Knox KR, Datiashvili RO, Granick MS, et al.
Clinics in plastic surgery. Date of publication 2007 Oct 1;volume 34(4):633-41.
1. Clin Plast Surg. 2007 Oct;34(4):633-41.
Surgical wound bed preparation of chronic and acute wounds.
Knox KR(1), Datiashvili RO, Granick MS.
Author information:
(1)Division of Plastic Surgery, Department of Surgery, UMDNJ-New Jersey Medical
School, Newark, NJ, USA.
Our aging population has presented us with many new challenges. One such
challenge is the need to manage an increase in wound-related problems effectively
and efficiently. Over time, two parallel, yet divergent, management systems have
developed. One strategy, used by medical specialists, uses a variety of
dressings, topical enzymes, and local and systemic medications ultimately aimed
at the promotion of healing by secondary intention or, in some cases,
optimization of the wound for surgical reconstruction. In the second strategy,
used by surgeons, early surgical intervention is used to prepare the wound for
reconstruction in a timelier manner while promoting the healing process. This
article reviews the development of these two distinct management systems and
their areas of commonality and sets forth a new model to support the role of
surgery in the treatment of problematic wounds.
DOI: 10.1016/j.cps.2007.07.006
PMID: 17967619 [Indexed for MEDLINE]
