Wounds : a compendium of clinical research and practice · 2019
HS-TIME: A Modified TIME Concept in Hidradenitis Suppurativa Topical Management.
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Oranges Teresa, Janowska Agata, Chiricozzi Andrea, Romanelli Marco, Dini Valentina
Аннотация
INTRODUCTION: Hidradenitis suppurativa (HS) is a chronic inflammatory disorder characterized by lesions such as abscesses and fistulas. The disease may require medical and/or surgical treatment, and the role of wound care is crucial. The acronym TIME (tissue nonviable, inflammation/infection, moisture imbalance, edge of wound) is widely recognized as a standardized approach to wound bed preparation.
OBJECTIVE: The aim of this study is to describe a modified concept of TIME useful in the management of HS: HS-TIME.
MATERIALS AND METHODS: The authors modified the standard TIME table considering the pathophysiology, the therapeutic approaches, and the possible neoplastic evolution in HS. Moreover, 2 distinct groups of lesions were distinguished: typical HS lesions and postsurgical wounds.
RESULTS: The proper management of HS lesions according to the HS-TIME rules could help the healing process, reduce pain, prevent severe complications, and improve the patient's quality of life.
CONCLUSIONS: Considering the lack of strong evidence regarding wound care in HS, the authors propose the new concept of HS-TIME, based on the TIME wound bed preparation rules, as a new, helpful, easy-to-use tool that may assist physicians in identifying the best wound approach in these patients.
OBJECTIVE: The aim of this study is to describe a modified concept of TIME useful in the management of HS: HS-TIME.
MATERIALS AND METHODS: The authors modified the standard TIME table considering the pathophysiology, the therapeutic approaches, and the possible neoplastic evolution in HS. Moreover, 2 distinct groups of lesions were distinguished: typical HS lesions and postsurgical wounds.
RESULTS: The proper management of HS lesions according to the HS-TIME rules could help the healing process, reduce pain, prevent severe complications, and improve the patient's quality of life.
CONCLUSIONS: Considering the lack of strong evidence regarding wound care in HS, the authors propose the new concept of HS-TIME, based on the TIME wound bed preparation rules, as a new, helpful, easy-to-use tool that may assist physicians in identifying the best wound approach in these patients.