Even if the initial and initial treatment is performed in other centers, the treatment of many non-healing, non-healing wounds and the scars that remain as sequelae (scars) is done by planning individually as per the holistic approach, as in all medical procedures.
The location of the wound. , the time it first appeared, how it formed, what treatments were used until it came to us, the general health condition of the patient, its age, and the medications it uses are the first features that should be noted when planning wound healing.
All methods to be used in wound and scar treatment. If necessary, surgery comes first. Cleaning the necrotic, dead tissues remaining in the wound area is called debridement. It is not possible to close or repair many wounds without this debridement. Especially in wounds that have not healed for a long time, these lifeless tissues function like a plug and prevent wound closure.
In the treatment of scars caused by accidents, previous surgeries or incisions made on the arms or body for self-harm, "poorly healing" tissues are surgically removed. Removal is another frequently preferred surgical method.
In addition to surgery in scar treatment, PRP applications, micro fat grafts, neurotoxin, Radiofrequency procedures, Intense light treatments (IPL), fractional (intermittent) carbon dioxide lasers, chemical peeling procedures are also used. (peeling) are other tools frequently preferred in suitable patients.
The expectation from the treatment is not that the scar disappears, but that it turns into an aesthetically acceptable form. Treatment of scars, especially in places close to joint structures and bones such as the shoulder, elbow, knee and wrist, is difficult because they are on a mobile and hard tissue.
Some scars can be treated as "tattoo" or "hair transplantation", especially on the face and arms in men. It is also possible to try to close it with methods such as ” as a current approach.
Treatment of pressure sores that occur as a result of being dependent on a bed or chair for a long time should be done as soon as possible before the wound grows. Since the wounds in these people are accompanied by sensory deficiency, the areas exposed to pressure should be checked frequently and the wounds should be treated before they open, if they are smoking, they should be stopped and some of the common vitamins (vitamin D, B-12, Iron, etc.) �inko etc.) deficiencies must be corrected.
Razor scars on the arms heal with a distinct and noticeable scar as they are left to heal on their own. In these cases, if the treatment is to be performed surgically, it is an appropriate and correct treatment approach to perform a "pilot surgical study" on the most prominent scar and intervene in other scars according to the results. In major area surgeries, the arm must be splinted and kept immobile for 3 weeks. These patients must wait until the 12th month for the final result.
3 common characteristics of the scars, surface features, namely "swelling or depression", "color changes" and "hardness" should be scored and photographed before the procedure, and these parameters should be evaluated at the end of the treatment. The success of the treatment can be measured by comparing it with the photographs taken again. Since some scars are observed along with tissue deficiencies, filling procedures can be applied along with wound treatment. The most preferred filling material for this is fat patches (graft) taken from the person himself.
The features that should not be forgotten in wound and scar treatment are briefly as follows:
1.Wound healing varies from person to person, Another person's wound healing style and time cannot be an example for you
2.The most important factor affecting this time-consuming and laborious treatment is the person's attention, compliance, habits and wound healing quality as well as the preferred medical option
>3. Except for some tissues in the womb, there is no scarless wound healing
4. An existing scar cannot disappear or be erased, but it can be made "less obvious"
5 .The ideal treatment for wounds due to chronic pressure is to treat the wound before it grows.
6. "Sun exposure" of scars and wounds does not accelerate healing, on the contrary, it causes dark healing
7.Some wounds are open. Some wounds heal faster with closed methods. It is applied patiently, with a planning that requires "combined" approaches. n is considered as 1 year.
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