scholarly works

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Wound bed assessment in patients at a tertiary hospital in Nigeria—a preliminary report
(2016) Iyun O.A.; Ademola S.A.; Michael A.; Olawoye O.; Oluwatosin O.
Introduction: Wound assessment is fundamental for the management of wounds. It is the foundation in the care plan and helps in determining the effectiveness of interventions. Wound assessment also assists in making appropriate decisions regarding the type of wound dressing to be applied. Detailed wound assessment takes into account all aspects of the patient’s well-being and not just the wounds the patient has. Objectives: The study assessed chronic wounds in the patients at a tertiary Nigerian hospital (University College Hospital, Ibadan) and utilized the information for preparing a standardized wound assessment format for health facilities in the subregion. Materials and Methods: The study was conducted at the University College Hospital, Ibadan, South West Nigeria. Patients with chronic wounds from various causes were treated prospectively in the hospital for over a month and had detailed assessment of their wounds performed. The data obtained were entered into a predesigned form, and this was subsequently analyzed using Statistical Package for the Social Sciences version 21 software. Results: Seventy-eight wounds were reviewed during the study period. The area of the wounds ranged from 1 to 1248 cm2 (median 24 cm2). The type of granulation tissue related to the wound type was not statistically significant. Assessment of the exudates of the wounds revealed that 44.9% of the wounds had seropurulent or purulent discharge, whereas 19.2% had serous discharge. Conclusion: Wound care management can be improved with appropriate wound assessments, which form the foundation in the care plan. Wound assessment will enhance objective measurement of the status of the wound and helps in choosing appropriate wound care dressing to promote wound healing.
Perception of healthcare professionals in university college hospital, ibadan toward wound care
(2016) Iyun O.A.; Ademola S.A.; Michael A.; Olawoye O.; Oluwatosin O.
Background: A survey of perception of healthcare workers in a tertiary hospital [University College Hospital (UCH), Ibadan] was done with a view to determine the need to introduce a curriculum in wound care for healthcare workers. Materials and Methods: A self-administered questionnaire was used to capture data related to knowledge and practices on wound care from healthcare workers in UCH, Ibadan. Descriptive analysis was done using the Statistical Package for the Social Sciences version 21 software (SPSS Inc., Chicago, IL, USA). Results: One hundred and four healthcare professionals working in UCH, Ibadan, comprising doctors, nurses, and physiotherapist, with 61.1% over 10 years of experience in wound care were surveyed. Seventy- seven percent agree or strongly agree that healthcare professionals are knowledgeable about best practices in wound care. 50.5% agree or strongly agree that UCH operates best practices in wound care while 49% agree or strongly agree that wound assessment is standardized in the hospital. 96.2% agree or strongly agree that an interprofessional wound care course will be beneficial to healthcare professionals and that it will enable healthcare professionals speak the same language with regard to wounds. Conclusion: Teamwork and definite wound care policy/protocol are essential for excellent outcomes in wound care. Introduction of this approach will enhance knowledge translation and encourage best practice in our health institutions.
The reverse sural artery flap for the reconstruction of distal third of the leg and foot
(2012) Olawoye O.A |; Ademola S.A; lyun K; Michael A; Oluwatosin O.
Soft tissue defects around the distal third of the leg and the foot present a major reconstructive challenge. There is limited expertise with free tissue transfers in many developing countries, necessitating consideration of other options for the closure of such defects. The versatility and reliability of sural artery flap have made it an emerging popular option for the reconstruction of such defects. Twenty patients comprising of 13 males and 7 females with soft tissue defects of the lower third of the leg and foot requiring soft tissue cover were treated between January 2006 and December 2010. The age range was 7-58 years with a mean age of 30 years. Nineteen (95%) of the defects were post-traumatic while one (5%) was post-infective. All the defects were covered with reversed sural artery flaps, which were raised on the posterior aspect of the junction of the upper and middle third of the leg. The smallest flap was 4 x 4 cm2 while the largest measured 20 x 12 cm2. The donor defect was closed directly in 7 (35%) patients, while split skin graft was applied in the remaining 13 (65%) patients. There was satisfactory flap healing in 17 patients (85%), while 3 patients (15%) had complete flap necrosis. Two of these patients had significant comorbidities of haemoglobinopathy and poorly controlled diabetes mellitus. Sural artery flap remains a viable option for the reconstruction of soft tissue defects of the distal third of the leg and foot. Caution should, however, be exercised in patients with some significant systemic diseases.

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