Advanced Wound Care Services

We specialize in treating chronic or nonhealing ulcers that may not respond adequately to initial therapy or persist despite medical care.

Our team addresses a range of underlying conditions leading to ulcer formation, including diabetes, venous insufficiency, varicose veins, arterial disease, autoimmune diseases, and more. We understand the importance of simultaneous treatment of underlying causes to achieve wound healing and long-term results.

• Diabetes-related foot ulcers
• Venous leg ulcers
• Arterial leg ulcers
• Chronic wounds due to underlying diseases such as autoimmune diseases, vasculitis, and osteomyelitis

• Multidisciplinary team of experts specializing in wound care
• Advanced diagnostic and treatment modalities tailored to individual needs
• Comprehensive approach addressing underlying causes of nonhealing ulcers
• Collaborative care coordination with other specialties for optimal outcomes

• Consultations with wound care specialists
• Diagnostic evaluations and wound assessments
• Customized treatment plans tailored to each patient's condition and needs
• Follow-up care and monitoring to track progress and adjust treatment as necessary

Chronic wounds, a subset that do not heal rapidly, account for a small percentage but pose unique challenges. Recognizing the need for a multidisciplinary approach, Amrita Hospital, Kochi brings together experts from nine different departments to form a dedicated Wound Care Board. This board serves as a collaborative platform where specialists convene to deliberate and devise optimal treatment plans for patients with chronic wounds.

Patients can now benefit from the collective expertise of specialists from diverse fields, including Plastic and reconstructive surgery, General Surgery, Podiatry, Dermatology, Pathology, Vascular Surgery, Physical Medicine and Rehabilitation, Microbiology and Immunology. 

Wound Care Board functions as a collective unit, ensuring that patients receive the combined wisdom of experts from various medical disciplines. The interdisciplinary nature of the board allows for a holistic assessment of each case, providing patients with tailored treatment strategies.
 

In specific cases requiring heightened care and attention, the board actively engages with patients, offering personalized insights and recommendations for improved outcomes.

Specialized Services

• Specialized treatment for chronic wounds associated with conditions such as:
  • Diabetes
  • Venous insufficiency and varicose veins
  • Arterial disease (due to hypertension, atherosclerosis, smoking)
  • Rare causes such as osteomyelitis, radiation injury, fungal infections, tuberculosis, and mucormycosis
  • Post-major orthopedic surgery complications, including exposed and infected implants
  • Autoimmune diseases and vasculitis
• Microsurgical Intervention for Amputation Stumps:
  • Microsurgical intervention for chronic wounds in amputation stumps
  • Revision surgeries to optimize wound healing and retain stump length
  • Conversion surgeries from below-knee to above-knee stumps, if necessary

Diabetic Foot Ulcers Management

• Comprehensive Management for Diabetic Foot Ulcers:
  • Identification and treatment of underlying diabetic neuropathy, decreased healing capacity, and susceptibility to infection
  • Management of sensory, motor, and autonomic neuropathy complications
  • Treatment of diabetic ulcers located on the plantar aspect of the foot, metatarsal heads, or under the heel
  • Management of associated complications such as cellulitis or osteomyelitis

Venous Leg Ulcer Care

• Assessment and management of chronic venous insufficiency
• Treatment for symptoms including leg edema, hyperpigmentation, and lipodermosclerosis
• Mechanical compression therapy and limb elevation techniques for wound healing

Arterial Leg Ulcer Treatment

• Specialized Care for Ischemic Ulcers
• Diagnosis and management of peripheral arterial disease (PAD)
• Identification and treatment of risk factors such as smoking, diabetes, hyperlipidemia, and hypertension
• Management of symptoms including severe leg pains and cold feet
• Vascular surgery and lifestyle modifications to optimize blood flow and minimize perfusion loss

Advanced Wound Care Therapies

Advanced wound care therapies are interventions used when standard wound care has failed. These may employ one or more of the following:

• Collagen: Naturally occurring proteins that provide a scaffold for healing factors to migrate and aid the healing process.
• Biological Dressings: These dressings consist of biomaterials theorized to stimulate ulcer healing by providing a structural scaffold and facilitate growth signals.
• Biological Skin Equivalents: These products are laboratory-derived tissue constructs, designed to resemble various layers of real human skin.
• Keratinocytes: Keratinocyte-based therapies for wound healing exist in a variety of forms.
• Platelet-Derived Growth Factors: These products are designed to help repair and replace dead skin and other tissues by attracting cells that repair wounds and helping to close and heal the ulcers.
• Platelet-Rich Plasma: Plasma with a high platelet concentration aids wound healing by attracting undifferentiated cells and activating cell division.
• Silver Products: Multiple silver-based products have been developed to aid wound healing due to their broad bactericidal action.
• Intermittent Pneumatic Compression: Delivered through inflatable garments containing one or more air chambers, compression propels deep venous blood towards the heart. This treatment benefits the non-ambulatory patient by increasing blood flow velocity in the deep veins and reducing stasis, decreasing venous hypertension, and decreasing tissue edema.
• Negative Pressure Wound Therapy: This therapy involves creating a tightly sealed dressing around a wound and using a suction pump to apply negative pressure evenly across the surface in a continuous or intermittent manner. This process is proposed to enhance wound healing by increasing granulation tissue and local perfusion, reducing tissue edema, decreasing bacterial load, and stimulating cellular proliferation via induction of mechanical stress.
• Hyperbaric Oxygen Therapy: This therapy requires specialized compression chambers capable of delivering increased concentrations of oxygen (usually 100% oxygen) under elevated atmospheric pressures. Many key aspects of ulcer healing are oxygen dependent and raising arterial oxygen tension and the blood-oxygen level delivered to a chronic ulcer is thought to supply a missing nutrient, promote the oxygen dependent steps in ulcer healing, up regulate local growth factors, and down regulate inhibitory cytokines.

• Comprehensive wound assessment including examination of wound location, size, depth, and surrounding tissue
• Doppler ultrasound to evaluate blood flow and identify vascular issues
• X-rays or MRI scans to assess for underlying bone involvement or infection
• Laboratory tests to evaluate for underlying systemic conditions contributing to nonhealing wounds

• Collagen therapy to provide a scaffold for healing factors
• Biological dressings to stimulate ulcer healing and provide structural support
• Keratinocyte-based therapies to promote wound healing
• Platelet-derived growth factors to aid in tissue repair and regeneration
• Negative pressure wound therapy to enhance wound healing and reduce bacterial load
• Hyperbaric oxygen therapy to promote oxygen-dependent steps in ulcer healing and stimulate cellular proliferation

For more information or to schedule a consultation

please contact 7034028017