Surgical Wounds

Comprehensive wound care provided by the bay area’s leading wound care experts.

Surgical wounds result from an incision made in the skin by a scalpel during surgery, though they may also result from a drain placed during a surgical procedure. Surgical wounds are divided into four categories depending on contamination, the risk for infection, and location on the body.

Class I
This is a clean wound with no sign of infection. Normally located in the eye, skin, or vascular system.

Class II
These wounds are considered “at increased risk” of infection, because of its location. For example a surgical wound in the gastrointestinal tract.

Class III
These wounds are caused by a foreign body then repaired through a surgical procedure. Because of the initial cause of the wound, they are at great risk for infection. For example, a gunshot wound repaired through surgical intervention.

Class IV
These wounds have been exposed to fecal material and are at extreme risk for infection.

Surgical wounds need frequent monitoring to ensure they are healing correctly and avoid infection. Signs of Infection most often include increased levels of pain, increased “redness in the tissue around the wound, and often times pus, drainage, and/or a foul smell. Medical attention should be sought if any of these symptoms present themselves.

Treatment Modalities

Wound Debridement

Wound Debridement is an important part of wound healing. Debridement is the process of removing necrotic or dead tissue that occurs during wound healing. This tissue inhibits the body’s ability to recover and develop new tissue during the healing process, making debridement critical or preparing a wound for quick and efficient healing.

Infection Control

Infection control is a critical element of any wound treatment, and can only be effective if both patient and care providers are dedicated to the proper infection control practices. Proper clinical infection control practices require the existence of an official Infection Control Program which should include:

  • Proper hand hygiene
  • Use of gloves, gowns, mask and face/eye shields when necessary
  • Safe injection practices
  • Proper handling of contaminated material.

Patient best practices should include:

  • Keeping draining wounds covered with clean/dry bandages
  • Keeping hands clean with soap and alcohol-based gels
  • Maintain good general hygiene including regular bathing
  • Do not share items that can come in contact with the wound such as towels, clothing, bedding, bar soap, razors, etc.
  • Avoid skin to skin contact with other individuals

There are many other precautions that could be detailed but following good hygienic practices will eliminate the majority of infection risks.

Restoring Blood Flow

Poor circulation is a primary contributor to complications with wound healing, restoring blood flow to areas showing signs of reduced circulation is critical to proper wound care and avoiding amputation. There are various ways patients can assist in restoring blood flow, such as:

  • Stop tobacco use
  • Maintain a healthy weight
  • Control blood glucose levels
  • Control blood pressure
  • Eat a diet low in sodium and added sugar
  • Keep physically active, if restricted by limited mobility or chronic pain seek additional options from your care provider

In severe cases, your provider may recommend surgical treatments, and in any case, early diagnosis is key to patient success.

Advanced Wound Dressings

When caring for wounds, clinicians have a wealth of options for bandages and dressings. These options are considered superior to the basic gauze and tape and are referred to as Advanced Wound Dressings. Advanced dressings reduce heal times, have less risk of infection, and have drainage issues.

Skin Substitutes

Skin substitutes have been used to aid in wound closure for centuries. They also help to control wound pain and replace the skin functions to promote proper wound healing. Skin substitutes come in two varieties, temporary and permanent. Temporary substitutes function as a wound covering and primarily serve to protect a wound from bacteria and additional trauma while providing a moist, clean and healthy environment for wound healing. Permanent substitutes are used to fully replace all layers of the skin and are most common with severe burns.

Negative Pressure Wound Therapy

Negative pressure wound therapy also known as “NPWT” is an option for treating burns, various types of ulcers and other chronic wounds. NPWT is a uses a dressing that creates a seal over the wound and around tubing which is attached to a pump which will draw out fluid and infection from a wound to help it heal. NPWT is a great option for some, but not all, patients. Based on your wound and medical situation, your provider will decide if you are a good candidate for this method of wound treatment.

Why Marin?

Experience + Technology = Healing

We use the latest advancements in wound care to heal our patients. The treatment of a slow or non-healing wound starts with making a precise diagnosis. Without understanding the cause of the wound, and an accurate treatment plan cannot be made. Marin uses an integral approach to wound care which incorporates the use of relevant diagnostic tests.

Groundbreaking Clinical Studies

Our physicians have saved thousands of limbs over the years through education and research efforts. In 2003, Dr. Alex Reyzelman opened the Center for Clinical Research. CCR partners with a wide range of pharmaceuticals, medi­cal device companies, biotechnology, and contract research organizations to bring education and awareness of the positive benefits of clinical trials to patients, physicians, and the wider healthcare community.

World Renowned Surgical Services

Our doctors perform inpatient surgical procedures at prestigious local hospitals such as UCSF Medical Center, California Pacific Medical Center, Eden Medi­cal Center, Alta Bates Medical Center, Summit Medical Center, San Ramon Regional Medical Center and St. Mary's Medical Center. We work closely with vascular surgeons in a coordinated effort to prevent amputa­tions. We are affiliated with UCSF Center for Limb Presezvation & Diabetic Foot.

Amputation Prevention

Foot ulcers most commonly lead the pathway to amputations. Our team is focused on intercepting the progression and inhibiting the recurrence of the ulcers. The goal of treating a patient with a diabetic foot wound is to achieve complete healing as quickly as possible in order to prevent amputation. We strive to restore the patients quality of life, giving them the ability to lead an active, pain free lifestyle.

UCSF Center for Limb Preservation

In 2011 Dr. Reyzelman dedicated time and effort building a Limb Preservation and Wound Care Center at UCSF. He partnered with Dr. Michael Conte MD, a Vascular Surgeon, to help diabetic patients in need of advanced wound care and limb preservation. This multi-disciplinary approach pools the expertise of vascular surgeons, podiatrists, reconstructive microsurgeons, and other specialists to provide integrated, multidisciplinary, care for patients at high risk of foot and leg amputation, particularly diabetic patients.

Your first step towards an active, pain-free lifestyle starts here.