Wounds occur after disruptions in the integrity of the skin and subcutaneous tissues as a result of trauma and some diseases. The wound healing process begins immediately after the wound is formed. After certain processes, the body tries to repair the wounds. The wound requires a special microenvironment to heal. Normally, wounds can heal within a few weeks. Some reasons such as inadequate wound care, infection, certain diseases, the use of certain drugs (such as steroids, chemotherapy) and general condition disorders impair wound healing and non-healing wounds occur.
Diabetic Foot Wound
Diabetes mellitus is a chronic disease that affects approximately 5-6.5% of the world. This rate rises to 10-12% in our country. In diabetic patients, high blood sugar causes damage to the vascular walls and nerves. Foot ulcers develop in some patients due to the effects of micro and macro traumas. Since the immune system of patients is also affected, wound healing is delayed. In some cases, the process results in amputation.
Treatment of diabetic foot wounds is a specialized treatment and many specialties are included in the treatment. Treatment is a long process that requires patience for both the patient and the doctor. Underlying causes such as high blood sugar and circulation problems should be corrected first. Appropriate and adequate wound care and additional auxiliary medications and methods are added to the treatment. Infection of the wound must be prevented. Dead tissues in the wound should be removed by chemical or surgical methods. Skin transplants may be beneficial in a limited group of patients.
Wounds due to poor circulation
Disorders of the arteries and veins in the legs may occur due to many reasons.
Smoking causes narrowing and blockages in the leg arteries due to reasons such as high blood pressure and cholesterol. Wounds may occur if sufficient blood flow to the legs and feet is not provided and the tissues are not nourished.

Veins are the structures that carry blood from the tissues to the heart, and there are valve systems within the veins that prevent the backward flow of blood against gravity. Insufficiency in these valves results in the backward movement of blood and pooling in the tissues. This condition, known as venous insufficiency, presents with discoloration and occasionally ulcerated wounds on the legs. Although some of these wounds close over time with proper care and treatment, they tend to reopen if the current situation continues.
Recently, a very effective wound care material has been developed for the treatment of these wounds. However, first of all, the factors causing the underlying vascular problems and the vascular problems must be corrected. Treatment is a long process.
Pressure Sores
In patients who are bedridden for various reasons such as spinal cord injury, some diseases, general condition disorders, wounds occur due to reasons such as prolonged pressure on the same area, folded sheets, and the patient slipping in the bed. The priority in the treatment of pressure sores is not to open the wound. Once the wound is opened, the healing process is difficult and long. The priority is to eliminate the pressure, including changing the patient’s position at certain intervals. Keeping the bed linen taut and ensuring that the patient does not slip in the bed is effective in preventing the formation of pressure sores and preventing their progression. It is necessary to care for opened wounds with products and to remove dead tissues chemically or surgically. Successful results can be achieved with surgical closure in selected patients.