Wound Debridement

The removal of dead and infected tissue from an open wound is called wound debridement. By removing the dead tissue and bacteria, the risk of infection is reduced, which also promotes healing.

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I have a thorn deep inside my finger. How can I remove it?

Query: Hi doctor, I have a thorn deep in my finger. I can hardly see the tip of it. I have tried using tweezers and baking soda and water mix. It has started to become infected. Please help.  Read Full »


Dr. Jeremy David O'kennedy

Answer: Hi, Welcome to icliniq.com. Sorry to hear about your mishap. The most significant concern regarding thorns, splinters, etc., in the tissue, is not really the foreign object itself, but rather the open communicating tract that it forms. This allows microbial pathogens to bypass the protective skin la...  Read Full »

Is the pink area around a wound with burning sensation indicative of infection?

Query: Hi doctor, I obtained this injury this past Sunday. I am worried it may be infected. My PCP put on the antibiotic Doxycycline Monday twice a day for ten days. Will that take care of the infection if there is one, or do I need to have it looked at? It is burning around the pink area. Kindly give you...  Read Full »


Dr. Snehal Laul

Answer: Hi, Welcome to icliniq.com. Calamine lotion three times daily for soothing of lesions (if burning) for 20 days. I suggest taking tablet Emanzen D (Diclofenac and Serratiopeptidase) twice daily for three days (if tender or painful), tablet Roxid 150 mg (Roxithromycin and Ambroxol) twice daily after...  Read Full »

I have pus draining from my hernia surgery incision. Why?

Query: Hello doctor, I have had seven abdominal surgeries, namely gastric bypass, laparoscopic cholecystectomy, exploratory laparoscopy, panniculectomy, ventral hernia repair, mesh removal from hernia repair with exploratory laparoscopy, and recently open epigastric incisional hernia fix a month back. Imme...  Read Full »


Dr. Arvind Guru

Answer: Hi, Welcome to icliniq.com. It is very unfortunate that you had to go through all that. After reviewing the information shared and your pictures (attachment removed to protect patient identity), it appears you are suffering from surgical site infection. Following are the possibilities: Infection a...  Read Full »

Why is my mother's leg wound, not healing for months?

Query: Hi doctor,I need an opinion from a general surgeon regarding my mother's wound. My mother is 81 years and she has wound for a year. She has consulted three doctors and done some laboratory tests. Based on her reports, the first doctor suggested her to use Mupirocin ointment and Mefenamic acid. It ha...  Read Full »


Dr. Lalit Bansal

Answer: Hi, Welcome to icliniq.com. I have gone through the image and laboratory reports of your mother (attachment removed to protect patient identity). She has an ulcer in her leg on the medial aspect. It seems to be a chronic non-healing ulcer as the margins are sharp and the base is filled with yellow...  Read Full »

Does my wife need any more surgery?

Query: Hi doctor, I have doubts on behalf of my wife. Three days back, she met with an accident and got her foot injured. Her heel got severe damage and after diagnosis doctor said the following. Left heel pad avulsion injury, communicated fracture calcaneum left foot and medial malleolus fracture o...  Read Full »


Dr. Akshay Kumar Saxena

Answer: Hello, Welcome to icliniq.com. You have mentioned that your wife sustained an injury to her left limb with extensive injury of the heel region and around the ankle. I presume an external fixator has been applied along with debridement and suturing the wound. It is an understatement to say that it i...  Read Full »

What is the reason for the pain at the bottom side of the back in a geriatric patient?

Query: Hi doctor, My mother, who is 84 years old, was admitted to the hospital for six days (discharge summary attached). In an intervening period of two days, she was admitted to another hospital (discharge card attached) for dialysis and brought back to the same hospital. She was shifted from the previo...  Read Full »


Dr. Lalit Bansal

Answer: Hello, Welcome to icliniq.com. I have seen all reports (attachment removed to protect patient identity) and discharge summary. She is a known CKD (Chronic kidney disease) with diabetes, hypertension, and bedsores. As per investigation and report, blood pressure and diabetes are under control now...  Read Full »

Is the suggested treatment plan correct?

Query: Hello doctor, I had a C-section delivery before four months. After 15 days, there was a small wound and it got cleared after a month. Now again, there is some wound infection and is showing two holes. I am taking antibiotic Ciplox 500 and Vibact for the past two days and taking Clarithromycin 500 a...  Read Full »


Dr. Aditi Gupta Jha

Answer: Hi, Welcome to icliniq.com. Your C-section has become complicated due to the infection in your wound or surgical site. The incision sometimes does not heal due to body's own defenses and that can cause this. I would suggest you go for the correction surgery because they reopen and repair the same si...  Read Full »

What can cause pus to leak from stitches after cesarean?

Query: Hi doctor, I had a cesarean operation before nine months. But, my stitches have not been cured yet. Earlier, pus used to come out of the hard structure and began to gather on my belly. Now, after two months, again a little bit of stitch has been opened. Please help me.  Read Full »


Dr. Naresh Kumar Monigari

Answer: Hi, Welcome to icliniq.com I had gone through all the details you have posted (attachment removed to protect patient identity).  You have got an infection postoperative at suture site, because of which you are getting pus. I suggest you to consult a general surgeon. There might be a local pocket of...  Read Full »

Can nontuberculous mycobacteria infection be treated only by surgery?

Query: Hello doctor, I am 30 years old and married for the last 3.5 years. One and a half years back, I had a surgery to remove ovarian cyst and fibroid tumor from uterus by laparoscopy. But, somehow one incision area got infected and I was under antibiotic for almost 5 months. Meantime, I relocated and th...  Read Full »


Dr. Raghu

Answer: Hi, Welcome to icliniq.com. It is unfortunate that you have to undergo repeated surgeries due to the infection. A combined therapeutic approach including surgical drainage, debridement, and prolonged treatment (more than three months) with combined antimicrobial agents, has been used in managing c...  Read Full »

I had a third-degree burn due to motorcycle silencer. Why is it not improving?

Query: Hello doctor,I am a 24 year old male. I have a third-degree burn on my right feet because of motorcycle silencer. I got it treated with dressing for two weeks. They said the dead skin needs to be debrided. Then, they said there is infection and bone exposed. Now, I am using NPWT machine for two week...  Read Full »


Dr. Pavan N Murdeshwar

Answer: Hello, Welcome to icliniq.com. Silencer burn is a contact burn which is usually superficial and proper dressing/management would not have let the burns go so deep. In the pictures (attachment removed to protect patient identity), it is clear that the bone is exposed and is a bit infected/ischemic...  Read Full »

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