Non-Healing Wounds

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  • Introduction

    Wound is an injury that breaks or punctures the skin or living tissue caused by a cut, blow, or other impact. The skin is an organ of protection. The primary function of the skin is to act as a barrier. The skin has three main functions: protection, regulation, and sensation. The wound is a breakdown in the protective function of the skin.

  • Types of Wounds

    Wounds may be classified by several methods; their aetiology, location, type of injury or senting symptoms, wound depth and tissue loss or clinical appearance of the wound. Separate grading tools exist for Pressure Ulcers (EPUAP), Burns (Rule of Nines), Diabetic Foot Ulcers (Wagner/ San Antonio) and General Wounds.

    According to level of contamination, a wound can be classified as:

    Clean wound – made under sterile conditions where there are no organisms present, and the skin is likely to heal without complications.

    Contaminated wound – usually resulting from accidental injury; there are pathogenic organisms and foreign bodies in the wound.

    Infected wound – the wound has pathogenic organisms present and multiplying, exhibiting clinical signs of infection (yellow appearance, soreness, redness, oozing pus).

    Colonized wound – a chronic situation, containing pathogenic organisms, difficult to heal (i.e. bedsore), wound bed; i.e. black – necrotic and the respective amount of each expressed as a percentage.

  • Treatment

    We at Wound & Vein have advanced equipment for laser debridement, ultrasonic debridement. We also use TCOM special equipment to check the oxygen level at wound and hyperbaric oxygen chamber (HBOT) to treat chronic and complex diabetic wounds along with other problem wounds.

    The various steps to wound care are,

    - Wound cleansing 
    Cleansing the wound and peri-wound area with soap, water, normal saline, Hibiclens solution and/or non-cytotoxic wound cleansers

    - Wound debridement
    This can be mechanical, sharp, autolytic, enzymatic or using maggots.

    - Wound infection control
    Medication is added to the wound.

    - Wound edema control
    Ace bandage, stockings, casts or Una boots maybe used for compression.

    - Wound dressings
    Primary or secondary dressing maybe used to secure the wound.

    - Wound off-loading
    Splints, casts, crutches, half shoes maybe recommended to offload repeat injury.

    Non-healing wounds in diabetes is a common occurrence and requires immediate medical attention. Diabetic wound treatment in Goregaon, Mumbai at Wound & Vein Clinic, is amongst the top-ranked treatments in India.

    We have a team of best podiatrists in Mumbai and the latest equipment to take care of non-healing wounds in diabetic footcare at the most affordable rates. Call us today.

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