The problem of chronic wound healing

A chronic wound designates a secondarily healing wound that despite adequate therapy does not show a tendency to heal over a period of 6-9 months. Chronic wounds either transform from acute wounds as a consequence of associated diseases or infections or they develop due to micro-trauma to the skin, which itself is predisposed to difficult healing. The third possible cause of a chronic wound is the deepening of skin necrosis due to the underlying disease, for example lower limbs obliterating atherosclerosis.
A persistent open wound is an unpleasant manifestation of disrupted tissue healing. It is the possible entry site for microorganisms and may lead to the development of other infectious complications. Therefore, chronic wounds also represent a serious socioeconomic problem.

Bedsores/ decubiti
Bedsores or decubiti are local ischemic affections of the skin that may even lead to skin, subcutaneous tissue and muscle necrosis (death). They form at sites of long-term contact between the patient´s skin and bed (e.g. bed ridden patients). At the sites of continuous contact and pressure, small vessels are compressed and tissues are thus poorly supplied with nutrients and oxygen,. This leads to their gradual death-the formation of decubiti. Decubiti appear relatively quickly, in some cases even after only a few hours. Up to 2/3 of decubiti develop within 14 days. Skincol® significantly helps in their healing. Patients mainly appreciate the rapid relief and complete closure of the decubiti.
Bedsore classification
How is Skincol applied?
Is it necessary to disinfect the decubitus before applying Skincol® ?
If the wound is not infected (microbial infection), then we recommend that you do not disinfect it and that you apply Skincol® directly on the wound once the necrotic tissue is removed.
Is it possible to use Skincol® even on deep decubiti?
Yes, you certainly can, as it has a very positive effect on decubiti. Nonetheless, we recommend the removal of eventual necrosis from the wound before the creaml is applied.
Varicose ulcers
A varicose ulcer is a chronic wound caused by the loss of the epidermal and dermal cover (skin damage-tissue loss that may reach down to the subcutaneous layers). It usually develops in patients suffering for a long time from a disease of the lower limb vascular system. A frequent cause of varicose ulcers is chronic venous insufficiency. This is a state whereby changes in the vascular wall lead to the stagnation of venous blood in the lower limbs. This in turn leads to the development of excessive pressure in the venous circulation, the veins enlarge and varicose veins form. The varicose ulcer may then develop due to some trauma, for example involving chemicals,or to infections. Regular application of Skincol® on living tissue and removal of necrotic tissue leads to the very good healing of varicose ulcers. Skincol® may also be used in the initial stages of varicose ulcers, when the wound is not as yet completely open.
The development of varicose ulcers is usually preceded by the following manifestations:
Treatment of varicose ulcers
Treatment of chronic wounds, varicose ulcers, begins by determining their cause and includes both systemic therapy of illnesses present (high blood pressure, heart disease, diabetes mellitus, diseases of the joints, oedema etc.) as well as the adjustment of systemic medication (e.g. systematically administered corticosteroids). Weight reduction, increased physical activity and exclusion of smoking are other important factors. The combination of systemic and local therapy complemented by compressive treatment is fundamental for successful healing.
How is Skincol applied?
Can a varicose ulcer be treated with Skincol® ?
Yes it can. Nonetheless, it is necessary to apply the cream only on living tissue and to regularly remove necrotic tissue.
Can I apply Skincol® on a recurrent varicose ulcer in an older person?
Age does not play any role in the case of Skincol® application. The number of cases when it is applied in hospitals is continuously rising and the results are excellent. The dressing must be changed daily, though, and the gel applied in a sufficient amount.
Is it possible to use Skincol® on varicose ulcers in the initial stages, when the wound is not as yet completely open?
Yes, Skincol® may be used even at this stage.

Diabetic foot
The term diabetic foot designates a complication of diabetes (diabetes mellitus), which involves the development of chronic, non-healing defects on the lower limbs. Two principal factors underlie this affliction nerve damage and disorders of the blood supply, i.e. vascular attainment. According to its severity, this affliction may range from superficial ulcers to gangrene or necrosis of the whole foot. The diabetic foot syndrome requires complex treatment involving the treatment of infection, pain and even surgery or vascular interventions. Application of Skincol® to living tissue helps successful healing and alleviates pain.
How is Skincol applied?
I suffer from diabetic foot syndrome and I have developed scabs with pus underneath. How can I apply Skincol® ?
Skincol® must be applied on living tissue. Removal of the scabs must be consulted with your attending physician.
Anal fissures that develop in association with haemorrhoids
Anal fissures are defects of the anal region at the site of transition between the mucosa and skin. They rank among the most unpleasant wounds, which thanks to the continuous irritation by stools heal for a long time and with complications. The anal region has an abundant vascular supply and thus these wounds bleed frequently.
How is Skincol applied?
A specialist examination is highly recommended before application- in order to exclude other causes of perianal symptoms. Skincol® has proved effective in the treatment of anal fissures associated with haemorrhoids, but it has no effect on the treatment of haemorrhoids and their causes per se
Is it possible to apply Skincol® even on open external haemorrhoids?
Yes, the gel is also suitable for this.
Is it possible to apply Skincol® to the mucosa of the external genitals?
Skincol® may be used for the healing of wounds on the external genitals with no problem.