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You are here:  Experts > Health/Fitness > Surgery > Vascular Surgery > Chronic Wound Evaluation

Topic: Vascular Surgery



Expert: danil hammoudi.md
Date: 2/8/2004
Subject: Chronic Wound Evaluation

Question
Hi,

My father has had a chronic wound on his left foot by the ankle for years.  He has had skin grafts done several times, but each time the wound will only heal up to a certain point, and the skin start to break down again.  The doctor who performed the skin graft procedure said that his problem may have to do with venous insufficiency.  I think this may be possible as he has a problem with varicose veins.  What kinds of specialists should I be seeking to evaluate his foot?  I would welcome your thoughts and suggestions.

Thank you.

Answer
he needs to see a vascular specialist either surgeon or normal but cardiovascular
if the circulation is not treated , does not matter how many graft you will do , will never take [tissue viability] so 1/ treat the vascular problem, 2/ avoid any infection 3/ try to keep dry
and he has ulcerationof the skin meaning lost of tissue more than a wound

thanks
dan

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