Title: The combination of therapeutic methods in healing of ulceration

Biography:

Abstract

Prolonged healing process and exposure of ulceration to non-sterile conditions causes a considerable risk of infections and their common relapses.  Bedsores covered with slough, ulceration covered with hard to remove bacterial biofilm and wounds without  causative medical treatment are the ones especially prone to a delay in healing process. Long-time experience has shown that removing slough from wound and, what is crucial, the order of combining together different  procedures of wound treatment play an important part in both tissue regeneration and preventing infections. Implemented by European experts TIME concept  is a set of rules connected to the right wound treatment systematising treatment regimen, however, a choice of methods will depend on knowledge and skills of a person in charge of therapy. Currently, therapeutic methods  possible to be used in lab conditions consist of larval therapy, hydrotherapy, negative-pressure wound therapy (NPWT), compression therapy and extracorporeal shockwave therapy (ESWT).  The aim of the thesis is to present good clinical practice boosting healing process of chronic wounds as well as possibilities of combining different therapeutic methods while taking into account a healing phase. The study included patients with chronic wounds receiving outpatient treatment. The thesis shows a possibility of combining  different methods of tissue regeneration through measures available in ambulatory settings.  It also suggests the possibility of combining special treatment while using dressings with physical methods such as negative-pressure wound therapy (NPWT) and extracorporeal shockwave therapy (ESWT) which result in an innovative treatment method.