Review article
BASIC PRINCIPLES OF SURGICAL TREATMENT OF CHRONIC WOUNDS – SHARP DEBRIDEMENT
MARIN MARINOVIĆ
orcid.org/0000-0001-7271-9434
; Rijeka University Hospital Center, Department of Underwater and Hyperbaric Medicine and Department of Surgery, Rijeka, Croatia
NERA FUMIĆ
; Rijeka University Hospital Center, Department of Surgery, Rijeka, Croatia
STANISLAVA LAGINJA
; Thalassotherapia Crikvenica Special Hospital, Department of Dermatology, Crikvenica, Croatia
EVA SMOKROVIĆ
; Josip Juraj Strossmayer University of Osijek, School of Medicine, Osijek, Croatia
BORE BAKOTA
; Our Lady of Lourdes Hospital, Department of Ortopaedics and Traumatology, Droghera, Ireland
MARIJO BEKIĆ
; Dubrovnik General Hospital, Department of Orthopedics and Traumatology, Dubrovnik, Croatia
MIRAN ČOKLO
; Institute for Anthropological Research, Zagreb, Croatia
Abstract
The ever improving health standards in terms of quality and more effi cient health care result in an increase in life expectancy, thus increasing the number of elderly people in the population. A higher level of activity in elderly population leads to greater incidence of injuries, and on the other hand, there is an increasing number of comorbidities. Circulatory disorders, diabetes mellitus, metabolic imbalances, etc. and a reduced biological potential of tissue regeneration result in an increased number
of chronic wounds that pose a signifi cant health, social and economic burden on the society. These conditions require significant involvement of medical and non-medical staff in pre-hospital institutions. Signifi cant material and other health care resources are allocated for the treatment of chronic wounds. These conditions result in a lower quality of life of patients and their families and caregivers. Debridement is a crucial medical procedure for the treatment of acute and chronic wounds. The result of debridement is removal of all barriers within and around the wound that obstruct physiological processes of wound healing. Debridement is a repeating process when indicated. There are several types of debridement, each with its advantages and disadvantages. The method of debridement should be determined by the physician or other professional trained person on the basis of wound characteristics and in accordance with their expertise and capabilities. In the same wound, we can combine different types of debridement, all with the goal of faster and better wound healing.
Keywords
chronic wound; sharp debridement; wound healing
Hrčak ID:
167875
URI
Publication date:
23.10.2016.
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