Wound healing book pdf download

Journal of Epidemiology and Community Health ; 4, Franz MG et al Optimizing healing of the acute wound by minimizing complications. Current Problems in Surgery ; 11, Gray D et al Applied wound management: clinical tools to facilitate implementation. Applied Wound Management supplement. Part 2: Implementation ; International Wound Journal ; 3, DOI: Journal of Trauma ; 1, Kantor J, Margolis DJ A multicentre study of percentage change in venous ulcer area as a prognostic index of healing at 24 weeks.

British Journal of Dermatology ; 5, Keeling D et al Social support for elderly patients with chronic wounds. Journal of Wound Care; 6: 8, Martin M Physiology of wound healing. McGuire L et al Pain and wound healing in surgical patients. Annals of Behavioural Medicine; 2, McMaster SK et al Cigarette smoke inhibits macrophage sensing of Gram-negative bacteria and lipopolysaccharide: relative roles of nicotine and oxidant stress. British Journal of Pharmacology; 3, Momeni A et al Complications in abdominoplasty: a risk factor analysis.

Journal of Plastic, Reconstructive and Aesthetic Surgery; 10, Naylor W Malignant wounds: aetiology and principles of management. Nursing Standard ; 52, Carbon-nanotube-embedded hydrogel sheets for engineering cardiac constructs and bioactuators.

ACS Nano 7 , — Deng, Z. Multifunctional stimuli-responsive hydrogels with self-healing, high conductivity, and rapid recovery through host—guest interactions. Wu, Y. ACS Nano 11 , — Murray, C. Bacteriology of war wounds at the time of injury. Med , Aronson, N. Zhao, X. Ignatova, M. Stefan, J. The current view on biological potency of cationically modified chitosan. JPP 6 , 2 Google Scholar. Hoque, J.

Biocompatible injectable hydrogel with potent wound healing and antibacterial properties. Gu, R. The performance of a fly-larva shell-derived chitosan sponge as an absorbable surgical hemostatic agent. Biomaterials 31 , — Zhong, D. Effects of the gene carrier polyethyleneimines on structure and function of blood components. Biomaterials 34 , — Chou, T. Chitosan enhances platelet adhesion and aggregation. Injectable cryogel-based whole-cell cancer vaccines.

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Inter 8 , Electroactive biodegradable polyurethane significantly enhanced Schwann cells myelin gene expression and neurotrophin secretion for peripheral nerve tissue engineering.

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Inter 7 , — Antibacterial anti-oxidant electroactive injectable hydrogel as self-healing wound dressing with hemostasis and adhesiveness for cutaneous wound healing. Biomaterials , 34—47 Hsiao, C. Wu, M. Graphene-based photothermal agent for rapid and effective killing of bacteria. Arapoglou, V. Analgesic efficacy of an ibuprofen-releasing foam dressing compared with local best practice for painful exuding wounds. Wound Care 20 , — Fogh, K. Wound Repair Regen.

Shemesh, M. Structure—property effects of novel bioresorbable hybrid structures with controlled release of analgesic drugs for wound healing applications.

Argoff, C. Topical analgesics in the management of acute and chronic pain. Mayo Clin. Chang, K. Sasidharan, A. Hemocompatibility and macrophage response of pristine and functionalized graphene. Small 8 , — Cheng, F. ACS Sustain Chem. Li, G. Graphene-montmorillonite composite sponge for safe and effective hemostasis.

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Trauma Acute Care 60 , S3—S11 Gharibi, R. Inter 7 , Kloth, L. Electrical stimulation technologies for wound healing. Wound Care 3 , 81 Self-healing supramolecular bioelastomers with shape memory property as a multifunctional platform for biomedical applications via modular assembly.

Biomaterials , 18—31 Faul, F. Res Methods 39 , — Chen, Y. A novel small molecule chaperone of rod opsin and its potential therapy for retinal degeneration. Download references. Recommendations for preventing SSIs in the post-operative phase 8 Dressing and cleaning the wound Use an aseptic, non-touch technique for changing or removing dressings Aim to leave the wound untouched for up to 48 h after surgery, using sterile saline for wound cleansing during this period only if necessary Advise patients that they may shower safely 48 h after surgery Use tap water for wound cleansing after 48 h if the wound has separated or has been surgically opened to drain pus Use an interactive dressing for surgical wounds that are healing by secondary healing Refer to a tissue viability nurse or another healthcare professional with tissue viability expertise for advice on appropriate dressings for surgical wounds that are healing by secondary intention Antibiotic treatment If a SSI is suspected ie.

Consider local resistance patterns and the results of microbiological tests Debridement Do not use Eusol and gauze, or dextranomer or enzymatic treatments for debridement of surgical site infections Specialist wound care services To improve the management of surgical wounds, use a structured approach to care and provide enhanced education Do not use the following to reduce the risk of SSIs: Topical anti-microbial agents for surgical wounds that are healing by primary intention Eusol and gauze, or moist cotton gauze or mercuric antiseptic solutions for surgical wounds that are healing by secondary intention Occasionally, cleansing of a wound is required to help clear the wound of debris, such as devitalised tissue or excessive exudates, which may otherwise delay wound healing.

Dressings Dressings are another important component of post-operative wound management. Table 2. Suitable dressings for various types of wounds 11—12 Protective dressings Anti-microbacterial dressings Absorbent dressings Autolytic debridement Gauze Inexpensive, easily accessible, easy to apply Antibacterial ointments Can be applied to areas where dressings are difficult to apply Foam Absorbs moderate exudate Films Occlusive, allows exchange of gases Impregnated gauze Non-adherent, preserves moisture Iodine-based Absorbent, not to be used in thyroid disorders Hydrogels Can absorb minimal wound exudate or rehydrate wound, absorption function predominant here Hydrogels Can absorb minimal wound exudate or rehydrate wound; rehydration function predominant here Silver-based Broad spectrum with low resistance Hydrofibres and alginates Absorbs heavy exudate Hydrocolloids Occlusive, not for exudative or infected wounds Possible complications Two common complications of surgical wounds are infections and wound dehiscence.

Table 3. Common pathogens associated with types of operation 13 Type of operation Common pathogens Abdominal surgery Gram-negative bacilli, anaerobes, streptococci Breast surgery S. Conclusion Optimal management of surgical wounds is an important part of post-operative recovery and health care professionals should monitor the process of acute wound healing, prevent wound complications and treat appropriately if complications arise.

References Gilmore MA. Phases of Wound healing. Dimens Oncol Nurs ;— Wound healing: an overview. Plast Reconstr Surg ; 7suppl :1—32eS. Physiology of Wound healing. Adv Skin Wound Care ;— The wound healing process: an overview of the cellular and molecular mechanisms. J Int Med Res ;— Clinical aspects of full thickness wound healing.

Clin Dermatol ;— General principles of wound healing. Surg Clin North Am ;— Current management of acute cutaneous wounds. NEJM ;— Prevention and treatment of surgical site infections. Available at publications. Trauma and wound care. Chronic wound care. A problem-based learning approach.

London: Mosby Elsevier Limited; Medscape reference: surgical dressings. Available at emedicine. Systematic review and meta-analysis of wound dressings in the prevention of surgical-site infections in surgical wounds healing by primary intention.

Br J Surg ;— Advances in wound healing: a review of current wound healing products. Plast Surg Int ; This article has been double-blind peer reviewed Scroll down to read the article or download a print-friendly PDF here Click here to see other articles in this series.

Key points Wound healing is a complex process and still not fully understood The phases of healing are not distinct and wounds may show a combination of phases at the same time Nurses need to be able to identify the different phases to manage healing appropriately Wound healing can be delayed if nurses use incorrect treatments Skin that has been injured will never fully regain its pre-injury strength.

Also in this series Wound management 2: The principles of holistic wound assessment Wound management 3: Assessing and treating wound pain Wound management 4: Accurate documentation and wound measurement Wound management 5: Selecting wound dressings for optimum healing Wound management 6: How to address wound healing complications.

Wound Repair and Regeneration ; 9: Flanagan M Wound cleansing. London: Mosby. Gibson D et al MMPs made easy. Wounds International ; 1: 1.

Hart J Inflammation 1: its role in the healing of acute wounds. Journal of Wound Care ; 6, Li J et al Pathophysiology of acute wound healing.

Clinics in Dermatology ; 1, Martin M Physiology of wound healing. Chichester: Wiley-Blackwell. Clinics in Plastic Surgery ; 1, Ng MFY The role of mast cells in wound healing. International Wound Journal ; 7: 1, Shipperley T, Martin C The physiology of wound healing: an emergency response.

Nursing Times ; 8,