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Distraction as analgesic strategy during dressing changes

Professionals  involved in wound management know that dressing changes represent an enormously stressful factor for patients, mainly because of the associated pain. Pain has a sensitive component (the intensity of pain experienced by the...

Therapeutic pearl in post-surgical wounds

If anything makes me adore pearls is the elegance with which they help you succeed in any situation. In fact, the success  in our clinic is based on these therapeutic jewels. So I have...

Punch grafting: a classic back in fashion

The 8th Congress of the SEHER (Spanish Wound Healing Society) has just been held in Madrid https://www.congresoheridas.com/index.php/programa. Once again, this scientific meeting has been a meeting point for colleagues and friends. The star novelties...

Silver sulfadiazine: adored by some, detested by others.

Silver sulfadiazine cream (better known by its commercial names) remains, since the 70s, in the top of products used in wound healing, predominantly in superficial burns. It seems that the opinion of professionals on...

How do we manage clean wounds secondary to dermatological procedures?

Dermatology is a specialty in which we perform daily invasive processes (cryotherapy, laser, electrocoagulation, biopsies, extirpations), with the consequent production of wounds that are considered clean lesions. If we analyse our daily clinical practice,...

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Band and bandage: not the same thing

A band is called a bandage when it is placed on the patient's leg and, therefore, its properties are different. A band may be...

Silver in wound healing

Why? The antimicrobial activity of silver has been demonstrated in vitro, including multi-resistant bacteria such as MRSA. To be bactericidal, silver has to turn into...

The art of wound cleansing

It is widely recognized that cleansing is essential in wound management and it is always the first stage in every dressing change. But should...

Punch grafting in postsurgical wounds

This 73 year old patient presents with a scalp wound after removal of a basal cell carcinoma. On the day of surgery, 3 weeks...

Types of skin grafts to cover chronic wounds: which one should...

The use of skin grafts is a traditional technique to promote the healing of acute and chronic wounds. There are different types of skin...

Differences between epidermal and dermo-epidermal punch grafts

Autologous epidermal and dermo-epidermal punch grafts are two of the different options available to promote epithelialization of recalcitrant wounds despite adequate conventional treatment. As...

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