Complex Wound Management

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Complex Wound Management

Complex wounds can have a massive effect on one’s physiological health and self-esteem. Thus, wound management with Dr. Nilesh Satbhai in Mumbai can assist you in not only getting better but also restoring your self-esteem.

What is a complex wound?

A complex wound is a concept applied to categorize common complicated wounds, both acute and chronic, that represent a challenge to nursing and medical personnel. Complex wounds pose difficulties for both the patient and surgeon regarding long-term care, cosmetic outcome, operative management, and impacts on lifestyle, general health, and self-image.

These wounds are commonly multidimensional, making treatment extremely challenging. They usually cause patients pain and discomfort, individual financial damage, care provider frustration, and low quality of life.

Types of complex wounds

The following is an overview of the primary categories of complex wounds:

Varicose Ulcers

A varicose ulcer, also known as a venous stasis ulcer or a venous ulcer, is a leg wound caused by the leg veins failing to circulate blood toward the heart. Circulatory blood can pool in the veins, putting the skin under pressure and causing an open sore to develop. Several venous ulcers develop in the leg, just above the ankle. This may take a long time to heal. High pressure in the blood vessels of the lower leg causes venous ulcers. This can result in thin, itchy skin and cause skin changes known as stasis dermatitis.


Vasculitis is a group of diseases that cause inflammation in the walls of blood vessels. Inflammation impacts luminal flow and vascular integrity, resulting in downstream cellular damage. Vasculitis can result in skin ulcers and delayed healing of wounds. It may be the result of an allergic reaction to a medicine. Vasculitis can cause your eyes to turn red, burn, or itch.

Trophic Ulcers

It is a pressure ulcer resulting from external trauma to an area of the body that is already in poor health. Trophic ulcers are often found on the feet, ankles, and legs. They can also develop on the arms, hands, and fingers.

Pressure Sores

Pressure sores (also referred to as bedsores or pressure ulcers) are skin and tissue damage due to prolonged skin pressure. They can affect anyone but are most common in people confined to bed or sitting in a chair for long periods.


Causes Of Acute Wounds And Chronic Wounds

Dr. Nilesh Satbhai talks about what causes complex wounds, such as acute wounds and chronic wounds.


What is Complex Wound Management?

Complex wound management is a process of identifying and treating wounds that are difficult to heal. The goal of complex wound management is to promote healing, prevent infection, and reduce pain.

Individuals with complex wounds that have not responded to traditional wound care treatments are candidates for complex wound management. These wounds can be the result of many conditions, including diabetes, vascular disease, pressure ulcers, and trauma.


Timely Wound Healing At Gleneagles Hospitals, Mumbai

Dr. Nilesh Satbhai talks about the importance of timely intervention in wound healing


What to expect at the consultation for Complex Wound Management?

At the consultation, Dr. Nilesh Satbhai will complete a thorough medical evaluation. This will include a review of your medical history and current medications. Dr. Nilesh will also perform a physical examination. Dr. Nilesh may order tests, such as blood work or imaging studies, to further evaluate your condition.

After the evaluation, Dr. Nilesh Satbhai will develop a treatment plan.

Procedures involved in Complex Wound Management

For complex wound management, there are many options made available to you by Dr. Nilesh Satbhai in Mumbai. These procedures depend on the type of complex wound. These methods are as follows:

For Varicose Ulcers

Endovenous ablation

Endovenous ablation is a procedure that uses energy to burn (cauterize) and terminate varicose veins. It helps treat symptoms like swelling, irritation, and pain. It is less intrusive than surgical procedures and leaves almost no scars.

Ambulatory phlebectomy

It is an outpatient procedure that uses small incisions in the epidermis to eliminate bulging and twisted superficial blood vessels in the legs. This therapeutic approach is suitable for treating both symptomatic and asymptomatic varicose veins.

Non-surgical management

Dr. Nilesh Satbhai uses the RecoSMA laser to treat varicose veins safely and painlessly, without damaging the skin.



Plasmapheresis, also referred to as plasma exchange, may be recommended by Dr. Nilesh Satbhai in Mumbai as a therapeutic approach for individuals suffering from severe vasculitis. This method is commonly done in an outpatient setting on a routine basis for a few weeks.


Angioplasty is a technique that employs a balloon with a special catheter that can amplify or open obstructions in the arterial wall to reinstate blood circulation to the arteries. It may be beneficial for individuals with small-vessel vasculitis who are unsure about their diagnosis.

Non-surgical management

Conventional wound care fundamentals such as debriding necrotic tissues, healing infections, utilizing moist dressings, and nourishing the edges are used.

Trophic Ulcers

Surgical debridement

All surrounding dead and infected tissues are removed during surgical debridement. This method results in soft wound edges and a healthy tissue bed.

Non-surgical management

This approach uses topical therapies, such as ointments and dressings, to promote healing. Changes in diet and nutrition may also be recommended. Dr. Nilesh Satbhai also uses the RecoSMA laser to treat trophic wounds by stimulating the healing process, which closes the wounds and forms new, living tissue.

Pressure Sores

Flap surgery

It entails placing a segment of skin with blood flow over the damaged site. Flaps are very important in the wound healing process with exposed structures.

Skin grafting

It entails surgically removing a thin skin patch from the donor site to replenish skin in a denuded area.

Non-surgical management

Laser therapy helps treat pressure ulcers. It helps with tissue regeneration and averting tissue damage in circumstances in which it is likely to happen. Read how RecoSMA laser can help with the healing of these wounds.

Complex wound dressings

Complex wound dressings are highly specialized and comprise growth factors. These dressings are used to control discharge or exudate from a wound. The surgical procedure includes a thorough washout and delicate tissue handling to mitigate trauma. Unless the infection is minimal, antibiotics are generally required to address it and prevent it from spreading.

What is the cost of Complex Wound Management in Mumbai?

The cost of complex wound management in Mumbai will depend on the type of procedure you need, the location of the wound, and whether or not you have insurance. During the consultation, Dr. Nilesh Satbhai will go over the expected costs with you.

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What are the risks associated with Complex Wound Management?

In most cases, the complex wound management procedure is carried out without complications. However, you should be aware of some of the risks involved with these procedures:

  • A blood clot forming in an operative area can cause infection.
  • Irritation in nerves that run alongside the treated veins after ablation.
  • Blister formation can occur as a risk of ambulatory phlebectomy.
  • Risks of plasmapheresis include muscle cramps, chills, and fever.
  • Re-narrowing of the artery is an angioplasty risk.
  • A major surgical challenge is flap surgery area dehiscence.
  • Scar tissue can be formed around the area of the skin graft.

These risks are rarely seen and in case they do occur, experienced Reconstructive surgeon Dr. Nilesh Satbhai will treat them carefully and efficiently.

Benefits of Complex Wound Management

Here are some of the benefits of complex wound management offered by Dr. Nilesh Satbhai in Mumbai.

  • Preventing infection

    The risk of infection or other complications is massively diminished by maintaining the wound bandages and dressings properly. Dr. Nilesh Satbhai in Mumbai can consider making medically critical decisions by adjusting the dressings, acknowledging the advancement of the wound, and observing blood loss, temperature, smell, and discharge.

  • Minimizing scarring

    Maintaining the wound soft during the process of healing helps to limit scarring while preventing hard scabs from forming. Treatments available for use early in the recovery period will keep the tissue around the wound smooth.

  • Speedy healing

    Protecting the wound helps speed up the process of healing. Furthermore, properly maintained treatment offers additional protection against inflammation.


Know More About - Wound Clinic

Dr. Nilesh Satbhai provides an overview of Gleneagles Hospitals’ Wound Clinic and answers questions about wound treatment and care

Complex Wound Management

Reduce Pain And Speed Healing With Complex Wound Management In Mumbai

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Meet the Doctor


Dr. Nilesh Satbhai
Dr. Nilesh Satbhai is a highly experienced and skillful plastic surgeon who has dedicated his career to helping patients feel at ease with their bodies. He completed his Plastic Surgery training at the prestigious Seth G. S. Medical College and K.E.M Hospital in Mumbai, after which he went on to earn his fellowship in various subfields of plastic and reconstructive surgery. Dr. Nilesh is a caring professional who takes the time to get to know his patients and understand their individual needs and goals. He is committed to providing the highest quality care possible and strives to make every patient feel comfortable and confident in their decision to undergo treatment. If you are considering plastic or reconstructive surgery, Dr. Nilesh Satbhai is a trusted surgeon who can provide you with the results you desire.
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