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Best Hospital for Advanced Wound Care Treatment in Dubai

Wound Care Centre

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Reference Center for Multidisciplinary Wound Care

Welcome to the Multidisciplinary Wound Care Center at Saudi-German Hospital Dubai. Our collaborative approach involves Dermatology, Vascular Surgery, and Plastic Surgery teams for initial patient assessment. Our comprehensive Wound Care Team offers specialized diagnostics and treatments under one roof. We address diverse causes of chronic and problem wounds, considering both local and systemic factors.

These wounds pose challenges across all ages and have significant physical and emotional effects on patients and their surroundings. Our detailed wound care doctors/patient consultations form the basis of tailored treatment, and we encourage bringing existing medical records. Initial assessments are conducted by Dermatology, Vascular Surgery, or Plastic Surgery.

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Children's Specialty Hospital | Expert Pediatric Care
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The healing of wounds is intricate and demands specialized care. Saudi German Hospital offers expert attention from specialist doctors and trained wound nurses. Their multidisciplinary approach guarantees top-tier care, aiming for optimal healing and improved quality of life through swift and effective treatment at the wound clinic.

Advanced Wound Care Treatment in Dubai, UAE

Best Hospital for Advanced Wound Care Treatment in Dubai

Tumor Wound Care Treatment

Tumor wounds” are wounds that occur during tumor treatment. There are various types, including exulcerating tumor wounds, tissue defects after tumor resection, and complications from tumor treatments like chemotherapy and radiotherapy.

Chronic lymphedema can also result from tumor surgery involving lymph nodes. These wounds can lead to severe patient impairment due to bleeding, pain, secretion, odor, and damage to the surrounding skin. Proper reconstruction after tumor resection is essential for postoperative wound treatment possibilities and quality of life.

Treating tumor wounds involves complete tumor resection whenever possible, with histological control and prompt wound coverage. If resection isn’t feasible, wound dressings must consider mechanical protection, non-adhesion, minimal pain, effective secretion and odor management, and minimal irritation to surrounding skin.

Malignant Wound Care and Treatment


A fungating malignant wound is a severe complication of cancer, where tumor cells invade the skin, destroying nearby tissues and vasculature. It can arise from primary skin tumors, skin metastases, or deeper-level tumor invasion.

The local invasion starts as inflammation with redness and tenderness, progressing to ulceration or raised nodules resembling cauliflower-like growths. Malignant wounds grow quickly and cause issues like malodor, exudate, edema, necrosis, pain, bleeding, itching, and infection.

Edema and necrosis stem from impaired blood flow, while bacterial colonization of necrotic tissue causes infection and liquefied exudate. Bleeding results from hemostatic imbalance. Rapid tumor growth can also compress adjacent tissues and nerves, leading to pain and reduced mobility.

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Best Hospital for Advanced Wound Care Treatment in Dubai
Best Hospital for Advanced Wound Care Treatment in Dubai
Best Hospital for Advanced Wound Care Treatment in Dubai

Burns and Problem Wounds Care


Burns result from exposure to heat, chemicals, radiation, electricity, or sunlight that damages the skin tissue. They often occur accidentally and can be categorized into different degrees of severity based on the depth and affected area. Burn injuries can cause pain and, if left untreated, may lead to infections.

Risk Factors for Burns and Problem Wounds:


Approximately half a million individuals seek emergency care annually for burn injuries, with children being particularly susceptible to accidental burns. Over 300 children require immediate treatment for burn injuries each day.

Problem Wounds We Treat at the Saudi German Hospital?

  • Chronic skin diseases
  • Burns
  • Sternal osteomyelitis
  • Thoracic Stoma
  • Calciphylaxis
  • Chronic Osteomyelitis
  • Degloving (decollement) injuries
  • Open Abdomen
  • Stoma

What are the consequences of a problem wound?


When problem wounds are not well identified, their treatment by an inexperienced treatment team results in:
  • Prolonged treatment duration with significant impairment of the patient
  • Poor wound treatment outcome
  • Increased complication rate, including permanent damage

Who is Prone to Burns:

While anyone can experience accidental burns, children, teenagers, and the elderly face a higher risk. Activities such as cooking accidents, contact with hot surfaces, playing with fire-related items, or getting sunburned are common triggers for these age groups.

Types and Degrees of Burns and Problem Wounds


Burns are classified by their severity and assessed based on skin damage. The degrees of burns include:
  • First-degree burns: Superficial burns causing redness and pain, resembling sunburn.
  • Second-degree burns: Affecting both the top and lower skin layers, leading to pain, swelling, and blistering.
  • Third-degree burns: Penetrating all skin layers, damaging hair follicles and sweat glands. These can appear black, white, or red with a leathery texture.

Causes and Symptoms of Burns:

Burns can result from various sources, including thermal agents (fire, hot liquids, etc.), chemicals, radiation, electricity, and UV light. Symptoms vary based on burn severity and may include blisters, pain, swelling, and skin discoloration.

Diagnosis and Management of Burns and Problem Wounds:

Healthcare providers diagnose burns by evaluating their severity, percentage of affected body area, and depth. Management strategies differ based on the type and severity of the burn. Proper wound care treatment, cleaning, and bandaging are essential, along with pain management and monitoring for signs of infection.

At the Saudi German Hospital, diagnosis and therapy of problem wounds are carried out by a multidisciplinary treatment team, which guarantees that the respective discipline with the specific expertise takes over the treatment.

Treatment by Burn Type:

  • First-degree burns: Cool water, aloevera for sunburns, antibiotic cream for thermal burns, and over-the-counter pain medication.
  • Second-degree burns: Similar to first-degree burns, with the potential for prescription antibiotic cream.
  • Third-degree burns: Often necessitate skin grafts, fluid replacement, and intravenous fluids to prevent shock and dehydration.

Complications and Prevention:


Third-degree burns can have life-threatening complications. Burn prevention involves measures such as wearing sunscreen, setting water heater temperatures appropriately, childproofing environments, safe cooking practices, and fire safety measures.

Outlook and Living with Burns:

First- and second-degree burns typically heal within a few weeks, with potential scarring. Third-degree burns may require ongoing therapy. Some individuals might experience post-traumatic stress disorder (PTSD) or depression. Advances in medical treatment have significantly improved survival rates, even for extensive burns.

When to Seek Medical Attention:

Consult a healthcare provider for burns on sensitive areas, those not improving after two weeks, blistering, severe pain, signs of infection, or psychological distress.

Questions for Your Doctor:

Key inquiries to make include determining the burn degree, the best treatment for burns, infection, and scarring prevention strategies, and measures to reduce future burn risks.

What are Leg Ulcers:

Leg ulcers, a persistent concern affecting the lower extremities, require careful attention to their causes, types, and treatment methods. These sores, often located between the knee and ankle, fail to heal within a two-week period despite treatment efforts, sometimes escalating in size if neglected. Should the healing process extend beyond three months, the condition transitions into a chronic state.

Prevalence and Factors:

Approximately 1% of American adults contend with leg ulcers, with prevalence surging among older individuals. Notably, around 4% of those aged 65 and older experience nonhealing leg sores. Various factors contribute to the development of leg ulcers, including: Chronic venous insufficiency, which results from flawed leg vein valves, causes blood to pool and inflame capillaries, eventually leading to skin breaks and ulcers. Diabetes is often accompanied by high blood sugar levels that induce fat deposits within blood vessels, impeding circulation and nerve health, thereby impairing ulcer detection and healing. Peripheral artery disease (PAD) is characterized by arterial plaque accumulation and narrowed blood vessels, further retarding the healing of leg ulcers. Uncontrolled high blood pressure, or hypertension, can cause Martorell ulcers—agonizing ulcers on the lower leg—by narrowing skin capillaries and restricting blood supply.

Risk Factors and Symptoms:

Leg ulcers are more common among women and can be exacerbated by factors like obesity, family history of vein issues, medical conditions (e.g., diabetes, high blood pressure), surgeries (e.g., hip or knee replacements), injuries, lack of physical activity, smoking, and vein-related conditions such as varicose veins, vasculitis, and venous blood clots. Symptoms of leg ulcers include:
  • Persistent lower leg wounds resistant to treatment after two weeks.
  • Sores displaying varying colors (red, purple, brown, and yellow), potentially with a discharge.
  • Skin issues like dryness, itchiness, hardness, and bumps
  • Leg pain, especially after standing.
  • Discolored, bruise-like skin.
  • Swelling in the lower legs.

Diagnosis and Treatment:

A vascular specialist plays a crucial role in diagnosing leg ulcers through comprehensive examinations and additional tests, including the ankle-brachial index test and skin biopsies. Treatment strategies vary depending on the type and cause of the ulcer and may include:
  • Compression therapy to stimulate blood flow.
  • Leg elevation to alleviate the swelling.
  • Wound care, debridement, antiseptics, and regular bandage changes.
  • Antibiotics and vasodilators to treat infections and enhance blood flow.
  • Hyperbaric oxygen therapy for increased oxygen and faster healing.
  • Interventions like sclerotherapy, endovascular ablation, and surgery to address underlying issues.
  • Skin grafts for larger wounds or nonresponsive ulcers.

Preventive Measures and Outlook:

Preventing leg ulcers involves lifestyle modifications and proactive measures, such as leg elevation, maintaining a healthy weight, managing circulation-affecting conditions, quitting smoking, using gentle cleansers and moisturizing lotion, and wearing compression stockings. Complications of leg ulcers include bone infections, cellulitis, sepsis, and skin cancers. Living with leg ulcers may lead to mobility challenges and require regular medical attention.

When to Seek Medical Care:

Consult your healthcare provider if leg sores are accompanied by fever, severe pain, or signs of infection. Essential questions to ask your provider include the cause of the ulcer, the recommended treatment plan, strategies for healing and preventing future ulcers, and potential signs of complications.

What is Varicose Vein?

Varicose Veins are abnormally enlarged veins that can occur anywhere in the body but are usually found in the legs. However, varicose veins are not a very serious medical condition, but they cause a lot of distress and emotional instability.

What are the symptoms of Varicose Veins?

Symptoms of Varicose Veins include:

  • Itchiness In The Leg And Ankle
  • Itchiness After Wearing Socks
  • Pain In The Leg
  • Large Bumpy Veins That Look Like Snakes
  • Veins That Ache
  • Redness Or Rash On The Skin
  • Color Changes In The Skin
  • Burning And Throbbing In The Leg

In some cases, varicose veins may cause complications like:

  • Inflammation Of The Veins Called Phlebitis
  • Bleeding
  • Clotting In the superficial vein

What are the causes of Varicose Veins?

Healthy veins flow blood to the heart, and in the case of varicose veins, the small valves inside the veins work, collecting and blocking the blood in the veins. This results in increased blood pressure, and veins become swollen and enlarged. However, researchers have not been able to determine the exact cause of varicose veins, but certain things may increase the probability of varicose veins. These include:

  • Pregnancy
  • Long Periods Of Standing
  • Obesity
  • Being Female
  • Being Older
  • Genetic Factors

Diagnosis of Varicose Veins:

Your doctor will examine you physically and look for bulging veins while you are standing. Your doctor may also do an ultrasound on your veins to determine the problems with blood flow and the structure of the veins. The doctor may also look for signs of serious conditions like blood clotting, damage to the veins, and ulcers.

Treatment for Varicose Veins:

In most cases, varicose veins do not need treatment. However, there are some steps that you can take to treat varicose veins. These include:

  • Elevating Your Legs Above Your Heart Three To Four Times A Day For About 15 Minutes May Help With Blood Flow And Reduce Swelling
  • Compression stockings Or Support hose, Are Large Elastic Socks That Gently Squeeze Your Veins. These Helps Stop Blood From Pooling And May Be Effective If You Wear Them Every Day
  • Scleropathy Is A Common Varicose Vein Treatment Where Your Doctor Injects Saline Or Another Substance Into Your Vein. Blood Will No Longer Flow Through The Vein And The Other Veins Will Make Up For It
  • Thermal Ablation Uses Lasers Or Radiofrequency Energy. A Small Fiber Is Inserted Into The Vein Through A Catheter And The Laser Or Radiofrequency Energy Delivers Heat That Destroys The Wall Of The Vein
  • Vein Stripping Is A Surgery To Remove Varicose Veins

Treatment of Varicose Veins with Endovenous Laser Ablation:

Endo venous Laser Ablation is a relatively new method for treating varicose veins without having to go for a surgery. In this process, the abnormal veins are heated by laser. The heat kills the walls of the veins, and the body then naturally absorbs the dead tissue, and the abnormal veins are destroyed. It can be carried out in a simple treatment room rather than an operating theatre.

What happens during the Endo Venous Laser Ablation Procedure?

Your healthcare provider will numb the area where the tube or catheter will be put into your vein. You will also be given a shot or injection of numbing medicine along the length of the vein that will be treated.  The surgeon will make a small cut or incision in your skin and insert the catheter. It will be guided into the varicose vein. A laser fibre will be put into the catheter. As your healthcare provider slowly pulls out the catheter, the laser will heat up the length of the vein. The vein will close and should eventually shrink.

The procedure usually takes less than an hour. The cut where the catheter was inserted will likely be small enough that you won’t need stitches.

After the Endo Venous Laser Ablation Process:

After the procedure, you will be encouraged to walk for about 30-60 minutes. However, there might be some bruising on your leg but the bruises will go away after 2-3 weeks.

At Saudi German Hospital, our department General Surgery is fully equipped with state-of-the-art technology followed by the latest foreign-quality treatment procedures. Our expert and highly qualified team of doctors are an asset to the Saudi German Hospital. They will assist you and help you in every way possible.

Why does Diabetic Foot Syndrome occur?

The term diabetic foot syndrome describes all changes associated with diabetes-induced changes in vascularization and sensibility.

What Forms of Diabetic Foot Syndrome are there?

Reduced vascularization and impaired sensibility of the foot lead to a progressive foot breakdown (WAGNER 1979)

What are the consequences of Diabetic Foot Syndrome?

The progressive foot breakdown leads to increasing functional impairment with a reduction in mobility and, thus, overall patient activities.

What are the consequences of diabetic foot syndrome?

The progressive foot breakdown leads to increasing functional impairment with a reduction of mobility and, thus, overall patient activities.

How can you treat diabetic foot syndrome?

Diagnosis and therapy of diabetic foot syndrome are carried out by a multidisciplinary treatment team, using a common language for diagnosis and documentation and a holistic management concept which is based on;

  • Avoidance/prevention of diabetic foot syndrome
  • Control
  • Treatment

Avoidance/prevention of decubitus

The best treatment for diabetic foot syndrome is to avoid it (prevention). The following principles have proven themselves:

  • Effective diabetic care with adequate blood glucose levels (HBE)
  • Skincare
  • Skin control (diabetes mirror)
  • Elimination or reduction of risk factors (good, soft shoes with inlays)

Control

Standardized control and standardized documentation are necessary to detect early changes.

Diabetic foot syndrome therapy

If there is a manifest diabetic food syndrome, it first means that the measures to avoid it (prevention) were not sufficient. Diabetic foot syndrome therapy is based on:

  • Systemic therapy (blood glucose level control)
  • Optional additional therapy (improvement of vascularization)
  • Local therapy (local ulcer care)

Why do Pressure Sores occur?

The development of a pressure sore has many reasons. There are a number of external (environmental) and intrinsic (patient) risk factors that favor the occurrence of decubitus ulcers:

  • Extrinsic risk factors such as pressure, friction, or moisture act from the outside and are of outstanding importance in prophylaxis.
  • Intrinsic risk factors, such as reduced spontaneous mobility, reduced protective sensitivity, skeletal deformities, or arterial occlusive diseases, are patient-related and usually have to be considered a given.

What Forms of Pressure Sores are there?

To classify a pressure sore defect, the following criteria should be specified;

  • Localization
  • Size / Volume
  • Depth extent (EPUAP classification)
  • Condition of the wound (classification according to Seiler)
  • Aetiology

What are the consequences of pressure sores?

Pressure sores present a significant challenge because they:

  • Occur at any age, from newborns to the elderly
  • Are constantly increasing in medical and economic importance
  • Affect the patient by:
  • Pain
  • Odor
  • Loss of fluid and protein through the wound
  • Functional impairment
  • Mental impairment
  • Affect people around the patient (physical and mental stress)

How can you treat decubitus?

Diagnosis and therapy of decubitus are carried out by a multidisciplinary treatment team with a common language for diagnosis and documentation and a so-called "integrative therapy concept", which is based on;

  • Avoidance/prevention of decubitus
  • Control
  • Treatment

Avoidance/prevention of decubitus

The best treatment for pressure ulcers is to avoid them (prevention). The following principles have proven themselves:

  • Pressure ulcer risk assessment using scores/scales
  • Skincare
  • Elimination or reduction of risk factors
  • Guidance on personal hygiene
  • Consistent therapy of contractures
  • Optimization of nutrition
  • Guidance on self-reliance

Control

The Decubitus Evaluation System (DES) has proven itself for standardized control and standardized documentation.

Decubitus therapy

If there is a manifest decubitus, it first means that the measures to avoid it (prevention) were not sufficient. Decubitus therapy is based on:

  • Systemic therapy
  • Optional additional therapy
  • Local therapy

What are Tumor Wounds?

"Tumor Wounds” refers to any wounds, that occur in the course of tumor treatment.

What types of Tumor Wounds are there?

  • Exulcerating Tumor wounds
  • Tissue defects after tumor resection
  • Management of complications caused by tumor treatment
  • Extravasation injury after Chemotherapy
  • Aktinic injury after Radiotherapy
  • Chronic lymphedema after Tumor surgery (Resection of Lymph nodes/Lymphadenectomy)

What are the consequences of a tumor wound?

Exulcerating tumor wounds may lead to severe impairment of the patient caused by:

  • Bleeding
  • Pain
  • Secretion
  • Bad Smell (odor)
  • Impairment of surrounding normal skin due to dressing

Adequate defect reconstruction after tumor resection determines:

  • Possibilities of postoperative adjuvant treatment
  • Quality of life

Early and adequate management of complications caused by the tumor treatment itself is mandatory for:

  • Possibilities of adjuvant treatments
  • Quality of life

How can you treat a tumor wound?

Whenever possible, a complete tumor (R0) resection must be carried out. Histological control of the margins and the bottom of the resected tumor (wound) is always necessary. The resulting defect must be covered as soon as possible.

If tumor wound resection is not possible for any reason, the following requirements for the wound dressing must be taken into consideration:

  • Mechanical protection of the wound
  • No adhesion of the dressing to the wound (fat gauze,...
  • Minimal discomfort/pain caused by dressing
  • Adequate wound secretion management
  • Adequate wound smell management
  • Minimal irritation of the surrounding skin

Not all wounds are the same: Chronic and problem wounds have different causes, such as infection, poor blood supply, pressure, tumor, etc. Especially in chronic wounds, it is always important not to see the wound as an isolated local problem (local wound healing), but also as a systemic problem (general condition of the patient)

A chronic wound is an injury that defies the expected healing process in terms of both stages and timeframes. If wounds persist for over three months, they are typically labeled chronic. These wounds often stall in the inflammatory stage, potentially leading to non-healing over an extended period.

Chronic wound patients commonly endure dominating pain, particularly those with chronic ulcers. Pain management becomes a significant challenge. Some wounds can heal easily with the body's natural processes, while others, due to severity or an individual's health condition, might resist healing. Any non-healing wound within a few weeks should be evaluated by a healthcare professional to rule out infection or underlying diseases.

Our professional wound care surgeons offer advanced wound consultation and replacement services with a focus on coordinated and efficient care for patients with multiple chronic co-morbid conditions. Initial appointments involve evaluations, exams, and diagnostic testing to identify the wound's origin and wound treatment options.

An individualized healing plan is created to achieve wound healing within 14 weeks. Skilled wound care specialists and nursing staff clean, treat, and dress wounds while providing home care instructions. Chronic wounds often lead to persistent pain and extended healing times.

Detailed wound care doctor/patient consultations are crucial for successful individualized wound treatment. Existing medical reports and examinations are helpful. The core group of specialists initially involved includes Dermatology, Vascular Surgery, or Plastic Surgery.