[APPLICATION OF TOPICAL HEMOGLOBIN SPRAY IN INFECTED POSTTRAUMATIC AND POSTOPERATIVE WOUNDS].

Posttraumatic and postoperative infective wounds that progress to chronic wounds can pose serious problem for the traumatized patient with reduced biological potential for healing. Also, due to the need for specific and individual approach to such a patient, they represent a challenge for physicians. The use of topical hemoglobin spray (Granulox®) with protective and supportive local action ensures and improves physiological conditions for healing, thus providing additional possibilities for adequate and safe healing of complicated infected wounds.

Impact of adolescents awareness on perception of sexually transmitted infections.

Sexually transmitted infections (STIs) are diseases transmitted by direct contact during sexual intercourse. Because of high incidence and possibility of development severe consequences on general and reproductive health, STIs are a major problem among young people in the world. Lack of information is one of the major risk factors for STI transmission.

Can non-adhesive short stretch bandages change a life?

Venous stasis ulcers are common in patients who have a history of leg swelling, varicose veins, or a history of blood clots in either the superficial or the deep veins of their legs. The treatment is long and hard but the main aim of it is to create such an environment that allows skin to grow over an ulcer. Chronic wounds are a growing social, economical and health issue throughout the world.

[debridement algorithm].

Prolonged life expectancy increases the proportion of elderly population. The incidence of injury increases with older age. A variety of comorbidities (circulation disorders, diabetes mellitus, metabolic imbalances, etc.

[Chronic wound in waiting-room].

Chronic wounds are wounds that in addition to standard methods of treatment do not heal within 6-8 weeks, depending on their localization and etiology. Wound healing is affected by a number of factors: physical, psychosocial, relationship to the patient's disease, the condition of the wound itself, as well as the experience and knowledge of medical personnel and financial resources of the institution. Treating chronic wounds begins taking adequate history.

[Plausible solution to prevent major amputation in diabetic foot patients].

Diabetes mellitus is one of the leading public health problems in the world. Complications of diabetes mellitus include cardiovascular diseases, retinopathy, neuropathy and diabetic foot, which can in turn lead to lower extremity amputations. This is the main cause of mortality and the biggest expenditure for health system.

Lorenz Heister's handbook of surgery in the Franciscan monastery in Pazin.

The oldest library in Istria (Croatia) is located in the Franciscan Monastery of Pazin, with a rich fund of worthy old books. Our attention was attracted by the book "Chirurgie" written by the German physician, surgeon and anatomist Lorenz Heister in the first half of the 18th century. This worthy book is relatively scanty known in Croatian history of surgery.

[Weight loss and healing of ulcers - case report].

Diabetes mellitus type 2 is one of the most common diseases with a prevalence increasing with age. If blood sugar is not controlled, complications arise and diabetic foot ulcer occurs. Depending on the blood vessels involved, we distinguish venous and arterial ulcers.

[What is behind a wound?- case report].

Chronic wound is a wound that does not heal in four to eight weeks. The most important predisposing factors are tissue ischemia and infection. In approximately 80% of cases, chronic wounds of lower limbs are the final form of chronic venous insufficiency.

[A role of negative pressure therapy in the treatment of surgical wound infection after intramedullary osteosynthesis in pertrochanteric femoral fracture].

Fractures of the proximal femur are specific to older adults. Today, life expectancy for men and women is increasing, so one can expect an increased number of hip fractures. Elderly people suffer from associated diseases that may compromise the biological potential in healing of surgical wounds.

[Can decubitus ulcer be fatal? - case report].

A patient aged 69, homeless, alcoholic, hospitalized because of general weakness and disability, with decubitus ulcer in the area of left hip, measuring 5x5 cm, is presented. On admission, numerous parameters of inflammation were observed. Antibiotics and repeated extended skin necrectomy were indicated.

[Use of negative pressure therapy in the treatment of primary infected traumatic wounds of the foot caused by high energy impact].

Foot injuries caused by firearms and high pressure washing machines are not common, but due to high energy can be very destructive and contaminated with microorganisms. Due to the anatomical specificity of the foot, injures of the specific structure such as blood vessels, nerves and tendon-ligament apparatus are frequent. Soft tissue defect is often present.

[Burn injuries: what have we learned from history].

Severe burn injuries present a significant public health risk and are often associated with a life-threatening systemic inflammatory response. With the traditional approach, patients often stay in hospital longer and are more prone to problems like joint contractures, hypertrophic scars and infections due to delayed healing. The approach to burn injuries has been improving through and has been adopting new technologies and materials.