{"title":"Postoperative Anastomotic Leakage Complicated with Severe Intra-abdominal Infection and Peristomal Abscess after Colon Cancer Surgery: A Case Report.","authors":"Qin-Ying Chen, Bei Li, Li Pan","doi":"10.1097/ASW.0000000000000286","DOIUrl":"10.1097/ASW.0000000000000286","url":null,"abstract":"<p><strong>Abstract: </strong>Postoperative anastomotic leakage following surgery for colorectal cancer is a serious complication that is frequently associated with significant intra-abdominal infection and the formation of peristomal abscesses. Patients with this condition often present with complex medical comorbidities and face considerable challenges in achieving wound healing. In this case report, a 57-year-old man presented with colonic obstruction secondary to colon cancer and subsequently underwent curative surgery. Postoperatively, anastomotic leakage occurred, which necessitated resection of the anastomosis and the formation of a descending colostomy. The patient subsequently developed severe intra-abdominal infection and peristomal abscess, leading to impaired wound healing. Clinicians implemented a treatment regimen combining continuous negative-pressure wound therapy (NPWT) with intermittent NPWT with instillation and dwell time. This approach resulted in rapid wound healing. Ultimately, the patient successfully underwent colostomy closure, restoring gastrointestinal continuity. For abdominal wounds with severe fecal contamination and extensive separation of the dermis and subcutaneous tissues, the combination of continuous NPWT and intermittent NPWT with instillation and dwell time may be an efficacious therapeutic strategy.</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":"274-277"},"PeriodicalIF":1.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143673094","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Applications of Telemedicine in Patients with an Ostomy: A Scoping Review.","authors":"Zhuang Hui-Ren, Zhang Jin, Zheng Pian, Zhang Wei-Ying","doi":"10.1097/ASW.0000000000000300","DOIUrl":"10.1097/ASW.0000000000000300","url":null,"abstract":"<p><strong>Objective: </strong>To explore the application of telemedicine in patients with an ostomy and assess the current research status.</p><p><strong>Data sources: </strong>The authors searched PubMed, EMBASE, Web of Science, Ovid, CINAHL (Cumulative Index to Nursing and Allied Health Literature), China Biology Medicine, China National Knowledge Infrastructure, WanFang, and VIP (Chinese Scientific Journals Database) databases from the inception of each database to March 2024.</p><p><strong>Study selection: </strong>A total of 41 articles comparing telemedicine and standard care in ostomy patients were included.</p><p><strong>Data extraction: </strong>Information was extracted from full-text articles, including author(s), year, country, study design, ostomy type, sample characteristics, intervention type, duration, and outcomes.</p><p><strong>Data synthesis: </strong>In the 41 studies, telemedicine intervention tools encompass social and conference software, mobile healthcare apps, and remote devices. Intervention durations ranged from 4 weeks to 3 years. The intervention content can be categorized into seven key aspects: health guidance, health counseling, psychological care, peer support, medical appointment scheduling, information statistics, and remote visits. Evaluation of these interventions involves measuring outcomes in 10 areas, including quality of life, ostomy knowledge, self-efficacy, self-care ability, stoma complications, participant satisfaction, psychology, coping and adaptation, burden, and health condition.</p><p><strong>Conclusions: </strong>The implementation of telemedicine for patients with an ostomy has had a profound impact. As internet technology evolves, optimization of platforms and longer interventions are needed. Healthcare professionals should enhance their training in online communication. In addition, researchers should design specific, specialized measurement scales based on the characteristics of patients with stomas.</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":"258-268"},"PeriodicalIF":1.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143784439","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Massive Malignant Transformation in a Patient with Hidradenitis Suppurativa during Anti-Tumor Necrosis Factor Treatment.","authors":"Gabija Rudzikaitė, Jorinta Jokubaitė, Dominykas Markevičius, Justinas Pamedys, Tadas Raudonis","doi":"10.1097/ASW.0000000000000303","DOIUrl":"10.1097/ASW.0000000000000303","url":null,"abstract":"<p><strong>Abstract: </strong>Hidradenitis suppurativa (HS) is a chronic skin condition that can lead to significant morbidity and, in some cases, transformation to squamous cell carcinoma (SCC). This report details the case of a 53-year-old man with a history of HS treatment with adalimumab and systemic antibiotics who developed well-differentiated SCC. For this malignant transformation, the patient required aggressive management, including radiation therapy, wide excision, and reconstructive surgery. Follow-up showed no disease progression. This case highlights the importance of early detection, routine screening, and a multidisciplinary approach in managing the risk of SCC in patients with HS.</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":"278-279"},"PeriodicalIF":1.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12244957/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143784405","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Adolfo Maria Tambella, Margherita Galosi, Alessio Angorini, Fabrizio Dini, Angela Palumbo Piccionello, Caterina Di Bella, Federica Serino, Sara Sassaroli, Alessandro Troisi
{"title":"Advances in Noncontact Measurement of Wound Area Using an Application for Smart Mobile Devices.","authors":"Adolfo Maria Tambella, Margherita Galosi, Alessio Angorini, Fabrizio Dini, Angela Palumbo Piccionello, Caterina Di Bella, Federica Serino, Sara Sassaroli, Alessandro Troisi","doi":"10.1097/ASW.0000000000000296","DOIUrl":"https://doi.org/10.1097/ASW.0000000000000296","url":null,"abstract":"<p><strong>Objective: </strong>Contactless wound size measurement is an important element for monitoring the wound healing process and the effects of treatment both in people and animals. The purpose of this study was to evaluate the metrologic performances of a contactless digital planimetry app (imitoMeasure, Imito AG) for cutaneous wound area measurement.</p><p><strong>Methods: </strong>Precision, accuracy, agreement, and reliability of six different combinations of smart devices (smartphone or tablet), calibration modes (manual mode or marker mode), and tracing modes (manual finger tracing or digital pencil tracing) were tested and compared with the standard method on already known canine wound area shapes traced on transparent sheets.</p><p><strong>Results: </strong>Using the app, all methods showed an acceptable metrologic performance. Methods using a tablet were more precise, accurate, and reliable compared with a smartphone. Calibration marker mode was faster than manual calibration. Methods using pencil tracing were more accurate than manual finger tracing, showed a higher agreement with the standard method, and needed fewer retouching-ups to obtain fine-tuning of the shape.</p><p><strong>Conclusions: </strong>This study contributed to the advancement of noncontact wound area measurement using smart digital mobile devices, identifying the most suitable method to use the imitoMeasure app in clinical and research settings. The imitoMeasure app showed excellent metrologic characteristics in contactless wound area measurement. The evidence indicates that the use of the tablet with digital pencil tracing is a noteworthy improvement in the wound measurement process.</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143955944","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Medicare National Correct Coding Initiative Medically Unlikely Edits: Myth and Mystery.","authors":"Kathleen D Schaum","doi":"10.1097/ASW.0000000000000298","DOIUrl":"https://doi.org/10.1097/ASW.0000000000000298","url":null,"abstract":"","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":"38 4","pages":"174-175"},"PeriodicalIF":1.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143960173","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Cutaneous Psoriasis: Clinical Aspects and Treatments.","authors":"Ryan S Q Geng, R Gary Sibbald","doi":"10.1097/ASW.0000000000000243","DOIUrl":"10.1097/ASW.0000000000000243","url":null,"abstract":"<p><strong>General purpose: </strong>To present the clinical manifestations of cutaneous psoriasis and apply evidence-supported pharmacologic and treatment strategies to promote disease remission and symptom relief.</p><p><strong>Target audience: </strong>This continuing education activity is intended for physicians, physician assistants, nurse practitioners, and registered nurses with an interest in skin and wound care.</p><p><strong>Learning objectives/outcomes: </strong>After participating in this educational activity, the participant will: 1. Recognize the clinical manifestations of cutaneous psoriasis. 2. Explain diagnostic approaches to assess for cutaneous psoriasis. 3. Identify evidence-based management pharmacologic and nonpharmacologic options for the treatment of cutaneous psoriasis.</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":"176-182"},"PeriodicalIF":1.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143707959","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Charles A Andersen, Gabriel Ayoola, Alton R Johnson, Jonathan Johnson, Martha R Kelso, Thomas E Serena, Alisha Oropallo
{"title":"In response.","authors":"Charles A Andersen, Gabriel Ayoola, Alton R Johnson, Jonathan Johnson, Martha R Kelso, Thomas E Serena, Alisha Oropallo","doi":"10.1097/01.ASW.0001111696.35767.2e","DOIUrl":"https://doi.org/10.1097/01.ASW.0001111696.35767.2e","url":null,"abstract":"","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":"38 4","pages":"E35-E36"},"PeriodicalIF":1.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143965265","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Qingli Jiang, Fang He, Xin Fu, Yuwei Yang, Huilin He, Mei He
{"title":"Demographic Factor Analysis on the Knowledge, Attitudes, and Practice Status of Nurses in Preventing Device-Related Pressure Injuries: A Multicentric Cross-sectional Study.","authors":"Qingli Jiang, Fang He, Xin Fu, Yuwei Yang, Huilin He, Mei He","doi":"10.1097/ASW.0000000000000291","DOIUrl":"10.1097/ASW.0000000000000291","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the current status of the Device-Related Pressure Injuries Knowledge, Attitude, and Practice (DRPI-KAP) survey among nurses and explore its demographic factors.</p><p><strong>Methods: </strong>The demographic questionnaire and appropriative DRPI-KAP scale were used to investigate 1,368 nurses from eight representative hospitals in Mianyang City, China.</p><p><strong>Results: </strong>A total of 1,344 valid questionnaires were collected, yielding an effective response rate of 98.2% (1,344/1,368). The scores (score rates) of the knowledge, attitude, and practice dimensions and overall DRPI-KAP scale were 49.5 ± 12.1 (65.9%), 38.3 ± 5.6 (85.1%), 56.7 ± 10.0 (81.0%), and 144.4 ± 22.6 (76.0%), respectively. The Pearson and partial correlation analysis revealed a significant positive correlation between scores on the DRPI knowledge, attitude, and practice dimensions. After adjusting for the confounding effects of the three DPRI-KAP dimensions, the multiple linear stepwise regression analysis revealed that multiple demographic factors independently influenced the knowledge (eg, department, work years, received DRPI training, wound/stoma specialist nurse), attitude (eg, technical title, department), and practice (eg, position, technical title, wound/stoma specialist nurse, received DRPI training). Of them, the proactive DRPI attitude of pediatric nurses and the effective DRPI practices of frontline nurses were identified as innovative findings.</p><p><strong>Conclusions: </strong>There is an urgent need for improvement in the knowledge of DRPI prevention among representative hospital nurses. Enhancing the knowledge training and management system is anticipated to cultivate professional attitude and practice, thereby elevating the DRPI nursing quality.</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":"215-219"},"PeriodicalIF":1.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12039903/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143762788","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}