Guthrie plastics and reconstructive surgeons work with the providers at the Guthrie Center for Wound Care and Hyperbaric Medicine to plan for reconstructive surgeries and to help optimize complex wounds for successful healing.
Wounds are any defect in the surface covering of the body and may involve not only the skin, but also the fat layer underneath, and in certain instances the muscle, bones, nerves, tendons and ligaments. A complex wound develops when any acute wound fails to heal in the expected time frame for that type of wound.
Types of wounds commonly treated by Guthrie plastic surgeons include:
- Venous stasis ulcers
- Pressure ulcers (bed sores)
- Diabetic foot ulcers
- Non-healing surgical wounds
- Arterial ulcers
- Traumatic wounds
- Bone infection (Osteomyelitis)
- Skin tears / lacerations
How are wounds treated?
Your Guthrie plastic surgeon may recommend several options for treating a wound. Small wounds that are expected to heal spontaneously may require nothing more than a regimen of cleansing, specialized dressing changes, and close monitoring. Topically applied ointments may be recommended in order to decrease bacterial contamination or facilitate shedding of unhealthy tissue. These wounds can be treated at the Guthrie Center for Wound Care and Hyperbaric Medicine.
Guthrie plastic surgeons use bioengineered skin substitutes to assist with wound healing. Examples of these skin substitutes include:
- Oasis Ultra: a naturally derived, intact porcine (pig) small intestine tissue
- Integra Bilayer Matrix Wound Dressing: An advanced wound care device comprised of bovine (cow) collagen and a silicone layer
- Alloderm: an acellular human dermis
- Gamma Graft: an irradiated human skin graft
In some instances, complex wounds require surgical treatment. Surgical debridement will remove unhealthy tissue, and surgical reconstruction may include skin grafts or transfer healthy muscle or skin flaps with the assistance of reconstructive microsurgery to maintain circulation to the closed wounds.