Maceration of the skin and wound bed 1: its nature and causes

Journal of wound care - Tập 11 Số 7 - Trang 275-278 - 2002
Keith Cutting1, Richard White2
1Buckinghamshire Chilterns University College, Newland Park, Chalfont St Giles, UK
2Clinical research consultant

Tóm tắt

Maceration, caused by prolonged exposure to moisture, can complicate the healing of wounds, especially chronic ones. This paper — the first of three reviewing the literature on its aetiology and management — looks at how maceration occurs.

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Tài liệu tham khảo

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moisture.1Originally described by Charcot in 18772it occurs typically in and around the wound bed in acute and chronic wounds. Maceration can complicate the healing of chronic wounds.

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Qualitative, it is, however, enriched with white blood cells.14 These serve as a source of proteases, particularly matrix metalloproteinases (MMPs)

Water, skin and the permeability barrier It has already been stated that maceration is not always due to exudate

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In, the advancing rim of new epithelium often appears pale and slightly opaque. The inexperienced practitioner may interpret this as the effects of maceration36