Vasculitis is an inflammation and necrosis of the blood vessels, leading to hemorrhage, ischemia, and infarction.(1–3) Treatment of the condition is entirely dependent on the extent of the disease. In many instances, cutaneous vasculitis is a self-limited condition, relieved by leg elevation, avoidance of standing, and therapy with non-steroidal anti-inflammatory drugs (NSAIDs). However, more extensive…
Pyoderma gangrenosum is a rare but serious ulcerating skin disease causing painful ulcers on the legs and other parts of the body. Although pyoderma gangrenosum can affect individuals of any age, it is most common in people in their 40s and 50s. It tends to be associated with inflammatory conditions, including ulcerative colitis, Crohn’s disease,…
The term lymphedema describes a condition in which lymphatic fluid accumulates in the interstitium causing swelling and a feeling of heaviness or weakness in the affected area, usually the arms and legs.1 Lymphedema Classification Lymphedema may be classified either as primary or secondary. Primary lymphedema develops as a consequence of a pathologic congenital and/or hereditary…
Negative-pressure wound therapy (NPWT) is rapidly becoming a mainstay in chronic wound management.[1] This technique is a topical intervention widely used to treat problematic acute and chronic wounds that do not respond to conventional moist wound healing techniques. A negative pressure, typically -125 mmHg, is applied to the wound bed, removing excess exudate and helping…
Ultrasound was used successfully for years as a non-invasive diagnostic tool before its potential benefits in wound healing were first investigated.1 Ultrasound waves, formed when electrical energy is converted to sound waves at frequencies above the range of human hearing, are now used routinely in wound management and can be transferred to tissue through a…
Electrical currents within the human skin were discovered as far back as 1860, and it has since been shown that the skin surface is negatively charged compared with the deeper skin layers, and that wounds have a positive potential compared to the surrounding intact skin. Electrical Stimulation Current Types Knowledge of the underlying electrical activity…
The use of irrigation has long been known to reduce bacterial content. Whirlpool therapy, one of the oldest adjuvant forms of treatment for wounds still in use today,1,2 is a popular form of wound irrigation. However, this therapy is gradually being replaced by the technique known as pulsed lavage.2 LJ Haynes Study The move towards…
Whirlpool therapy, or hydrotherapy, is one of the oldest adjuvant forms of treatment for wounds still in use today.1,2 It was originally used in the management of pain, but later found a use in wound management, in particular in the management of burns patients. It is now commonly used to facilitate debridement in infected wounds,…
As well as systemic and local factors, a number of the wound’s own inherent characteristics affect the rate of wound closure and wound healing. It is important to understand these factors so that they can be managed optimally as part of an overall strategy to help achieve wound closure. There are eight wound characteristics that…
Although honey has been used in wound management for centuries, and is mentioned in the Koran as a medicine for all disease, its popularity declined with the increasing availability of modern antibiotics, antiseptics and improved surgical techniques. However, with the continuing battle against wound infection and interest in the antimicrobial properties – honey in wound…
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