Operative debridements of chronic wounds

Andrew M. Hanflik, Michael S. Golinko, Melissa Doft, Charles Cain, Anna Flattau, Harold Brem

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

The term chronic wound does not refer to duration over time, but rather describes a wound that is physiologically impaired. All venous, pressure, and diabetic foot ulcers are defined as chronic wounds. Elderly patients are more likely to experience venous and pressure ulcers,1-4 which lead to more than half of all lower extremity amputations in persons with diabetes. 5 Chronic wounds heal at the same frequency of closure in elderly populations as they do in younger populations, but may heal at a slower rate, primarily because of comorbidities associated with age.6-9 The comorbidities that delay healing are prevalent among older populations and include venous insufficiency and diabetes. Although there are age-related changes to the skin, it has yet to be shown, clinically, that age alone decreases an elderly person's ability to heal.7,10,11 A synergistic effect of advanced age and diabetes significantly slows healing.12

Original languageEnglish (US)
Title of host publicationGeriatric Anesthesiology
PublisherSpringer New York
Pages165-178
Number of pages14
ISBN (Print)9780387725260
DOIs
StatePublished - 2008
Externally publishedYes

Fingerprint

Debridement
Venous Pressure
Wounds and Injuries
Comorbidity
Population
Varicose Ulcer
Venous Insufficiency
Diabetic Foot
Pressure Ulcer
Amputation
Lower Extremity
Skin

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Hanflik, A. M., Golinko, M. S., Doft, M., Cain, C., Flattau, A., & Brem, H. (2008). Operative debridements of chronic wounds. In Geriatric Anesthesiology (pp. 165-178). Springer New York. https://doi.org/10.1007/978-0-387-72527-7_12

Operative debridements of chronic wounds. / Hanflik, Andrew M.; Golinko, Michael S.; Doft, Melissa; Cain, Charles; Flattau, Anna; Brem, Harold.

Geriatric Anesthesiology. Springer New York, 2008. p. 165-178.

Research output: Chapter in Book/Report/Conference proceedingChapter

Hanflik, AM, Golinko, MS, Doft, M, Cain, C, Flattau, A & Brem, H 2008, Operative debridements of chronic wounds. in Geriatric Anesthesiology. Springer New York, pp. 165-178. https://doi.org/10.1007/978-0-387-72527-7_12
Hanflik AM, Golinko MS, Doft M, Cain C, Flattau A, Brem H. Operative debridements of chronic wounds. In Geriatric Anesthesiology. Springer New York. 2008. p. 165-178 https://doi.org/10.1007/978-0-387-72527-7_12
Hanflik, Andrew M. ; Golinko, Michael S. ; Doft, Melissa ; Cain, Charles ; Flattau, Anna ; Brem, Harold. / Operative debridements of chronic wounds. Geriatric Anesthesiology. Springer New York, 2008. pp. 165-178
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