{"title":"Sequential Use of Hyperbaric Oxygen, Synthetic Skin Substitute and Skin Grafting in the Treatment of a Refractory Vasculitic Ulcer","authors":"Gökhan Akcali MD , Günalp Uzun MD , Abdül Kerim Yapici MD , Şenol Yildiz MD","doi":"10.1016/j.jccw.2015.02.002","DOIUrl":"10.1016/j.jccw.2015.02.002","url":null,"abstract":"<div><p><span>Cutaneous leukocytoclastic vasculitis (CLCV) is a disorder characterized by the inflammation of the small vessels of the skin. CLCV may cause recurrent, drug-resistant, non-healing ulcers. Herein, we present a patient with a recalcitrant </span>ulcer<span><span> caused by CLCV, who was successfully treated with hyperbaric oxygen therapy and </span>skin grafting<span>. There is not any particular therapy/product that will heal all type of wounds. We can achieve better results provided that wound care products and advanced treatments are used at the right time.</span></span></p></div>","PeriodicalId":90358,"journal":{"name":"The journal of the American College of Clinical Wound Specialists","volume":"5 3","pages":"Pages 58-60"},"PeriodicalIF":0.0,"publicationDate":"2013-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jccw.2015.02.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33858417","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jayesh B. Shah MD, CWS, FACCWS, FAPWCA, UHM, FACHM
{"title":"Ace Your Certification: Skin Substitutes","authors":"Jayesh B. Shah MD, CWS, FACCWS, FAPWCA, UHM, FACHM","doi":"10.1016/j.jccw.2015.03.004","DOIUrl":"10.1016/j.jccw.2015.03.004","url":null,"abstract":"","PeriodicalId":90358,"journal":{"name":"The journal of the American College of Clinical Wound Specialists","volume":"5 3","pages":"Pages 69-70"},"PeriodicalIF":0.0,"publicationDate":"2013-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jccw.2015.03.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54457178","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Richard Simman MD, FACS, FACCWS (Editor in Chief, JACCWS)
{"title":"Letter From the Editor","authors":"Richard Simman MD, FACS, FACCWS (Editor in Chief, JACCWS)","doi":"10.1016/j.jccw.2014.12.002","DOIUrl":"10.1016/j.jccw.2014.12.002","url":null,"abstract":"","PeriodicalId":90358,"journal":{"name":"The journal of the American College of Clinical Wound Specialists","volume":"5 2","pages":"Page 25"},"PeriodicalIF":0.0,"publicationDate":"2013-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jccw.2014.12.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33926359","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Use of Topical Small Molecule Technology to Improve Patient Outcomes in the Diabetic Wound Care Setting","authors":"Donald E. Mrdjenovich DPM, CWS, FACCWS","doi":"10.1016/j.jccw.2014.12.001","DOIUrl":"10.1016/j.jccw.2014.12.001","url":null,"abstract":"<div><p><span><span>Patients were chosen at random by primary investigator based upon initial presentation with dry, cracked, and/or reddened skin, with underlying complications from compromised microvasculature. Intervention was conducted by using topical products designed to utilize small molecule technologies, with a molecular weight of fewer than 500 Da, to deliver, via topical diffusion, nutrients and antioxidants through the skin layers to address issues stemming from inadequate blood flow to the </span>dermis. An “all-in-one” moisturizing cleansing lotion was applied to the affected areas and washed gently with a warm damp cloth. After cleansing, the skin was treated with a moisturizing skin cream or a chlorhexidine-containing skin shield on areas with redness or advanced breakdown. All products contain </span>dimethicone as an active ingredient and are classified as OTC skin protectants per approved FDA monographs. Patients were evaluated by the primary investigator for noticeable resolution or improvements in dryness, scaling, skin cracks, and erythema.</p></div>","PeriodicalId":90358,"journal":{"name":"The journal of the American College of Clinical Wound Specialists","volume":"5 2","pages":"Pages 40-44"},"PeriodicalIF":0.0,"publicationDate":"2013-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jccw.2014.12.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33858412","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Abdelfatah Abou Issa MD , Mackenzie Newman MS , Richard Simman MD, FACS, FACCWS
{"title":"Toe Necrosis, Etiologies and Management, a Case Series","authors":"Abdelfatah Abou Issa MD , Mackenzie Newman MS , Richard Simman MD, FACS, FACCWS","doi":"10.1016/j.jccw.2014.09.002","DOIUrl":"10.1016/j.jccw.2014.09.002","url":null,"abstract":"<div><p><span><span><span>Toe<span> necrosis may have vast different etiologies. These include ischemia, </span></span>embolus, and others. (1) The most common etiology is ischemia. It is a reduction in </span>blood supply to a viable tissue that can lead to susceptibility to infection and tissue death. </span>Peripheral ischemia<span><span>, which is rooted in the lower limbs, is a major risk factor for toe necrosis because the basal metabolic requirements of tissue are not being sufficiently met. As a result, pain, ulcers, and gangrene commonly occur. (2) Other causes of direct and indirect toe necrosis and related lower limb gangrene include mechanical trauma, infectious, pharmacological sensitivity, cancer, </span>blue toe syndrome<span>, and other granulomatous diseases, such as Churg-Strauss syndrome. We present a case series of toes necrosis which resulted from different etiologies and their management.</span></span></p></div>","PeriodicalId":90358,"journal":{"name":"The journal of the American College of Clinical Wound Specialists","volume":"5 2","pages":"Pages 26-35"},"PeriodicalIF":0.0,"publicationDate":"2013-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jccw.2014.09.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33858410","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Şenol Yıldız MD , Günalp Uzun MD , Mesut Mutluoglu MD , Ali Memis MD
{"title":"GATA Negative Pressure Wound Therapy System","authors":"Şenol Yıldız MD , Günalp Uzun MD , Mesut Mutluoglu MD , Ali Memis MD","doi":"10.1016/j.jccw.2014.09.001","DOIUrl":"10.1016/j.jccw.2014.09.001","url":null,"abstract":"<div><p>The use of negative pressure wound therapy (NPWT) systems has been shown to promote wound healing. NPWT systems promise a fast and efficient way of preparing wounds for closure by either secondary intention or delayed primary closure, as well as for skin grafting and flap covering. While many of its benefits are established, commercial NPWT systems are not readily available and may be extremely costly for the patient. In the current report, we describe an equivalent alternative of NPWT at a substantially lower cost.</p></div>","PeriodicalId":90358,"journal":{"name":"The journal of the American College of Clinical Wound Specialists","volume":"5 2","pages":"Pages 45-47"},"PeriodicalIF":0.0,"publicationDate":"2013-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jccw.2014.09.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33858413","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Prospective, Descriptive Study of Critically Colonized Venous Leg Ulcers Managed With Silver Containing Absorbent Dressings and Compression","authors":"Michael F. Moore MD, FACS, FACCWS","doi":"10.1016/j.jccw.2014.08.002","DOIUrl":"10.1016/j.jccw.2014.08.002","url":null,"abstract":"<div><p>Chronic non-healing venous ulcers<span><span> are by their very nature colonized with bacteria. The amount and make up will vary based on many variables. The transition from colonization to contamination, critical colonization, and infection complicates the treatment of these ulcers. Silver has been shown to be an effective antimicrobial agent with a diverse antimicrobial footprint, minimal </span>allergic reactions<span>, and has been employed for over twenty-five years with little resistance being encountered. Based on these factors, this study was initiated to evaluate the impact of silver containing absorbent dressings on critically colonized venous leg ulcers.</span></span></p></div>","PeriodicalId":90358,"journal":{"name":"The journal of the American College of Clinical Wound Specialists","volume":"5 2","pages":"Pages 36-39"},"PeriodicalIF":0.0,"publicationDate":"2013-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jccw.2014.08.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33858411","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jayesh B. Shah MD, CWS, FACCWS, FAPWCA, UHM, FACHM
{"title":"Ace Your Certification","authors":"Jayesh B. Shah MD, CWS, FACCWS, FAPWCA, UHM, FACHM","doi":"10.1016/j.jccw.2014.11.001","DOIUrl":"https://doi.org/10.1016/j.jccw.2014.11.001","url":null,"abstract":"","PeriodicalId":90358,"journal":{"name":"The journal of the American College of Clinical Wound Specialists","volume":"5 2","pages":"Pages 48-49"},"PeriodicalIF":0.0,"publicationDate":"2013-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jccw.2014.11.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136556845","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Wound Healing in Patients With Impaired Kidney Function","authors":"Natallia Maroz MD, FASN, FACP , Richard Simman MD, FACS, FACCWS","doi":"10.1016/j.jccw.2014.05.002","DOIUrl":"10.1016/j.jccw.2014.05.002","url":null,"abstract":"<div><p><span>Renal impairment has long been known to affect wound healing. However, information on differences in the spectrum of wound healing depending on the type of renal insufficiency is limited. Acute kidney injury<span><span><span> (AKI) may be observed with different wound types. On one hand, it follows acute traumatic conditions such as crush injury, burns, and post-surgical wounds, and on the other hand, it arises as simultaneous targeting of skin and kidneys by autoimmune-mediated </span>vasculitis. </span>Chronic kidney disease (CKD) and end-stage renal disease (ESRD) often occur in older people, who have limited physical mobility and predisposition for developing pressure-related wounds. The common risk factors for poor wound healing, generally observed </span></span>in patients<span><span> with CKD and ESRD, include poorly controlled diabetes mellitus, neuropathy, </span>peripheral vascular disease<span><span>, chronic venous insufficiency, and aging. ESRD patients have a unique spectrum of wounds related to impaired calcium–phosphorus metabolism, including </span>calciphylaxis<span><span>, in addition to having the risk factors presented by CKD patients. Overall, there is a wide range of uremic toxins: they may affect local mechanisms of wound healing and also adversely affect the functioning of multiple systems. In the present </span>literature review, we discuss the association between different types of renal impairments and their effects on wound healing and examine this association from different aspects related to the management of wounds in renal impairment patients.</span></span></span></p></div>","PeriodicalId":90358,"journal":{"name":"The journal of the American College of Clinical Wound Specialists","volume":"5 1","pages":"Pages 2-7"},"PeriodicalIF":0.0,"publicationDate":"2013-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jccw.2014.05.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33926355","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Eric J. Lullove DPM, CWS, FACCWS , Elizabeth Newton PhD
{"title":"Use of a Novel Two-layer Bandage in the Treatment of Chronic Venous Hypertension","authors":"Eric J. Lullove DPM, CWS, FACCWS , Elizabeth Newton PhD","doi":"10.1016/j.jccw.2014.05.001","DOIUrl":"10.1016/j.jccw.2014.05.001","url":null,"abstract":"<div><p><span>Since the development of Unna boot therapies, there has been development in newer technologies for venous compression syndromes and chronic venous hypertension. Chronic </span>lower extremity venous insufficiency<span> results in venous stasis<span>, edema and hypercongestion of the lower extremities. Given the breadth of potential uses, the goal of this study was to retrospectively compile and analyze the clinical application and effectiveness of a 2-layer zinc-impregnated foam Unna boot bandage (Andover Healthcare, Salisbury, MA) in patients<span> with lower extremity swelling with or without wounds treated by a single physician and monitored for 12 weeks post-application in the outpatient setting. In patients with complex comorbidities, the use of this new foam-impregnated multi-layer compression Unna boot shows efficacy in reduction of edema and wound size within 12 weeks. This newer therapy shows extensive promise in the ability to keep patients adherent to treatment regimens with higher rates of success.</span></span></span></p></div>","PeriodicalId":90358,"journal":{"name":"The journal of the American College of Clinical Wound Specialists","volume":"5 1","pages":"Pages 8-13"},"PeriodicalIF":0.0,"publicationDate":"2013-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jccw.2014.05.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33926356","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}