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Operative Debridements of Chronic Wounds

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

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

Keywords

Peripheral Arterial Disease Pressure Ulcer Chronic Wound Spinal Cord Injury Patient Venous Ulcer 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  • Andrew M. Hanflik
    • 1
  • Michael S. Golinko
    • 2
  • Melissa Doft
    • 3
  • Charles Cain
    • 4
  • Anna Flattau
    • 5
  • Harold Brem
    • 2
  1. 1.Keck School of MedicineUniversity of Southern CaliforniaLos AngelesUSA
  2. 2.Department of Surgery—Wound Healing ProgramColumbia University Medical CenterNew YorkUSA
  3. 3.Surgical Resident Department of SurgeryColumbia University Medical CenterNew YorkUSA
  4. 4.Department of AnesthesiologyColumbia University Medical CenterNew YorkUSA
  5. 5.Department of Surgery and Family Medicine—Wound Healing ProgramColumbia University Medical CenterNew YorkUSA

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