Chronic Wound Treatment
These patients should be treated with a multidisciplinary approach when a wound occurs. The treatment of progressive chronic wound patients is done in hospital.
In these chronic wound patients, first of all sugar is corrected and wound treatment is performed. Antibiotic is started according to the culture result. In wound care, in addition to daily dressing and debridement, additional treatments such as vacuum treatment and hyperbaric O2 treatment are applied. The vascular structure of the patients should be investigated and investigated with the necessary tests such as USG, CT, angiography. The interventional radiologist performs this procedure. If necessary, the vascular surgeon will intervene. The wound, which is under control, is then closed with grafts if necessary.
There is a 75% risk of recurrent wounds within 5 years. Therefore, it should be followed very closely.
In our clinic, inpatient treatment is applied with a multidisciplinary approach in order to protect the living tissues, eredicate the infection, and solve the problem with healing accelerating interventions.
The priority in chronic wound debridement is the removal of dead tissue. If necessary, amputations (dead tissue-blackened tissues) are applied. Debridement is performed until blood supply is seen in muscle tissue.
Since infection is one of the main reasons delaying wound healing, antibiotic treatment is started according to the culture results.
The patient is provided with diabetes treatment (by internal medicine specialists).
Psychological support (Psychiatrist, psychologist)
Vacuum treatment can be applied. It is a dressing method in which localized negative pressure is applied. Dressing is changed every 2-3 days. In addition to these treatments, hyperbaric oxygen and ozone are provided to these patients when necessary.
Hyperbaric O2 treatment is performed in special centers by breathing 0 O2. Hypoxigenization in blood and tissues is the main mechanism of action. While it is very beneficial in the early period, it decreases in the later periods.
Oxygen administration is controversial.
Medical ozone application is the regional or systematic application of 0.5-5% ozone / O2 gas mixture. The regionally ozonated material is applied for 15-20 minutes. Some growth factor increases the production of infection that has the effect of helping the treatment. It is the systematic removal of the patient's blood and ozonizing. It can also be applied rectally.
Some treatment methods are currently being followed.
Growth factor has a strong effect on wounds. Research is ongoing.
Gene therapy, stem cell applications are still in the early phase. The efficacy and safety of these treatments will be determined by long-term studies.
Pressure water, ultrasound and radiofrequency methods are also tried in various centers.
21AXX
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