Grade 3/4 decubitus ulcers are not compatible with life and long-term complications caused by prolonged conservative care for these diagnoses have risks as well “There is little doubt VAC packs have some role, although ill-defined, in the management of Grade III/IV sacral decubitus ulcers. Clearly, VAC packs are currently overutilized by physicians who don’t [...]
A recent study reveals the frequency of a decubitus ulcer diagnosis has stayed the same but severity has increased and rate of surgical procedures has decreased A recent database study of hospital discharges between 2008 through 2019 reveal that the frequency of a decubitus ulcer diagnosis has essentially stayed the same, but severity increased [...]
Unfortunately, the misrepresentation by Ethicon continues to be recirculated in the literature. “Dr. Amy Gee, your article ‘Where Are We Now? Urogynecologic Mesh’ takes us back to 2004 and does not represent the current knowledge that is known by some members of your field. There was deceptive advertising and misrepresentation as part of their [...]
“There must be no delay in treating malnutrition in patients with deep Grade III or Grade IV decubitus ulcers as the body needs to be in ‘positive nitrogen balance’ to build tissue and this is directly related to residual protein stores and ongoing nutritional intake” … Greg Vigna, MD, JD, national malpractice attorney, wound [...]
PVDF has proven safe and effective especially when compared with polypropylene “The most appropriate biomaterial is one that simply works with as little inflammatory response as possible. PVDF is superior to polypropylene as it has reduced inflammatory response, less scarring, and superior safety to polypropylene. Does the FDA not trust AUGS to reasonably study [...]
Long-Term Acute Hospitals have a licensure and payment schedule that allows for the comprehensive care of patients with serious decubitus ulcers. “Any person with a hospital or nursing home acquired decubitus ulcers require skilled physicians and facilities with the scope of services to save them with myocutaneous flaps but also the scope of services [...]
Decubitus ulcer patients require absolute and reliable pressure relief that can only be provided by a bed that utilizes air-fluidized therapy. “The Clinitron bed is the only reliable surface to allow for pressure relief for patients with pressure ulcers, burns, and medically frail patients who cannot be repositioned because of pain or other medical [...]
For nearly a year, we have been waiting for the data comparing retropubic slings to transobturator slings. “We have been waiting for the underlying data for the New England Journal of Medicine, March 31, 2022 article that destroyed the utility of the Altis sling as groin pain was not reduced when compared with full-length [...]
Decubitus ulcers are rarely unavoidable and for that reason are classified as ‘Never Events’ by the Centers for Medicare & Medicaid Services because they are preventable by basic nursing care that can be provided with adequate resource allocation at hospitals and nursing homes”, says Greg Vigna, MD, JD, national malpractice attorney and wound care [...]
Debilitated patients with necrotic decubitus ulcers require an aggressive debridement by a plastic surgeon or general surgeon. “Debilitated patients with necrotic decubitus ulcers require an aggressive debridement by a plastic surgeon or general surgeon who intends to have the wound ready for surgical closure in the future. The standard of care is to have [...]