Wound Care and Burn Surgery in Gurgaon, Delhi NCR

Wound and burn management are integral part of plastic and reconstructive surgery. Owing to best knowledge about wound healing, fascial planes and reconstruction, and adding to it superior techniques, microscopic magnification and dealing with latest technologies, plastic surgeons have always been found to be best surgeons to deal with this.

Dr. Ashish Khare is best wound care and burns surgeon in Gurgaon, Delhi NCR and deals with all kinds of wound management and burns cases. Care is taken to do proper wound closure and to give you fine scar which is hardly visible. The goals of wound care are facilitate proper hemostasis, decrease tissue loss, promote wound healing and minimize scar formation.

The various types of wound are –

1. Incised wounds
2. punctured wounds
3. abrasions
4. lacerated wounds
5. crushed wounds
6. bite wounds
7. gunshot wounds
8. burn wounds
9. acid burn wounds
10. frost bite

1. Abrasion

• Description: A surface-level scrape caused by friction against a rough surface.
• Example: Road rash from a fall.
• Bleeding: Minimal.
• Care Tips: Clean thoroughly to prevent infection.

2. Laceration

• Description: A deep cut or tear in the skin, often resulting from sharp objects.
• Common Causes: Accidents with knives, tools, or machinery.
• Bleeding: Can be rapid and extensive.
• Care Tips: Seek medical attention for deep lacerations

3. Puncture

• Description: A small but deep wound caused by a sharp, pointed object.
• Examples: Nails, needles, or even bullets.
• Bleeding: Usually minimal, but can damage internal structures.
• Care Tips: Visit a doctor for a tetanus shot and to check for infection.

4. Avulsion

• Description: A serious injury where skin and underlying tissue are partially or completely torn away.
• Common Causes: Severe accidents, explosions, or gunshot wounds.
• Bleeding: Heavy and rapid.
• Care Tips: Immediate medical attention is crucial.

There are two types of wound healing.

1. Primary wound closure- we usually prefer this when the wound is clean , recent (< 24 hrs old) and with viable tissue. this involves either direct closure or placement of flap and graft.
2. Secondary closure- when the wound is infected, we usually leave it open to heal on its own.this requires more time to heal and creates more scar tissue also.

What are the factors which can delay the healing process?

the presence of following factors can delay the wound healing are infection, foreign body, ischemia, obesity, uncontrolled diabeteas or high blood pressure, immunocompromised condition and addiction to alcohol and smoking.

What are first degree burns?

First degree burns are also known as superficial burns and affect only the outermost layer of skin. They are inflammed and painful but usually heal without any scarring.

What are the treatment options for first degree burns?

First degree burns usually do not require extensive dressings. a soothing lotion, moisturizer and cold compresses usually suffice. A course of antibiotic and analgesic is usually prescribed orally.

What are second degree burns?

These usually involve deeper layer of skin also. they are further categorized into two types :

1. Partial thickness second degree burns – these involve epidermis and part of underlying dermis layer. they may involve blister formation and are very painful due to exposed nerve endings below the epidermis. They may heal with minimal scarring.
2. Deep second degree burns – these involve epidermis and full dermis. these are usually less painful than superficial burns but take more time to heal up.

What are the treatment options for second degree burns?

1. Second degree burns require proper sterile dressings so that wound bed is kept moist and protected.
2. Occlusive dressings are usually avoided.
3. Ointments like bacitracin are useful in partial thickness wouns whereas silver sulfadiazine is useful for deep partial thickness burns.
4. Hydro fibers, alginates and foam dressings may be used on superficial partial thickness burns. These products may require fewer dressing changes. In addition, they absorb exudate and keep the wound bed moist.
5. Sometimes, grafting is required for deeper burns.

What are third degree or higher burns?

Third degree burns involve tissues deeper than dermis and if it involves muscles and bones, it is categorized as fourth degree burn.

What are the treatment options for these higher degree of burns?

These higher degree of burns should always be treated in a specialized center and hence require hospitalization. these patients should always reach out to the plastic surgeons and may require multi disciplinary treatment.