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Acute limb ischemia (ALI) results in a risk of limb amputation within 30 days of artery occlusion in 10-30% of patients. Holistic care and appropriate local management may prevent healing complications following revascularization procedures. The paper presents a case report of a patient with non-healing postoperative shin wounds as a result of ALI, who was offered an amputation at thigh level due to three large, non-healing postoperative wounds following artery recanalization. [ABSTRACT FROM AUTHOR]

Cancer wounds belong to the atypical wound group. Cancer cells can develop in non-cancer wounds that do not heal for a long time, and their symptoms are so uncharacteristic that they rarely attract the attention of specialists treating non-healing wounds. As with their etiology, local treatment after the completion of oncological treatment is atypical. Management choice depends on the condition of the wound, but the interventions undertaken must bring benefit to the patient, improving their quality of life. Although the TIMERS system wet therapy and the features of an ideal dressing also apply to the treatment of cancer wounds, the actions may be completely different. Great care in wound debridement, atraumatic dressings, and maximum isolation of exudate are priorities in the treatment of cancer wounds. There is one overriding rule - do not use any preparations or dressings that support proliferation and wound healing, because then the neoplasm benefits instead of healing tissue. Wound management may be non-standard, but must be accepted by the patient. [ABSTRACT FROM AUTHOR]

This paper presents the basic principles that should be followed in the selection of a dressing and the characteristics of modern dressings available on the Polish market. [ABSTRACT FROM AUTHOR]

The group of antiseptics includes antimicrobial preparations which are only active on the surface of the wound, in the exudate; in the structures of the dressing or only in the tissues. Official recommendations suggest the use of different preparations at the same time in order to maximize the antimicrobial effect and eliminate the use of antibiotics. The diverse antimicrobial mechanisms of antiseptics provide the possibility of creating different effects in a wound. [ABSTRACT FROM AUTHOR]

According to world experts 60-100% of chronic wounds are infected. The mere presence of microorganisms does not disturb wound healing. The most common pathogens colonizing the wounds are: Pseudomonas aeruginosa, Staphylococcus aureus and Enterococcus genus. The biofilm produced in the wound disturbs the healing process, increases pH, causes tissue hypoxia, protein damage and tissue breakdown by increasing proteases and free radicals. Selection of proper treatment ensures effective eradication of the biofilm. If the biofilm is removed incorrectly from a chronic wound, it replenishes its structure within 24 hours and is fully renewed within 3 days after debridement. [ABSTRACT FROM AUTHOR]