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Patient was treated
at Memorial
Hermann Baptist Beaumont
Hospital Wound Healing Center
which is affiliated with Praxis
Clinical Services. |
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Dehiscence of |
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Surgical Wound |
|
| Center
for Wound Healing |
| and
Hyperbaric Medicine |
| 240
Williamson Street, Suite 104 - Elizabeth, NJ 07207 |
| (908)
994-5480 |
|
PATIENT:
50 year old male with dehiscence of surgical wound following saphenous
vein harvest on left lower extremity. Previous wound care consisted of
cleansing with hydrogen peroxide and wet-moist dressings. Co-morbidities
include coronary artery disease, atherosclerosis, thyroid disease, and
hypertension.. |
INITIAL PRESENTATION:
- Full thickness surgical wound
- Adherent yellow slough
- 1+ pitting edema
- Peri-wound edema with erythema
- Mild odor
- Moderate serous drainage
- Palpable pulses |
COMPREHENSIVE WOUND HEALING CENTER MANAGEMENT:
08/08/02 Initial assessment. Wound measurements 4cm x 2 cm x 1 cm.
Keflex 250mg TID x 7 days.
Iodosorb dressings.
08/14/02 Only slight improvement in wound dimensions: 4cm x 1.8 cm
x 1 cm. Vacuum Assisted
Closure (VAC) therapy ordered. Iodosorb continued.
08/21/02 VAC applied, black sponge, with 125 mmHg continuous
pressure.
09/10/02 Wound measurements 1cm x 0.5 cm x 0.1 cm. VAC
discontinued.
09/17/02 Wound healed. |
RESULTS:
09/17/02 Patient completed a 4 week cardiac rehabilitation program
and returned to his full time job. |
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Referral
Information |
Patients should be referred to the Center for
Wound Healing and Hyperbaric Medicine at Trinitas Hospital for
aggressive, outcome based wound management. Our center is
designed to compliment the attending physician’s services by providing
expert wound management consultation and care including the
application of advanced wound care technology and hyperbaric oxygen
treatment as indicated based on a comprehensive system of evidence
based clinical practice guidelines. The referring physician will
continue to treat comorbid conditions and provide for the patient’s
overall medical care. Hyperbaric oxygen treatment is available
specifically for the treatment of soft tissue radionecrosis,
osteoradionecrosis, osteomyelitis, clostridial myonecrosis and other
necrotizing soft tissue infections, compromised skin grafts and flaps,
crush injuries and other acute traumatic ischemias, and diabetic
wounds of the lower extremities. All etiologies of wound healing
failure are accepted for evaluation and care.
Types of wounds treated include
Diabetic, Venous Stasis, Ischemic, Pressure, Traumatic, Surgical and
other wounds that resist healing. |
Problem wound patients should be referred to
the Center when:
 The
wound has failed to show significant progress in 4 weeks of standard
care
When
the wound involves deep tissue structures or is limb or life
threatening
When
the wound is complicated by significant comorbidities including
peripheral
vascular disease, persistent edema, persistent infection,
prior radiation treatment
to the area, or compromised immune status of the patient
To refer a patient, please call
(908) 994-5480 or visit us at
www.trinitashospital.com |
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