Overview
Chronic wounds are not the same: pressure sores develop due to long-term pressure, while impaired venous or arterial circulation may contribute to leg ulcers. Sensory loss, diabetes, malnutrition and mobility difficulties are also evaluated. The appearance of the wound alone does not determine treatment. Depth, blood supply and possibility of infection are investigated; When necessary, the vascular surgeon, relevant physicians, wound care nurse and nutritionist work together. Even if surgical closure is considered, the wound may recur if the cause is not controlled. Fever, rapidly increasing redness, significant pain, or deterioration in general condition require immediate medical evaluation.
What is evaluated?
- The duration, depth, discharge and signs of infection of the wound are examined.
- Circulation, pressure load, sensory loss and movement capacity are evaluated.
- Nutrition, diabetes control and home care opportunities are reviewed.
Approach and options
- Pressure relief and personalized wound care are part of the basic plan.
- In circulatory-related ulcers, treatment is tailored to the cause with appropriate vascular evaluation.
- In selected deep wounds, cleaning and closure with a graft or flap can be evaluated by an expert team.
Recovery and follow-up
During follow-up, not only the shrinkage of the wound but also the control of infection and pressure load is monitored. Dressing frequency, support surfaces and daily movement plan are determined by the care team. There may be a need to protect the closed area after surgery. Even if the wound closes, checks and care to reduce recurrence continue.
Risks and limits
- Deepening of the wound and infection
- Development of bone infection or widespread infection
- Breakdown of the surgical wound closure
- Recurrent ulcers and need for long-term care
The headings here do not cover all risks. Possible benefits, alternatives and personal risks should be discussed in detail during the examination.
You can ask in the consultation
- What is the root cause of the wound and the circulatory status?
- What supports do I need for home care?
- Which problems need to be addressed before surgical wound closure is considered?
Resources
Access to sources: September 2026. The content has been prepared for general information purposes.