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January 13, 1984

Chronic Problem Wounds

Author Affiliations

University of Nevada School of Medicine Reno

JAMA. 1984;251(2):266-267. doi:10.1001/jama.1984.03340260070038

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.


Chronic Wound Problems is a superb book dealing with a problem that is given little if any discussion in most surgical textbooks. It may be read in one or two evenings, and any surgeon who deals with problem wounds will find it difficult to lay down. The book is written concisely, without the redundancy seen in many multiauthored books.

The initial chapters deal with the basics of wound care. In the first, on the biology of wound healing, the authors stress the importance of "myofibroblasts" in producing wound contracture and adequate, perhaps even pulsatile blood flow, in promoting wound closure. In the second chapter, on the pros and cons of dressings, one editor shows his general preference for wet-to-wet dressings, warning, however, that they may reduce tissue maceration and provide an environment in which bacteria may flourish.

Other chapters deal with dressing materials and various techniques used to accelerate healing.