Abstract
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Abstract
From a spiritual vessel to an extremely intricate system, the human body has slowly become less mysterious to us. As civilisation and technology evolved, the teachings, methodology and materials used in the care of both acute and chronic wounds have grown, both in sophistication and in variety. This article provides a brief overview of some of the methods employed by healers throughout history to enhance the wound healing process as well as an overview of current materials available.

Question
What is the best available definition and description of biofilm in wounds?

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Question
What is the best available evidence regarding the use of larvae (maggots/biosurgery) for debridement of chronic wounds?

Abstract
There are numerous evidence-based wound debridement techniques that promote wound healing. However, some of these techniques may cause discomfort and pain for the patient and can be costly for the health care provider. A new, non-invasive wound debridement technique known as low-frequency ultrasonic debridement (LFUD) has been used for the removal of unhealthy tissue and bacterial load in wound management in the clinical setting. This paper reports the use of LFUD by a skin integrity clinical nurse consultant (CNC) as an adjuvant wound debridement and healing technique in a patient with a parastomal abscess. LFUD was found to benefit this patient in terms of expedited wound healing and increased comfort, enabling the patient to have a successful skin graft that led to complete wound closure and discharge from hospital in a timely manner.

Abstract
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Question
What is the best available evidence of the effectiveness of sharp debridement in the eradication of wound biofilm?

Abstract
Diabetic patients have 25% lifetime risk of developing foot ulceration. More than half of these ulcers may eventually become infected, which greatly increases the likelihood of subsequent amputations. And although a multidisciplinary approach is the standard management for treating diabetic foot ulcers (DFUs), in the developing world diabetes is becoming an epidemic and resources are scarce; therefore, other alternatives are urgently sought. This case history demonstrates the feasibility of managing diabetic foot conditions by family physicians with a special interest in the diabetic foot using an alternative, cost-effective and efficacious wound dressing material, mainly natural honey, thereby representing a paradigm shift in the management of DFUs.

Abstract
This case report describes a 25-year-old health care professional with a non-healing ulcer of the great toe, not responding to two years of conventional treatment. The ulcer was diagnosed as a tuberculous ulcer of the great toe. Rapid healing of the ulcer was observed in response to oral anti-tuberculosis (TB; anti-Koch) therapy and local application of 3% citric acid ointment for 25 days. Complete healing of the ulcer was noted without any complications.