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“A systematic review revealed recurrence and complication rates of 8.9 and 18.6% in musculocutaneous, fasciocutaneous and perforator-based flaps for treatment of pressure sores.” … Bahram Biglari, MD, Ph.D. What did Dr. Biglari report in “A retrospective study on flap complications after pressure ulcer surgery in spinal cord-injured patients”, published in the Spinal Cord (2014) 52, [...]
“The true meaning of living and dying with a palliative wound must be understood to align care with patient and family needs … This definition also includes people who are vulnerable and have impaired quality of life”… Duygu Sezgin, MSc, PhD. Greg Vigna, MD, JD, national decubitus ulcer attorney, states “Dr. Sezgin's statement of palliative [...]
“Routine Hospital Onset-Acquired Sepsis Event surveillance could complement current Hospital Acquired Infections measures, improve the efficiency and objectivity of surveillance, and provide a broader window into serious nosocomial infections” states Dr. Brady Page, Department of Medicine, Massachusetts General Hospital. What else did Dr. Brady Page report in “Surveillance for Healthcare-Associated Infections: Hospital-Onset Adult Sepsis Events [...]
Dr. Greg Vigna, national mid-urethral sling attorney states, “The New England Journal of Medicine (NEJM), “Single-Incision Mini-Slings for Stress Urinary Incontinence in Women,” there remain unanswered questions regarding which single incision mini-sling, the Coloplast Altis or the Bard Adjust, was more responsible for the 2.5x greater risk of dyspareunia in the mini-sling group when compared [...]
“The use of surgical triple neurectomy seems effective and helpful in a high percentage of patients with chronic postoperative inguinal pain (CPIP)” states Professor Frederik Berrevoet, MD, Ph.D., Department of General Surgery, University Hospital in Ghent. What else did Dr. Berrevoet report in her article, “Surgical Treatment for Chronic Pain after Inguinal Hernia Repair: A [...]
“Transobturator tape removal with bilateral groin dissection improves patients’ pain and quality of life. It is associated with a high rate of overall satisfaction, low morbidity and an acceptable rate of stress urinary incontinence recurrence compared to partial removal. Groin dissection should be in the armamentarium, available for patients suffering with mesh complications," says Dr. [...]
“Inappropriate transfers (to Long-Term Acute Care Hospitals (LTACHs) most commonly were for wound care (28%), intravenous medication infusions (28%)” says Ross C. Schumacher, MD. Greg Vigna, MD, JD, national decubitus ulcer attorney, retired Physical Medicine and Rehabilitation physician states, “I doubt Dr. Schumacher is saying that the two or three hundred patients we admitted with [...]
“Conservative management is ineffective for stage III or IV pressure sores, and plastic surgery to create flap coverage of the sore becomes inevitable” states Chun-Yu Chen, MD, plastic surgeon. What else did Dr. Chen report in “Surgical Treatment and Strategy in Patients with Pressure Sores” published in Medicine (Baltimore) 2020 Oct 30, 99(44): 223022? “The [...]
“The data was brutal for the old, obsolete, polyurethane central venous lines that are peripherally inserted into the vein are unreasonably dangerous. There are safer materials available that reduce the risk of sepsis and blood clots. These are serious injuries that hurt patients of all ages,” states Dr. Greg Vigna, retired physician, and sepsis attorney. [...]
“Our local recommendation is to perform a Doppler ultrasound for every patient with a central-line associated bloodstream infection, even if there are no symptoms of thrombosis, as the duration of antibiotic therapy is extended in case of thrombosis, in association with an anticoagulation treatment,” states Dr. Anne Thiebaut-Bertrand, MD, hematologist. Dr. Thiebaut-Bertrand's report “Early PICC-line [...]