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Pillar 16 · 12 pages

Advanced & Chronic Wound Reconstruction

Wounds that have refused to heal for months, investigated for the reason and closed with the right combination of surgery and wound care.

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Advanced & Chronic Wound Reconstruction, Elegance Clinic Surat
Who this is for

Anyone with a wound open beyond four to six weeks, exposed bone, tendon or implant, or an ulcer that keeps returning.

First visit

The wound and the reason behind it are assessed together, circulation, pressure, infection, and a closure plan is written.

Where surgery happens

Daycare and theatre wound surgery, negative pressure therapy and flap reconstruction as the wound requires.

Cover

Wound surgery is generally payable under mediclaim.

The pathway

How treatment is planned, step by step

Nothing here is improvised. The sequence below is how care in this specialty is actually organised, and your own written plan follows it.

01
First Find the reason

A wound that will not heal has a reason, dead tissue, infection, pressure, poor blood supply, and it is identified first.

02
Prepare Wound bed

Debridement, infection control and negative pressure therapy prepare the wound for closure.

03
Close Reconstruct

Grafts and flaps close what dressings cannot, including wounds with exposed bone, tendon or implant.

04
Protect Prevent

The underlying cause is managed so the wound does not return.

Why a plastic surgeon

Function first, appearance close behind

"A dressing cannot close a wound that has a reason to stay open. Find the reason."

Chronic wounds are a diagnosis problem before they are a dressing problem, and treatment starts with why the wound is open.

Exposed bone, tendon or metalwork changes the plan: those wounds need living cover, and they are the daily work of this unit.

Dr. Ashutosh Shah
Dr. Ashutosh Shah Plastic, Reconstructive & Cosmetic Surgeon (DNB)
Negative pressure therapy
Daycare debridement
Flap reconstruction
Wound care team
22+Years in practice
12Pages in this pillar
ClosurePlanned, not hoped
Case gallery

Cases from this specialty, consented

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Before / After
Non healing wound closureDebridement + graft · 8 weeks
Before / After
Exposed implant coverFlap surgery · 3 months
Before / After
Radiation ulcer reconstructionFlap surgery · 4 months

Published with documented patient consent, generalised for age and sex, in line with advertising norms applicable to medical practitioners in India.

Costs & schemes

Costs & cover

Published bands are for Surat and include surgeon, anaesthesia, theatre and standard stay. Where a band is not published, a written estimate follows examination. Cover under mediclaim and schemes is confirmed before admission.

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Wound debridement (per sitting)
Written estimate
After assessment
Graft closure
Written estimate
After assessment
Flap reconstruction
Written estimate
Case based
Questions patients ask

Straight answers, before you decide

These are the questions that come up in consultation most often. If yours is not here, send it on WhatsApp and the team will reply, usually the same day.

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Most wounds close within four to six weeks with proper care. A wound open longer than that has a reason, infection, pressure, dead tissue or poor circulation, and needs assessment rather than another dressing change.

A sealed dressing under controlled suction that removes fluid and stimulates healthy tissue. It prepares wounds for closure and manages difficult wounds, but it is a bridge to closure, not a destination.

Usually yes, with flap surgery that brings living, blood carrying tissue over the exposed structure. These wounds do not close with dressings alone.

Because the underlying cause, often pressure or circulation, was not corrected. Closing the wound and controlling its cause are treated as one plan.

Debridement, negative pressure therapy and reconstructive closure are generally payable under mediclaim, and cover is confirmed before planned procedures.

Blood flow studies, swabs or tissue culture, blood sugar and nutrition tests, and imaging for hidden infection or bone involvement are the usual starting points. A biopsy is taken when a wound has stayed open for a long time.

Yes, smoking reduces blood supply to healing tissue and is linked with wound breakdown and flap problems. Stopping before planned surgery, even for a short period, is strongly advised.

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Bring the reports you have. We will tell you honestly what is needed, and when.

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