Non-healing wounds -- the choice of surgery when conventional procedures fail.
Introduction: Wounds that cannot be treated with conventional wound care procedures or those that do not become sufficiently smaller with 6 weeks of treatment are usually considered for reconstructive procedures. The present study reviews surgical procedures based on the reconstructive ladder used f...
| Published in: | Polish Journal of Wound Management / Leczenie Ran Vol. 20; no. 2; pp. 63 - 70 |
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| Main Authors: | , , , |
| Format: | pictorial research tables/charts Journal Article |
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Polskie Towarzystwo Leczenia Ran
2023
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=180574586&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 180574586 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 17334101 905A jtl: Polish Journal of Wound Management / Leczenie Ran issn: 17334101 maglogo: N pubinfo: dt: 2023 vid: 20 iid: 2 pid: 98041 pub: Polskie Towarzystwo Leczenia Ran artinfo: ui: 180574586 180574586 180574586 10.60075/lrpjwm.v20i2.22 180574586 ppf: 63 ppct: 7 formats: fmt: @attributes: type: P tig: atl: Non-healing wounds -- the choice of surgery when conventional procedures fail. aug: au: Çiçek, Çağla Özyildirim, Mustafa Kahraman, Alperen Filinte, Gaye affil: Department of Plastic, Aesthetic and Reconstructive Surgery, University of Health Sciences, Kartal Dr. Lutfi Kirdar City Hospital, Istanbul, Turkey sug: subj: Wounds, Chronic Etiology Wound Healing Skin Transplantation Surgical Flaps Utilization Surgery, Reconstructive Wound Care Methods Surgery, Operative Methods Equipment Failure Statistics and Numerical Data Human Case Studies Retrospective Design Comorbidity Time Factors Postoperative Complications Middle Age Male Female Length of Stay Surgical Wound Infection Multidisciplinary Care Team Hematoma Middle Aged: 45-64 years Male Female ab: Introduction: Wounds that cannot be treated with conventional wound care procedures or those that do not become sufficiently smaller with 6 weeks of treatment are usually considered for reconstructive procedures. The present study reviews surgical procedures based on the reconstructive ladder used for the treatment of difficult wounds that contain cavities or are located on vital organs or tissues and do not heal with standard wound care. This review, which highlights that using conventional techniques in such wounds may be a waste of time and money, is intended to guide health professionals dealing with difficult wounds. Material and methods: Between 2018 and 2023, 37 patients with full-thickness wounds due to various aetiologies were retrospectively investigated. The aetiologies, associated comorbidities, the timing, and the choice of surgical techniques were reviewed. The wounds that did not demonstrate a decrease in wound diameter with conventional wound care in 6 weeks were included in the study. Results: The mean age of patients was 56.11 years (range 32-80), and the sex was predominantly male (75%). The number of surgeries were between 1 and 3 (mean 2). The length of hospital stay after surgery was 3-7 days (mean 4.2). Surgical wound infection (7), flap failure (3), and haematoma (2) were seen as complications. Conclusions: Full-thickness wounds with deep cavities and wounds over vital structures usually do not respond to conventional wound care efficiently. A wound care specialist should be able to decide when to refer or perform surgery for the wound care patients. In wounds where wound closure is not possible with wound care alone, the patient should be delivered the most ideal method as soon as possible, taking into account surgical complications. pubtype: Academic Journal doctype: pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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