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SIGN consults on update of guideline on care of patients with chronic venous ulcersEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Source: SIGN Area: News SIGN is consulting on an update of its guideline on care of patients with chronic venous ulcers. The consultation closes on 16th October. (Source: NeLM - Wound Management)
Source: NeLM - Wound Management - September 24, 2009 Category: Cosmetic Surgery Source Type: organizations

A systematic review of silver-releasing dressings in the management of infected chronic woundsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Source: DARE Area: Evidence > Disease Focused Reviews CRD Summary: The authors concluded that silver-releasing dressings had an overall positive effect on the management of chronic infected wounds. However, the quality of evidence was limited and more research was needed. In view of methodological problems and poor reporting in the review, as well as the questionable quality and heterogeneity of the primary studies, the conclusions may not be reliable. CRD Commentary: The review objectives and inclusion criteria were clear, although many of the included trials did not comply with these criteria (for example, th...
Source: NeLM - Wound Management - August 23, 2009 Category: Cosmetic Surgery Source Type: organizations

A systematic review of the use of hydrocolloids in the treatment of pressure ulcersEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Source: DARE Area: Evidence > Disease Focused Reviews CRD Summary: This review included randomised trials comparing hydrocolloid dressings with other types of dressing or one another. The review was largely descriptive, but reported that hydrocolloids were more effective than gauze dressings and less effective than other types for various outcomes. The conclusions were based on one or two small trials of uncertain validity and should be treated with caution. CRD Commentary: Inclusion criteria for participants, intervention and study design were clear. A wide range of comparators and outcomes were included. The authors s...
Source: NeLM - Wound Management - July 7, 2009 Category: Cosmetic Surgery Source Type: organizations

Four layer bandage compared with short stretch bandage for venous leg ulcers: systematic review and meta-analysis of randomised controlled trials with data from individual patientsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Source: DARE Area: Evidence > Disease Focused Reviews CRD Summary; The authors of this review of individual patient data concluded that the four layer bandage increases the chance of healing by approximately 30%, when independent prognostic characteristics are taken into account, and benefits are consistent across different prognostic profiles. This was a well-conducted and reported review and the conclusions are likely to be reliable. CRD Commentary; This review addressed a clear research question and was supported by detailed inclusion criteria for study design, participants, interventions and outcomes. The search st...
Source: NeLM - Wound Management - June 14, 2009 Category: Cosmetic Surgery Source Type: organizations

Topical agents and dressings for fungating woundsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Source: Cochrane Database of Systematic Reviews Area: Evidence > Disease Focused Reviews Background Fungating wounds arise from primary, secondary or recurrent malignant disease and are associated with advanced cancer. A small proportion of patients may achieve healing following surgical excision, but treatment is usually palliative. Fungating wound management usually aims to slow disease progression and optimise quality of life by alleviating physical symptoms, such as copious exudate, malodour, pain and the risk of haemorrhage, through selection of appropriate dressings and topical agents. Objectives To conduct a ...
Source: NeLM - Wound Management - May 17, 2009 Category: Cosmetic Surgery Source Type: organizations

Oral zinc for arterial and venous leg ulcersEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Source: Cochrane Database of Systematic Reviews Area: Evidence > Drug Specific Reviews Background Leg ulcers affect up to one percent of people at some time in their life. Leg ulceration is chronic in nature with ulcers being present for months and in some cases years without healing, and with a high risk of recurrence. Management approaches include dressings and the treatment of underlying medical problems such as malnutrition, lack of minerals and vitamins, poor blood supply or infection. Objectives To assess the effectiveness of oral zinc in healing arterial or venous leg ulcers. Search strategy For this upda...
Source: NeLM - Wound Management - May 13, 2009 Category: Cosmetic Surgery Source Type: organizations