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The wound healing process

Basic knowledge of cellular activities is important for the understanding of the wound-healing process. To simplify the complex series of inter-related cellular processes, wound healing is conventionally divided into inflammation, proliferation and maturation (Figure 1).

The three stages do not occur in isolation; considerable overlap occurs between them. The time required for an individual wound to progress into the next stage of healing differs hugely.

Figure 1: The temporal changes of the major cell types in a healing wound – neutrophils, macrophages, fibroblasts and myofibroblasts – are depicted. Each stage of wound healing involves cellular events such as adhesion to the ECM, signalling, biosynthesis of macromolecules, migration, division, and differentiation.


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Chance of healing

More than 20% of leg ulcers take more than 50 weeks to heal with risk factors such as ulcer size, ankle mobility and co-morbidity influencing clinical outcomes.
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Risk factors for delayed healing

Treatment of chronic wounds is a difficult medical challenge that consumes significant healthcare resources. Prognostic indicators for ulcer healing are therefore important in helping to identify potentially...
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How to use Xelma

Xelma is indicated for hard-to-heal ulcers - primarliy, venous leg ulcers. Xelma can be used under compression therapy.
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