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Advanced therapy

Have you ever heard of the topical use of sevoflurane in wounds?

If you have never heard of this alternative treatment for painful ulcers, surely while reading this post you may think of more than one...
Elena Conde Montero -
Advanced therapy

Punch grafting and negative pressure therapy: a successful couple

In previous posts we have talked about the benefits that these two treatments have, separately, promoting healing. However, their combined use plays a fundamental...
Elena Conde Montero -
Types of wounds and pathophysiology

Brief overview of wound healing

Healing is the natural process to regenerate the tissues that have suffered an injury. In the case of an erosion, which exclusively affects the...
Elena Conde Montero -
Conventional treatment

Compression therapy and scar massage in post-traumatic and post-surgical leg wounds

The healing process of any leg wound is conditioned by gravity force. The inflammatory process inherent in any leg wound involves an alteration in the...
Elena Conde Montero -
Advanced therapy

Differences between epidermal and dermo-epidermal punch grafts

Autologous epidermal and dermo-epidermal punch grafts are two of the different options available to promote epithelialization of recalcitrant wounds despite adequate conventional treatment. As...
Elena Conde Montero -
Advanced therapy

Types of skin grafts to cover chronic wounds: which one should you choose?

The use of skin grafts is a traditional technique to promote the healing of acute and chronic wounds. There are different types of skin...
Elena Conde Montero -
Clinical cases

Punch grafting in postsurgical wounds

This 73 year old patient presents with a scalp wound after removal of a basal cell carcinoma. On the day of surgery, 3 weeks...
Elena Conde Montero -
General concepts

The art of wound cleansing

It is widely recognized that cleansing is essential in wound management and it is always the first stage in every dressing change. But should...
Elena Conde Montero -
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Most read

Venous ulcers

CEAP Classification of Chronic Venous Disorders: Let’s all speak the same language.

The CEAP classification (Clinical-Etiological-Anatomical-Pathophysiological) was created in 1994 to standardize the diverse manifestations of chronic venous disease. It was...
Conventional treatment

Distraction as analgesic strategy during dressing changes

Professionals  involved in wound management know that dressing changes represent an enormously stressful factor for patients, mainly because of...
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Scientific meetings

Timolol for chronic wounds?

The idea of talking about topical timolol in non-healing wounds came to my mind during the recent World Congress...
Clinical cases

Interest of early punch grafting in Martorell hypertensive ischemic ulcer

It is not the first time that I have pointed out the benefit of rapid coverage with this type...
General concepts

Leg wrinkles are beautiful” and other thoughts in the 5 year blog anniversary

Five years of the blog "When a wound in the skin won´t heal" also means five years of "We...
General concepts

Emollients for eczema on legs

What is the best moisturising recommendation for the elderly with dry skin or those with eczema secondary  to venous...
Scientific meetings

What is the EWMA and what does it bring to my clinical practice?

Talking about the EWMA is something I have had in mind for months. I have decided right now because...
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General concepts

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Myofibroblast: the great ignored in wound healing

And why did I just remember the myofibroblast? Because...
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About me

I'm from Coruña, although I live in Madrid, and I discovered my passion for wound healing during my Dermatology residency. I have trained in phlebology and geriatrics in Paris, focusing on leg wounds. I hope the information you find on the blog feels relatable, simple, and useful. I am very grateful for the trust of my readers and patients.

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