A chronic wound in the broadest sense of the word represents a break in tissue continuity, which has not been repaired in time
for a period of up to 6 weeks from the moment of occurrence. The reasons for the formation of a chronic wound can be different, but what
they have in common a low biological - regenerative capacity. Biological - regenerative capacity can be
threatened due to impaired local or systemic circulation, but also some associated diseases or injuries, such as
diabetes, vascular diseases, high blood pressure, rheumatoid arthritis, wounds on body parts that
are under increased pressure, postoperative wounds, wounds after tissue trauma... Treatment
The problem of chronic wounds requires a multidisciplinary approach. The treatment process is a long-term process and
significantly affects the quality of life of the patient and his family. Wounds of this type for modern society
represent a significant problem, given that large financial resources are allocated to patients for treatment
the quality of life is significantly reduced with the constant presence of pain, frequent presence of depression and limited socialization,
absence from work... Therefore, a chronic wound represents a complex problem from an emotional, psychological,
medical, social and economic aspect. Treatment is always long-term, but with a modern approach
significantly accelerates the wound healing process until complete healing. According to statistical data, 24% of patients with
patients with a chronic wound live with this problem for about six months, and 16% of patients live with it for more than a year. A fact
is that we have to collectively face the problem of increasing the number of patients with this problem and a small one
the budget of the health system as well as the family.
Treatment of a chronic wound is a long-term process due to the fact that classical treatment methods are mostly used
of treatment and due to the long duration of the process, in total, huge amounts of money are spent where it is rarely achieved
complete healing. Modern methods may be "expensive" in principle, but they significantly shorten the course of treatment and lead to
until healing. It is up to the patient and family to choose the right time and facility for quality and correct treatment.
We treat chronic wounds of various etiologies (syndrome
diabetic foot ulcer, venous ulcers, decubitus wounds or wounds from long-term inactivity, postoperative wounds,
post-traumatic wounds...) Our treatment approach is surgical treatment methods, regenerative medicine,
appropriate use of alternative means in the form of modern coverings as well as numerous auxiliary ones
means and methods.
What sets us apart in the treatment of chronic wounds is REGENERATIVE MEDICINE. We implement from that area
specific and unique methods, which are innovative, biological and safe. We have a team of experienced and diverse surgeons
specialties. Our nurses are specialized in the treatment of chronic wounds in addition to the formal one
education, long-term professional practice and extensive experience in the treatment of chronic wounds, were also educated in
abroad in specialized institutions for the treatment of chronic wounds. Dressings for the treatment of chronic wounds
we use them from a manufacturer that is the absolute leader in the world.
4. MODERN DRESSINGS AND PREPARATIONS FOR THE TREATMENT OF CHRONIC WOUNDS
The coatings and preparations we use are the leaders in the world market due to their quality. They are numerous,
diverse and each of them has its own purpose. Their main role is to help heal the infection
in the wound, stimulation of healing, protection of tissue from trauma and minimization of pain from the placed gauze.
They provide us with support in remediation of infection, destruction of biofilms, encourage the growth of granulation tissue and
they support peripheral epithelization until complete healing of the wound.
The most important role of modern dressings for the treatment of chronic wounds is the induction of autolytic and chemical
debridement as support for surgical and mechanical debridement. In those cases we use active
and interactive gauze. In the final stages of chronic wound treatment, we use passive gauze with a protective layer
function in combination with some of the preparations, but their use can also be preventive
setting up compression therapy and immobilization of the affected limb.
The advantage of using modern dressings is in the atraumatic change, the dressing intervals are considerably shorter
depending on the type and size of the wound, dressings can be delayed up to 3, 5, 7 days.
Change in color and smell of a chronic wound, stagnant healing, hypersensitivity to the product material and
many other factors determine the intervals at which wound dressings will take place.
5. COMBINED COMPRESSIVE THERAPY
Combined compression therapy has been considered the gold standard in the world for many years
treatment of chronic venous insufficiency and venous ulcers on the lower extremities. It is another
from modern approaches in the treatment of chronic wounds. There are clear rules for setting compression
and the way. Special types of bandages are placed in the most severe form of venous ulcer, according to the CEAP classification i.e. active leg ulcers (C6). It is about four types of bandages. The therapy is called combined because first
perform the treatment of a chronic wound and then a combination of bandages according to clear rules. Correctly placed
bandages allow proper balance at the level of circulation, prevent edema and all overall contributions
accelerated wound healing.
6. NEGATIVE PRESSURE THERAPY – NPWT
This therapy is an auxiliary method in the treatment of chronic wounds. It is not always applied, but only
in certain types of wounds. The therapy stimulates angiogenesis and improves blood flow in the wound,
swelling is reduced, excess exudate is removed, the creation of granulation tissue is stimulated and
wound retraction until complete healing.
7. EDEMA PREVENTION THERAPY
If it is a chronic wound on the lower extremities of any kind, except for wounds caused by
chronic venous insufficiency, semi-elastic knee socks are applied to all patients. The goal is
that the patient can move in a limited way without swelling of the extremity where there is a wound.
8. IMMOBILIZATION OF EXTREMITIES
Immobilization in the case of combined injuries, that is locomotor system and skin, is certainly possible
implies. However, in the case of large wounds on the lower extremities, it is not a chronic wound
venous insufficiency, we apply plastic mounted immobilization. In this way, the pain is reduced
movement and standing up, the development of edema does not occur, the wound is protected from infection and the patient is safe
movement enabled
9. PODIATRY
Podiatry is a field of medicine that helps Orthopedists to diagnose disorders
feet, ankles and lower legs. Chronic wounds on these parts of the body are very common. Podiatric
the print is a support for surgery and modern dressings in the healing of a chronic wound. Computer printout
foot enables the creation of an individual orthosis that will enable the relief of predilection places and
thereby relieving the compromised region. Podiatrists play a key role in maintenance
mobility and activities of people with chronic wounds.