Postoperative wound: Debora asks for some advice

Good morning,

I’m writing you to receive a consultation regarding my father.

He was discharged from the Abano Terme polyclinic on 25/11/2017 with the following diagnosis: “interdigital lesion of grade 3 b according to the TUV with underlying osteomyelitis in the left foot second finger proximal phalanx in a patient affected by type 2 diabetes. Arterial hypertension, mild chronic renal insufficiency, benign prostatic hypertrophy”.

Today he had his stitches removed. The diagnosis is plantar dehiscence. There are no signs of perilesional inflammation. He will undergo his next check in 2 months.

I am worried because the wound looks dry superficially, but evidently, as there was dehiscence, this is not the case. Also, the doctor was very positive about it, so we wait and hope.

I don’t know whether to come to your Centre to receive another opinion. I would not wish the situation got worse if I made time pass.

Thank you in advance.

One comment on “Postoperative wound: Debora asks for some advice

  1. Alice Casadei on

    Dear Debora,
    I’m really sorry for the situation your father and you are experiencing. It must not be easy.
    Here at the Centre, we have a specific pathway for patients affected by diabetic foot whose osteomyelitis diagnosis was confirmed: in these cases hyperbaric therapy is particularly appropriate as it favours blood and oxygen supply to wounds, thus encouraging healing. Besides this, hyperbaric oxygen helps us to avoid infections (such as osteomyelitis) that are very serious especially in patients affected by diabetes

    Furthermore, during the first visit, we also evaluate a series of parameters that help us to better understand the circulatory status. Specifically, diabetic patients always undergo:
    • Laser Doppler: this helps us evaluating the foot microcirculation condition
    • Transcutaneous oximetry: this allows us to evaluate accurately how much blood and oxygen reach the wound specific point
    • ABI (Ankle Brachial Index): this evaluates the blood quantity that reaches the ankle. This is also a very important parameter to understand the tissue perfusion status.

    Considering the onset site, it is also necessary to wear a specific discharge footwear, because alleviating pressure in the wound point favours the healing process as it improves the surrounding tissue perfusion.

    I understand that considering the distance it is not easy to bring your father here at the centre but you can call us at the number +39 0544 500 152 to book a visit. The visit is covered by the National Health Service.
    Do not hesitate to contact us if you need more specific information. I hope that my answer has cleared up some of your doubts.

    Thank you again,
    Alice Casadei
    Wound Care Nurse of the Ravenna Hyperbaric Centre


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