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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]

Properly used antiseptics can prevent the use of antibiotics to treat non-healing wounds. The rapidly developing biofilm is very effective in blocking the penetration of the wound by antibiotics, the treatment turns out to be ineffective and causes the development of microbial resistance. Properly selected antiseptics are completely sufficient in the treatment of any non-healing wound. [ABSTRACT FROM AUTHOR]

This work presents two etiologies of skin damage – those caused by moisture and medical adhesives. Both etiologies are difficult to diagnose in the early stages of development, and in advanced conditions they cause therapeutic difficulties. Both complications arise most often in hospital conditions, and less frequently in home care. Knowledge of risk factors, causes, characteristics and their symptoms will allow for the effective prevention of MASD and MARSI. [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]

Chronic wounds have been very difficult interdisciplinary medical problem. Their prevalence increases with age and becomes increasingly common due to population aging. The problem has become more serious because of many local and systemic factors impairing wound healing. The effective and contemporary local treatment, optimized for the condition of a certain wound, fulfils a crucial role. The role, features, effect and application to include polyhexamethylene biguanide (PHMB) in wound treatment are discussed in this paper. Polyhexanide is a broad-spectrum antiseptic for MRSA, VRE, Escherichia coli, Pseudomonas aeruginosa. It is a certain, non-toxic antiseptic with an inferior threshold of irradiation (1.3-1.6) and a high index of biocompatibility; it does not cause cross-resistance to antibiotics but selectively affects the cytoplasmic membrane of microorganisms without damaging proteins in human cells. Despite preceding controversies, polyhexanide has been currently recommended as the first choice antiseptic in treatment of infected wounds, burns, as well as in surgical site infections surveillance. It has been proven to have a positive effect on the formation of granulation tissue in chronic wounds, contributing to the accelerated healing and to the reduction, wholly or in part, of patients' pain. [ABSTRACT FROM AUTHOR]

In this paper was presented a differential diagnosis and assessment of chronic wounds on the basis of which nurses undertake interventions and plan the process of nursing a patient with ulceration. In addition, an algorithm for the treatment of chronic wound is presented. [ABSTRACT FROM AUTHOR]

This paper presents recommendations for local treatment, available modern dressings and the rules for their selection. In addition, an algorithm for the treatment of chronic ulcers/poorly healing or infected wounds is presented. [ABSTRACT FROM AUTHOR]

Proper pressure ulcer prophylaxis reduces the occurrence of bed sores in patients with impaired overall health status. Circulatory and respiratory failure associated with patients hospitalized at the intensive care units (ICU) significantly increases the risk of pressure ulcers. Nursing care, the use of appropriate skincare products and mattresses or the way patients are fed, can dramatically reduce the number of pressure ulcers in ICU. [ABSTRACT FROM AUTHOR]