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Updated: Jul 18, 2026

Protocol to Create Chronic Wounds in Diabetic Mice
Published on: September 25, 2019
Complex wounds
Marcus Castro Ferreira1, Paulo Tuma, Viviane Fernandes Carvalho
1Division of Plastic Surgery, Hospital das Clínicas, São Paulo University Medical School, São Paulo, SP, Brazil. mcferrei@uol.com.br
Complex wounds, including diabetic ulcers and pressure sores, require specialized care. Multidisciplinary teams and advanced treatments like grafts, flaps, and negative pressure devices are essential for effective management of these challenging conditions.
Area of Science:
- Wound healing and regenerative medicine
- Surgical reconstruction and tissue engineering
Background:
- Complex wounds, both chronic and acute, present significant challenges to healthcare professionals.
- These difficult-to-heal wounds have a substantial socioeconomic impact.
- Conventional treatments often prove insufficient for complex wound management.
Purpose of the Study:
- To highlight the challenges posed by complex wounds to the healthcare community.
- To advocate for specialized treatment approaches for complex wounds.
- To review major categories of complex wounds and their management.
Main Methods:
- This is a review article, synthesizing existing knowledge on complex wounds.
- It discusses the necessity of multidisciplinary team involvement.
- It explores surgical interventions and emerging technologies.
Main Results:
- Complex wounds necessitate advanced treatment strategies beyond simple dressings.
- Surgical reconstruction, including grafts and flaps, is frequently required.
- Emerging technologies like negative pressure wound therapy show promise.
Conclusions:
- Complex wounds demand a paradigm shift towards specialized, multidisciplinary care.
- Early surgical intervention and integration of new technologies are crucial.
- Addressing complex wounds effectively requires a coordinated approach in specialized centers.
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