and affect patient quality of life. This Quick Guide provides practical information on how to identify and assess skin tears, risk assessment, step-by-step management and a practical guide to dressing selection in practice. Supported by KCI – An Acelity Company.

A Tribute to Dr Bambang Tiksnadi MD, PhD (1948 – 2019)

A Tribute to Dr Bambang Tiksnadi MD, PhD (1948 – 2019) Dr Bambang Tiksnadi passed away on 5 February 2019 after a battle with cancer. He was 71 years old. Bambang Tiksnadi was born on 27 May 1948 in Lubuk Linggau in South Sumatra. He completed his medical education at the Padjadjaran University in […]

Global Wound Care Conference 2019

The Malaysian Society of Wound Care Professionals has announced its 2nd Global Wound Care Conference. The event will be combined with the 16th Asia Pacific Conference on Diabetic Limb Problems and is to be held at the Berjaya Times Square Hotel in Kuala Lumpur on the 18th to 20th October 2019. The Malaysian Society of Wound Care Professionals […]