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Dermatologic surgery is associated with a very low risk of complications. There is no widely accepted, evidence-based protocol with recommendations for postoperative wound care after dermatologic surgery. In this narrative review, we will be discussing the evidence on surgical wound care products and procedures. Overall, we found relatively few studies and, in many cases, a lack of statistically significant differences, possibly because of the low rate of complications. We’ll be discussing the evidence on when we should initiate wound care procedures and their frequency, the type of ointment and antiseptics that should be applied, and the type of dressings that should be used. Despite the very few studies available on postoperative wound care following dermatologic surgery, there is sufficient evidence as to not recommend the use of prophylactic topical antibiotics. We also analyze the currently available evidence on surgical wound care in special situations, such as management of skin grafts, partial skin graft donor sites, xenografts/biomembranes, and surgical wounds to the legs. Resumen: La cirugía dermatológica asocia un riesgo de complicaciones muy bajo. No existe un protocolo universalmente aceptado sobre las recomendaciones de curas poscirugía dermatológica. En esta revisión narrativa, discutimos la evidencia sobre productos y procedimientos para el cuidado de la herida quirúrgica. En general, encontramos escasos estudios y en muchas ocasiones, falta de diferencias estadísticamente significativas, posiblemente dada la baja tasa de complicaciones. Discutimos la evidencia sobre cuándo iniciar las curas y su frecuencia, el tipo de ungüento a aplicar, los antisépticos y el tipo de apósito a utilizar. Pese a los escasos estudios sobre las curas tras cirugía dermatológica, existe evidencia suficiente para desaconsejar la utilización de antibióticos tópicos profilácticos. También analizamos la evidencia publicada sobre el cuidado de la herida quirúrgica en situaciones especiales, como son los injertos cutáneos, las zonas dadoras de injertos cutáneos de espesor parcial, los xenoinjertos/biomembranas y las heridas quirúrgicas en las piernas.

In order to take advantage of the antiseptic and healing properties of honey, the preparation of polymeric micro and nanofibers with honey from bees has been investigated in many parts of the world, in order to enhance their use in the development of biomedical products such as dressings, bandages and other elements that favors wound closure and tissue restoration. To contribute to this line of research, a background review is presented here on the application of the electrospinning technique in the preparation of micro and nanofiber membranes with honey, focusing on experimental methodology including the use of polymers, solvents, therapeutic agents, active principles or drugs loaded in apitherapeutic fibers. Electrospinning techniques and parameters, tests and material characterization methods have been compiled, presenting the effect of these variables on the compositional, morphological, mechanical and physicochemical properties of the fibrous meshes. A compendium of biological tests evaluated in vitro and in vivo was made in order to analyze the functionality and potential of the application of fibers in tissue engineering, as well as in the construction of devices for clinical diagnosis and in general for the development of advanced materials for wound treatment. This review sees the establishment of the methodological foundations for the design of new materials based on honey and plant extracts not yet explored, and which could be developed into compounds of high scientific and industrial interest. [ABSTRACT FROM AUTHOR]

Copyright of Gerokomos is the property of Indemm Farma SL and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Toxic epidermal necrolysis is a serious dermatological entity associated with multiple organ failure and high mortality. The most frequent etiology is related to the use of drugs. It begins with a prodromal picture, followed by a rash consisting of erythematous or erythematous-violaceous macules and plaques that progress to multiple blisters, leaving extensive denuded areas and mucosal involvement. It requires multidisciplinary management in the intensive care unit that includes the services of Dermatology, Internal Medicine, Critical Medicine, Plastic Surgery, Emergencies and Anesthesiology. The management of this disease is based on life support measures and targeted pharmacological treatment. Avoiding complications is a priority to improve survival. [ABSTRACT FROM AUTHOR]

Copyright of Enfermería Nefrológica is the property of Sociedad Espanola de Enfermeria Nefrologica and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Introducción: El uso de catéteres venosos centrales para hemodiálisis se relaciona con un mayor desarrollo de complicaciones infecciosas, por lo que las Guías de Práctica Clínica recomiendan diferentes estrategias para disminuir dichas complicaciones, sin indicación clara sobre el apósito a utilizar en la cura del orificio de salida. Objetivo: Comparar la tasa de infecciones relacionadas con el catéter de dos pautas de cura del orificio de salida del catéter venoso central de hemodiálisis: apósito con gluconato de clorhexidina al 2% frente a clorhexidina en solución al 2%, cubierta con apósito de poliuretano semipermeable autoadhesivo. Material y Método: Estudio experimental, controlado, aleatorizado en pacientes en hemodiálisis a través de catéter venoso central para comparar dos pautas de cura, grupo control: clorhexidina en solución al 2% cubierta con apósito de poliuretano semipermeable autoadhesivo y grupo intervención: apósito con gluconato de clorhexidina al 2%. Se recogieron datos socioclínicos y relacionados con las complicaciones infecciosas. Se realizó un análisis descriptivo e inferencial.. Resultados: Se estudiaron 50 pacientes, 25 en cada grupo. El grupo intervención presentó dos infecciones del orificio de salida y el grupo control, presentó doce casos (OR: 0,176, IC 95%: 0,039-0,790; p=0,013). El grupo intervención presentó un caso de bacteriemia frente a dos episodios del grupo control (OR: 0,533, IC 95%: 0,048-5,892; p=ns). Conclusión: La cura con apósito con gluconato de clorhexidina al 2% es una medida protectora frente a la infección del orificio de salida en comparación con la cura con clorhexidina en solución al 2% y apósito de poliuretano.

Dermatologic surgery is associated with a very low risk of complications. There is no widely accepted, evidence-based protocol with recommendations for postoperative wound care after dermatologic surgery. In this narrative review, we will be discussing the evidence on surgical wound care products and procedures. Overall, we found relatively few studies and, in many cases, a lack of statistically significant differences, possibly because of the low rate of complications. We'll be discussing the evidence on when we should initiate wound care procedures and their frequency, the type of ointment and antiseptics that should be applied, and the type of dressings that should be used. Despite the very few studies available on postoperative wound care following dermatologic surgery, there is sufficient evidence as to not recommend the use of prophylactic topical antibiotics. We also analyze the currently available evidence on surgical wound care in special situations, such as management of skin grafts, partial skin graft donor sites, xenografts/biomembranes, and surgical wounds to the legs., (Copyright © 2024 AEDV. Publicado por Elsevier España, S.L.U. All rights reserved.)

Antecedentes: las quemaduras de tercer grado‚ hacen parte de las complicaciones clínicas graves si no se realiza un adecuado manejo; son lesiones de alta complejidad clasificadas de acuerdo con su extensión‚ profundidad y el origen del material que las causan. El protocolo terapéutico que se instaura es fundamental para evitar alteraciones sistémicas inmediatas y/o progresivas del animal. Objetivo: describir la utilidad del manejo terapéutico multimodal en quemaduras de tercer grado‚ de gran extensión y profundidad bajo un sistema controlado de desbridamiento quirúrgico y químico. Métodos: paciente canina‚ mestiza‚ de 5 años‚ hembra no castrada‚ de 10.4 kg de peso‚ que presentó quemaduras de tercer grado con una extensión de 70 % de la superficie corporal tras la exposición a un incendio. Se realizaron bioquímica sérica‚ hemograma e imágenes diagnósticas‚ cultivo y antibiograma. Resultados: se evidencia múltiples heridas de quemaduras a nivel lateral de tarsos‚ zona inguinal y perineal‚ herida de mayor extensión y profundidad a nivel dorso- lumbar. Se realiza estabilización inicial de la paciente‚ se instaura un protocolo multimodal del manejo de herida por medio desbridamiento quirúrgico y químico‚ vendajes‚ apósitos de hidro fibras‚ manejo multimodal del dolor‚ productos que contribuyeron en la hidratación de la herida‚ protección‚ absorción de secreciones‚ se incluyó también mecanismos de prevención y control de agentes infecciosos basados en resultado de cultivo positivo a Enterobactercloacae con antibiograma sensible a amicacina‚ el manejo multimodal de la paciente se realizó hasta lograr evidencia de tejido de granulación en una escala de tiempo de tres meses‚ alcanzando una cicatrización total del tejido afectado. Conclusiones: el uso de protocolos multimodales para el manejo de heridas por quemaduras de tercer grado de gran extensión favorece la absorción de secreciones‚ ayudando a la eliminación del tejido no viable mediante un desbridamiento autolítico; permitiendo que los cambios de vendaje puedan ser realizados con menos frecuencia. [ABSTRACT FROM AUTHOR]

Objective: Preventing hospital-acquired pressure injuries (PI) in critically ill patients remains a significant clinical challenge because of its associated high risk for comorbid conditions. We assessed the preventive effectiveness of silicone dressings among patients admitted in intensive care units and non-intensive care units settings., Methods: A literature search was conducted across 3 electronic databases (MEDLINE, EMBASE, Cochrane Central) from inception through December 2021. Studies assessing the effectiveness of silicone dressing on the incidence of PI on the sacral area were included. Evaluations were reported as risk ratios (RRs) with 95% confidence interval, and analysis was performed using a random-effects model., Results: Of the 1056 articles retrieved from the initial search, 11 studies were included in the final analysis. Silicone dressings significantly reduced the incidence of PI compared to usual care (RR: 0.30, 95% CI: 0.19-0.45, P<0.01). We found no significant difference between results of studies conducted in intensive care settings (RR=0.25, 95% CI: 0.15-0.43, P<0.01) and non-intensive care settings (RR=0.38, 95% CI: 0.17-0.83, P=0.01) (P-interaction: 0.39). Silicone dressings reduced the risk of developing PI among patients using five-layer foam Border dressing (Mepilex® Sacrum) (RR: 0.31, 95% CI: 0.20-0.48, P<0.01), and dressing Allevyn Gentle Border® (RR: 0.10, 95% CI: 0.01-0.73, P=0.02) with no significant difference upon subgroup analysis (P-interaction: 0.27)., Conclusion: The present meta-analysis suggests that silicone dressings consistently reduce the incidence of PI in intensive as well as in non-intensive care settings, regardless of the type of dressing used., (Copyright © 2022 Elsevier España, S.L.U. All rights reserved.)