Critical factors in healing acute wounds
Base decisions on well-done clinical trials to provide best patient care
Even dermatologists might be surprised by what really matters and what doesn’t when it comes to optimal wound healing. Things many doctors were taught in residencies, such as telling patients to avoid getting their sutures wet, doesn’t seem to make a difference. And one of the biggest wound healing stressors is stress, according to Robert S Kirsner, M.D., Ph.D., chairman and professor of dermatology and cutaneous surgery, and professor of epidemiology and public health director, University of Miami Hospital Wound Center, University of Miami Miller School of Medicine, Miami, Fla.
Dr. Kirsner reviewed what has panned out in the literature to positively impact wound healing, as well as what might be a waste of time and money, when he presented on the topic of acute wound healing in January 2016 at the Maui Derm 2016 meeting in Maui, Hawaii.
“In essence, stress matters, smoking matters, pre-treatment with retinoids matters, and age affects the perfect scar. Other things that matter are suture choice, occlusion and postoperative wound tension,” Dr. Kirsner says. “Things that may not matter include wound eversion; getting sutures wet; using antimicrobial versus other ointments, or using any ointments under occlusive dressing; and even the epidermal closure may not be important if you close the deep wound appropriately.”