Iatrogenic wounds:a common but often overlooked problem  

作　　者：Biao Cheng Ju Tian Yan Peng Xiaobing Fu 

机构地区：[1]Department of Plastic Surgery,General Hospital of Southern Theater Command of PLA,111 Liuhua Road,Guangzhou 510010,Guangdong,People’s Republic of China [2]Department of Plastic Surgery and the Key Laboratory of Trauma Treatment and Tissue Repair of Tropical Area,PLA,Guangzhou,People’s Republic of China [3]Department of Orthopaedics and Traumatology,Li Ka Shing Faculty of Medicine,The University of Hong Kong,21 Sassoon Road,Pokulam,Hong Kong SAR,People’s Republic of China [4]Wound Healing Unit,The First Affiliated Hospital,General Hospital of PLA,51 Fu Cheng Road,Beijing 100048,People’s Republic of China [5]Department of Plastic Surgery,Zhongshan City People’s Hospital,Zhongshan 528400,Guangdong,People’s Republic of China

出　　处：《Burns & Trauma》2019年第1期160-166,共7页烧伤与创伤（英文）

基　　金：This work was supported by the National Natural Science Foundation of China(81171812,81272105,81671924);the National Basic Science and Development Program(973 Program,2012 CB518105);the National Key Research and Development Plan of China(2017YFC1103301);the Science and Technology Key Project of Guangdong Province(2014B020212010);the Science and Technology Planning Project of Guangdong Province of China(2015B020233012);the Military Medical Innovation Special Projects(18CXZ029).

摘　　要：Iatrogenic wounds are a common but often overlooked concept.They can lead to increases in hospital stays,therapy costs,repeat surgeries,and implant removal.If not handled properly,these wounds have a very poor prognosis and will cause serious physical and psychological harm to patients,which may result in medicolegal disputes.In recent years,the incidence of iatrogenic wounds has increased because of(1)an increase in the population of older people owing to increased life expectancy,(2)the continued expansion of surgical indications,(3)an increase in difficult surgeries,and(4)the constant emergence and application of new implantable biomaterials and other therapies.Thus,there is a pressing clinical need to improve the therapy of iatrogenic wounds.However,the difficulty in treating these wounds is considerable due to the emergence of drug-resistant bacteria,the high number of patients with metabolic diseases,and complex complications in patients.In particular,iatrogenic wounds caused by surgical site infections due to implantable biomaterials could lead to material leakage and conflicts regarding whether to retain or remove the implants.This review provides a definition of iatrogenic wounds,describes their characteristics,classifies them,and provides information about the importance of analyzing iatrogenic wounds.We hope that this review will provide useful information for the diagnosis and treatment of iatrogenic wounds and help to reduce their incidence in the future.

关 键 词：WOUND IATROGENIC IMPLANTABLE Biomaterial Surgical site infection 

分 类 号：R73[医药卫生—肿瘤]