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Marinović, M; Fumić, N; Laginja, S; Smokrović, E; Bakota, B; Bekić, M; Čoklo, M.
[BASIC PRINCIPLES OF SURGICAL TREATMENT OF CHRONIC WOUNDS – SHARP DEBRIDEMENT].
Acta Med Croatica. 2016; 70 Suppl 1:65-68
PubMed
- Co-authors Med Uni Graz
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Bakota Bore
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- Abstract:
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The ever improving health standards in terms of quality and more efficient health care result in an increase in life expectancy,
thus increasing the number of elderly people in the population. A higher level of activity in elderly population leads to greater
incidence of injuries, and on the other hand, there is an increasing number of comorbidities. Circulatory disorders, diabetes
mellitus, metabolic imbalances, etc. and a reduced biological potential of tissue regeneration result in an increased number
of chronic wounds that pose a significant health, social and economic burden on the society. These conditions require significant
involvement of medical and non-medical staff in pre-hospital institutions. Significant material and other health care
resources are allocated for the treatment of chronic wounds. These conditions result in a lower quality of life of patients and
their families and caregivers. Debridement is a crucial medical procedure for the treatment of acute and chronic wounds.
The result of debridement is removal of all barriers within and around the wound that obstruct physiological processes of
wound healing. Debridement is a repeating process when indicated. There are several types of debridement, each with its
advantages and disadvantages. The method of debridement should be determined by the physician or other professional
trained person on the basis of wound characteristics and in accordance with their expertise and capabilities. In the same
wound, we can combine different types of debridement, all with the goal of faster and better wound healing.
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Debridement - methods
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Pressure Ulcer - diagnosis
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Pressure Ulcer - psychology
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Pressure Ulcer - surgery
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Quality of Life -
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Skin Care - methods
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Treatment Outcome -
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Wound Healing - physiology