Table 2.
Currently Available Chronic Wound Treatments | Advantages | Disadvantages | Applications | Is It Approved for Chronic Wounds? |
Does It Require a Secondary Treatment? |
Refs. |
---|---|---|---|---|---|---|
Debridement | Prevent the expansion of the area of non-viable tissue while keeping the area of viable tissue stable | May cause discomfort for the patient Expensive Require a specialist Inconsistent results |
All chronic wounds | Yes | Yes | [17,18,19] |
Hyperbaric oxygen therapy | Increase the oxygen concentration in blood in the wound area and shortens the wound healing process | Require a specialist to apply it Expensive |
All diabetic ulcers | Yes | No | [20] |
Ultrasound and electromagnetic therapy | Provide pain relief to the patient | Time-consuming Expensive May have certain side effects including damage or burns on endothelial tissues |
Venous and pressure ulcers Tendon injuries Surgical incisions |
Yes | No | [21,22] |
Negative pressure wound therapy | Increase blood flow and moisture around the wound | Require a proper health facility and medical specialist Limit the mobility of the patient Give discomfort to the patient |
Certain types of venous and pressure ulcers | Yes | No | [23] |
Skin grafts | Widely used Easy to apply |
Only used for large wounds Require a proper health facility and a specialist to apply it Expensive Less accessible in some countries |
Large chronic wounds | Yes | No | [24] |