Wound Healing Southern Africa https://ojs.sabinet.co.za/index.php/whsa <p>WHSA is distributed biannually to the members of WHASA as well as other surgeons (general, plastic, vascular and orthopaedic), diabetologists, dermatologists, general practitioners, podiatrists, stoma and ostomy specialists and wound care specialists.</p> Medpharm Publications en-US Wound Healing Southern Africa 1998-8885 Classification of dressings: a framework adapted to the Wound Bed Preparation Paradigm https://ojs.sabinet.co.za/index.php/whsa/article/view/123 <p>The wound dressings market in South Africa follows the worldwide growth of products, and healthcare practitioners must acquire knowledge of the basics of wound healing and wound bed preparation for a cost-effective indication of those products. Based on the Wound Bed Preparation (WBP) paradigm, the author suggests a framework comprising most of the products in the basic classification, which has been updated yearly for the Wound Healing Association of Southern Africa (WHASA).</p> MGC Giaquinto-Cilliers Copyright (c) 2023 Wound Healing Southern Africa 2023-12-05 2023-12-05 16 2 31 33 Evidence-based practice regarding lower leg ulcers: a mapping review https://ojs.sabinet.co.za/index.php/whsa/article/view/29 <p><strong>Background:</strong> Treating lower leg ulcers is a multifaceted problem and requires a comprehensive approach. Appropriate care requires both skill and knowledge in the application of evidence-based care. New evidence regarding wound care and the management of lower leg ulcers is emerging continuously, yet care seems to lack standardisation, and guidelines are not implemented.</p> <p><strong>Method:</strong> A systematic process was followed to address the research question that focused on the characteristics, assessment methods, and treatment options of evidence-based practices for people with lower leg ulcers in all healthcare settings. An electronic search of seven different databases was conducted for publications from 2011 to 2020. Studies were assessed for relevance and 44 of 668 publications were included. Data were charted literatim and checked for accuracy.</p> <p><strong>Conclusion:</strong> Data charted from the reports were organised into themes, categories and subcategories, and aided in identifying links and concepts regarding history taking, assessment, treatment, wound assessment, referral criteria, outcome measures, health dialogue, and product options as the first step in the development of a care pathway for lower leg ulcers. A mapping review of existing evidence aided in building an actionable knowledge base.</p> FA Bruwer Y Botma M Mulder Copyright (c) 2023 Wound Healing Southern Africa 2023-12-05 2023-12-05 16 2 35 41 Precision in practice: a case report on nail wedge resection for onychocryptosis in a South African diabetic patient https://ojs.sabinet.co.za/index.php/whsa/article/view/73 <p>Onychocryptosis presents unique challenges in diabetic populations, necessitating specialised interventions. Onychocryptosis, is a painful condition, often causing toe pain, discharge, and swelling of the nail fold. Treatments include nail wedge resection and matricectomy. Nail wedge resection is a surgical procedure that removes the affected portion of the nail plate following the natural strictures of the nail whilst a wedge-shaped section of the nail matrix is removed to correct deformities, relieve pain, or treat underlying nail pathologies. This minimally invasive procedure offers a short recovery time and is popular for treating conditions like ingrown nails, pincer nails, nail deformities, and chronic infections. Postoperative care is crucial for optimal healing and patient satisfaction. This case report explores the application of nail wedge resection in the South African context and highlights the crucial role of surgical techniques.</p> YM Choonara Copyright (c) 2023 Wound Healing Southern Africa 2023-12-05 2023-12-05 16 2 46 48 Genital reconstruction for the management of a complex wound in a patient with hidradenitis suppurativa https://ojs.sabinet.co.za/index.php/whsa/article/view/121 <p style="font-weight: 400;">Hidradenitis suppurativa (HS) is a chronic, relapsing suppurative cutaneous disease affecting skin-bearing apocrine glands and is manifested by abscesses, fistulating sinus tracts, and chronic infection leading to scarring. HS must be noticed early and referred for specialist care as this condition often needs multidisciplinary management. There is usually a delay in the diagnosis of this condition, and in most cases, the severe form of the disease occurs in patients who present late. This is a condition that often requires the care of a wound practitioner, and being aware of this disease may assist in an earlier diagnosis.</p> <p style="font-weight: 400;">In this case report we describe a patient who presented with a severe form of HS, affecting his axilla and perineum. The condition was complicated by the fact that he had a buried penis and extensively diseased scrotal skin, which was compounded by perianal disease. This case also describes the management of the disease as well as that of the buried penis and scrotal reconstruction.</p> KA Ramdhani K Ramdhani RVV Patel SR Gautam N Kairinos Copyright (c) 2023 Wound Healing Southern Africa 2023-12-05 2023-12-05 16 2 51 54 An audit of the incidence of acute hand infections requiring surgery at Worcester Provincial Hospital before and after the implementation of increased hand hygiene awareness during the COVID-19 pandemic https://ojs.sabinet.co.za/index.php/whsa/article/view/24 <p style="font-weight: 400;"><strong>Background:</strong> Acute hand infections are a common occurrence in the South African healthcare setting, often requiring specialist care. This study aimed to describe the incidence of acute hand infections requiring surgery before and after the introduction of COVID-19 hand hygiene guidelines.</p> <p style="font-weight: 400;"><strong>Methods:</strong> A retrospective cohort study compared acute hand infections at Worcester Provincial Hospital (WPH) during two periods in 2020, before (period 1) and after (period 2) the COVID-19 regulations were implemented. A control, which consisted of data from the same periods in the years 2018 and 2019 was used to compare findings.</p> <p style="font-weight: 400;"><strong>Results:</strong> A total of 279 acute hand infections were identified for the three years, of which 2020 had the most cases (100 infections). In 2020, the total number of infections decreased by 56% from period 1 (64 infections) to period 2 (36 infections). However, the incidence increased from 12.4% (period 1) to 15% (period 2).</p> <p style="font-weight: 400;"><strong>Conclusion:</strong> Although the total number of acute hand infections decreased significantly, the incidence increased. These findings occurred during two periods, before and after strict hand hygiene regulations were implemented. The findings of this study could not decisively support that increased hand hygiene had any effect on the incidence of acute hand infections.</p> NJ Lötz L Combrink G Thiart Copyright (c) 2023 Wound Healing Southern Africa 2023-12-05 2023-12-05 16 2 42 45 Editorial https://ojs.sabinet.co.za/index.php/whsa/article/view/127 <p>The year is drawing to an end, and many of us are looking forward to a well-deserved break with family and friends, and we do so basking, in the euphoria of our Springbok Rugby World Cup victory! And if we are very lucky, possibly even a Cricket World Cup too!</p> Nick Kairinos Copyright (c) 2023 Wound Healing Southern Africa 2023-12-05 2023-12-05 16 2 30 30 CPD Questionnaire (V16N02) https://ojs.sabinet.co.za/index.php/whsa/article/view/129 <p>CPD Questionnaire</p> Editorial Office Copyright (c) 2023 Wound Healing Southern Africa 2023-12-05 2023-12-05 16 2 55 55