Evidence-Based Medicine: Wound Management.

Abstract:

LEARNING OBJECTIVES:After reading this article, the participant should be able to: 1. Describe the basic science of chronic wounds. 2. Discuss the general and local factors that should be considered in any patient with a chronic wound. 3. Discuss the rationale of converting a chronic wound into an acute wound. 4. Describe techniques used to prepare chronic wounds. 5. Discuss the appropriate use of different dressings presented in this article. 6. Discuss the pros and cons of the adjuncts to wound healing discussed in this article. SUMMARY:This is the second Maintenance of Certification article on wound healing. In the first, Buchanan, Kung, and Cederna dealt with the mechanism and reconstructive techniques for closing wounds. In this article, the authors have concentrated on the chronic wound. The authors present a summary of the basic science of chronic wounds and the general and local clinical factors important in assessing any chronic wound. The evidence for interventions of these conditions is presented. The surgical and nonsurgical methods of wound preparation and the evidence supporting the use of the popular wound dressings are presented. The authors then present the evidence for some of the popular adjuncts for wound healing, including hyperbaric oxygen, electrotherapy, and ultrasound. A number of excellent articles on negative-pressure wound therapy have been written, and are not covered in this article.

journal_name

Plast Reconstr Surg

authors

Jones CM,Rothermel AT,Mackay DR

doi

10.1097/PRS.0000000000003486

subject

Has Abstract

pub_date

2017-07-01 00:00:00

pages

201e-216e

issue

1

eissn

0032-1052

issn

1529-4242

pii

00006534-201707000-00048

journal_volume

140

pub_type

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