Operative debridements of chronic wounds

Andrew M. Hanflik, Michael S. Golinko, Melissa Doft, Charles Cain, Anna Flattau, Harold Brem

Research output: Chapter in Book/Report/Conference proceedingChapter


The term chronic wound does not refer to duration over time, but rather describes a wound that is physiologically impaired. All venous, pressure, and diabetic foot ulcers are defined as chronic wounds. Elderly patients are more likely to experience venous and pressure ulcers,1-4 which lead to more than half of all lower extremity amputations in persons with diabetes. 5 Chronic wounds heal at the same frequency of closure in elderly populations as they do in younger populations, but may heal at a slower rate, primarily because of comorbidities associated with age.6-9 The comorbidities that delay healing are prevalent among older populations and include venous insufficiency and diabetes. Although there are age-related changes to the skin, it has yet to be shown, clinically, that age alone decreases an elderly person's ability to heal.7,10,11 A synergistic effect of advanced age and diabetes significantly slows healing.12

Original languageEnglish (US)
Title of host publicationGeriatric Anesthesiology
PublisherSpringer New York
Number of pages14
ISBN (Print)9780387725260
StatePublished - 2008
Externally publishedYes

ASJC Scopus subject areas

  • General Medicine


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