Talk to General Surgeon on Bedsores Stage 3
Asking for Other, Male, 85 years old, Karachi
My father in law is 85 yrs of age, he is paralysed from Feb 2020. He has developed a bedsore on left heel and it isn't getting better. Dresser has used Multidex and Eusol. We can't take him to hospital due to COVID19 situation. Please advise the way forward. He is not diabetic and wound has no bacterial growth. I can share reports from agha khan lab ...
Prof. Dr. Syed Imran Hussain Andrabi - General Surgeon
MBBS, FCPS, FRCS (Ireland), Intercollegiate Specialty Board Certified FRCS in General Surgery | Lahore
279 Positive Reviews
Asa. Dip the heel in water with pyodine in it twice a day for 10-15 minutes. Gradually it will heal.
assalam o alaikum, ask the dresser to do dressing of unripe papaya( crushed ) for 2 - 3 days then use pyodine gell dressing afterwards, hopefully it will heal.
Salam
It is a clean wound. Does not need pyodene.
Ask the dresser to clean the wound with copious amount of normal saline and dress with sufratule and gauze. Due to the large size of wound, it will take longer for skin around the wound to grow and cover it. One option is to keep doing the dressing. Another option is a skin graft, however, the heel is not a good site for graft take-up.
best wishes
Dr. Awais Ali Khan - General Surgeon
MBBS, FCPS, FACS (USA) | Tarbela
It’s a non infected bed sore...it doesn’t require antibiotics...continue with dressing...during dressing ask the nursing to wash it with Normal Saline then do dressing with Duderm...another important thing is to nurses the patient on air mattress, keep water pads under the heals and change posture after every 30-40 min...after COVID crises once the OPD opens up do consult a plastic surgeon for closure as it will require a flap/graft coverage
normal saline dressing with pressure avoidance
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Thanks a lot for your suggestions..may Allah bless you all.
1 month ago