Advances in Skin & Wound Care最新文献_第8页

Perioperative Applications of Electrical Stimulation in Flap Surgeries: Mechanisms and Benefits. 电刺激在皮瓣手术中的围手术期应用：机制和益处。

IF 1.5 4区医学

Advances in Skin & Wound Care Pub Date : 2026-07-01 Epub Date: 2026-06-12 DOI: 10.1097/ASW.0000000000000474

Meijun Jiang, Shaoyun Zhang, Cong Xiao

{"title":"Perioperative Applications of Electrical Stimulation in Flap Surgeries: Mechanisms and Benefits.","authors":"Meijun Jiang, Shaoyun Zhang, Cong Xiao","doi":"10.1097/ASW.0000000000000474","DOIUrl":"10.1097/ASW.0000000000000474","url":null,"abstract":"Objective: To review the roles and applications of electrical stimulation in flap transplantation, addressing its potential to reduce flap necrosis.Data sources: Medical textbooks and a literature search were conducted in databases including PubMed, Google Scholar, Web of Science, and relevant surgical journals.Study selection: Articles were screened using keywords including electrical stimulation, flap transplantation, angiogenesis, vasodilation, antibacterial, vasopasm, inflammation, wound healing, cell migration, and cell proliferation. Articles in which the title and/or abstract contained these key words were included in the review. More than 120 journal research articles met the criteria.Data extraction: Research highlighted the benefits and molecular mechanisms of electrical stimulation on the healing progress of flap transplantation, which underwent a full-text review and summarization.Data synthesis: Classify and descriptively summarize the articles based on perioperative factors closely related to flap survival. The mechanisms underlying these benefits are discussed, alongside their clinical significance.Conclusions: Preoperative electrical stimulation fosters angiogenesis and new blood vessel growth, whereas postoperative stimulation aids in infection control, edema reduction, and overall wound healing. Electrical stimulation shows significant promise in improving outcomes of flap surgeries.","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":"39 6","pages":"E295-E302"},"PeriodicalIF":1.5,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13252976/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148257059","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}

引用次数: 0

Validity and Reliability of Barakat-Johnson Incontinence-Associated Dermatitis Knowledge Tool: A Methodological Study. Barakat-Johnson失禁相关性皮炎知识工具的有效性和可靠性：一项方法学研究。

IF 1.5 4区医学

Advances in Skin & Wound Care Pub Date : 2026-06-26 DOI: 10.1097/ASW.0000000000000497

Meryem Yildiz Ayvaz, Tuğba Erdem, Ayişe Karadağ

{"title":"Validity and Reliability of Barakat-Johnson Incontinence-Associated Dermatitis Knowledge Tool: A Methodological Study.","authors":"Meryem Yildiz Ayvaz, Tuğba Erdem, Ayişe Karadağ","doi":"10.1097/ASW.0000000000000497","DOIUrl":"https://doi.org/10.1097/ASW.0000000000000497","url":null,"abstract":"Objective: This study aimed to evaluate the validity and reliability of the Turkish version of the Barakat-Johnson Incontinence-Associated Dermatitis Knowledge Tool (Know-IAD).Methods: This methodological study was conducted between May 2023 and December 2023. Data were collected from 128 nurses caring for patients with incontinence through the online version of the tool. An expert panel of 6 academics was formed to ensure linguistic validity, and the Turkish version was finalized based on their suggestions. Analyses were performed using the R software's Multidimensional Item Response Theory (mirt) and Generalized Graded Multidimensional Item Response Theory (ggmirt) packages. Because the fit indices of the 1-factor model were better than the 2- and 3-factor models, the loadings, discrimination, and difficulty parameters were interpreted for this model.Results: The mean age of the participants was 32.55 years, and 83.6% were females. Most nurses worked in public hospitals and an internal medicine intensive care unit. The stratified α coefficient for the tool was 0.62. Test-retest stability ranged from 0.92 to 0.94. Ten of the 18 items of the tool have negative item difficulty coefficients. Items 1 and 18 were answered correctly by nearly all participants, whereas Items 2, 7, and 17 were the most difficult.Conclusions: The findings indicate that further refinement is necessary to adapt the Turkish version of the Know-IAD for utilization within the Turkish community.","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148325162","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}

引用次数: 0

Novel Surgical Approach for Wound Closure of Large Livedoid Vasculopathy Wounds: A Case Series. 大型活体血管病变伤口闭合的新手术方法：一个病例系列。

IF 1.5 4区医学

Advances in Skin & Wound Care Pub Date : 2026-06-25 DOI: 10.1097/ASW.0000000000000486

Camila R Marquez, Jack L Knott, Daniel P deLahunta, Martin Borhani, William J Ennis

{"title":"Novel Surgical Approach for Wound Closure of Large Livedoid Vasculopathy Wounds: A Case Series.","authors":"Camila R Marquez, Jack L Knott, Daniel P deLahunta, Martin Borhani, William J Ennis","doi":"10.1097/ASW.0000000000000486","DOIUrl":"https://doi.org/10.1097/ASW.0000000000000486","url":null,"abstract":"Background: Livedoid vasculopathy (LV) is a rare, thrombotic disorder of the dermal capillaries characterized by recurrent, painful ulcerations in the lower extremities. Diagnosis is challenging and typically based on clinical presentation and distinct histopathologic features. Although systemic anticoagulation often leads to ulcer resolution, large, nonhealing wounds may require surgical intervention. In such cases, split-thickness skin grafting (STSG) may be considered. However, LV's prothrombotic pathogenesis can threaten graft viability in the immediate postoperative period. Thus, perioperative anticoagulation may play a critical role in graft success.Methods: The authors describe a case series involving 3 patients with LV who underwent inpatient surgical debridement, initiation of an intravenous heparin protocol, and negative pressure wound therapy (NPWT) for 72 hours. Following reassessment of the wound bed, intravenous heparin was temporarily discontinued to allow for STSG. NPWT was resumed postoperatively, and intravenouseparin was reinitiated for an additional 72 hours to support graft take.Results: In 2 patients, prior STSG attempts failed in the absence of perioperative anticoagulation. Following implementation of the standardized protocol, all 3 patients achieved successful graft take and complete closure at 6 months. No anticoagulation-related complications were observed.Conclusions: This case series demonstrates that a standardized perioperative heparin protocol may improve STSG outcomes in patients with LV by mitigating microvascular thrombosis during a critical window of graft adherence. Larger prospective studies are warranted to examine the relationship between perioperative intravenous anticoagulation and STSG success in patients with LV.","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148306739","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}

引用次数: 0

Burn Epidemiology and Outcome Disparities: A Study of Patients Hospitalized With Burns in Pakistan. 烧伤流行病学和结果差异：巴基斯坦烧伤住院患者的研究

IF 1.4 4区医学

Advances in Skin & Wound Care Pub Date : 2026-06-15 DOI: 10.1097/ASW.0000000000000490

Samman Khalid, Sanjana Butala, Zaryab Alam, Ayesha Nazuk, Noah Musolff, Madeline Tchack, Samavia Khan, Husnain Khan, Babar Rao

{"title":"Burn Epidemiology and Outcome Disparities: A Study of Patients Hospitalized With Burns in Pakistan.","authors":"Samman Khalid, Sanjana Butala, Zaryab Alam, Ayesha Nazuk, Noah Musolff, Madeline Tchack, Samavia Khan, Husnain Khan, Babar Rao","doi":"10.1097/ASW.0000000000000490","DOIUrl":"https://doi.org/10.1097/ASW.0000000000000490","url":null,"abstract":"Objective: To investigate demographic, clinical, and outcome disparities among patients hospitalized with burns in Pakistan, with a focus on gender, age, and burn characteristics associated with mortality.Methods: This retrospective study analyzed data from 389 patients with burns admitted to Holy Family Hospital, Rawalpindi, Pakistan, in 2022. Variables included age, gender, burn etiology, total body surface area (TBSA) burned, comorbidities, and clinical outcomes. Statistical analyses identified associations between these factors and patient outcomes. Binary logistic regression was used to estimate odds ratios (ORs) for mortality.Results: Of the patients, 54% were discharged, 17% left against medical advice, and 29% died. Higher mortality was associated with increased TBSA, elevated Baux scores, full-thickness burns, respiratory complications, and critical care needs. Flame burns accounted for 63% of injuries, and TBSA >60% was linked to 90% mortality. Logistic regression showed inhalation injury increased mortality risk (OR=8.475), whereas male gender was protective (OR=0.219). Female mortality (39.58%) was more than twice that of males (18.27%). Age was not independently associated with mortality. Children under 5 mainly died from scald burns and early infections, whereas older adults primarily died from extensive TBSA burns and comorbidities.Conclusions: Burn injuries in Pakistan carry substantial mortality, particularly among women and children. Prevention strategies, early intervention, and gender- and age-sensitive clinical approaches are needed to reduce disparities and improve survival.","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148256908","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}

引用次数: 0

Enhancing the Information Needs of Patients With Colostomy: A Comparative Study of Tailored Versus Standard Training Methods. 提高结肠造口患者的信息需求：定制与标准训练方法的比较研究。

IF 1.5 4区医学

Advances in Skin & Wound Care Pub Date : 2026-06-01 Epub Date: 2026-04-23 DOI: 10.1097/ASW.0000000000000457

Aslihan Öztürk Çetin, Meryem Yavuz van Giersbergen

{"title":"Enhancing the Information Needs of Patients With Colostomy: A Comparative Study of Tailored Versus Standard Training Methods.","authors":"Aslihan Öztürk Çetin, Meryem Yavuz van Giersbergen","doi":"10.1097/ASW.0000000000000457","DOIUrl":"10.1097/ASW.0000000000000457","url":null,"abstract":"Objective: Preoperative education forms a cornerstone in nursing practice in the holistic care of surgical patients. This is particularly crucial for patients undergoing surgical procedures involving colostomy, where the provision of comprehensive information can significantly impact both the perioperative and postoperative phases. This study aimed to investigate the impact of 2 distinct methods in addressing the information needs of patients with colostomy.Methods: The study employed a case-control design. The sample included 60 patients (control: 30; intervention: 30) undergoing stoma procedures in the general surgery service of a university hospital who willingly participated in the study. The control group received standard training from a wound care nurse, whereas the intervention group received tailored training based on identified requirements. This study compared the effectiveness of education provided to patients in both groups.Results: Before training, the control group had an average patient learning needs score of 195.24±21.56 points, which was significantly lower than the intervention group's score of 221.66±20.25 points. Posttraining, the control group's mean score increased to 202.82±20.86 points, whereas the intervention group's score rose to 239.46±9.44 points. Following training, significant differences were found between the control and intervention groups in subdimensions such as medications, life activities, society, follow-up, feelings about disease conditions, treatment, complications, and quality of life ( P <.05).Conclusions: High learning needs were identified in patients with colostomy during the perioperative period. It was observed that individualized education significantly improved the level of meeting the needs of the patients, emphasizing the importance of personalized education in this context.","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":"273-279"},"PeriodicalIF":1.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147759680","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}

引用次数: 0

Infrared Thermography-Assisted Identification of Intraoperative-Acquired Pressure Injuries Risk and Analysis of Risk Factors. 红外热像仪辅助术中获得性压力损伤风险识别及危险因素分析。

IF 1.5 4区医学

Advances in Skin & Wound Care Pub Date : 2026-06-01 Epub Date: 2026-04-23 DOI: 10.1097/ASW.0000000000000443

Ying Xu, Qianqian Zhu, Xiaoqiong Jiang, Pan Huang, Min Xu, Fuman Cai

{"title":"Infrared Thermography-Assisted Identification of Intraoperative-Acquired Pressure Injuries Risk and Analysis of Risk Factors.","authors":"Ying Xu, Qianqian Zhu, Xiaoqiong Jiang, Pan Huang, Min Xu, Fuman Cai","doi":"10.1097/ASW.0000000000000443","DOIUrl":"10.1097/ASW.0000000000000443","url":null,"abstract":"Objective: To use infrared thermography (IRT) to identify the risk of intraoperative-acquired pressure injuries (IAPIs) and analyze the factors influencing both the occurrence and high risk of IAPIs.Methods: A prospective observational study design was employed. The authors recruited 323 patients who underwent general anesthesia with intraoperative sacral compression for an estimated operative time of >3 hours. Infrared thermal images of the sacrum were captured before entering the operating room, after admission to the postanesthesia care unit, and daily for 3 days postoperatively. Sacral skin assessments were conducted based on the International Staging Criteria for Pressure Injuries. Univariate analysis and logistic regression analysis were used to analyze IAPI risk factors and factors associated with the high risk of IAPIs identified by infrared thermography.Results: There were 12 cases of IAPIs (3.72%), all classified as stage 1 PIs. IRT identified 45 cases (13.9%) at high risk for IAPIs. Preoperative hospitalization days and intraoperative SpO 2 ≤93% were independent risk factors for IAPIs. Age, body mass index, and intraoperative SpO 2 ≤93% were independent risk factors for high-risk IAPIs. Intraoperative SpO 2 ≤93% emerged as a common independent risk factor for both IAPI occurrence and high-risk IAPIs.Conclusions: IRT is an effective tool for identifying the risk of IAPIs. Maintaining intraoperative SpO 2 above 93% is beneficial in reducing both the occurrence and risk of IAPIs.","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":"E208-E216"},"PeriodicalIF":1.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147759746","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}

引用次数: 0

Perceptions of Educational Needs Among Patients With Ostomies. 造口术患者对教育需求的认知。

IF 1.5 4区医学

Advances in Skin & Wound Care Pub Date : 2026-06-01 Epub Date: 2026-04-06 DOI: 10.1097/ASW.0000000000000440

Teresa K Novy, Marilyn A Prasun

{"title":"Perceptions of Educational Needs Among Patients With Ostomies.","authors":"Teresa K Novy, Marilyn A Prasun","doi":"10.1097/ASW.0000000000000440","DOIUrl":"10.1097/ASW.0000000000000440","url":null,"abstract":"Objective: This study aimed to examine the perceptions of individuals with an ostomy regarding the education they received and their reported confidence levels.Methods: This cross-sectional descriptive study aimed at learning about the perceptions of people living with a new ostomy related to initial learning about basic ostomy self-care. An anonymous survey of individuals with an ostomy was snowballed on social media and through email. Participants were at least 18 years or older, had undergone an ostomy procedure, were English-speaking, and had access to the internet. Individuals were excluded if they had undergone a reversal procedure of their ostomy.Results: Three hundred nineteen individuals participated, with a mean age of 60.13 ± 15.8 years, predominantly female 65.9% and White 92.8%, with only 1 reporting receiving their ostomy in the past year. Ostomy education was reported preoperatively at 48.6% and post-discharge at 52.7%. Participants reported learning best through hands-on practice (77.1%). Educational topics requested or emphasized included stoma appearance (54.2%), skin irritation (51.7%), and ostomy products (51.4%). The reported overall mean confidence score of 8.9 ± 1.45 on a scale of 0 (no confidence) to 10 (very confident) was high.Conclusions: Education is critical prior to, during, and following an ostomy procedure to ensure patients have the knowledge and skills to successfully manage. Educational topics regarding self-care with reinforcement of skills are essential, as well as recognition of the emotional impact of this life-altering procedure. Wound ostomy nurses are key to facilitating self-care management and confidence.","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":"E198-E202"},"PeriodicalIF":1.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147626623","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}

引用次数: 0

The Lived Experiences of Disabled Individuals with Stomas and of Wound, Ostomy, and Continence Nurses: A Phenomenological Study. 残障病患造口及伤口、造口及失禁护士之生活经验：现象学研究。

IF 1.5 4区医学

Advances in Skin & Wound Care Pub Date : 2026-06-01 Epub Date: 2026-04-27 DOI: 10.1097/ASW.0000000000000460

引用次数: 0

A Heads-Up to Off-Campus Outpatient Wound/Ulcer Management Provider-Based Departments. 对校外门诊伤口/溃疡管理提供者部门的提醒。

IF 1.5 4区医学

Advances in Skin & Wound Care Pub Date : 2026-06-01 Epub Date: 2026-05-15 DOI: 10.1097/ASW.0000000000000464

Kathleen D Schaum

引用次数: 0

Fish Skin Acellular Dermal Matrix for Tissue Reinforcement and Surgical Site Healing in Deep Brain Stimulation Surgeries: A Case Series. 鱼皮脱细胞真皮基质在脑深部刺激手术中用于组织强化和手术部位愈合：一个案例系列。

IF 1.5 4区医学

Advances in Skin & Wound Care Pub Date : 2026-06-01 Epub Date: 2026-04-23 DOI: 10.1097/ASW.0000000000000455

Michael Folse, Charles Ronkon, Katie Rachal, Jamie Toms

{"title":"Fish Skin Acellular Dermal Matrix for Tissue Reinforcement and Surgical Site Healing in Deep Brain Stimulation Surgeries: A Case Series.","authors":"Michael Folse, Charles Ronkon, Katie Rachal, Jamie Toms","doi":"10.1097/ASW.0000000000000455","DOIUrl":"10.1097/ASW.0000000000000455","url":null,"abstract":"Objective: In this case series, the authors aim to illustrate a technique for reinforcing tissue above deep-brain stimulator (DBS) surgical sites to prevent wound breakdown and decrease postoperative infectious risks.Methods: Twelve patients were implanted with DBS electrodes and an implantable pulse generator. Fish acellular dermal matrix was utilized following successful placement and tunneling of DBS leads to reinforce the surgical wound closure above the DBS cranial burr hole cover. This matrix was placed under the galea and above the pericranium in each patient before standard galea and skin closure techniques after the implants were placed.Results: Eleven of 12 patients had the implant placed during surgery. One patient was excluded due to an allergy to the graft material. No patients at any point during the follow-up period showed any clinically significant signs of wound breakdown or infection at the surgical site. There was one report of suture extrusion without any associated infection or wound breakdown.Conclusion: In this case series, the authors demonstrate that the use of fish skin acellular dermal matrix is a safe and effective strategy that can be utilized during DBS placement to further bolster the skin above DBS burr hole covers to aid in wound healing and decrease postoperative surgical site infections.","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":"E254-E257"},"PeriodicalIF":1.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147759741","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}

引用次数: 0