- Provides a comprehensive review of management of chronic wounds and reviews the role of infection and biofilms
- Includes experience of the effects of the COVID-19 pandemic on clinical services
- Discusses the role of translation in delivering research to dermatology clinics
This book describes how chronic wounds follow a completely different healing trajectory to acute wounds and discusses the factors associated with these poor healing trajectories.
These factors include age, chronic inflammation, phenotypic changes in such cells as macrophages, fibroblasts, and keratinocytes, colder, alkaline wound milieu, wound related hypoxemia, and diabetes. Other factors implicated include reperfusion injury, poor patient compliance, presence of undiagnosed and therefore unmanaged biofilms and wound pain.
The past decades have yielded reliable evidence-based guidelines and standardized care, but the healing of diabetic foot wounds continues to be unpredictable notwithstanding these advances, while the recurrence rates are also high. The benefits of technology in wound diagnosis are evidence-based and the use of this technology also features in guidelines. However, the same argument cannot be extended to adjuvant devices to facilitate wound closure even though many devices potentially benefit wound healing.
Chronic Wound Management describes how innovation is based on technology that itself informs evidence, the gap between the evidence available, the performance of technology and how do we bridge this gap. It reviews the lessons learnt from the COVID-19 pandemic and whether traditional medicine systems offer us real or imaginary benefits.
Consequently, this book is an important addition to the literature in the area and an essential read for all healthcare professionals working with these patients.
Table of Contents- Chronic Wound Management—A Continuing Challenge
- The Role of Technology in Managing Vascular Wounds
- The Diabetic Foot, Its Complications, Role of Technology in Evidence-Based Management
- Role of Technology for wound Care in Diabetic Foot
- Biologic Transducers in Wound Healing
- Physical, Electromagnetic, Biologic Devices
- Medicinal Plants and Products from Traditional Medicine Systems Contribute to Clinical Wound Management
- Innovation in Laboratory Evaluations of the Performance of Treatment and Prophylactic Dressings Under Clinically-Relevant Usage Conditions
- Atypical Wounds and Wounds Resulting from Infection
- Biofilms and Impaired Wound Healing: How Do We Detect the Presence of Biofilms in Chronic Wounds Non-invasively
- Update on Technology and Evidence-Based Management of Scars
- Surgical Flaps in Wound Healing—An Update on Evidence-Based Management
- Wound Measurement is an Essential Part of Wound Management
- Translation of Wound Devices into Practice—A Myth? Translation is the Process of Taking an Invention Through to Clinical Practice—How Successful Are We?
- Pain in Chronic Wounds: Mechanism and Management