title: The local treatment and available dressings designed for chronic wounds.
abstract: The great diversity of wounds and the broad range of available dressings complicate the selection of proper chronic wound treatment. Choosing the right treatment is the essential step in the healing process. In this review, we focus on chronic nonhealing ulcers, which are a critical problem in clinical practice, and current knowledge about persistent wound care. Here, we present the objectives of local treatment with description of several types of dressings and their ingredients, features, indications, and contraindications. These include hydrocolloid, alginate, hydrogel, and dextranomer dressings; polyurethane foam and membrane dressings; semipermeable polyurethane membrane dressings; and TenderWet (Hartmann, Rock Hill, SC) and flax dressings. There is also a brief section on the use of other alternative wound-healing accelerators, such as platelet-rich plasma and light-emitting diode therapy.
authors: Department of Endocrinology, Internal Disease Clinic in 4th Military Academic Hospital in Wrocław, Wrocław, Poland.
authors: Katarzyna
authors: K
authors: Skórkowska-Telichowska
authors: Faculty of Biotechnology, University of Wrocław, Wrocław, Poland; Linum Foundation, Wrocław, Poland. Electronic address: czemplik@ibmb.uni.wroc.pl.
authors: Magdalena
authors: M
authors: Czemplik
authors: Faculty of Biotechnology, University of Wrocław, Wrocław, Poland; Linum Foundation, Wrocław, Poland.
authors: Anna
authors: A
authors: Kulma
authors: Faculty of Biotechnology, University of Wrocław, Wrocław, Poland; Linum Foundation, Wrocław, Poland.
authors: Jan
authors: J
authors: Szopa
mesh_terms: D000287:Administration, Topical; D000464:Alginates / Q000008:administration & dosage; D001458:Bandages; D002908:Chronic Disease; D003102:Colloids / Q000008:administration & dosage; D020723:Glucuronic Acid / Q000008:administration & dosage; D006603:Hexuronic Acids / Q000008:administration & dosage; D006801:Humans; D020136:Hydrogel, Polyethylene Glycol Dimethacrylate / Q000008:administration & dosage; D011140:Polyurethanes / Q000008:administration & dosage; D012883:Skin Ulcer / Q000188:drug therapy / Q000628:therapy*
chemical_list: D000464:Alginates; D003102:Colloids; D006603:Hexuronic Acids; D011140:Polyurethanes; D020136:Hydrogel, Polyethylene Glycol Dimethacrylate; D020723:Glucuronic Acid; C028279:polyurethane foam