Modern Wound Management of Chronic Wounds

In Western developed countries a growing incidence of patients with chronic wounds has been described. The underlying etiopathologically relevant causes are manifold and thus interdisciplinary diagnostics and causal therapy are the basis for a good and successful wound treatment. Later a modern, moisten, and phase adapted wound therapy should be initiated as a part of a complex therapeutic concept. Beside modern wound-dressings which could be divided in for example passive, interactive and active dressings there exists an increasing amount of innovative therapeutic options. For instance negative pressure therapies, treatments with ultrasound, hydrotherapies or biosurgery could be used. Moreover beside the well known growth factors there are some hopeful procedures with first clinical results for future wound healing strategies available like TNF-alpha inhibitors, stem cells or bone marrow derived cells. Therefore the employment of a modern wound therapy together with causally orientated treatment of the underlying causes is helpful to ensure a long-term complete healing of chronic wounds.