In today’s times, with advertising media everywhere and our never-ending need to look our best, many people associate vascular centers with cosmetic procedures. For example, someone looking for varicose vein treatment in San Diego, or spider vein removal in Orange County, might not be aware of the depth and breadth of serious conditions treated by vascular surgery centers.
What is a Chronic Wound?
A wound is considered to chronic when it does not heal in the expected time frame consistent with the type of wound. Treating wounds is critical, as improper or lack of wound care can result in amputation or even death. Wound care is an enormous health problem impacting our health care system, and people with chronic wounds must often choose between meeting their work obligations or treating their wounds. Since chronic wounds are usually caused by inadequate blood supply to the wound site, as vascular specialist should be your first choice for care and treatment.
Typically, wounds fail to heal from lack of oxygen and nutrients supplied by the circulation of blood to the affected area, or from infection. Pressure wounds, such as bedsores, must be treated by first removing the cause of pressure resulting in lack of blood flow. Varicose veins can cause ulceration due to lack of blood flow through damaged valves. It is important to know that when one considers something as seemingly simple as varicose vein treatment in San Diego, for reasons of the fact that varicose veins can be indicative of a larger problem, a vascular surgeon should be your first choice. Ischema, or lack of blood circulation (as with diabetes patients), is also a major cause of chronic wounds.
Types of wounds
- Acute post- surgery wounds – deep incisions from surgery that must be monitored with care to ensure proper healing
- Acute wounds from accident – traumatic wounds account for approximately 6% of all emergency room visits, and must be especially treated and monitored due to tissue and circulatory damage resulting from blunt force.
- Pressure wounds – the most common pressure wound is a bed sore, where continued pressure prohibits circulation and damages tissue. Severe pressure wounds can also lead to bone, muscle and tendon damage.
- Radiation Wounds – Exposure to ionizing radioactive materials of any type (gamma ray, x-ray, etc.) can lead to wounds by both tissue damage at the site of exposure, and by compromising the immune system to affect the body’s ability to heal.
- Diabetic ulcers – It is imperative that diabetic patients get their feet checked regularly, as they are prone to ulcers that can become chronic or lead to amputation. Neuropathy is also common in diabetics, which is nerve damage that causes one to lose feeling in their feet. Thus, they could have an open wound and not realize it in time.
- Vascular ulcers- many factors can result in vascular ulcers, both venous and arterial. Hypertension, venous insufficiency, atherosclerosis, certain types of cancer, and obesity can all lead to chronic vascular ulcers that put the patient at risk for amputation.
Chronic wounds should be treated systemically, as the patient’s overall health, nutrition, and underlying diseases must be managed to support the healing process. Vascular surgeons treat and dress wounds, often applying layers of medicated compression bandages, to improve circulation and nutrition to the wound, in a germ-free environment. Irrigation is also standard. Sophisticated analysis would lead them to determine if curettage is required to remove damaged tissue.
The San Diego Vascular Center is the premier vascular treatment center. Whether you are looking for spider vein removal in San Diego, or need a reliable, highly-qualified staff to care for chronic wounds or vascular disease, our team of board-certified doctors is at your service.