scholarly journals Delayed Primary Closure of Diabetic Foot Wounds using the DermaClose™ RC Tissue Expander

2008 ◽  
Vol 1 (2) ◽  
Author(s):  
David L. Nielson, DPM
Keyword(s):  
Diabetic Foot ◽  
Primary Closure ◽  
Tissue Expander ◽  
Delayed Primary Closure

MEDIAL SURAL ARTERY FLAP RECONSTRUCTION FOR DIABETIC FOOT ULCER : A CASE REPORT

2021 ◽  
pp. 20-21
Author(s):  
Tannistha Chakraborty ◽  
Manimaran Manimaran ◽  
K. S Ravishankar
Keyword(s):  
Diabetic Foot ◽  
Primary Closure ◽  
Foot Ulcer ◽  
Diabetic Foot Ulcer ◽  
Lower Limbs ◽  
Flap Reconstruction ◽  
Diabetic Ulcer ◽  
Delayed Primary Closure ◽  
Sural Artery ◽  
Complex Injuries

Diabetes is the leading cause of non traumatic lower extremity amputations resulting from atherosclerosis of the arteries. According to the International Working Group on the Diabetic Foot (IWGDF), a diabetic foot ulcer (DFU) is a fullthickness wound penetrating through the dermis (the deep vascular and collagenous inner layer of the skin) located below the ankle in a diabetic patient. The sural fasciocutaneous ap is useful for the treatment of severe and complex injuries in diabetic lower limbs. It is simple to dissect , does not compromise a major artery and has low donor morbidity. We present the case of a 38 year old gentleman who presented to us with Right foot diabetic ulcer progressing over a duration of 2 months . After initial debridement of wound patient underwent a trans metatarsal (foot) amputation followed by vacuum dressing and a delayed primary closure of wound using a medial sural artery ap.

1998 William J. Stickel Silver Award. Mechanically assisted, delayed primary closure of diabetic foot wounds

1998 ◽  
Vol 88 (10) ◽  
pp. 483-488 ◽  
Author(s):  
DG Armstrong ◽  
LA Lavery
Keyword(s):  
Diabetic Foot ◽  
Primary Closure ◽  
Wound Care ◽  
Wound Dehiscence ◽  
Healing Time ◽  
Control Group ◽  
Secondary Intention ◽  
Delayed Primary Closure ◽  
Skin Stretching ◽  
And Control

The authors evaluated the time to healing and prevalence of complications in patients undergoing mechanically assisted, delayed primary closure of diabetic foot wounds compared with a similar population who received standard wound care. A total of 55 patients were enrolled for study, with 25 in the experimental group and 30 in the control group. Patients in the experimental (stretch) group underwent mechanically assisted primary closure of their wounds using a skin-stretching device. There was no difference between the stretch and control groups with regard to any descriptive characteristics, including wound chronicity. Although the wounds were over three times as large on average in the stretch group (P < .001), the stretch group reached full epithelialization approximately 40% sooner than the control group (26.4 +/- 16.0 versus 42.5 +/- 19.9 days; P < .002). Eighty-eight percent of patients in the stretch group experienced wound dehiscence, at a mean time of 1.8 +/- 0.6 weeks following mechanically assisted closure. However, patients who experienced dehiscence in the stretch group healed significantly faster than patients in the control group (27.4 +/- 16.7 versus 42.5 +/- 19.9 days; P < .007). The results of this study suggest that mechanically assisted closure of diabetic foot wounds may result in reduced healing time compared with healing by secondary intention.

Experiences with Delayed Primary Closure of War Wounds of the Hand in Viet Nam

1968 ◽  
Vol 50 (5) ◽  
pp. 945-954 ◽  
Author(s):  
WILLIAM E. BURKHALTER ◽  
BRUCE BUTLER ◽  
WALTER METZ ◽  
GEORGE OMER
Keyword(s):  
Primary Closure ◽  
Viet Nam ◽  
War Wounds ◽  
Delayed Primary Closure

Delayed Primary Closure in Damage Control Laparotomy: The Value of the Wittmann Patch

2007 ◽  
Vol 73 (1) ◽  
pp. 10-12 ◽  
Author(s):  
Josef G. Hadeed ◽  
Gregory W. Staman ◽  
Hector S. Sariol ◽  
Sanjay Kumar ◽  
Steven E. Ross
Keyword(s):  
Primary Closure ◽  
Damage Control ◽  
Trauma Surgery ◽  
High Rate ◽  
Damage Control Laparotomy ◽  
Abdominal Closure ◽  
Delayed Primary Closure ◽  
Accepted Practice ◽  
Planned Relaparotomy ◽  
Temporary Closure

Damage control laparotomy has become an accepted practice in trauma surgery. A number of methods leading to delayed primary closure of the abdomen have been advocated; complications are recognized with all these methods. The approach to staged repair using the Wittmann patch (Star Surgical Inc., Burlington, WI) combines the advantages of planned relaparotomy and open management, while minimizing the rate of complications. The authors hypothesized that use of the Wittmann patch would lead to a high rate of delayed primary closure of the abdomen. The patch consists of two sheets sutured to the abdominal fascia, providing for temporary closure. Advancement of the patch and abdominal exploration can be done at bedside. When the fascial edges can be reapproximated without tension, abdominal closure is performed. Twenty-six patients underwent staged abdominal closure during the study period. All were initially managed with intravenous bag closure. Eighty-three per cent (20 of 24) went on to delayed primary closure of the abdomen, with a mean time of 13.1 days from patch placement to delayed primary closure. The rate of closure using the Wittmann patch is equivalent to other commonly used methods and should be considered when managing patients with abdominal compartment syndrome or severe abdominal trauma.

scholarly journals Primary vs delayed primary closure in patients undergoing lower limb amputation following trauma: A randomised control study

2019 ◽  
Vol 17 (2) ◽  
pp. 419-428
Author(s):  
Anand K. Katiyar ◽  
Harshit Agarwal ◽  
Pratyusha Priyadarshini ◽  
Abhinav Kumar ◽  
Subodh Kumar ◽  
...  
Keyword(s):  
Lower Limb ◽  
Primary Closure ◽  
Lower Limb Amputation ◽  
Limb Amputation ◽  
Delayed Primary Closure ◽  
Control Study
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