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Best dressing fo large punched out surgical wounds

Status post carbuncle excision on the back. what is the edge and margin of this wound? What kind of dressing would you like to do for him everyday?

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S/P surgical excision of carbuncle - punched out edges. initially we did twice daily dressing with flushing, we did bed side debridement, debridase oinment nothing worked well. then we did a portable vaccum dressing, on day 4-5, the wound has healed like anything, dramatic improvement, full of reddish granulation tissue no slough. costly but most effective. ofcourse diabetes control is essential. skin grafting can be planned.
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Post surgical wound of carbuncle Margins are sloughy and needs debridement and freshening It is vertical as in line of incision Floor seems to be healthy as margins show healthy signs you may think of SS as it will be difficult approximation Pt must be diabetic hence good control of diabetes will be necessary
Thanx dr Vipin Bihari Jain
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-Debridement of wound -Daily dressing with eusol till healthy granulation & epithelisation appear -Once healthy wound dressing with Betadine, you can also collagen paricle only in healthy wound - Antibiotic,if not respond send culture & sensitivity - If pt is diabetic control bsl
Margin is erythematous Edge is vertical because of debridement status Floor is covered by granulation, sigh present on floor as well as on edges Adv Debridase ointment application For removal of slough
Post surgically debribed and cleaned wound. The wound still does not look healthy margins of the wound unhealthy full of Slough and one part of the wound there is gap between the skin and the base of the wound . Total excision of the margins with margins with fresh bleeding , the base of the wound though look reddish needs more debribement with fresh bleeding which will help to form healthy granulation tissue . By doing regular dressing when there will be welformed granulation tissue then split skin grafting may be planned.
S/P surgical excision of carbuncle - punched out edges. initially we did twice daily dressing with flushing, we did bed side debridement, debridase oinment nothing worked well. then we did a portable vaccum dressing, on day 4-5, the wound has healed like anything, dramatic improvement, full of reddish granulation tissue no slough. costly but most effective. ofcourse diabetes control is essential. skin grafting can be planned.
Use cadoximer oint from slough debridement there after start platelet derived growth factors
ANTIBIOTIC, ANALGESIC, ANTISEPTIC DRESSING TILL GRANULATION TISSUE FORMS
antibiotics contol diabetes debridement dressing regularly