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Wound Care

Comprehensive Wound Center

The Baylor Scott & White Medical Center – Garland Comprehensive Wound Center is dedicated to offering comprehensive, advanced treatment for chronic, non-healing wounds. We identify the specific causes of your wound condition and implement a treatment plan tailored to help you heal.

The doctors on our medical staff have the expertise to understand and treat the varied circumstances and challenges of complex open wounds. Once your wound has healed, your primary care doctor will provide follow-up wound care and continued care for any related conditions, such as diabetes and hypertension.

At the Comprehensive Wound Center, healing your wounds is our specialty and our passion.

Wound Symptoms and Causes

A chronic, non-healing wound is one that does not heal in six to eight weeks with traditional wound care. More than 5 million Americans suffer from non-healing wounds, which can cause serious infections, illness and loss of a limb. To ensure your health and safety, you should learn to recognize the causes and symptoms of non-healing wounds.

Certain health conditions can cause chronic non-healing wounds, such as:

  • Anemia
  • Bowel disorders
  • Chronic Osteomyelitis
  • Circulation or clotting disorders, often caused by arteriosclerosis
  • Diabetes
  • Heart Disease
  • High Cholesterol
  • Hypertension
  • Kidney Failure
  • Lymphedema
  • Malnourishment
  • Obesity
  • Sickle Cell Anemia
  • Venous Insufficiency

Inflammatory diseases such as:

  • Lupus 
  • Scleroderma
  • Vasculitis

Other causes of non-healing wounds include a past or current history of smoking, steroid use, radiation therapy, cancer or infection, lying in one position for too long or a family history of non-healing wounds.

Symptoms

Everyone experiences wounds at some point in your life, but most heal on their own with proper care. When does a wound become a chronic, non-healing wound? Look for these signs:

  • Persistent, increased pain in the area of the wound
  • Discoloration of the wound near the edges of the wound – often a dark or bluish color
  • Increased drainage from the wound
  • Redness or swelling around or spreading away from the wound
  • A foul odor coming from the wound

Wound Conditions

There are a variety of wounds that are classified as non-healing. These can be caused by accidents or injuries or from illnesses and other conditions.

  • Crush Injuries
  • Decubitus (Pressure) Ulcers
  • Diabetic and Neuropathic Ulcers
  • Failed flaps and grafts – a wound that occurs when skin used to cover and repair a wound caused by trauma or surgery fails to heal properly sometimes due to poor blood or oxygen flow.
  • Ischemic/arterial insufficiency ulcers – usually located on the feet and often occur on the heels, tips of toes, between the toes where the toes rub against one another or anywhere the bones may protrude and rub against bed sheets, socks or shoes. Arterial ulcers also commonly occur in the nail bed if the toenail cuts into the skin or if the patient has had recent aggressive toenail trimming or an ingrown toenail removed.
  • Necrotizing Infections
  • Non-Healing Surgical Wounds – a surgical wound that proves difficult to heal or a wound closure that reopens
  • Osteoradionecrosis (ORN) – a rare complication of radiation therapy in the head and neck region. ORN becomes apparent months to years after the end of radiation treatment. ORN often involves the mandible, cartilage of the larynx and bones in the temple or base of the tongue. ORN may result in large areas of exposed dead bone or entire boney features may disappear.
  • Post-Radiation Soft Tissue Damage – radiation therapy can cause injury to soft tissue adjacent to the cancer site being treated. Over time, sometimes years following the completion of radiation therapy, tissue damage worsens to cause open wounds to appear.
  • Venous Stasis Ulcers

How to Start Healing

  • Much of the success of your treatment depends on you. We’ll count on you to follow directions carefully and watch your progress closely. You’ll learn about caring for your wound at home including how to change dressings and how to protect yourself from further injuries. We’re always here to answer questions and give you the support you need to heal.
  • Your personal physician can refer you to the Baylor Scott & White – Garland Comprehensive Wound Center or you can make your appointment directly by calling 972.696.1234. When you call for your first appointment, we’ll ask you a few questions about your wound and your health in general.
  • Before beginning treatment, our team of wound care doctors on the medical staff at Baylor Scott & White – Garland and our nurses and therapists will thoroughly evaluate your wound and review your health and medical history. Tests might be conducted to tell us more about your blood flow and tissue oxygenation, as well as to determine if there is any infection present. We will develop a treatment program based on our assessment of your special needs.
  • Your program will involve weekly visits with your wound care physician at the Center for treatment. Your progress is documented and your plan of care is adjusted as necessary. Once your wound is healed, you’ll return to your doctor for follow-up care as well as on-going treatment for any related conditions such as diabetes or heart disease.

Wound Treatment Options

The Baylor Scott & White – Garland Comprehensive Wound Center offers advanced treatment options to help your wound heal. Your wound care physician and care team will determine the appropriate therapies for you and recommend a course of treatment. Some of the other treatment options available at the Center include:

  • Bio-Engineered Tissue Substitutes: Materials made in a laboratory used to cover open wounds. These materials are used to reduce bacterial build up, reduce pain or achieve the proper moisture balance within the wound.
  • Debridement: Surgical removal of dead (necrotic) skin
  • Dressings and Wraps: Used by wound care physicians to facilitate wound healing. These can include compression stockings for venous leg ulcers, special products for wound odor control and materials that promote naturally occurring tissue growth factors.
  • Hyperbaric Oxygen Therapy: One of the newest forms of medicine today, Hyperbaric Oxygen (HBO) causes a 10-to 15-fold increase in plasma oxygen concentration, resulting in increased tissue oxygenation and faster healing.
  • Negative Pressure Wound Therapy: The controlled application of sub-atmospheric pressure to a wound using specialized equipment to intermittently or continuously convey negative pressure to promote wound healing. Negative pressure therapy removes fluids and infectious materials, helps protect the wound environment, helps promote blood and oxygen flow and helps draw together wound edges.
  • Transcutaneous Oxygen Monitoring (TCPO2): A diagnostic tool that measures the amount of oxygen present in the tissue in and around the wound site. TCPO2 monitoring can also be a predictor of whether hyperbaric oxygen treatment can be effective in stimulating wound healing.

Physicians on the medical staff at Baylor Scott & White – Garland offer care management from initial diagnosis or second opinion and consultation through follow-up care.

If you are diagnosed with a non-healing wound, your personal physician or a Baylor Scott & White – Garland clinical coordinator can make a referral to a physician on the medical staff at Baylor Scott & White – Garland. Patients can find a physician by calling 1.844.BSW.DOCS (1.844.279.3627) or by searching our online physician directory.

Contact Us

The Comprehensive Wound Center is located on the campus of Baylor Scott & White Medical Center – Garland .

Comprehensive Wound Center
777 Walter Reed Blvd.
Plaza II, Suite 100
Garland, TX 75042

Your personal physician can refer you to the Center or you can make an appointment by calling 972.696.1234.

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