Surgery in Wounds

1. Front Matter

   Pages I-XIV

   PDF

2. Background

   1. Front Matter

      Pages 1-1

      PDF

   2. The Pathophysiology of Acute Wounds

      • E. E. Tredget, A. Medina, J. Haik

      Pages 3-28

   3. Pathophysiology of Chronic Wounds

      • M. C. Robson

      Pages 29-40

   4. Control of Infection

      • D. Leaper, A. Melling

      Pages 41-47

   5. Radiotherapy and Wounds E.L. Dormand

      • P. E. Banwell, T. E. E. Goodacre

      Pages 48-56

   6. The Sequelae of the Cutaneous Radiation Syndrome

      • R. U. Peter

      Pages 57-63

3. Derbridement of Wounds

   1. Front Matter

      Pages 65-65

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   2. Surgical Debridement

      • J. Mahoney, J. Ward

      Pages 67-71

   3. Use of High-Pressure Waterjets in Wound Debridement

      • S. Palmier, C. Trial

      Pages 72-76

   4. Autolytic Debridement

      • P. Vowden

      Pages 77-80

4. Wound Preparations and Treatment

   1. Front Matter

      Pages 81-81

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   2. Wound-Bed Preparation — Promotion of Granulation Tissue

      • U. E. Ziegler, U. A. Dletz, K. Schmidt

      Pages 83-92

   3. Cleansing and Cleansers

      • Elizabeth A. Ayello

      Pages 93-100

   4. Control of Exudate and Periwound Skin Care

      • D. L. Krasner

      Pages 101-108

   5. Topical Negative-Pressure Therapy in Wound Management

      • G. P. L. Thomas, P. E. Banwell

      Pages 109-124

   6. Maggot Debridement

      • W. Fleischmann

      Pages 125-128

5. Surgical Interventions in Wounds

   1. Front Matter

      Pages 129-129

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   2. Pre-Operative Requisites

      • M. Syamken, H. Trautner, U. Schwemmer

      Pages 131-135

   3. Dressings for Chronic and Acute Wounds

      • S. Meaume

      Pages 136-153

Wounds have existed since the beginning of time, and records of their nature and treatment are found in the earliest documents. Interestingly, many of these treat­ ments are now being rediscovered or re-used in modern-day clinical practice. In addition to the diverse nature of treatments that have been suggested as being beneficial for wounds, over many centuries there has been a range of clinicians who have cared for patients with wounds, and in many parts of the world today it is not doctors but other professional colleagues - e. g. nurses or podiatrists - who are the most knowledgeable persons on wounds and wound treatments. Finally, the nature of wounds seen in clinical practice is changing. Increasing destructive power is resulting in more severe injuries occurring in patients involved in conflict. Developments in surgical techniques have enabled new surgical procedures to be offered to patients, but novel and more severe complications can result from such technical advances. In addition, many societies around the world are having to deal with an increasing ageing population, and huge increases in the number of patients suffering from chronic wounds are being seen. In summary, expanding treatment options, diverse groups of clinicians caring for patients and changes in the nature of wounds seen in clinical practice are real issues that have to be faced, and solutions have to be found if patients are to receive optional care for their wounds.

• Burns
• Debridement
• Scars
• Wound Bed Preparation
• gene therapy
• infection
• surgery
• therapy

• Service des Brûles, Hôpital Lapeyronie, Montpellier Cedex, France

  Luc Téot

• Department of Plastic Surgery, Radcliffe Infirmary, Oxford, Oxon, UK

  Paul E. Banwell

• Plastische Chirurgie und Handchirurgie, Chirurgische Universitätsklinik, Würzburg, Germany

  Ulrich E. Ziegler

Policies and ethics