Wound Management and Treatment

A pressure ulcer is an injury usually caused by unrelieved pressure that damages the skin and underlying tissue. Pressure ulcers range in severity from mild, minor skin reddening, to severe, deep craters down to muscle and bone. Unrelieved pressure on the skin squeezes tiny blood vessels which supply the skin with nutrients and oxygen. When skin is starved of nutrients and oxygen for too long, the tissue dies, and a pressure ulcer forms.

The doctors treat pressure ulcers by relieving the pressure, removing the devitalized tissue, advising the patient to avoid trauma, friction or shearing force, and searching for reversible underlying conditions which may predispose to ulcer development or impede wound healing.

Procedures
  A. General Surgery
    1. Laparoscopic Surgery
      a. Exploratory
      b. Appendix
      c. Hernia
      d. Gallbladder
      e. Colon
      f. Hiatal Hernia
    2. Conventional Surgeries
      a. Hernia Repair
      b. Colon
      c. Stomach
      d. Appendix
      e. Thyroid
      f. Soft Tissue Masses and Skin Lesions

  B. Vascular Surgery
    1. Repair of abdominal aortic aneurysm (AAA)
    2. Bypass surgery of extremities
    3. Carotid endarterectomy (CEA)
    4. Creation of arterio-venous fistulas
    5. Placement of central lines

  C. Varicose Vein Treatment
    1. TIPPS (Trans-Illuminated Powered Phlebectomy)
    2. SEPS (Subfascial Endoscopic Perforator Surgery)
    3. Deep venous thrombosis

  D. Breast Disease Management
    1. Evaluation of breast lumps (solid or cystic)
    2. Cyst aspirations
    3. Fine-needle aspiration of solid breast lump
    4. Stereotactic breast biopsy
    5. Sentinel lymph node biopsy
    6. Conventional biopsy
    7. Lumpectomy
    8. Mastectomy

E. Gastric Bypass (Bariatric Surgery)

F. Wound Management and Treatment

  G. Thoracic surgery
    1. Chest tube placement
    2. Removal and biopsy of nodules in lung and mediastinum
    3. Lobectomy

H. Vascular Laboratory