Wound management, especially for chronic wounds, has emerged as a major
healthcare challenge, which brings great pain and other negative impacts
to patients, and accounts for significant portions of health care
budgets. The common practice of covering wounds with dressings, owing to
the lack of information about wound healing underneath, cannot provide
insights into the status of the wound. Changing the dressings to inspect
wounds not only disturbs normal healing process of wounds, but also
causes pain to affected individuals. Therefore, it is necessary to rely
on parameters in the wound microenvironment such as temperature, pH,
moisture level, and etc., by continuously monitoring, to indicate the
wound status and healing stages. Moreover, intelligent on-demand
treatment systems also can be integrated into the smart dressing, called
new-type skin bioelectronic systems to be applicated in wound repair.
Besides monitoring, these kinds of skin bioelectronic systems can offer
effective treatments automatedly when the wound deteriorates. It makes
timely treatment possible and avoids delayed treatment and uncovering
the dressing to give medicine. In this review, wound healing-related
indexes in the wound microenvironment are discussed, applications of
various smart dressings with functions of monitoring or/and treatment
are summarized.