Wound Care and Burn Surgery

Wound Care and Burn Surgery in Gurgaon, Delhi NCR

Wound Care and Burn Surgery

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.

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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.

Types of Open Wounds: Understanding the Differences

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

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What are the types of wound closure?

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

types of wound closure

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.

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.

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Faqs

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.

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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.

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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.

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EXCELLENT
Based on 52 reviews
Jaspreet Kaur
Jaspreet Kaur
2023-04-13
Dr. Ashish Khare is undoubtedly the best cosmetic and plastic surgeon in Gurgaon. I had a head injury with a skull deep cut on my forehead. I was scared that the sutures will leave a lifelong scar. Dr. Khare did the procedure so patiently and kept motivating me positively that there will be a very light scar and I need not worry about it. Its been a while since I got the sutures and the scar is hardly visible. His staff was also very warm and supportive and his clinic is clean and well equipped with all latest amenities. He is definitely your go to person for any plastic or cosmetic surgery. Thankyou once again Dr Khare.
Vijay Arya
Vijay Arya
2023-03-29
I was suffering from excess skin over my upper eyelids since a long and I was looking for a option for that. I met Dr. Ashish Khare, he made me comfortable and we planned my blepharoplasty procedure also called as double eyelid surgery, today doctor cut my sutures and im very happy with the results. Thanks Dr Ashish Khare and team Kalosa .
S
S
2022-12-01
I was suffering from gynaecomastia from a long time. I was searching a lot about whom to consult this. After searching a lot, I came to know about doctor Ashish. In our first meeting, he made me comfortable and told everything about the procedure and cleared all the confusion that I had in my mind. Even after our meeting, I called him so many times and each time he picked up my call and answered all my queries. I finally decided to undergo this surgery. Now, its been a month after the surgery, I am very happy with the results and feel quite confident about my body. Thanks to doctor Ashish and his staff.
Soniya Sharma
Soniya Sharma
2022-10-31
I was suffering from small breast since a long time . I wanted a solution for that as I feel very low in self esteem and confidence , I came to know about Dr Ashish Khare at Kalosa Cosmetics . The doctor told me about implant and I underwent breast implant surgery by Dr Ashish . I did not tell anyone about the procedure , the doctor and team took proper care of me during and after the procedure . It was a day care surgery and really painless . My dressing was removed after 48 hrs and I can see the difference . I was really very happy with the results and I truly recommend Dr Ashish Khare and kalosa cosmetics for breast implant surgeries as well as breast reduction surgery . In my opinion Dr Ashish Khare is best plastic surgeon in this field . Really appreciate the doctor .
Kajal Jyani
Kajal Jyani
2022-10-15
Was looking for the best breast surgeon in Gurgaon for Breast Implant. Finally, a friend told me about Dr. Khare. I visited him. He told me everything about Breast Implant and before 15 days ago my Breast Implant surgery has been done by him. Thanks Dr. Khare for your service.
Heena Kharod
Heena Kharod
2022-09-17
“I do not like my nose and i want a nose job done.” Our adult but also a teenager son sprang a surprise on us. We tried our best to convince him that his nose was close to perfect and he didn’t need any surgery. Besides, the after effects of any surgery would be long lasting and sometimes permanent. But he was insistent since he had done a lot of online research on this topic. He felt that he had lost his confidence as he hated his nose and surgery was the only option to regain his lost confidence. We approached Dr.Khare with this issue and shared our son’s pics with him. After seeing his pics, he acted very maturely and understood that the issue with our son was a psychological one – effect of hardly any face to face interactions with people due to 2.5 years of Corona. He acted more like a psychologist and explained to our son in detail about different types of noses, who went for a surgery and why, clearly highlighting the long term effects of a surgery. He also gave personal tips on how to boost confidence by making new friends, developing new hobbies etc. Many times plastic surgeons have to be psychologists, as certain unnoticeable issues with a person’s face that he/she personally dislike are an offshoot of their mind which doesn’t require any surgery or correction. Many plastic surgeons don’t even bother to talk out a young teenager/adult from surgery as it is a part of their business. But definitely not Dr. Khare. After one meeting with him, our son was convinced that he did not need a surgery. Had he been a totally money minded surgeon, he would have convinced our son otherwise. Can’t comment on Dr. Khare's surgical competences ( am sure he would be good at that too ) as have not experienced it, but highly recommend him for his understanding levels and maturity.
Suhail Mustafa
Suhail Mustafa
2022-03-11
Dr. Ashish is one of the few doctors that actually specializes in getting rid of gynecomastia. I had my surgery 3 weeks ago and can say I have never felt so much relief... Even w/ some swelling, my chest looks 100% better. Thanks to Dr. Ashish and his staff!
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