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2012, Number 1

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Revista Cubana de Angiología y Cirugía Vascular 2012; 13 (1)

Difficult healing wounds

Fernández MJI

Language: Spanish
References: 34
Page:
PDF size: 55.42 Kb.


ABSTRACT

The acquisition of knowledge and the development of new technologies increase every day, so it is possible to give answers to many questions about how to heal very complex wounds and chronic ulcers. In our service, there are still many patients with these lesions which either heal after very long courses of treatment or do not heal ever. In the current medical field, this matter is deeply discussed, looking for the most important aspects to be addressed in order to provide a real solution to this global health problem. The objective of this article is to review the current local healing methods for this type of wounds, their overall effectiveness and the immediate steps to be taken. The present concepts on the complexity of wounds and their healing; the relationship between psychosocial factors and healing and the economic burden of this health problem were reviewed. Several professional associations devoted to complex wound healing have established various time intervals for complex or chronic wound healing, but it has been proved that the healing times are too much long. The traditional methods set 150 to 180 days for effective healing in wide ranging patient percentages. It is necessary to carry out more updated therapeutic actions associated to other factors to attain better goals. Therefore, an appeal was made to standardize the costs of complex wound healing through appropriate interventions that will reduce length of stay at hospital and the number of surgeries to be performed.


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