Document Detail


Transdermal CO2 application in chronic wounds.
MedLine Citation:
PMID:  15866797     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
Chronic wounds are a challenge to treatment. In this retrospective study, the effect of transdermal CO2 application on wound healing in chronic ulcers was investigated and compared to the effect of CO2 on acute surgical wounds. Eighty-six patients (52 females and 34 males) with chronic wounds of different origin except arterial occlusive disease were included. In addition, 17 patients (5 females, 12 males) with wide excision wounds after surgical therapy of acne inversa were considered. The indication for CO2 application was a wound at risk for infection. Treatment was performed with a Carboflow device once daily for 30 to 60 minutes. There was clinical evidence of improvement of granulation and reduction of discharge and malodor within 1 week of treatment in both chronic and acute wounds. Only 9 patients, all diabetics, needed an additional systemic antibiosis. The treatment was well tolerated. No adverse effects have been noted. Transdermal CO2 application is a useful method to reduce the risk of infection and improve wound healing in both chronic and certain acute wounds. Systematic prospective trials are needed.
Authors:
U Wollina; Birgit Heinig; Christine Uhlemann
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The international journal of lower extremity wounds     Volume:  3     ISSN:  1534-7346     ISO Abbreviation:  Int J Low Extrem Wounds     Publication Date:  2004 Jun 
Date Detail:
Created Date:  2005-05-03     Completed Date:  2005-05-16     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101128359     Medline TA:  Int J Low Extrem Wounds     Country:  United States    
Other Details:
Languages:  eng     Pagination:  103-6     Citation Subset:  -    
Affiliation:
Department of Dermatology, Hospital Dresden-Friedrichstadt, and Institute of Physical Therapy, University of Jena, Jena, Germany. wollina-uw@khdf.de
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