Cutaneous wound healing: Current concepts and advances in wound care
Identifieur interne : 000417 ( Pmc/Curation ); précédent : 000416; suivant : 000418Cutaneous wound healing: Current concepts and advances in wound care
Auteurs : Kenneth C. Klein [États-Unis] ; Somes Chandra Guha [États-Unis]Source :
- Indian Journal of Plastic Surgery : Official Publication of the Association of Plastic Surgeons of India [ 0970-0358 ] ; 2014.
Abstract
A non-healing wound is defined as showing no measurable signs of healing for at least 30 consecutive treatments with standard wound care.[
Url:
DOI: 10.4103/0970-0358.146574
PubMed: 25593414
PubMed Central: 4292106
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Cutaneous wound healing: Current concepts and advances in wound care</title>
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<wicri:regionArea>Adjunct 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</wicri:regionArea>
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<author><name sortKey="Guha, Somes Chandra" sort="Guha, Somes Chandra" uniqKey="Guha S" first="Somes Chandra" last="Guha">Somes Chandra Guha</name>
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<front><div type="abstract" xml:lang="en"><p>A non-healing wound is defined as showing no measurable signs of healing for at least 30 consecutive treatments with standard wound care.[<xref rid="ref1" ref-type="bibr">1</xref>
] 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.[<xref rid="ref2" ref-type="bibr">2</xref>
] 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.[<xref rid="ref3" ref-type="bibr">3</xref>
] In the USA, CMS (Centers for Medicare and Medicaid Services) approved indications for HBOT vary from that of the UHMS for logistical reasons.[<xref rid="ref1" ref-type="bibr">1</xref>
] 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.</p>
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<pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Indian J Plast Surg</journal-id>
<journal-id journal-id-type="iso-abbrev">Indian J Plast Surg</journal-id>
<journal-id journal-id-type="publisher-id">IJPS</journal-id>
<journal-title-group><journal-title>Indian Journal of Plastic Surgery : Official Publication of the Association of Plastic Surgeons of India</journal-title>
</journal-title-group>
<issn pub-type="ppub">0970-0358</issn>
<issn pub-type="epub">1998-376X</issn>
<publisher><publisher-name>Medknow Publications & Media Pvt Ltd</publisher-name>
<publisher-loc>India</publisher-loc>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">25593414</article-id>
<article-id pub-id-type="pmc">4292106</article-id>
<article-id pub-id-type="publisher-id">IJPS-47-303</article-id>
<article-id pub-id-type="doi">10.4103/0970-0358.146574</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Original Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>Cutaneous wound healing: Current concepts and advances in wound care</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Klein</surname>
<given-names>Kenneth C</given-names>
</name>
<xref ref-type="aff" rid="aff1"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Guha</surname>
<given-names>Somes Chandra</given-names>
</name>
<xref ref-type="aff" rid="aff1"></xref>
<xref ref-type="corresp" rid="cor1"></xref>
</contrib>
</contrib-group>
<aff id="aff1">Adjunct 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, USA</aff>
<author-notes><corresp id="cor1"><bold>Address for correspondence:</bold>
Dr. Somes Chandra Guha, Formerly, Wound Care Surgeon, Wound Healing Center, Charleston Area Medical Center, 5314, Maccorkle Avenue SE, Charleston - 25304, West Virginia, United States. E-mail: <email xlink:href="somesguha@yahoo.com">somesguha@yahoo.com</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub"><season>Sep-Dec</season>
<year>2014</year>
</pub-date>
<volume>47</volume>
<issue>3</issue>
<fpage>303</fpage>
<lpage>317</lpage>
<permissions><copyright-statement>Copyright: © Indian Journal of Plastic Surgery</copyright-statement>
<copyright-year>2014</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc-sa/3.0"><license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<abstract><p>A non-healing wound is defined as showing no measurable signs of healing for at least 30 consecutive treatments with standard wound care.[<xref rid="ref1" ref-type="bibr">1</xref>
] 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.[<xref rid="ref2" ref-type="bibr">2</xref>
] 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.[<xref rid="ref3" ref-type="bibr">3</xref>
] In the USA, CMS (Centers for Medicare and Medicaid Services) approved indications for HBOT vary from that of the UHMS for logistical reasons.[<xref rid="ref1" ref-type="bibr">1</xref>
] 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.</p>
</abstract>
<kwd-group><title>KEY WORDS</title>
<kwd>Wound Healing</kwd>
<kwd>hyperbaric</kwd>
<kwd>oxygen</kwd>
<kwd>UHMS</kwd>
<kwd>TCOM</kwd>
<kwd>Mental Health</kwd>
<kwd>Obesity</kwd>
<kwd>Diabetes</kwd>
<kwd>Compartment syndrome</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
</record>
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