Complex Wounds and Their Management

Habeeba Park, Carol Copeland, Sharon Henry, Adrian Barbul

Research output: Contribution to journalReview articlepeer-review

30 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)1181-1194
Number of pages14
JournalSurgical Clinics of North America
Volume90
Issue number6
DOIs
StatePublished - Dec 1 2010

All Science Journal Classification (ASJC) codes

  • Surgery

Fingerprint Dive into the research topics of 'Complex Wounds and Their Management'. Together they form a unique fingerprint.

Cite this