Surgical Wound Bed Preparation of Chronic and Acute Wounds (original) (raw)
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New wound care technologies are being developed at an increasingly rapid pace in recent years. These innovations could significantly reduce the overall costs for treating complex and chronic wounds, while offering greater savings in preventing wounds and their recurrence. The ultimate goal of wound management is the prevention of wounds, or the halting of wound deterioration to achieve more rapid healing. This goal can only be accomplished by intervening with appropriate quality care, in a timely manner. Expenses related to wound care may include surgical and diagnostic procedures, pharmaceuticals, and fees for services provided by physicians and other healthcare professionals. Other costs include the use of medical equipment, the use of devices to provide compression or support for surfaces, wound closing, and the cost of skin care protection products, compression bandages, and changing dressings. Patients need access to the best standard of care to heal their wounds, prevent compl...
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Special Considerations in Wound Bed Preparation 2011
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All authors, staff, and planners in a position to control the content of this CME activity and their spouses/life partners (if any) have disclosed that they have no financial relationships with, or financial interests in, any commercial organizations pertaining to this educational activity.
Plastic and reconstructive surgery, 2006
This is a clinical review of current techniques in wound bed preparation found to be effective in assisting the wound-healing process. The process begins with the identification of a correct diagnosis of the wound's etiology and continues with optimizing the patient's medical condition, including blood flow to the wound site. Débridement as the basis of most wound-healing strategies is then emphasized. Various débridement techniques, including surgery, topical agents, and biosurgery, are thoroughly discussed and illustrated. Wound dressings, including the use of negative pressure wound therapy, are then reviewed. To properly determine the timing of advance therapeutic intervention, the wound-healing progress needs to be monitored carefully with weekly measurements. A reduction in wound area of 10 to 15 percent per week represents normal healing and does not mandate a change in the current wound-healing strategy. However, if this level of wound area reduction is not met consi...
A Comparative Study of Different Modalities of Dressing in Chronic Wounds
International Journal of Advanced Research, 2016
Chronic wound is defined as an insult or injury that has failed to proceed through an orderly and timely process to produce anatomic and functional integrity, or proceeded through the repair process without establishing a sustained anatomic and functional result 1. The wounds that have failed to heal for over a period of 4 weeks are regarded as chronic wounds. The prevalence of chronic wounds in India is 4.48 per 1000 of the population 2. The annual cost for management of chronic wounds in USA alone is greater than $20 billion 3,4. Negative pressure wound therapy (NPWT) in its most current form has been used steadily to heal complex wounds since its introduction by Fleischmann et al 5. While this technology seems relatively recent to modern medicine, its roots go back to the earliest civilizations. In this study, it is compared with the other commonly available modalities of dressing such as moist dressing, honey based dressing, phenytoin dressing and topically applied growth factors.