A wound can be defined as the loss of cutaneous teguments represented not only on the disruption of the skin, it can also exist affectation and loss of subcutaneous tissues, these can include muscular tissue and even bones.
The easiest way to classify a wound is by its complexity, that way we can classify a larger number of wounds and simplify the explanation of its treatment:
Simple wounds are acute injuries, such as, surgical wounds, scrapings, light abrasions, and chronic wounds, that would not close by themselves and might require specialized attention, but all of these wounds with the proper care and treatments, close completely without recurrence.
Complex wounds must have at least one of the following:
- Severe loss of teguments in extension and deepness: This is an important criterion regardless of the acuteness or chronicity of the wound.
- It frequently comes with infection and it can increment the tissue loss.
- The viability of the superficial tissues is compromise, with necrosis or signs of ischemia, localized or in a large extension, specially around the edges of the wound, this increments the loss of tissue.
- Presents complications inherent to systemic pathologies that block the normal regeneration of tissue or can cause the failure of the wound healing process, such as: vasculitis or diabetic foot ulcers.
- Presents a torpid evolution towards the perpetuity of the wound’s chronicity.
Complex wounds require special care that should be given by an interdisciplinary team, dedicated to those issues.
Most common complex wounds:
- Diabet foot ulcers.
- Chronic Venous Ulcers.
- Pressure Ulcers.
- Dehiscence wounds of the abdominal wall.
- Ulcers due to extended necrotic processes cause by infection.
- Chronic ulcers related to vasculitis and causes by immunosuppressant’s.