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MasterMinding Wounds

Plastic and Reconstructive Surgery: April 2012 - Volume 129 - Issue 4 - p 1027
doi: 10.1097/PRS.0b013e318249d839
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Many texts and books on the subject of wound healing have been published in recent years. The content of these publications ranges from a very in-depth mechanistic approach with the delineation of complex cellular and molecular pathways, to providing clinical perspectives in evaluation, management, and prevention of wounds. There is usually some tension in providing a balance between intracellular biochemical or cellular pathways and clinical wound healing information. MasterMinding Wounds is clearly devoted to providing readers a broad practical overview into the clinical practice of treating wounds with enough basic science to understand the rationale of surgical treatment algorithms. The strength, consistency, and readability of the text and illustrations are drawn from the fact that only three authors wrote this book. This text is not a collection of a large number of authors from various countries.

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The message of the book is partitioned into five chapters. Part I with two chapters is focused on establishing a framework for all readers of various backgrounds and experience on the broad topic of wounds and presenting clinical examples of various types of wounds. As with all of the book sections, clinical evidence and experience of the authors shape the presentation of the subject matter. The remaining four book sections (parts) follow logically from wound evaluation (Part II, three chapters), problem wound management (Part III, five chapters), management of “end-stage” wounds (Part IV, two chapters), and wound prevention (Part V, four chapters). The authors have in each book part provided a focused text on that subject matter coupled with opinions, copious illustrations, tables, and references. The parts of the book do not overlap.

Critical to wound care is the initial classification of the wounds and then subsequent scoring using systematic approaches. Part II is exceptionally strong, with educational and critical evaluation into the current practices and systems of wound classification with diabetic foot wounds and pressure ulcers/indolent wounds. The strengths and weaknesses of the current classification systems are reviewed, and the complexity of the multifactorial causes and associated challenges with problem wounds is illuminated. A chapter then follows with an extensive critical overview—something that is of value to the clinicians, surgeons, and patients as well.

The overall book design and level of content are very practical and integrate modern clinical practice along with the level of basic science relevant to developing specific treatments. Consequently, the reader is able to focus on and appreciate each aspect of wound care from beginning to end and subsequent prevention. The standard of illustration is very high and the layout is content-rich and readable. This book would be a very useful general resource for people who are interested in clinical wound care, from the patient to the surgeon.

Spencer A. Brown, Ph.D.

©2012American Society of Plastic Surgeons