A bedsore starts as a patch of skin under constant pressure and can reach muscle and bone within days. What you see on the surface is usually smaller than the cavity beneath it.
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Grading the sore comes first, because a shallow sore and a deep cavity need completely different treatment.
Assessment, grading and the treatment pathway explained.
Read more →Closure of sores over the tailbone in bedbound patients.
Read more →Bringing in healthy tissue to fill and cover a deep cavity.
Read more →Non healing wounds from pressure, diabetes and poor circulation.
Read more →Turning, mattresses, seating and skin checks for carers.
Read more →Timings, location and how to send photographs first.
Read more →Moving a bedbound patient is hard work, so the first step is usually photographs on WhatsApp rather than a journey. Take them in good light with a scale beside the sore, and send recent haemoglobin, protein and sugar reports along with them.
If admission is advised, the visit is planned so that assessment, blood tests and the anaesthetic review happen together. Bring the mattress or cushion in use at home, or a photograph of it, because seating and support often need changing too.
203, Trinity Business Park, OPP G3 Store, Madhuvan Circle, LP Savani Road, Adajan, Surat, Gujarat 395009.
Timings Mon to Sat · 10:00 to 19:00 · OPD by appointment
320, Times Square, Canal Road, Bharthana, Nr. G.D.Goenka International School, Vesu, Surat, Gujarat 395007.
Timings Mon to Sat · 10:00 to 18:00 · Emergency 24×7
Dr. Ashutosh Shah is a Plastic, Reconstructive and Cosmetic Surgeon (DNB) practising in Surat, Gujarat. The work covered by this site is reconstructive, which means restoring form and function after birth differences, burns, injury, cancer surgery, infection and chronic wounds.
Consultations are unhurried. You are told what the problem is, which options genuinely apply, what each involves, and what it will realistically achieve, including where an operation is not the right answer.
Cost follows the depth of the sore and the length of admission, since a sore that needs repeated cleaning before closure takes longer than one closed in a single stage.
Most referrals come from families caring for a relative at home, and from nursing homes and physicians across the city and the districts nearby.
Each page below covers one kind of work at the Surat clinic, with the questions patients ask about it, the cost band and how to reach the team.
These are the questions families raise most often while looking after someone in bed for a long period. If yours is not here, send it on WhatsApp and the team will reply, usually the same day.
Ask your question →Constant pressure over a bony point cuts off blood supply to the skin and the tissue under it. In someone who cannot shift position, that can begin within hours, and the damage under the surface is often larger than the mark you see.
Shallow sores often do, once pressure is taken off and nutrition improves. A deep sore reaching muscle or bone rarely closes on dressings, because the cavity keeps refilling. Surgery brings in healthy tissue with its own blood supply to close it.
Position should change every two hours through the day and the night, with pillows under the calves and between the knees. A pressure relieving mattress helps but does not replace turning. The heels and the sacrum need checking each time.
It can, if the pressure that caused it returns. Closure is only half the plan. Turning, seating, a suitable mattress or cushion, nutrition and daily skin checks are what keep the area closed, and they are taught to the family before discharge.
Yes, for a first opinion. Clear photographs of the sore with a scale beside it, along with recent blood reports and a note of what the patient is eating, are usually enough to say whether admission is needed or home care can continue.
Many people with a long standing sore also have low protein, anaemia, infection or a spinal injury. These are corrected as far as they can be before surgery, and the anaesthetist reviews the patient. Sometimes staged treatment is the safer route.
Admissions for infection, debridement and flap closure are usually considered under mediclaim subject to policy terms, and scheme cover may apply for eligible families. Pre authorisation is raised before admission so the position is known in writing.
