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Manuka honey in wound management: greater than the sum of its parts?

The literature includes reports on numerous honeys, from different floral sources, for in vitro antimicrobial activity in particular. Due to the pioneering work of the late Peter Molan3 in New Zealand...

Recommendations for the management of biofilm: a consensus document

There is more published evidence on the effectiveness of debridement in diabetic foot ulcers (DFUs) than for venous leg ulcers (VLUs) and pressure ulcers (PUs).8 After debridement, systemic...

Effect of a wound cleansing solution on wound bed preparation and inflammation in chronic wounds: a single-blind RCT

To compare the clinical efficacy of a PP solution versus NS solution, assessing inflammatory signs and wound size in patients with pressure ulcers (PUs) or vascular leg ulcers..

Biological effects and clinical application of negative pressure wound therapy: a review

NPWT is also known as topical negative pressure, sub-atmospheric pressure therapy, vacuum sealing, vacuum pack therapy, and vacuum sealing drainage (VSD), or vacuum-assisted closure (VAC). Based on...

Wound bed preparation: the importance of rapid and effective desloughing to promote healing

Slough is comprised of the components of phagocytosis and occurs as a consequence of the inflammatory phase of wound healing. In acute wounds, neutrophils remove any dead and devitalised tissue that...

Extremit-ease compression garment: a review and cases

A 39-year-old caucasian male with a medical history of chronic venous insufficiency ulcers (greater than 12 years) in his lower extremities, chronic thromboembolism in left lower extremity, lupus...

Immune and vascular dysfunction in diabetic wound healing

A systematic review of the literature was conducted using PubMed, MEDLINE, and Google Scholar. Search terms used include: ‘diabetes’, ‘wounds’, ‘wound healing’, ‘diabetic wounds’, ‘immune...

We can not escape the math: the diabetic foot

‘One in every four people with diabetes will develop a foot ulcer during their lifetime’ .

Foundations for practice: Neuropathy examinations

The SWME is performed using a 5.07 monofilament, which is a calibrated, single-fibre nylon thread. The 5.07 monofilament exerts 10 grams of force when bowed into a C-shape against the skin for one...

Diabetic bullae: A case series and a new model of surgical management

We retrospectively reviewed four cases that presented over six months to a tertiary referral centre with onsite vascular, diabetic and wound care services covering a population of more than 1.4...

Managing the diabetic foot

Diabetic foot risk stratification and triage/identification of risk status. Adapted from Diabetes UK.

The deteriorating DFU: prioritising risk factors to avoid amputation

The three risk factors for amputation illustrated as three intersecting rings of dominance (adapted from Armstrong and Mills)1.

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