Acute and Chronic Wounds – Etiology, Differences in Healing and Therapy

Authors: A. Pospíšilová 1;  M. Franců 2
Authors‘ workplace: Dermatovenerologická klinika FN Brno a LF MU přednostka prof. MUDr. Alena Pospíšilová, CSc. 1;  Klinika popálenin a rekonstrukční chirurgie FN Brno a LF MU přednosta prof. MUDr. Pavel Brychta, CSc. 2
Published in: Čes-slov Derm, 83, 2008, No. 5, p. 232-244
Category: Reviews (Continuing Medical Education)


Recently, patients with various types of wounds – acute, chronic, complicated and non-healing get more publicity in dermatology and in other fields of medicine.

Wound is characterized by damage of skin surface continuity and organism integrity.

Chronic wounds usually arise in tissues trophically altered by previous disorders of vascular, mainly venous origin. Topical noxious impulses e.g. pressure or radiation represent another possible causes. Chronic wounds heal by new tissue formation (per secundam healing) with corresponding anatomical structure and that is why their reparation is usually long and individually influenced by origin and extent of damaged tissue.

Chronic wounds comprise leg ulcers, bedsores, ulcerating tumours and various wounds with postoperative healing or another complications.

This review deals with classification of wounds, differences in acute and chronic wound healing and last but not least with wound therapy. Article focuses on the most common chronic wounds in dermatology – leg ulcers.

Key words:
wounds – classification – healing - therapy


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