Clinical Management and Outcomes in Wound Healing

Special Issue Editor


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Guest Editor
Clinic of Plastic and Reconstructive Surgery, Department of Neurosciences, University Hospital of Padova, 35131 Padova, Italy
Interests: skin ulcers; negative pressure wound therapy; advanced dressings; dermal matrices; physical therapies

Special Issue Information

Dear Colleagues,

Although initially focused on burn patients, in recent years, wound healing has become an increasingly pressing challenge due to the increase in cases of so-called ulcerative pathologies, which we could define as a silent epidemic.

Nowadays, in order to achieve the best possible wound healing, we have to overcome many challenges by incorporating new techologies, advanced dressings, surgical therapies, dermal matrices, and regenerative medicine.

In this Special Issue, we aim to present innovative studies in the field of wound healing, in order to create a new strategy for the treatment of acute and chronic wounds both in adults and in children.

Dr. Carlotta Scarpa
Guest Editor

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Keywords

  • acute wounds
  • chronic wounds
  • burns
  • pressure ulcers, regenerative medicine

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Published Papers (1 paper)

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Review

17 pages, 285 KiB  
Review
Maggots in Medicine: A Narrative Review Discussing the Barriers to Maggot Debridement Therapy and Its Utilisation in the Treatment of Chronic Wounds
by Zoe Mumford and Yamni Nigam
J. Clin. Med. 2024, 13(22), 6746; https://doi.org/10.3390/jcm13226746 - 9 Nov 2024
Viewed by 427
Abstract
Background: There is currently no standardised guidance that supports any particular method of debridement. Maggot debridement therapy (MDT) is often used as a last-resort therapy over more conventional treatments, despite mounting evidence of its benefits. Objectives: This review aimed to critically [...] Read more.
Background: There is currently no standardised guidance that supports any particular method of debridement. Maggot debridement therapy (MDT) is often used as a last-resort therapy over more conventional treatments, despite mounting evidence of its benefits. Objectives: This review aimed to critically analyse the systemic and individual barriers to MDT implementation and utilisation. As the primary providers of wound care, discussions are primarily focused on nursing care. Search strategy: The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) was used to conduct a literature search of the studies published between 2012 and 2022 across four databases: CINAHL, Cochrane, British Nursing Index and PubMed. The keywords used for this search were based on the PICO (Population, Intervention, Comparison, Outcome) framework. Twenty-three main articles met the inclusion criteria. All the studies were quality appraised using a risk of bias tool and data were extracted using a predesigned form. The evidence base of the four main themes were discussed: (1) effectiveness of MDT compared to conventional treatments, (2) perceptions and stigma, (3) cost, training and accessibility and (4) side-effects. Conclusions: The findings of this review suggest that MDT is an underused and potentially very effective method of debridement compared to conventional treatments. The identified barriers could be mitigated with relatively low-cost solutions. More high-quality research is needed across all the barriers. Full article
(This article belongs to the Special Issue Clinical Management and Outcomes in Wound Healing)
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