Wounds - from physiology to wound dressing.

Abstract:

INTRODUCTION:Optimal wound management remains the subject of active research. Improved knowledge of physiological wound healing, systemic research into wound dressing and the evaluation of chemical disinfection have given rise to new approaches to wound care. METHODS:Selective literature review. RESULTS:The primary goals of wound management are rapid wound closure and a functional and aesthetically satisfactory scar. While basic treatment for primary wound healing is often simple, a number of problems can arise in chronic wounds, especially in elderly patients and those with multiple morbidity. It is therefore essential to maintain the basic conditions for physiological wound healing, in particular adequate wound moistness. Each dressing change should entail an evaluation of the wound status, careful cleansing, and treatment tailored to the phase of wound healing. Many therapeutic agents formerly in use are now obsolete. A variety of specific preparations are available for wound covering, including inert, interactive and bioactive substances. There remains a lack of good evidence for these, however. CONCLUSIONS:New findings in molecular and cell biology have improved our understanding of physiological wound healing, and approach to wound care and dressing.

journal_name

Dtsch Arztebl Int

authors

Kujath P,Michelsen A

doi

10.3238/arztebl.2008.0239

keywords:

["chronic wounds","wound care","wound dressing","wound healing"]

subject

Has Abstract

pub_date

2008-03-01 00:00:00

pages

239-48

issue

13

issn

1866-0452

journal_volume

105

pub_type

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