As for every clinical picture, comprehensive anamnesis, diagnosis and laboratory examinations must be carried out for the treatment of chronic, poorly-healing wounds.
Basically it is always necessary to clarify the underlying disease which led to the skin defect. The wound can heal only if the underlying disease is treated causally.

The stage-adapted use of hydroactive wound dressings is considered to be the treatment standard for all chronic wounds with their required tissue formation for filling defects. They accelerate for example wound cleansing, guarantee an optimally moist wound milieu and stimulate the formation of blood vessels and tissue.

The stage-adapted use of hydroactive wound dressings
The stage-adapted use of hydroactive wound dressings is indicated for the treatment of chronic wounds. The stage of wound healing, necroses, the quantity of exudation as well as a possible infection must be taken into consideration in their selection.  

Treatment of the underlying disease
To enable a chronic wound to heal, the cause triggering wound formation must be removed. The most frequent diseases which trigger chronic wounds are venous and arterial disturbed blood circulation as well as diabetes mellitus.   

Debridement procedure for wound cleansing
Dead tissue and coatings jeopardize wound healing. Primarily necroses provide an ideal culture medium for bacteria and thus the foundation for an infection. Therefore efficient debridement must be carried out.   

Wound management: Decubitus
Pressure sores occur as a result of local damage to the skin and subjacent tissue through pressure, shearing forces and/or friction.  

Wound management: Leg ulcer (Ulcus cruris)
A leg ulcer (Ulcus cruris) can occur as a result of a chronic venous insufficiency (Ulcus cruris venosum), disturbed blood circulation (Ulcus cruris arteriosum) or a combination of these factors (Ulcus cruris mixtum).  

Wound management: Diabetic foot
The diabetic foot syndrome is an ulceration which occurs due to diabetic secondary diseases: sensomotor and autonomous neuropathy and/or peripheral occlusive arterial disease.  

Malnutrition disturbs wound healing
Although the importance of optimum nutrition for wound healing is known, this is still not considered sufficiently during treatment.  

Systemic and local influences on wound healing
The wound-healing process is influenced by many factors. For treatment it is necessary to identify and if possible eliminate the local and systemic factors.