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Follow the links below to find summaries of systematic reviews of the evidence for the effectiveness of wound management.
Reviewed July 2009
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| Title: |
Conventional occlusion versus pharmacologic penalization for amblyopia
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| Publisher: |
John Wiley and Sons, Ltd. for The Cochrane Collaboration
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| Description: |
Amblyopia (referred to as lazy eye) is a common childhood condition, and is defined as defective visual acuity in one or both eyes, which is present with no demonstrable abnormality of the visual pathway and is not immediately resolved by wearing glasse...
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| Date: |
Jun 2009
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| Title: |
Pentoxifylline for treating venous leg ulcers
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| Publisher: |
John Wiley and Sons, Ltd. for The Cochrane Collaboration
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| Description: |
Venous leg ulcers are a common, recurring and disabling condition. The mainstay of treatment is the use of firm compression bandages or stockings to support the veins of the leg. Some leg ulcers take many months or years to heal and treatment is aimed a...
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| Date: |
May 2009
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| Title: |
Use of plastic adhesive drapes during surgery for preventing surgical site infection
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| Publisher: |
John Wiley and Sons, Ltd. for The Cochrane Collaboration
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| Description: |
Following surgery, up to 30% of wounds may become infected. This complication of surgery may cause distress for the patient and lead to higher treatment costs. Many interventions have been designed to reduce postoperative infections. One of these is the...
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| Date: |
Feb 2009
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| Title: |
Topical agents and dressings for fungating wounds
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| Publisher: |
John Wiley and Sons, Ltd. for The Cochrane Collaboration
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| Description: |
Fungating wounds sometimes occur in people with advanced cancer. Care usually aims to slow down disease progression, and improve quality of life by relieving the physical symptoms caused by the wounds (leakage, bad smell, pain and the risk of haemorrhag...
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| Date: |
Jan 2009
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| Title: |
Prophylactic antibiotics for penetrating abdominal trauma
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| Publisher: |
John Wiley and Sons, Ltd. for The Cochrane Collaboration
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| Description: |
For over half a century antibiotics have been given to patients that have suffered from a penetrating injury to the abdominal peritoneal cavity in an attempt to decrease the incidence of post-operative wound infection, intra-abdominal infection and mort...
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| Date: |
Jan 2009
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| Title: |
Mechanical bowel preparation for elective colorectal surgery
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| Publisher: |
John Wiley and Sons, Ltd. for The Cochrane Collaboration
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| Description: |
Preoperative mechanical bowel preparation before colorectal surgery does not reduce anastomotic leakage. Preoperative mechanical bowel preparation before colorectal surgery is a widely-practised treatment, but its efficacy has never been pr...
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| Date: |
Oct 2008
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| Title: |
Compression for venous leg ulcers
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| Publisher: |
John Wiley and Sons, Ltd. for The Cochrane Collaboration
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| Description: |
Venous leg ulcers occur when the blood returning from the veins in the legs to the heart is slow or obstructed. These ulcers can take a long time to heal (weeks or months) and can cause distress to patients as well as being very costly for the health se...
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| Date: |
Oct 2008
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| Title: |
Antimicrobial prophylaxis for colorectal surgery
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| Publisher: |
John Wiley and Sons, Ltd. for The Cochrane Collaboration
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| Description: |
Abdominal surgical wound infection (SWI) in patients having operations on the large intestine occurs in about 40% of patients if antibiotics are not given. This risk can be greatly diminished by the administration of antibiotics prophylactically before ...
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| Date: |
Oct 2008
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| Title: |
Primary repair for penetrating colon injuries
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| Publisher: |
John Wiley and Sons, Ltd. for The Cochrane Collaboration
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| Description: |
A common treatment for wounds that penetrate the colon (part of the large intestine) is to attach the colon, from at or above the injury, to a bag outside the body via the abdominal wall (this is called a colostomy or fecal diversion). This diverts fece...
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| Date: |
Sep 2008
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| Title: |
Conservative treatment for closed fifth (small finger) metacarpal neck fractures
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| Publisher: |
John Wiley and Sons, Ltd. for The Cochrane Collaboration
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| Description: |
A closed (the overlying skin remains intact) fifth metacarpal neck fracture occurs when the bone is broken just below the knuckle of the little finger. These account for approximately one in five of all hand fractures. The typical patient is a young man...
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| Date: |
Aug 2008
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| Title: |
Episiotomy for vaginal birth
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| Publisher: |
John Wiley and Sons, Ltd. for The Cochrane Collaboration
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| Description: |
Episiotomy is done to prevent severe perineal tears, but its routine use has been questioned. The relative effects of midline compared with midlateral episiotomy are unclear.
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| Title: |
Preoperative skin antiseptics for preventing surgical wound infections after clean surgery
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| Publisher: |
John Wiley and Sons, Ltd. for The Cochrane Collaboration
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| Description: |
There is insufficient evidence from randomised trials to support or refute the use of one antiseptic over another. There is no evidence to show that iodophor impregnated incise drapes reduce infections when compared to using no incise drape. Patients' s...
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| Date: |
Jul 2008
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| Title: |
Interventions for skin changes caused by nerve damage in leprosy
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| Publisher: |
John Wiley and Sons, Ltd. for The Cochrane Collaboration
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| Description: |
Three million persons are affected by nerve damage caused by leprosy (Hansen's disease) worldwide. Leprosy is a chronic infectious disease caused by the bacterium Mycobacterium leprae. About 30% of people with leprosy develop nerve damage that can lead ...
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| Date: |
Jul 2008
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| Title: |
Interventions for unilateral refractive amblyopia
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| Publisher: |
John Wiley and Sons, Ltd. for The Cochrane Collaboration
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| Description: |
Patching treatment for amblyopia (lazy eye) caused by unequal optical errors in either eye when the (usually) worst eye can fail to develop optimum vision. Amblyopia is a condition where the vision of one (or more rarely both) eyes is reduced because th...
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| Date: |
Jul 2008
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| Title: |
Honey as a topical treatment for wounds
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| Publisher: |
John Wiley and Sons, Ltd. for The Cochrane Collaboration
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| Description: |
Honey is a viscous, supersaturated sugar solution derived from nectar gathered and modified by the honeybee, Apis mellifera. Honey has been used since ancient times as a remedy in wound care. More recently trials have evaluated the effects of using hone...
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| Date: |
May 2008
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| Title: |
Debridement for surgical wounds
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| Publisher: |
John Wiley and Sons, Ltd. for The Cochrane Collaboration
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| Description: |
Following surgery most surgical wounds heal naturally with no complications. However, complications such as infection and wound dehiscence (opening) can occur which may result in delayed healing or wound breakdown. Infected surgical wounds may contain d...
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| Date: |
Apr 2008
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| Title: |
Gauze and tape and transparent polyurethane dressings for central venous catheters
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| Publisher: |
John Wiley and Sons, Ltd. for The Cochrane Collaboration
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| Description: |
A central venous catheter is a small tube inserted into a major vein to allow medications and other fluids to be 'dripped' in over a period of time without repeated injections. It is used in preference to a peripheral catheter (e.g. in the hand or arm) ...
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| Date: |
Mar 2008
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| Title: |
Methods of preventing bacterial sepsis and wound complications for liver transplantation
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| Publisher: |
John Wiley and Sons, Ltd. for The Cochrane Collaboration
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| Description: |
Bacterial sepsis and wound complications after liver transplantation increase mortality, morbidity, hospital stay, and overall transplant costs. Various methods have been attempted to decrease the bacterial sepsis and wound complications. A total of sev...
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| Date: |
Feb 2008
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| Title: |
Physical therapies for reducing and controlling lymphoedema of the limbs
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| Publisher: |
John Wiley and Sons, Ltd. for The Cochrane Collaboration
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| Description: |
Lymphoedema is the build up of excess fluid in the body tissues because of obstruction of lymphatic drainage back into the bloodstream. The affected limb becomes swollen, distorted in shape with pain, discomfort all of which impair movement and daily ac...
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| Date: |
Feb 2008
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