Treatment of acute and chronic wounds

Treatment of acute and chronic wounds

The wound is defined as interruption of continuity of the skin.

Divided into:

• Acute
• Chronic.

Acute wounds can be: 

• Superficial, up to 1 cm in diameter which heal spontaneously heal in seven days,

• If the diameter of the wound is greater than 2 cm with complete interruption of continuity of the skin, professional medical treatment is required.

  Depending on the mode of injury, the depth of involvement of the soft and or  bone tissue, as well  as localization, it is necessary to consult a physician for treatment of the same and obtaining adequate treatment, (antibiotic, AT protection), especially if there is a suspicion that  the other deeper tissues other than skin are involved.

The treatment of acute wounds

Superficial acute wounds with adequate disinfection spontaneously heal.

When the size of the wound is characterized by discontinuity of the skin larger than 2 cm,  professional surgical treatment, care and adequate supporting therapy is required.

Chronic wounds

Chronic wounds include all wounds that do not heal within a specific time period for the type and localization of wounds, and the healing process takes longer than six weeks.

Etiological most common causes of chronic wounds are:

1. Local tissue hypoxia, due to changes in the vascular system, (atherosclerosis, micro and macro angiopathy, venous hypertension.

2. Diabetes – Diabetes mellitus

3. Hypertension

4. Neuropathy

5. Ischemic tissue due to chronic stress and the occurrence of decubitus.

Atypical chronic wounds, as a result of:

• Autoimmune disorders
• Infective disease
• Blood vessels diseases and vasculopathy
• Metabolic and genetic diseases
• Malignancy
• Reaction to drugs.

The treatment of chronic wounds consists of:

• Timely and accurate diagnosis
• Elimination of dead tissue from the wound and its surroundings, (debridement)
• Treatment of local and systemic infection
• Correction of tissue hypoxia
• Stimulation of the tissue during wound healing process.

In addition with surgical treatment of wounds and administration of the appropriate antibiotics in the treatment of infections we also use specific (6.) dressings which exhibits following effects:

• Hydration and infection suppression
• diminishment of the pain,
• elimination of exudate from the wound
• healing stimulation.

6. HBO therapy

7. See V.A. C – negative pressure therapy

8. PRP treatment

VAC – negative pressure therapy is used for acute and chronic wounds, (acute infected  wounds, acute injuries,  surgical wounds healing per secundam, chronic venous and arterial ulcers, decubitus, diabetic foot, necrotic fasciitis, abdominal wall defects, traumatic wounds, suture wounds, fistulas, Burns).

In plastic and reconstructive transplantation methods V.A.C. therapy is applied  immediately after transplantation.

Therapy effects of negative pressure are achieved by:

• Increasing of capillary perfusion
• Reduction of the edema of the surrounding tissue and wound.