gynecology and obstetrics medical project, gynecology journal, obstetrics, gynecologic oncology, reproductive medicine, gynecological endoscopy, ultrasonography, gynecology articles

Ginekologia i Poloznictwo
ISSN 1896-3315 e-ISSN 1898-0759

Treatment of hard-to-heal wounds in gynaecology



Introduction. The rate of wound infections in gynaecology reaches, according to literature data,4%. Radical gynaecological surgery, particularly radical vulvectomy performed with Way’smethod, creates risk of complications in healing by first intention or, when due to extensivetissue defects healing by granulation may take place, delayed healing complications may occurwhen epidermis starts growing from the edges after the wound has been filled with granula-tion tissue. The modern concept of treating infected hard-to-heal wounds involves usingspecialized active dressings following the TIME management strategy.Aim of the study. The aim of the study was to evaluate the efficacy of modern specializeddressings applied in the treatment of hard-to-heal wounds after gynaecological surgery.Material and methods. The study included patients in whom complications had been diagno-sed in the process of post-operative wound healing. Wound material (smear) was collected fromeach patient for bacteriological examination. In the treatment of hard-to-heal wounds, specia-lized modern dressings were used and lavaseptics was applied.Results. In the treatment of infected wounds after radical gynaecological surgery, a goodtherapeutic result was achieved thanks to an application of active dressings with silver ionsor active manuka honey.Conclusions. The new generation of dressings - hydrogels, dressings with a carbon compo-nent and silver ions, dressings with active manuka honey - as well as lavaseptics, prove effectivein the treatment of hard-to-heal (infected) wounds after gynaecological surgery, particularlyafter radical vulvectomy.