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Local management of deep cavity wounds – current and emerging therapies

Authors Smith N, Overland J, Greenwood J

Received 5 June 2015

Accepted for publication 15 July 2015

Published 29 October 2015 Volume 2015:2 Pages 159—170

DOI https://doi.org/10.2147/CWCMR.S62553

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 3

Editor who approved publication: Professor Marco Romanelli


Nicholas Smith*, Joseph Overland*, John E Greenwood

Department of Plastic and Reconstructive Surgery, Royal Adelaide Hospital, Adelaide, SA, Australia

*These authors contributed equally to this work

Abstract: Cavity wounds, defined as a loss of continuity of the skin or mucous membrane with associated tissue loss, represent a complex management issue for health care providers. The successful management of a deep cavity wound centers on assessment of the patient, assessment of the wound, and treating the underlying etiology. Adequate debridement and an appropriate dressings plan aim to create the optimum conditions that promote healing. Regular follow-up and serial examinations are essential to ensure progress and address any complication in a timely manner. Finally, continued patient education and the management of patient concerns are important to encourage compliance with management goals. In this review, we discuss the main management issues surrounding deep cavity wounds, review the current and emerging therapies available in the treatment of deep cavity wounds, discuss options for the management of pain, and discuss the impacts on quality of life for these patients.

Keywords: pressure sore, pain management, debridement
 

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