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How Should A Large Deep Wound Be Dressed?

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Posted on Thu, 22 Jan 2015
Question: I HAVE A WOUND THAT WAS LARGE WITH DEPTH. IT IS NOW AT SURFACE LEVEL. WHAT IS THE BEST DRESSING TO COMPLETE HEALING AND BRING BACK SKIN COLOR WITHIN A SHORT PERIOD OF TIME?

I HAVE SANTYL FOR DEBRIEDING AND AM CURRENTLY USING MAXORB AG EXTRA.
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Answered by Dr. Prakash H Muddegowda (50 minutes later)
Brief Answer:
Collagen wound dressing could help.

Detailed Answer:
Hi,
Thanks for asking.
I am Dr. Prakash HM and I will be answering your query.

Based on your query, my opinion is as follows:

1. If the infection is not present and the wound is at surface level, you can go for collagen wound dressing like promogran. If there is still infection, or you are not sure, you can try promogran prista (with silver).

2. Additionally nutritional improvement with protein rich diet along with Vitamin C and zinc supplements to improve healing, will be beneficial.

3. Not sure of site or associated chronic conditions, if over joints, avoid excessive mobility. If associated diabetes, need complete blood sugar control.

4. It might take longer because of age, maintain sterile conditions to avoid risk of infection. Improve nutrition, particularly vitamin C supplements and protein. Check hemoglobin levels and try to maintain within normal range.

Hope it helps.
Any further queries, happy to help again.

Dr. Prakash HM

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Prakash H Muddegowda

Geriatrics Specialist

Practicing since :2004

Answered : 2138 Questions

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How Should A Large Deep Wound Be Dressed?

Brief Answer: Collagen wound dressing could help. Detailed Answer: Hi, Thanks for asking. I am Dr. Prakash HM and I will be answering your query. Based on your query, my opinion is as follows: 1. If the infection is not present and the wound is at surface level, you can go for collagen wound dressing like promogran. If there is still infection, or you are not sure, you can try promogran prista (with silver). 2. Additionally nutritional improvement with protein rich diet along with Vitamin C and zinc supplements to improve healing, will be beneficial. 3. Not sure of site or associated chronic conditions, if over joints, avoid excessive mobility. If associated diabetes, need complete blood sugar control. 4. It might take longer because of age, maintain sterile conditions to avoid risk of infection. Improve nutrition, particularly vitamin C supplements and protein. Check hemoglobin levels and try to maintain within normal range. Hope it helps. Any further queries, happy to help again. Dr. Prakash HM