Clinical approach to wounds: Débridement and wound bed preparation including the use of dressings and wound-healing adjuvants

Christopher E. Attinger, Jeffrey E. Janis, John Steinberg, Jaime Schwartz, Ali Al-Attar, Kara Couch

Research output: Contribution to journalArticle

170 Citations (Scopus)

Abstract

This is a clinical review of current techniques in wound bed preparation found to be effective in assisting the wound-healing process. The process begins with the identification of a correct diagnosis of the wound's etiology and continues with optimizing the patient's medical condition, including blood flow to the wound site. Débridement as the basis of most wound-healing strategies is then emphasized. Various débridement techniques, including surgery, topical agents, and biosurgery, are thoroughly discussed and illustrated. Wound dressings, including the use of negative pressure wound therapy, are then reviewed. To properly determine the timing of advance therapeutic intervention, the wound-healing progress needs to be monitored carefully with weekly measurements. A reduction in wound area of 10 to 15 percent per week represents normal healing and does not mandate a change in the current wound-healing strategy. However, if this level of wound area reduction is not met consistently on a weekly basis, then alternative healing interventions should be considered. There is a growing body of evidence that can provide guidance on the appropriate use of such adjuvants in the problem wound. Several adjuvants are discussed, including growth factor, bioengineered tissues, and hyperbaric medicine.

Original languageEnglish (US)
JournalPlastic and Reconstructive Surgery
Volume117
Issue number7 SUPPL.
DOIs
StatePublished - Jun 2006

Fingerprint

Bandages
Wound Healing
Wounds and Injuries
Negative-Pressure Wound Therapy
Intercellular Signaling Peptides and Proteins
Medicine

ASJC Scopus subject areas

  • Surgery

Cite this

Clinical approach to wounds : Débridement and wound bed preparation including the use of dressings and wound-healing adjuvants. / Attinger, Christopher E.; Janis, Jeffrey E.; Steinberg, John; Schwartz, Jaime; Al-Attar, Ali; Couch, Kara.

In: Plastic and Reconstructive Surgery, Vol. 117, No. 7 SUPPL., 06.2006.

Research output: Contribution to journalArticle

Attinger, Christopher E. ; Janis, Jeffrey E. ; Steinberg, John ; Schwartz, Jaime ; Al-Attar, Ali ; Couch, Kara. / Clinical approach to wounds : Débridement and wound bed preparation including the use of dressings and wound-healing adjuvants. In: Plastic and Reconstructive Surgery. 2006 ; Vol. 117, No. 7 SUPPL.
@article{102a7aab856f49a387615d3acb864dc4,
title = "Clinical approach to wounds: D{\'e}bridement and wound bed preparation including the use of dressings and wound-healing adjuvants",
abstract = "This is a clinical review of current techniques in wound bed preparation found to be effective in assisting the wound-healing process. The process begins with the identification of a correct diagnosis of the wound's etiology and continues with optimizing the patient's medical condition, including blood flow to the wound site. D{\'e}bridement as the basis of most wound-healing strategies is then emphasized. Various d{\'e}bridement techniques, including surgery, topical agents, and biosurgery, are thoroughly discussed and illustrated. Wound dressings, including the use of negative pressure wound therapy, are then reviewed. To properly determine the timing of advance therapeutic intervention, the wound-healing progress needs to be monitored carefully with weekly measurements. A reduction in wound area of 10 to 15 percent per week represents normal healing and does not mandate a change in the current wound-healing strategy. However, if this level of wound area reduction is not met consistently on a weekly basis, then alternative healing interventions should be considered. There is a growing body of evidence that can provide guidance on the appropriate use of such adjuvants in the problem wound. Several adjuvants are discussed, including growth factor, bioengineered tissues, and hyperbaric medicine.",
author = "Attinger, {Christopher E.} and Janis, {Jeffrey E.} and John Steinberg and Jaime Schwartz and Ali Al-Attar and Kara Couch",
year = "2006",
month = "6",
doi = "10.1097/01.prs.0000225470.42514.8f",
language = "English (US)",
volume = "117",
journal = "Plastic and Reconstructive Surgery",
issn = "0032-1052",
publisher = "Lippincott Williams and Wilkins",
number = "7 SUPPL.",

}

TY - JOUR

T1 - Clinical approach to wounds

T2 - Débridement and wound bed preparation including the use of dressings and wound-healing adjuvants

AU - Attinger, Christopher E.

AU - Janis, Jeffrey E.

AU - Steinberg, John

AU - Schwartz, Jaime

AU - Al-Attar, Ali

AU - Couch, Kara

PY - 2006/6

Y1 - 2006/6

N2 - This is a clinical review of current techniques in wound bed preparation found to be effective in assisting the wound-healing process. The process begins with the identification of a correct diagnosis of the wound's etiology and continues with optimizing the patient's medical condition, including blood flow to the wound site. Débridement as the basis of most wound-healing strategies is then emphasized. Various débridement techniques, including surgery, topical agents, and biosurgery, are thoroughly discussed and illustrated. Wound dressings, including the use of negative pressure wound therapy, are then reviewed. To properly determine the timing of advance therapeutic intervention, the wound-healing progress needs to be monitored carefully with weekly measurements. A reduction in wound area of 10 to 15 percent per week represents normal healing and does not mandate a change in the current wound-healing strategy. However, if this level of wound area reduction is not met consistently on a weekly basis, then alternative healing interventions should be considered. There is a growing body of evidence that can provide guidance on the appropriate use of such adjuvants in the problem wound. Several adjuvants are discussed, including growth factor, bioengineered tissues, and hyperbaric medicine.

AB - This is a clinical review of current techniques in wound bed preparation found to be effective in assisting the wound-healing process. The process begins with the identification of a correct diagnosis of the wound's etiology and continues with optimizing the patient's medical condition, including blood flow to the wound site. Débridement as the basis of most wound-healing strategies is then emphasized. Various débridement techniques, including surgery, topical agents, and biosurgery, are thoroughly discussed and illustrated. Wound dressings, including the use of negative pressure wound therapy, are then reviewed. To properly determine the timing of advance therapeutic intervention, the wound-healing progress needs to be monitored carefully with weekly measurements. A reduction in wound area of 10 to 15 percent per week represents normal healing and does not mandate a change in the current wound-healing strategy. However, if this level of wound area reduction is not met consistently on a weekly basis, then alternative healing interventions should be considered. There is a growing body of evidence that can provide guidance on the appropriate use of such adjuvants in the problem wound. Several adjuvants are discussed, including growth factor, bioengineered tissues, and hyperbaric medicine.

UR - http://www.scopus.com/inward/record.url?scp=33745514509&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=33745514509&partnerID=8YFLogxK

U2 - 10.1097/01.prs.0000225470.42514.8f

DO - 10.1097/01.prs.0000225470.42514.8f

M3 - Article

C2 - 16799376

AN - SCOPUS:33745514509

VL - 117

JO - Plastic and Reconstructive Surgery

JF - Plastic and Reconstructive Surgery

SN - 0032-1052

IS - 7 SUPPL.

ER -