Lower Extremity Wounds

Lower Extremity Wounds PDF

Author: Karen Ousey

Publisher: John Wiley & Sons

Published: 2008-04-30

Total Pages: 310

ISBN-13: 0470697903

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Lower limb wounds are frequently observed in clinical practice and often present a real challenge for health care practitioners. Lower extremity wound care requires a multidisciplinary approach involving a number of different health care professionals in order to achieve optimum patient care. Nurses and podiatrists, in particular, are frequently involved in the assessment and management of lower extremity wounds, often working in partnership. Lower Extremity Wounds: A problem-based learning approach is the first wound care book that has been written as a joint venture by experienced nurses and podiatrists, all with expert knowledge in wound care. It highlights the importance of multi-professional collaboration to encourage the crossing and dismantling of professional boundaries, to increase understanding of each other's roles, and ultimately to ensure that the patient receives the best available evidence-based interventions during their health care journey. Taking a problem-based learning approach, each of the ten chapters highlights best practice in the management of wounds by type, discusses clinical guidelines and current evidence, and links this theory to a clinical scenario thus bridging the theory to practice gap. Numerous full-colour illustrations are used throughout the book to visually enhance the reader's learning. Aimed at both students and practitioners, this book is essential reading for anyone involved in lower extremity wound care.

Ulcers of the Lower Extremity

Ulcers of the Lower Extremity PDF

Author: Ajay K Khanna

Publisher: Springer

Published: 2016-01-14

Total Pages: 483

ISBN-13: 8132226356

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This book focuses on the clinical evaluation and management of ulcers of the lower limbs. There are numerous causes for ulceration in the lower limbs and each variety requires careful clinical evaluation and management approach. In 29 chapters, written by highly experienced surgeons, the book covers prevalence, types, healing mechanisms, clinical evaluation and microbiology of the ulcers, followed by detailed review of each ulcer variety. Chapters on pyoderma gangrenosum, diabetic foot, grafts and flaps, amputation, pain control strategy and documentation of these cases provide a complete coverage from management stand-point. The book is essential reading not only for general surgeons and vascular surgeons, but also has relevance for orthopedic surgeons, podiatrists, dermatologists and oncologists who manage such cases. Also serves as reference guide for post-graduate examination.

Compartment Syndrome

Compartment Syndrome PDF

Author: Cyril Mauffrey

Publisher: Springer Nature

Published: 2019-09-02

Total Pages: 187

ISBN-13: 3030223310

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Compartment syndrome is a complex physiologic process with significant potential harm, and though an important clinical problem, the basic science and research surrounding this entity remains poorly understood. This unique open access book fills the gap in the knowledge of compartment syndrome, re-evaluating the current state of the art on this condition. The current clinical diagnostic criteria are presented, as well as the multiple dilemmas facing the surgeon. Pathophysiology, ischemic thresholds and pressure management techniques and limitations are discussed in detail. The main surgical management strategy, fasciotomy, is then described for both the upper and lower extremities, along with wound care. Compartment syndrome due to patient positioning, in children and polytrauma patients, and unusual presentations are likewise covered. Novel diagnosis and prevention strategies, as well as common misconceptions and legal ramifications stemming from compartment syndrome, round out the presentation. Unique and timely, Compartment Syndrome: A Guide to Diagnosis and Management will be indispensable for orthopedic and trauma surgeons confronted with this common yet challenging medical condition.

Mechanisms of Vascular Disease

Mechanisms of Vascular Disease PDF

Author: Robert Fitridge

Publisher: University of Adelaide Press

Published: 2011

Total Pages: 589

ISBN-13: 1922064009

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New updated edition first published with Cambridge University Press. This new edition includes 29 chapters on topics as diverse as pathophysiology of atherosclerosis, vascular haemodynamics, haemostasis, thrombophilia and post-amputation pain syndromes.

Guideline for Management of Wounds in Patients with Lower-extremity Wounds Due to Diabetes Mellitus And/or Neuropathic Disease

Guideline for Management of Wounds in Patients with Lower-extremity Wounds Due to Diabetes Mellitus And/or Neuropathic Disease PDF

Author: Phyllis A. Bonham

Publisher:

Published: 2021

Total Pages: 0

ISBN-13:

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"Millions of individuals in the United States and worldwide have diabetes mellitus that is often complicated by peripheral neuropathy and/or ischemia due to lower-extremity arterial disease, which leads to foot ulceration and limb loss at great cost to the individual and the health-care system. Therefore, specialized, evidence-based wound care for those individuals is an area of great need. This third edition of the WOCN Society’s Guideline for Management of Patients with Lower-Extremity Wounds Due to Diabetes Mellitus and/or Neuropathic Disease is the result of a systematic search, review, and synthesis of evidence from literature published from January 2014 through May 2018 with some relevant updates from 2019–2021 during the consensus review process. The target audience for the guideline includes wound, ostomy, and continence (WOC) specialty nurses and other health-care professionals who specialize in, direct, or provide wound care for patients with/or at risk for lower-extremity (LE) wounds due to diabetes mellitus and/or neuropathic disease (DM/ND). The guideline lists 72 specific recommendations along with summaries of the supporting evidence for screening and diagnosis, assessment, and management of patients with LE wounds due to DM/ND. Topics include the following: Comprehensive assessment and examination of the patient and lower extremities; Vascular assessment/tests; Examination of feet for peripheral neuropathy and loss of protective sensation; Identification/stratification of foot risk; Wound assessment, classification, and management; Off-loading and wound protection; Identification, diagnosis, and treatment of infection and osteomyelitis; Neuropathic pain management; Lifestyle measures to influence wound healing; Non-Surgical management of Charcot foot; Adjunctive therapies; Surgical interventions, Strategies including patient education to prevent wounds and/or adverse outcomes. In addition, the guideline provides a guide for applying evidence-based knowledge to clinical practice" --

Chronic Wound Management

Chronic Wound Management PDF

Author: Raj Mani

Publisher: Springer Nature

Published: 2023-04-27

Total Pages: 315

ISBN-13: 3031261100

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This book describes how chronic wounds follow a completely different healing trajectory to acute wounds and discusses the factors associated with these poor healing trajectories. These factors include age, chronic inflammation, phenotypic changes in such cells as macrophages, fibroblasts, and keratinocytes, colder, alkaline wound milieu, wound related hypoxemia, and diabetes. Other factors implicated include reperfusion injury, poor patient compliance, presence of undiagnosed and therefore unmanaged biofilms and wound pain. The past decades have yielded reliable evidence-based guidelines and standardized care, but the healing of diabetic foot wounds continues to be unpredictable notwithstanding these advances, while the recurrence rates are also high. The benefits of technology in wound diagnosis are evidence-based and the use of this technology also features in guidelines. However, the same argument cannot be extended to adjuvant devices to facilitate wound closure even though many devices potentially benefit wound healing. Chronic Wound Management describes how innovation is based on technology that itself informs evidence, the gap between the evidence available, the performance of technology and how do we bridge this gap. It reviews the lessons learnt from the COVID-19 pandemic and whether traditional medicine systems offer us real or imaginary benefits. Consequently, this book is an important addition to the literature in the area and an essential read for all healthcare professionals working with these patients.

Lower Extremity Reconstruction

Lower Extremity Reconstruction PDF

Author: Joon Pio Hong

Publisher: Thieme

Published: 2020-12-05

Total Pages: 737

ISBN-13: 1638535310

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The state-of-the-art guide to lower extremity reconstruction from international experts "I loved witnessing two generations of surgeons working together to capture it all: origin, evolution and progress, state of the art, and the future in one beautifully-crafted and exciting book. This is no doubt a must-read and must-have book." – from the Foreword by Fu-Chan Wei, MD Adequate evaluation of lower limb wounds for salvage requires an itemized assessment of vascular, osseous, soft tissue, and functional deficits. Lower Extremity Reconstruction: A Practical Guide by renowned reconstructive surgeons and perforator flap masters J.P. Hong and Geoffrey G. Hallock presents an orthoplastic approach to this growing and challenging area of microsurgery. Throughout the well-illustrated text and videos, an impressive cadre of international surgeons share pearls and insights, including esoteric knowledge and step-by-step demonstration of techniques with pertinent case examples. This unique guide presents a practical, visual, and stepwise approach to learning and mastering a full array of flap and microsurgery approaches for traumatic, dysvascular, metabolic, and oncologic lower limb defects. Organized into 26 topic-specific chapters, the book covers a full spectrum of lower extremity topics—from wound prep, timing, closure alternatives, and therapy, to soft-tissue tumors and a new concept in drop foot treatment. Numerous videos demonstrate how surgeons can leverage workhorse options to prevent chronic non-healing wounds or amputations and achieve the goal of limb salvage. Key Highlights Lower extremity soft-tissue reconstruction techniques using local muscle and perforator workhorse flaps Bone salvage and restoration techniques, including vascularized bone grafts Diabetic foot management with in-depth discussion of the SCIP flap and perforator-to-perforator concept Rationale for partial and subtotal foot amputation 27 videos and more than 600 illustrations enhance understanding of microsurgical interventions With insights from top microsurgeons on how to achieve the best outcomes for patients with lower limb defects, this is a must-have resource for plastic and orthopaedic surgeons, especially specialists who treat patients at trauma centers.

Vascular Surgery, Neurosurgery, Lower Extremity Ulcers, Antimicrobials, Wound Assessment, Care, Measurement and Repair

Vascular Surgery, Neurosurgery, Lower Extremity Ulcers, Antimicrobials, Wound Assessment, Care, Measurement and Repair PDF

Author: Melvin A. Shiffman

Publisher: Springer Nature

Published: 2020-01-21

Total Pages: 183

ISBN-13: 3030107167

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This book introduces readers to the latest developments regarding pressure injury wounds, diabetic wounds, and negative pressure wound therapy. The first part exclusively deals with wounds from pressure ulcers, describing in detail their prevention, classification, and treatment. In turn, chapters addressing diabetic wounds form the middle part of the book. Here, the authors provide guidance on the medication and treatment (e.g. stem cells, laser) of patients suffering from this disease. The book’s last part, which focuses on negative pressure wound therapy, addresses all major aspects of this approach, reflecting the latest research. Illustrated with a wealth of high-quality pictures throughout, the book offers a unique resource for both beginners and experienced plastic surgeons.

Advanced Wound Repair Therapies

Advanced Wound Repair Therapies PDF

Author: David Farrar

Publisher: Elsevier

Published: 2011-06-21

Total Pages: 672

ISBN-13: 0857093304

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Wound repair is an important and growing sector of the medical industry with increasingly sophisticated biomaterials and strategies being developed to treat wounds. Advanced wound repair therapies provides readers with up-to-date information on current and emerging biomaterials and advanced therapies concerned with healing surgical and chronic wounds.Part one provides an introduction to chronic wounds, with chapters covering dysfunctional wound healing, scarring and scarless wound healing and monitoring of wounds. Part two covers biomaterial therapies for chronic wounds, including chapters on functional requirements of wound repair biomaterials, polymeric materials for wound dressings and interfacial phenomena in wound healing. In part three, molecular therapies for chronic wounds are discussed, with chapters on topics such as drug delivery, molecular and gene therapies and antimicrobial dressings. Part four focuses on biologically-derived and cell-based therapies for chronic wounds, including engineered tissues, biologically-derived scaffolds and stem cell therapies for wound repair. Finally, part five covers physical stimulation therapies for chronic wounds, including electrical stimulation, negative pressure therapy and mechanical debriding devices.With its distinguished editor and international team of contributors, Advanced wound repair therapies is an essential reference for researchers and materials scientists in the wound repair industry, as well as clinicians and those with an academic research interest in the subject. Provides readers with up-to-date information on current and emerging biomaterials and advanced therapies concerned with healing surgical and chronic wounds Chapters include the role of micro-organisms and biofilms in dysfunctional wound healing, tissue-biomaterial interaction and electrical stimulation for wound healing Covers biologically-derived and cell-based therapies for chronic wounds, including engineered tissues, biologically-derived scaffolds and stem cell therapies for wound repair