Review paper

LECZENIE RAN 2024; 21 (3)

The need for simulation in medical education is increasing, mainly because there are more students than available patients. Another reason is that patients often don’t allow students to examine them, which requires adding simulated training ses-sions. Simulation technology has advanced a lot, making it more realistic. These classes occur in a safe and controlled en-vironment, which can be repeated and include complex scenarios. Some research validates the use of simulated wounds, but it would be useful to study how this training improves real patient care, especially for Polish students.

LECZENIE RAN 2024; 21 (2)

The gold standard of conservative treatment of venous ulcers of the lower limbs is compression therapy. Other elements are also important, such as local treatment in accordance with the TIMERS strategy, as well as, among others, physiotherapy, education of the patient and their family. Unfortunately, the healing process of venous ulcers also depends on other factors, which are still subject to many analyses.

LECZENIE RAN 2023; 20 (4)

Blepharoplasty is a procedure aimed at correcting the eyelids and restoring the proper tension to the skin of the eyelids. Indications for the procedure can be divided into cosmetic, which result in visual rejuvenation of the patient, and functional, which are aimed at improving functioning. The procedure is commonly performed with Vicryl, polypropylene, nylon, fast-absorbing sutures or cyanoacrylate tissue adhesives. The most commonly used surgical suturing techniques include interrupted cutaneous, running cutaneous and subcutaneous continuous. The procedure can cause side effects, the most serious of which is intraorbital hemorrhage, which can lead to loss of vision.

LECZENIE RAN 2023; 20 (4)

The ways to shorten the healing time of hard to heal wounds are still being sought. A prolonged inflammatory phase stops the healing process. The combination of hyaluronic acid and amino acids such as lysine, proline, leucine and glycine, which have unique wound-promoting properties, can be successfully used in the treatment of hard to heal wounds by accelerating the granulation process and reducing inflammation.

LECZENIE RAN 2023; 20 (4)

The aim of the study was to systematise the principles of care provided to patients with anal abscesses and fistulas based on the tenets of patient-centred care.
The mainstay of treatment for anal abscesses and fistulas is surgery. The choice of therapy depends, among other factors, on the patient’s clinical condition and the location and course of the fistula tract in relation to the sphincters and other anatomical structures. When considering a therapeutic approach, patients’ preferences play an important role. After assessing the balance between treatment benefits and potential risks of complications, some patients choose to forgo radical surgical intervention and instead opt to live with an active fistula treated with a loose seton alone.

LECZENIE RAN 2023; 20 (3)

The increasing prevalence of diabetes poses a heightened risk of vascular complications in the lower limbs. The costs associated with wound management are substantial, accounting for approximately 1-3% of total healthcare expenditures in developed countries. Implementing and maintaining preventative, interdisciplinary, and comprehensive care have become prioritized objectives for scientific societies.

LECZENIE RAN 2023; 20 (3)

A tissue bank is a highly specialised laboratory whose task is to obtain and process biological material according to established procedures and store and distribute allogenic tissue grafts to healthcare facilities. Tissue grafts find their application in regenerative medicine, such as treating extensive and deep burns and chronic wounds. This review discusses the role of tissue banks in accessing allogenic human skin grafts and the problem of demand and scarcity of allogenic human skin in Poland.