When a Routine Injury Turned Serious

September 7, 2024

 

 

 

 

 

 

Smt. Surya Kumari, aged about 60 years, sustained an injury to the front part of her ankle while handling a cupboard. The cupboard accidentally fell on her ankle, resulting in a small laceration

 

 

 

 

 

 

 

The patient, who is diabetic, experienced worsening of the wound, which began to increase in size. As the skin started to necrotize, the doctors had to remove the dead tissue in stages during each hospital visit.

 

After multiple dressings, repeated removal of dead skin and tissues, and the application of powdered medications, this was the wound’s appearance when she first consulted me.

 

She consulted me on December 26, 2024. The wound was thoroughly cleansed, and a negative pressure wound therapy (Vacuum-Assisted Closure) was planned for her treatment.

 

Negative Pressure Wound Therapy (NPWT), also known as Vacuum-Assisted Closure (VAC), is an advanced wound treatment method that utilizes controlled vacuum pressure to promote faster and more effective healing. During this period, the patient maintained limited mobility as advised. She could independently use the restroom, sit to watch TV, or read a newspaper, but was instructed to avoid walking beyond basic needs. She adhered to these guidelines diligently. Minimal medication was used during this period. Gradually, there was a noticeable reduction in the swelling of the lower leg and foot. She was advised to regulary update pictures and give updates on hospital whatsapp number 9394100522

 

Within a few days, the wound showed significant improvement in color, size, and overall healing progress. I have decided to proceed with another session of vacuum-assisted therapy. If the wound remains healthy after the second session, I plan to perform skin grafting to further aid in its recovery.

 

Will update soon.

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