Challenges and Management in Wound Care

Plast Reconstr Surg. 2021 Jan 1;147(1S-1):9S-15S. doi: 10.1097/PRS.0000000000007628.

Abstract

Wounds have been one of the most prominent pathologies since the beginning of humanity. For the last 5 decades, a drastic improvement of healing has been observed, thanks to new medical devices based on fluid aspiration capacities and the development of negative pressure wound therapy. Negative-pressure wound therapy was initially designed for a double action, fluid aspiration and mechanical stimulation of wound edges by a foam. Successive technical evolutions of negative pressure wound therapy were declined since 1997 when Argenta and Morykwas first presented their solution. The adjunct of instillation in 2009 was considered as the first interactive dressing, allowing topical wound solutions to sequentially reach the wound, in alternance with negative pressure. Other devices based on the same principle were designed to prevent postoperative infections when placed over a suture after surgery. This long evolution could enhance the armamentarium of possible solutions, considerably reducing the wound healing time.

Publication types

  • Historical Article

MeSH terms

  • Anti-Infective Agents, Local / administration & dosage
  • Bandages
  • Chronic Disease / therapy
  • Crystalloid Solutions / administration & dosage
  • Debridement / history
  • Debridement / instrumentation
  • Debridement / methods*
  • Free Tissue Flaps / transplantation
  • History, 20th Century
  • History, 21st Century
  • Humans
  • Instillation, Drug
  • Limb Salvage / methods
  • Negative-Pressure Wound Therapy / history
  • Negative-Pressure Wound Therapy / instrumentation
  • Negative-Pressure Wound Therapy / methods*
  • Peripheral Arterial Disease / therapy
  • Skin Transplantation / methods
  • Surgical Wound Infection / prevention & control*
  • Therapeutic Irrigation / history
  • Therapeutic Irrigation / instrumentation
  • Therapeutic Irrigation / methods*
  • Treatment Outcome
  • Wound Healing
  • Wounds and Injuries / complications
  • Wounds and Injuries / therapy*

Substances

  • Anti-Infective Agents, Local
  • Crystalloid Solutions