This article discusses a broad spectrum of wounds, their underlying causes (i.e., predisposing factors, contributing factors, and risk factors), and the appropriate treatment and management of many different wounds.\n
Tissue grafting is commonly used despite a lack of good evidence to support its routine use. No randomised controlled trials support the use of either a dressing or topical antimicrobial ointment or antibacterial ointment as a standard way to dress or treat wounds; thus, the practice remains highly controversial. For wound healing, autologous and alloic wound healing techniques are preferred, but the quality and quantity of evidence to support autologous wound healing is very low, with only one study showing a significant difference in healing time in the use of autologous versus allogenic skin compared with a standard medical treatment.
Approximately 6.8 million US adults develop wounds each year, making up 4% of adults. Over the past 20 years, the incidence of wounds has increased, most likely due to the effects of ageing on the immune system.
Contrary to popular belief, wounds that do not require closure will close on their own spontaneously. Treatment with a simple bandage and plaster of Paris casts does, unfortunately, have no effect on wound healing.
Symptoms of chronic wounds such as impaired sensation and impaired sensation of temperature, pain, and itching may not be noticed by patients unless they are asked specifically about their wounds. Chronic wounds may also fail to elicit symptoms that are indicative of infection. Clinicians should consider screening patients at the time of presenting wound for signs of infection before starting treatments.
Wounds may be caused by exposure to bacteria, or chemical toxins. In babies, they may be caused by low blood sugar levels. Wounds may be the result of an attack on a bug, a bite by a mosquito, or a bite from a spider. When the wound is from a spider bite, it almost always leads to a tick bite. The bite of a spider or tick may be blocked by antivenom.
The average age for sustaining non-operative wounds was 30.9 years (95% confidence interval, 29.4 to 31.8), increasing over time. Wounds to the face and hands were more common at younger ages. Wounds to the mouth, foot, and ankle were more common in adults than young adults (65.9 years versus 20.8 years, respectively).
Eponychial sent has been used to repair major burn wound in the past and proven to be a good solution when necrotic tissues do not exist. Due to limited evidences for eponychial sent, this can not be said whether or not eponychial sent can be used especially to repair nail bed wound. This article presents a case report on eponychial sent, and provides an overview of the current evidence of eponychial sent with wound healing considerations.
Patients should consider clinical trials that offer benefits that may help them manage their condition. It is important to note that the benefit to the clinical trial sponsor does not justify the risk of experiencing serious adverse events or receiving an unnecessary treatment. Moreover, when searching clinical trials, it is important to be aware of the possibility that some clinical trials may use non-compliant patients to obtain statistically significant results. Additionally, we suggest that clinicians do not hesitate to recommend clinical trials when the potential benefits of treatment are clear.
These data show a significant degree of familial transmission of venous leg ulcer among families of individuals with venous leg ulcer. This emphasizes the importance of the shared family environment in the etiology of venous leg ulcers. It should be of concern to all clinicians working in the field of venous leg ulcer.
There appears to be a limited number of publications for the treatment of chronic wounds such as pressure ulcers. However, there is an abundance of evidence for the effectiveness of dressing changes and wound cleansing using topical debridement. Additional well-designed randomized control trials are needed to evaluate their benefits and side effects. Also, there is an urgent need for new biologic therapies for chronic wounds to be developed.
Results from a recent paper, eponychial sutures have a higher likelihood of failure compared with end-to-end sutures. Nail bed repair is an ambulatory procedure and is an excellent alternative for wounds that fail to heal.