TY - JOUR
T1 - Complex Wounds and Their Management
AU - Park, Habeeba
AU - Copeland, Carol
AU - Henry, Sharon
AU - Barbul, Adrian
PY - 2010/12
Y1 - 2010/12
N2 - Complex wounds present a challenge to both the surgeon and patient in operative management, long-term care, cosmetic outcome, and effects on lifestyle, self-image, and general health. Each patient with complex wounds usually manifests multiple risk factors for their development. This article focuses on complex wounds involved with traumatic and orthopedic blunt or penetrating injuries, particularly in the extremities, as well as massive soft tissue infections including necrotizing fasciitis, gas gangrene, and Fournier gangrene. The principles of management of complex wounds involve assessing the patient's clinical status and the wound itself, appropriate timing of intervention, providing antibiotic therapy when necessary, and planning and executing surgical therapy, including the establishment of a clean wound bed and closure/reconstructive strategies.
AB - Complex wounds present a challenge to both the surgeon and patient in operative management, long-term care, cosmetic outcome, and effects on lifestyle, self-image, and general health. Each patient with complex wounds usually manifests multiple risk factors for their development. This article focuses on complex wounds involved with traumatic and orthopedic blunt or penetrating injuries, particularly in the extremities, as well as massive soft tissue infections including necrotizing fasciitis, gas gangrene, and Fournier gangrene. The principles of management of complex wounds involve assessing the patient's clinical status and the wound itself, appropriate timing of intervention, providing antibiotic therapy when necessary, and planning and executing surgical therapy, including the establishment of a clean wound bed and closure/reconstructive strategies.
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U2 - 10.1016/j.suc.2010.08.001
DO - 10.1016/j.suc.2010.08.001
M3 - Review article
C2 - 21074035
AN - SCOPUS:78149453875
SN - 0039-6109
VL - 90
SP - 1181
EP - 1194
JO - Surgical Clinics of North America
JF - Surgical Clinics of North America
IS - 6
ER -