Wound Bed Preparation and Treatment Modalities

Clin Geriatr Med. 2024 Aug;40(3):375-384. doi: 10.1016/j.cger.2023.12.011. Epub 2024 Jan 18.

Abstract

Wound healing is a highly complex natural process, and its failure results in chronic wounds. The causes of delayed wound healing include patient-related and local wound factors. The main local impediments to delayed healing are the presence of nonviable tissue, excessive inflammation, infection, and moisture imbalance. For wounds that can be healed with adequate blood supply, a stepwise approach to identify and treat these barriers is termed wound bed preparation. Currently, a combination of patient-related and local factors, including wound debridement, specialty dressings, and advanced technologies, is available and successfully used to facilitate the healing process.

Keywords: TIME; Wound bed preparation; Wound healing; Wound treatment.

Publication types

  • Review

MeSH terms

  • Aged
  • Bandages*
  • Debridement* / methods
  • Humans
  • Wound Healing* / physiology
  • Wounds and Injuries* / therapy