Cutaneous wound healing: Current concepts and advances in wound care
A non-healing wound is defined as showing no measurable signs of healing for at least 30 consecutive treatments with standard wound care.[1] It is a snapshot of a patient’s total health as well as the ongoing battle between noxious factors and the restoration of optimal macro and micro circulation,...
Saved in:
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Thieme Medical and Scientific Publishers Pvt. Ltd.
2014-09-01
|
| Series: | Indian Journal of Plastic Surgery |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.4103/0970-0358.146574 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850255163529363456 |
|---|---|
| author | Kenneth C Klein Somes Chandra Guha |
| author_facet | Kenneth C Klein Somes Chandra Guha |
| author_sort | Kenneth C Klein |
| collection | DOAJ |
| description | A non-healing wound is defined as showing no measurable signs of healing for at least 30 consecutive treatments with standard wound care.[1] It is a snapshot of a patient’s total health as well as the ongoing battle between noxious factors and the restoration of optimal macro and micro circulation, oxygenation and nutrition. In practice, standard therapies for non-healing cutaneous wounds include application of appropriate dressings, periodic debridement and eliminating causative factors.[2] The vast majority of wounds would heal by such approach with variable degrees of residual morbidity, disability and even mortality. Globally, beyond the above therapies, newer tools of healing are selectively accessible to caregivers, for various logistical or financial reasons. Our review will focus on the use of hyperbaric oxygen therapy (HBOT), as used at our institution (CAMC), and some other modalities that are relatively accessible to patients. HBOT is a relatively safe and technologically simpler way to deliver care worldwide. However, the expense for including HBOT as standard of care for recognized indications per UHMS(Undersea and Hyperbaric Medical Society) may vary widely from country to country and payment system.[3] In the USA, CMS (Centers for Medicare and Medicaid Services) approved indications for HBOT vary from that of the UHMS for logistical reasons.[1] We shall also briefly look into other newer therapies per current clinical usage and general acceptance by the medical community. Admittedly, there would be other novel tools with variable success in wound healing worldwide, but it would be difficult to include all in this treatise. |
| format | Article |
| id | doaj-art-42f35b7d319c4d86bc44fe99ac0ee2e5 |
| institution | OA Journals |
| issn | 0970-0358 1998-376X |
| language | English |
| publishDate | 2014-09-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | Indian Journal of Plastic Surgery |
| spelling | doaj-art-42f35b7d319c4d86bc44fe99ac0ee2e52025-08-20T01:56:56ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Plastic Surgery0970-03581998-376X2014-09-01470330331710.4103/0970-0358.146574Cutaneous wound healing: Current concepts and advances in wound careKenneth C Klein0Somes Chandra Guha1Adjunct Professor in Clinical Anatomy, Department of Anatomy and Pathology, Clinical Assistant Professor, Department of Family Medicine and Community Health, Joan C. Edwards School of Medicine, Marshall University, Huntington, West Virginia, USAAdjunct Professor in Clinical Anatomy, Department of Anatomy and Pathology, Clinical Assistant Professor, Department of Family Medicine and Community Health, Joan C. Edwards School of Medicine, Marshall University, Huntington, West Virginia, USAA non-healing wound is defined as showing no measurable signs of healing for at least 30 consecutive treatments with standard wound care.[1] It is a snapshot of a patient’s total health as well as the ongoing battle between noxious factors and the restoration of optimal macro and micro circulation, oxygenation and nutrition. In practice, standard therapies for non-healing cutaneous wounds include application of appropriate dressings, periodic debridement and eliminating causative factors.[2] The vast majority of wounds would heal by such approach with variable degrees of residual morbidity, disability and even mortality. Globally, beyond the above therapies, newer tools of healing are selectively accessible to caregivers, for various logistical or financial reasons. Our review will focus on the use of hyperbaric oxygen therapy (HBOT), as used at our institution (CAMC), and some other modalities that are relatively accessible to patients. HBOT is a relatively safe and technologically simpler way to deliver care worldwide. However, the expense for including HBOT as standard of care for recognized indications per UHMS(Undersea and Hyperbaric Medical Society) may vary widely from country to country and payment system.[3] In the USA, CMS (Centers for Medicare and Medicaid Services) approved indications for HBOT vary from that of the UHMS for logistical reasons.[1] We shall also briefly look into other newer therapies per current clinical usage and general acceptance by the medical community. Admittedly, there would be other novel tools with variable success in wound healing worldwide, but it would be difficult to include all in this treatise.http://www.thieme-connect.de/DOI/DOI?10.4103/0970-0358.146574wound healinghyperbaricoxygenuhmstcommental healthobesitydiabetescompartment syndrome |
| spellingShingle | Kenneth C Klein Somes Chandra Guha Cutaneous wound healing: Current concepts and advances in wound care Indian Journal of Plastic Surgery wound healing hyperbaric oxygen uhms tcom mental health obesity diabetes compartment syndrome |
| title | Cutaneous wound healing: Current concepts and advances in wound care |
| title_full | Cutaneous wound healing: Current concepts and advances in wound care |
| title_fullStr | Cutaneous wound healing: Current concepts and advances in wound care |
| title_full_unstemmed | Cutaneous wound healing: Current concepts and advances in wound care |
| title_short | Cutaneous wound healing: Current concepts and advances in wound care |
| title_sort | cutaneous wound healing current concepts and advances in wound care |
| topic | wound healing hyperbaric oxygen uhms tcom mental health obesity diabetes compartment syndrome |
| url | http://www.thieme-connect.de/DOI/DOI?10.4103/0970-0358.146574 |
| work_keys_str_mv | AT kennethcklein cutaneouswoundhealingcurrentconceptsandadvancesinwoundcare AT someschandraguha cutaneouswoundhealingcurrentconceptsandadvancesinwoundcare |