Diabetic foot, pressure sores, chronic non-healing wounds — expert evidence-based wound care and surgical coverage by Dr. Pranav Thusay, Pune.
Chronic and complex wounds often fail to heal because the underlying cause has not been addressed and the wound has not received appropriate specialist care. Dr. Thusay's approach combines thorough assessment of the wound and its cause, advanced wound care technology, and surgical expertise in skin grafting and flap reconstruction when required.
If your wound has not shown clear improvement within 4 weeks of proper care, or if the wound involves exposed bone/tendon/joint, is in a diabetic foot, or has recurrent infections — you need a specialist plastic surgeon's assessment. Early specialist involvement prevents further deterioration and shortens total healing time.
NPWT or VAC (Vacuum Assisted Closure) therapy uses a sealed dressing connected to a suction device to continuously remove excess wound fluid, reduce bacterial load, and stimulate granulation tissue formation. It dramatically accelerates healing in complex wounds and prepares them for surgical closure.
In the majority of cases, yes. With prompt specialist intervention — proper debridement, infection control, offloading footwear, advanced dressings and surgical coverage where needed — most diabetic foot ulcers can be healed and amputation avoided. Early referral to a wound care surgeon is critical.
A skin graft involves taking a thin layer of skin from a donor site (usually the thigh) and placing it over a cleaned wound bed. The graft takes (adheres and grows blood supply) over 5–7 days. It is most suitable for flat, well-vascularised wounds.
A skin graft is a thin sheet of skin without its own blood supply — it relies on the wound bed for nutrition. A flap is a block of tissue (skin + fat or skin + muscle) transferred with its own blood supply intact. Flaps are used for deeper wounds with exposed bone or tendon where a graft cannot survive.
Stage 3–4 pressure sores are treated by surgical debridement (removing dead tissue), followed by flap reconstruction — rotating adjacent muscle and skin into the wound to provide durable, well-vascularised coverage. Post-operative pressure offloading is critical to prevent recurrence.
This varies by wound type. Some wounds require daily changes; others every 2–3 days with specialist dressings. Dr. Thusay's team provides a clear dressing protocol with instructions for home care or clinic visits.
Yes. Most wound consultations, dressing changes and NPWT management are conducted on an outpatient basis. Surgical procedures (grafting, flap surgery) require hospital admission. Our team coordinates the full care pathway from initial assessment to wound closure.
Expert wound management — from dressings to microsurgical reconstruction under one specialist.