In evaluating 20,960 pancreaticoduodenectomy patients, the use of wound protectors (WPs) significantly decreased serious complications and surgical site infections (SSIs). Among the cohort, 29.4% used WPs, which were linked to an increased operative time but shortened hospital stays. Notably, WP use correlated with a 20% lower rate of serious complications and a 43% reduction in […]
Category: Wounds
Blood glucose regulation significantly improves survival in Fournier’s gangrene
Elevated blood glucose at admission is linked to increased mortality in Fournier’s gangrene patients. A study of 36 patients indicated a 16.7% mortality rate, with diabetes common in 61.1% of cases. The optimal glucose cut-off of 186.5 mg/dl provided 83.3% sensitivity and specificity for predicting mortality. While existing scoring systems like LRINEC and CUPI showed […]
Active wound dressing reduces pain and enhances healing after surgery
Active wound dressings significantly reduce postoperative pain and accelerate wound healing in patients following anorectal surgery. In a study with 110 participants, pain scores were notably lower in those receiving active dressings on days 1, 3, and 7 post-operation. Furthermore, the wound healing rates were higher and healing times shorter compared to conventional dressings. Enhanced […]
Remote patient monitoring significantly improves wound care outcomes
A systematic review of 51 studies revealed that remote patient monitoring (RPM) is highly effective for wound care, with 93.75% of the analyzed studies showing positive results. The review, covering research from 2008 to 2023, emphasizes the role of RPM in enhancing healthcare quality and decreasing unnecessary hospital visits through efficient online communication between physicians […]
Women and racial minorities face higher mortality in necrotizing fasciitis
Analysis of nearly 119,000 necrotizing fasciitis patients revealed women and certain racial minorities faced significantly higher in-hospital mortality than white counterparts. Women were 18% more likely to die, while Asian and Hispanic patients also showed increased mortality risks. Additionally, these groups experienced longer hospital stays and substantially higher costs, with Asian patients averaging $17,596 more […]
Mortality from necrotizing fasciitis sharply increases in the U.S.
Between 2003 and 2020, necrotizing fasciitis (NF) deaths in the U.S. surged by 120.6%, from 824 to 1,842 annually. The age-adjusted mortality rate rose from 0.44 to 0.71 per 100,000 people. Males faced higher mortality overall, with a stark rise post-2015. American Indian or Alaska Native groups reported the highest rates, while regional disparities were […]
Timely diagnosis within six hours significantly lowers mortality in necrotizing fasciitis
A retrospective analysis of 121 patients with necrotizing fasciitis revealed that early diagnosis within six hours reduced mortality rates to 5.7% compared to 13.2% for later diagnoses. Patients receiving timely intervention experienced shorter hospital stays, averaging 17 days versus 27 days. Additionally, a combination of early diagnosis and treatment resulted in a minimal mortality rate […]
Triclosan-Containing Sutures Reduce Surgical Site Infections
A recent systematic review and meta-analysis of 31 studies involving 17,968 participants demonstrated that triclosan-containing sutures substantially lower the incidence of surgical site infections compared to non-triclosan sutures, achieving a relative risk of 0.75 (95% CI, 0.65-0.86). Despite moderate certainty due to heterogeneity, the trial sequential analysis indicated that additional studies are unlikely to alter […]
Platelet-rich plasma accelerates healing in pilonidal disease treatment
A prospective study involving 140 patients with pilonidal sinus disease revealed that the use of platelet-rich plasma (PRP) significantly shortened wound healing time compared to standard dressing. On average, PRP patients healed in 23.6 days, while the control group took 41.1 days (p < 0.001). Additionally, PRP demonstrated a wound healing rate increase, high patient […]
Bismuth subgallate-borneol ointment enhances healing in surgical wounds
A novel bismuth subgallate-borneol compound ointment significantly improved wound healing in infectious postoperative wounds after anorectal surgery. In a randomized controlled trial involving 46 patients, the experimental group showed a higher granulation growth rate at all observation points and a notable increase in wound healing rate by day 14 compared to the control group. These […]