Open wound care instructions

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Supplies Needed:
Cotton tipped applicators (Q-Tips)
Vaseline Ointment (NOT Neosporin) or Aquaphor
Band-Aids, or non-stick gauze pads (Telfa) and paper or surgical tape

The bandage applied before you left the clinic is a pressure bandage and should be left on for 24 hours. Some blood tinged oozing may occur. If bleeding occurs hold firm pressure to the site for 20 full minutes without releasing pressure. Can repeat one more time. Call if bleeding persists after holding pressure 2 times. If your bandage becomes saturated or soiled you should apply another bandage over the first one.

After 24 hours you should begin daily cleansing and dressing changes as follows:

  1. Clean area with tap water and soap such as dove or dial using a clean Q-Tip or sterile gauze. (Use antibacterial soap on the lower extremity)

  2. Dry with a clean Q-Tip or sterile gauze.

  3. Apply Vaseline/Aquaphor over the entire wound (NOT Neosporin).

  4. Cover the wound with a Band-Aid, or a sterile non-stick gauze pad (Telfa) and micropore paper tape.

  5. Repeat these instructions at least one time daily until the wound has completely healed.

  6. This wound will heal faster, with a nicer result if it is kept clean and covered with ointment and a bandage. Exposing it to air will not make it heal faster so please follow instructions for best results.

During the healing process you will notice a number of changes. All wounds develop a small surrounding halo of redness, which means healing is occurring. Severe itching with extensive redness may indicate sensitivity to the ointment used to dress the wound or in most cases a reaction to the bandage tape. You should call the office if this develops.

All wounds normally drain (the larger the wound the more drainage), which is why we insist on daily dressing changes. You will notice the wound begin to shrink and new skin begin to grow. A healed wound has a healthy, shiny look to the surface and is red to dark pink in color. Wounds may take approximately 2-4 weeks (or longer if on the lower extremity) to heal. After this, the wound will remain quite red and slowly fade over the next few weeks or months. Sometimes it takes 6 months to one year to fade completely.

You may experience a sensation of tightness as your wounds heal. This is normal and will gradually subside. Frequently, the surgery involves nerves and may take up to a year before feeling returns to normal. Rarely will the area remain numb permanently.

Your healed wound may be sensitive to temperature changes (such as cold air). This sensitivity improves with time, but if you are having a lot of discomfort, try to avoid temperature extremes.

Patients frequently experience itching after their wounds appear to have healed because of the continued healing that is occurring under the skin. Plain Vaseline may help relieve the itching.

*In Case of Emergency* Please call the office at 781-431-7733

Ruth Tedaldi, M.D. 65 Walnut Street

Rachel Herschenfeld, M.D. Wellesley, MA 02481

Elissa Lunder, M.D. P. 781-431-7733 F. 781-235-2665

Madeline Bachta, M.D.

Carin Litani, M.D.

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