Hungarian Wound Care Society

The journal of the Hungarian Wound Care Society is the
Wound care - Wound healing (Sebkezelés-Sebgyógyulás)

Editor in chief:
Péter Farkas, M. D., E-mail

Members of the Editorial Board:
Prof. István Juhász, M. D., András L. Kovács, M. D., István Sugár, M. D.

Edition, distribution:
Etalon '95 Ltd., E-mail

Typography and typographic design:
Pagent Reklám Ltd., E-mail

- István Sugár, M. D.: Presidential greeting
  Keywords: József Baksa was born 90 years ago, content of the journal, past and future conferences

- Anna Gőbl, M. D., Gábor Kanász, M. D., Péter Nagy, M. D.: Is hyperbaric oxygen therapy needed in Hungary (too)?
  Abstract: This paper describes the concepts, brief history, treatment principles and physiology of hyperbaric oxygen (HBO) and hyperbaric oxygen therapy (HBOT). He discusses the indications and contraindications and summarises the experience gained at the Hyperbaric Oxygen Therapy Centre of the Vaszary Kolos Hospital in Esztergom since 1st November 2023. On the basis of this, the answer to the question of whether this type of treatment is necessary: clearly yes.
  Keywords: hyperbaric oxygen (HBO), hyperbaric oxygen therapy (HBOT), wound healing, financing

- Dávid Farkas Szabolcs, M. D.: A guide to the basics of wound care
   Abstract: When a person, as a doctor first encounters a chrinic wound, it is easy to despair. When the patient arrives, the wound is exposed, the nurse is horrified, and the scribe leaves immediately. It is true that such a wound can be repulsive and can cause discust in a layman. So it is understandable that patients hide it as long as possible and do not tell anyone about it. In such a desperate situation, they expect help from the doctor. The pressure is undoubtedly great. The simple treatment methods fail one after the other, and we ourselves do not understand the reason for our failure. The author of the article tried to compile his paper based on this experience. Its purpose is to provide guidance to colleagues who are wandering through the maze of wound care and who may be just getting to know the subject. After all, countless procedures and treatments, often contradicting each other, circulate in the public consciousness.
  Keywords: wound healing, intelligent bandage, history of wound treatment

- Prof. János Hunyadi, M. D., István Sugár, M. D.: József Baksa, M. D. born 90 years ago

- Péter Farkas, M. D.: Report on the 34th Congress of the EWMA

- Péter Farkas, M. D., István Sugár, M. D.: NPWT again! Report on the 6th National NPWT Scientific Professional Day

- Prof. István Juhász, M. D.: In memoriam Prof. Judit Daróczy, M. D.

- Mölnlycke is 175 years old

- 26th Congress of the Hungarian Wound Care Society - programme

- 26th Congress of the Hungarian Wound Care Society - abstracts

- Invitation to the General assembly of the HWCS

- István Sugár, M. D.: Presidential Greeting
  Keywords: international meeting on proctology on last November, events in 2024, book on diabetic foot, from the contents of the journal

- Marianna Rédling, M. D.: Possibilities of the dermatologist in the care of chronic lower extremity ulcers
  Abstract: Successful management of chronic lower extremity wounds requires early diagnostics, development and implementation of the appropriate treatment plan. Most lower extremity ulcers develop as a complication of vascular disease, diabetes or pressure injury, while a smaller percentage have various other etiology (atypical wounds). As the development of a wound in a patient is often a complex process, successful treatment requires the cooperation of multiple specialists. In the article we discuss how dermatologists, as part of a multidisciplinary team can help ensure that patients receive correct diagnosis and effective treatment for their chronic wounds and periwound complications.
  Keywords: lower leg ulcer, atypical wound, periwound complications, dermatologist; venous leg ulcer (VLU); mutation; single nucleotide polymorphism (SNP)

- Anna Csilla Szalkay-Szabó, László Mecseky, M. D.: Treatment and prevention of diabetic neuropathic foot wounds with podiatric methods
   Abstract: The best wound is „the one that doesn’t even appear”. Septic, even life-threatening wounds can develop very quickly, imperceptibly, and painlessly on the diabetic neuropathic foot. In order to prevent them, it is important to screen the affected patient group, assess the risks, then determine the necessary patient pathways, provide them with adequate care, follow-up, control examinations and of course individualized education. Based on their qualifications, podiatrists perform this task in many countries of the world in cooperation with general practitioner practices and medical specialists (dermatology, surgery, internal medicine, angiology, traumatology, orthopedics) that provide care for diabetic patients. In our country only first steps have been taken on this field. As a result, the number of diabetic amputations could be significantly reduced, which would improve the quality of life of the patients and reduce the social burden.
  Keywords: diabetic foot ulcer, podiatry, prevention, education, teamwork

- Péter Farkas, M. D.: Report on the Hartmann LINK Congress

- Péter Farkas, M. D.: Report on the Scientific Meeting of the Hungarian Podiatric and Foot Surgery Society

- 6th national scientific day on NPWT

- 26th Congress of the Hungarian Wound Care Society

- Invitation to the General assembly of the HWCS

- István Sugár, M. D.: Presidential Greeting
  Keywords: from the contents of the journal, events in 2024, invitation to this year's HWCS congress

- Gyöngyi Bernscherer, M. D., Dezső Tóth, M. D, Ph. D., Zsolt Susán, M. D., Gergely Zádori, M. D., Ph. D, Zsolt Szentkereszty, M. D., Ph. D.: Treatment of hidradenitis with radical excision, half-thickness skin grafting and vacuum therapy. Case report
  Abstract: Hidradenitis is a chronic skin disease that affects the apocrine gland-bearing areas and is characterized by inflamed, painful, draining nodules, abscesses, and sinus tract formation. Most commonly it occurs in the armpits, but can also develop in the groin area, perianal region, inner thighs and breasts. The development of the disease may be influenced by factors such as smoking, genetic background, obesity, diabetes, and can have a higher prevalence in women. Treatment can be conservative (with antibiotics, biological therapy) or surgical.
During surgical interventions, the abscess cavities are opened, and the affected area is radically excised. The defect can be covered using split-thickened skin grafts or various pedicle flaps. Negative pressure wound therapy (NPWT) is a widely used procedure. The advantages of NPWT include faster wound bed preparation, promotion of granulation tissue formation, preparation of the wound bed for graft acceptance, and facilitation of adherence of the transplanted split-thickness skin graft.
The authors present the treatment of an axillary hidradenitis that was unresponsive to conventional treatment methods, using a combination of radical excision, NPWT and split-thickness skin grafting.
  Keywords: varicose vein (VV); chronic venous disease (CVD); chronic venous insufficiency (CVI); deep vein thrombosis (DVT); venous leg ulcer (VLU); mutation; single nucleotide polymorphism (SNP)

- Péter Farkas, M. D.: Report on the EWMA 2023 Congress

- Péter Farkas, M. D.: MOTESZ Interdisciplinary Forum: A complex approach to the treatment of diabetic foot wounds

- István Rozsos, M. D.: Report on the UIP 2023 World Congress held in Miami

- István Sugár, M. D.: MEROVA/Végtagmentő (Limb Rescue) Partner and Investor meeting

- István Sugár, M. D.: A visit to the "Eszter Wound Center" in Környe

- Lujza Szitás:Management of chronic wounds. Practical training with augmented reality-based presentation of real cases

- István Sugár, M. D.: József Sándor: Surgery supplemented with basic knowledge of traumatology, obstetrics and urology. Textbook and history of science. Book review

- István Sugár, M. D.: Irén Mikó - István Furka: The history of the department of surgery at the University of Debrecen, 1951-2013. Book review

- Péter Farkas, M. D.: Judit Daróczy: Treatment of the diabetic foot. Book review

- 25th (Jubilee) Congress of the Hungarian Wound Care Society - programme

- 25th (Jubilee) Congress of the Hungarian Wound Care Society - abstract

- Invitation to the General assembly of the HWCS

- István Sugár, M. D.: Presidential Greeting
  Keywords: Ukrainian war, congress on NPWT, Symposium on Reconstructive Lymphatic Surgery and Lymphology, Mölnlycke Health Care Kft. is 25 years old in Hungary, our honorees, foreign congresses

- Congress calendar

- András L. Kovács, M. D., Judit Kárteszi, M. D., Ph. D., Szabina Horváth, M. D., Ph. D, Viktória Németh, M.D., Ph. D., Prof. Rolland Gyulai, M. D.: Genetic aspects of venous leg ulceration
  Abstract: Venous leg ulcer is a multifactorial disease, most often caused by chronic venous disease, but metabolic pathologies and haematological abnormalities are also important factors. Genetic factors play an important role in the development, progression and healing of chronic wounds. The aim of this review is to summarise the genetic predisposing factors (gene mutations/polymorphisms) involved in the pathophysiology of venous leg ulcers.
In rarer cases, extensive molecular genetic testing, such as whole exome sequencing, may also be of value in clarifying the aetiology of the ulcer if familial accumulation is detectable and there is evidence of coagulation, immunological or endocrine abnormalities in the medical history and laboratory findings. The clinical benefit of genetic screening in preventive conditions is that it allows appropriate treatment to be started before the development of ulcer. On the other hand, from a pharmacogenomics aspect, it may help in the future in the planning of individualised treatment and the application of targeted therapy. Overall, preventive care can reduce the burden on the health care systems and the risk of complications and even life-threatening conditions.
  Keywords: varicose vein (VV); chronic venous disease (CVD); chronic venous insufficiency (CVI); deep vein thrombosis (DVT); venous leg ulcer (VLU); mutation; single nucleotide polymorphism (SNP)

- Balázs Mohos, M. D., Prof. Chieh-Han John Tzou, M. D., Győző Szolnoky, M. D., Ph. D.: Reconstructive lymphatic surgery and management of chronic wound
  Abstract: Lymphedema is a chronic, debilitating, progressive disease caused by lymph flow disruption owing to mechanical and/or dyanmic causes. Initially, lymph fluid accumulation with pitting edema and lymphatic malfunction appear. Due to prolonged inflammation, adipose tissue enlargement is observed with fibrotic remodelling.
Regarding dissease progressivity early diagnosis and therapy are mandatory. The most advanced form of chronic venous disease is the active ulcer (CEAP C6). The new recent evidences were able to show the significant role of manifest lymphatic insufficiency in the maintence of venous leg ulcers therefore improvement of lymph circulation presumably has a positive impact on wound healing.
The “gold standard” treatment is complex decongestive therapy however nonresponders keep suffering from the complications of lymphedema, and disease progression leads to decreased quality of life.
In general lymphology practice, surgical treatment comprises reductive procedures such as excisions and liposuction, as well as physiological reconstructive interventions aimed at restoring of normal lymphatic flow. Physiological reconstructive interventions include supermicrosurgical lymphovenous anastomosis (LVA), lymph node venous anastomosis (LNVA), and free vascularized lymphatic tissue transplantation. The latter involves the transfer of free vascularized lymph node (VLNT), lymphatic vessel (VLVT), and lymphatic system (LYST).
Appropriate patient selection, donor site selection, and lymph vessel selection are prerequisites for an effective reconstructive lymphatic surgery.
  Keywords: lymphatic surgery, lymphovenous anastomosis, vascularized lymphatic tissue transfer, lymph node transfer, lymph vessel transfer

- Péter Farkas, M. D.: 5th National NPWT Scientific Professional Day - November 16, 2022

- István Rozsos, M. D.: Live again. Report on the Treatment and Prevention of Diabetic-Neuropathic Foot Complications Congress

- Invitation to the General assembly of the HWCS

- 25th (Jubilee) Congress of the Hungarian Wound Care Society

- Guidelines for authors

- István Sugár, M. D.: Presidential Greeting
  Keywords: Ukrainian war, COVID-19, domestic and international scientific meetings, MSKT is 25 years old

- Péter Farkas, M. D.: Remembering our great ancestors
  Keywords: We are proud that we were able to learn from our great predecessors, wound care, healing, and the importance of community building: Gábor Szabad (1973-2012), László Vértes (1946-2020), József Faller (1936-2021), József Baksa (1934-2001), László Iván (1933-2020), István (1935-2021)

- Andrea Farkas, M. D., Imre Szabó, M. D.: Treatment strategy for tumorous wounds
  Keywords: Algorithm, radiological methods, surgical options, role of radiation therapy, role of oncologist, oncopsychological aspects

- Announcement of the results of the tender for innovative wound treatment technologies

- Bennemann Stephan, M. D.: Experiences gained with NPWT in "special indications" at the Department of Surgery, Transplantation and Gastroenterology of the Semmelweis University
  Keywords: Open abdominal treatment, entero-atmospheric fistula (EAF), NPWT - Negative-Pressure Wound Therapy, Endoluminal and endocavital NPWT treatment (eNPWT), anastomotic suture failure (AL)

- András Bánvölgyi, M. D.: The role of wound irrigants in modern wound care – an instructive case
  Conclusion: In the treatment of complex ulcers of immunological origin, the primary priority is targeted treatment of the underlying autoimmune disease or other provoking factor. At the same time, the often used immunosuppressive therapy can increase the risk of infection due to the presence of the penetration gate represented by the ulcers. Therefore, it is important to use an antiseptic wound irrigation solution that has an appropriate antiseptic effect, but is gentle and compatible with all types of smart dressings. This can help prevent the possibility of super-infection and increase the tendency of ulcers to heal. Preparations containing polyhexanide, also known as PHMB, meet the previous criteria in all respects, and therefore can prove to be an excellent choice in the treatment of ulcers of immunological origin.
  Keywords: Wound care, wound rinse, PHMB, polyhexanid, pyoderma gangrenosum

- Gergely Vadász, M. D., Melinda Gadácsi, M. D: Beszámoló az Európai Sebkezelő Társaság (EWMA) kongresszusáról

- István Sugár, M. D.: Report on the interdisciplinary forum of the MOTESZ and Wound Healing Association with Negative Pressure Therapy

- István Sugár, M. D.: Visit to the Kelen hospital

- Pictures from our Society's congresses

- 24th Congress of the Hungarian Wound Care Society - program

- 24th Congress of the Hungarian Wound Care Society - abstracts

- Invitation to the General assembly of the HWCS

- István Sugár, M. D.: Presidential Greeting
  Keywords: COVID-19, postponed and forthcoming conferences, online events, Mölnlycke webinars, have peace in Central and Eastern Europe!

- Tímea Hevér, Ph.D: Major amputation - pros and cons: When do we dare to fight for a diabetic foot?
  Keywords: diabetes mellitus, amputation, neuropathy, infection, blood supply disorder, wound care, limb salvage

- Petra Varga, M. D.: Treatment of advanced Fournier gangrene with NPWT treatment - a case study
  Keywords: Fournier gangrene, obstructive necrosis, NPWT treatment

- István Rozsos, PhD: One week in Dubai - at the Dubai-2020 World Expo and the World Venous Congress between Universities...
  Keywords: 6 applications from Hungary, Hungarian Pavilion, Health and Wellness Week, microwave technology

- Péter Farkas, M. D.: Report on the "NPWT Online Audiobook" event of the Association for Wound Healing with Negative Pressure Therapy
  Keywords: negative pressure therapy, Part I: cases of general, thoracic and orthopedic surgery and traumatology, Part II: vascular surgery, plastic surgery, pediatric surgery

- 24th Congress of the Hungarian Wound Care Society

- Invitation to the General assembly of the HWCS

- István Sugár, M. D.: Presidential Greeting
  Keywords: COVID-19, postponed and forthcoming conferences, online events, World Meeting of Hungarian Doctors, our congress in the shadow of the epidemic

- István Sugár, M. D.: In memoriam Prof. József Faller, M. D. (1936-2021)
  Summary: Dr. József Faller, Professor Emeritus of Semmelweis University, Doctor of Medicine, the former president of the Hungarian Wound Care Society passed away on May 12, 2021, in the 85th year of his life.

- Péter Hanga: Treatment of difficult-to-heal wounds - early antibiofilm intervention strategy, wound hygiene
  Keywords: biofilm formation, challenges and problems, consensus document, wound cleansing, debridement, wound edges, skin optimization, use of antimicrobial dressings

- Gergő Józsa, M. D., Ph. D, Kata Dávidovics, M. D., Aba Lőrincz, M. D., András Garami, M. D., Ph. D. , Zsolt Juhász, M. D., Ph. D.: Our results using Lavanide gel (PolyHexaMethylene Biguanide, Polyhexanide) for second-degree burns in childhood - "Case report"
  Conclusion: Based on the initial experience, the tested treatment procedure provides a gentle, child-friendly, good wound healing and favorable cosmetic results.
  Keywords: second-degree burn, polyhexanide gel, child

- Prof. István Juhász, M. D.: Book recommendation - Prof. Judit Daróczy, M. D.: Wound Care in Practice
  Summary It is a basic, concise and gap-filling work by a doctor who is well versed in all aspects of wound care.

- Gábor Mészáros, M. D.: About wound care - in a special situation a century ago
  Keywords: stone age man, three basic findings, today we have more than 5,000 wound care products and methods at our disposal, Károly Klekner's report on bare wound treatment (1916), the work of a military surgeon

- 23th Congress of the Hungarian Wound Care Society - program

- 23th Congress of the Hungarian Wound Care Society - abstracts

- Invitation to the General assembly of the HWCS

- István Sugár, M. D.: Application of Vivano therapy in abdominal surgery
  Keywords: online roundtable conference, NPWT, the components of the Vivano base set and the well-known steps of the application, some areas of effective vacuum treatment, complications

- István Sugár, M. D.: Presidential Greeting
  Keywords: COVID-19, postponed conferences, online events, cooperation with Mölnlycke

- Prof. Judit Daróczy, M. D.: History and treatment of arteficial wounds
  Summary: Arteficial wounds are caused by artificial skin damage. An arteficial wound can be a self-inflicted injury, or iatrogenic skin injury formed after some external treatment or intervention, such as cosmetological, surgical, physiotherapeutical methods.

- István Sugár, M. D.: 4th NPWT Professional Day, November 19, 2020
  Keywords: Sections on: sugery; special indications; orthopedic-traumatological; possibilities of NPWT in the treatment of chronic wounds;

- Prof. László Harsányi, M. D.: The role of negative pressure therapy today: panorama and vision
  Keywords: 3 major paradigm shifts, Sir Alfred Cuschieri, NPWT, expansion of indications, practice based evidence, care for diabetic-foot ulcer patients and AACS, recommendation: covering / treating the wounds of a coronavirus-infected patient from the beginning with the NPWT procedure

- Péter Farkas, M. D.: Mölnlycke webinar in cooperation with the Hungarian Wound Care Society
  Keywords: aspects of the relief of diabetic foot lesions, diagnosis and treatment of leg ulcers through the eyes of dermatologists and vascular surgeons, wound disinfection, wound healing disorders, wound treatment defects

- István Sugár, M. D.: Report on "Treatment and Prevention of Diabetic / Neuropathic Foot Complications"
  Keywords: Salvable Limbs Foundation, diabetic / neuropathic foot complications, „Who went limb went life”, major amputations, microcirculation, Plason-therapy, functional anatomy, diabetic foot, differential diagnosis of neuropathy, mazes of antibiotic treatment, modern radiological diagnostics

- Péter Farkas, M. D.: Commemoration of József Baksa, M. D. (1934-2001)
  Summary: József Baksa, M. D., the first president of the Hungarian Wound Care Society, died on August 21, 2001, 20 years ago. The need for the training of wound care professionals and the development of professionally based, scientifically demanded care for chronic wounds.

- Invitation to the 23th Congress of the Hungarian Wound Care Society

- General assembly information

- István Sugár, M. D.: Presidential Greeting
  Keywords: COVID-19, postponed conferences, online events

- Information of the Hungarian Wound Care Society

- Judit Daróczy, M. D.: "TIME" Algorithm in the Treatment of Chronic Wounds
  Keywords: chronic wound management, TIME algorithm, wound care specialist training

- Zsófia Egyed, M. D., Dávid Juhász, M. D., Péter Szoldán, M. D.: Development of artificial intelligence to help treat chronic wounds
  Keywords: wound healing, artificial intelligence, decision support

- László Andrási, M. D.: Effective Wound Exudate Treatment
  Keywords: World Union of Wound Healing Societies, consensus document, wound exposure, evaluation and management

- Report on the online event of Biomedica Hungária Kft. Entitled "Vacuum therapy in focus"

- Possibilities of Oxygen Therapy in Chronic Wound Treatment On-line Conference

- 23rd Congress of the Hungarian Wound Care Society - abstracts

- The financial report of the Hungarian Wound Care Society for 2019

- István Sugár, M. D.: Presidential Greeting
  Keywords: COVID-19, postponed conferences, anniversary of Florence Nightingale, our forthcoming congress

- István Sugár, M. D.: The power of Love and Expertise. Florence Nightingale was Born Two Hundred Years Ago
  Keywords: Nightingale's life, her experiences in military hospitals, "The Lady with the Lamp", 12 May - International Nurses Day

- Győző Szolnoky, M. D., Róbert Kui, M. D., Ekaterina Paschali, M. D., Judit Vasas, Eszter Korom, Mónika Varga, Lajos Kemény, M. D.: A Family Affair or the Integrated Treatment of the Most Severe Degree of Chronic Venous Insufficiency and Lymphatic System Disorders - - A Brief Look at the History and Operation of the Flebo-Lymphology and Wound Care Outpatient Clinics of the Department of Dermatology and Allergy of the University of Szeged
  Keywords: Mihály Földi and his wife the pioneers of lymphology, the role of lymphatic stasis, physiotherapy, compression therapy, bandages, stockings, velcro tools, local edema

- Zoltán Kökény, M. D.: Diagnostic and Therapeutic Innovations in the Treatment of Chronic Wounds
  Keywords: ankle-brachial pressure index, MESI Ankle-Arm Index Measuring Device, MolecuLight imaging tool, CircAid bandage, Artificial Intelligence

- Péter Farkas, M. D.: Tribute to Those Working at the Forefront

- 23rd Congress of the Hungarian Wound Care Society - invitation

- EPUAP - "COVID-19 and Pressure Ulcers Prevention Forum"

- Invitation to the General Assembly of the MSKT (HWCS)

- István Sugár, M. D.: Presidential Introduction
 Keywords: NPWT scientific meeting, conference on diabetic foot, congress on experimental surgery, limb rescue application, 40th issue of the journal

- Gábor Mészáros, M. D.: 21 - or the Thoughts of an Ex-editor
  Keywords: 21 years as editor-in-chief, the establishment of MSKT, request from József Baksa, recording Scar Prevention-Scar Treatment in writing

- Péter Farkas, M. D., Lívia Péter, Norbert Vígh, Andrea Paulina, M. D.: Ulcerative Wound on Diabetic Neuropathic Foot not Formed in the Usual Place
  Keywords: diabetic foot, angiopathy, neuropathy, fasciitis necrotisans, necrectomy, wound care

- András L. Kovács, M. D.: 2019 EWMA – Gothenburg Report
  Keywords: 5-7 June, Gothenburg, 740 abstract from 57 countries, more than 125 industrial exhibitors, main topic: person/patient-centered wound care, pyoderma gangrenosum, Martorell ulcus, calciphylaxis, malignus ulcus

- Balázs Bánky, M. D.: About LINK 2019 Budapest Congress
  Keywords: 11 September, Budapest, World Union of Wound consensus document: "Wound Exudate", NPWT

- 22nd Congress of the Hungarian Wound Care Society - programme

- 22nd Congress of the Hungarian Wound Care Society - abstracts

- Invitation to the General Assembly of the MSKT (HWCS)