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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 a fine scar which is hardly visible. The goals of wound care are to facilitate proper hemostasis, decrease tissue loss, promote wound healing and minimize scar formation.
The various types of wound are –
Incised wounds
puncture wounds
abrasions
lacerated wounds
crushed wounds
bite wounds
gunshot wounds
burn wounds
acid burn wounds
frostbite
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.
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.
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.
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.
You know, while your regular doctor can handle a lot of boo-boos, sometimes a wound needs a bit more TLC. That’s where a wound care specialist, like Dr. Ashish Khare, comes in. They’ve got extra training specifically for those tougher, slow-to-heal wounds. So, if you’re dealing with something that’s not getting better, seeing someone like Dr. Khare, who really knows their stuff when it comes to all kinds of wounds – new, ongoing, or stubborn ones – could make a real difference
These usually involve deeper layer of skin also. they are further categorized into two types :
Third degree burns involve tissues deeper than dermis and if it involves muscles and bones, it is categorized as fourth degree burn.
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.
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