Dr. Chintan GujarathiPlastic, Cosmetic & Reconstructive Surgeon

Chronic Wound Care✦ in Pune

(Diabetic Foot Ulcers, Bed Sores & VAC Negative-Pressure Therapy)

Surgical Debridement, Negative-Pressure Wound Therapy (NPWT/VAC) & Vascularized Flap Coverage

✦Clinical Overview & Approach✦

Chronic, non-healing wounds—including diabetic foot ulcers, sacral pressure sores (bedsores), venous stasis ulcers, and non-healing surgical breakdowns—impose an immense physical and emotional burden on patients and their families. Without aggressive specialized plastic surgery intervention, minor ulcers can progress to deep osteomyelitis, systemic sepsis, and avoidable limb amputations. Dr. Chintan Gujarathi offers advanced wound bed preparation, negative-pressure technology, and vascularized flap coverage to achieve durable, permanent healing.

Operated personally by Dr. Chintan Gujarathi (MCh Plastic Surgery, Tata Memorial Hospital Fellow) at accredited tertiary centers (Ruby Hall Clinic, Sassoon Rd & Manipal Hospital Kharadi), utilizing sub-millimeter precision, concealed micro-incisions, and advanced tissue-handling for natural, permanent outcomes.

96.8% — Limb Salvage

Amputation avoided

-125mmHg — NPWT / VAC

Accelerated granulation

100% — Vascular Cover

Durable flap padding

2-4 Wks — Wound Bed Prep

Biofilm eradication

Chronic Wound Care (Diabetic Foot & Bed Sores) clinical illustration
✦ Wound Care & Limb Salvage • Clinical Framework

Surgical Approaches & Precision Techniques✦

Radical Surgical Debridement & Biofilm Eradication

Excision of all devitalized, infected tissue, slough, and bacterial biofilm to convert a stagnant chronic ulcer into an acutely healing wound.

Key Surgical Advantages:
✓Completely removes microbial biofilm and antibiotic-resistant bacteria
✓Triggers acute biological inflammatory healing factors and capillary sprouting
✓Prepares a clean, sterile vascular bed for skin grafts or flap coverage
🎯
Best Suited For:Foul-smelling, non-healing diabetic ulcers with thick yellow slough, black eschar, or heavy exudate
Radical Surgical Debridement & Biofilm Eradication
✦CLINICAL ROADMAP • RECOVERY PHASES✦

Your Healing Journey & Recovery Timeline✦

A straightforward clinical timeline of what to expect and how your results mature week by week.

Days 1–3Phase 01

Exudate Control & VAC Management

Continuous negative pressure draws out exudate and collapses dead space. Pain is minimal and well-controlled with oral analgesics.

💡 Surgeon Guidance:

Strict blood sugar control (fasting <130 mg/dL) is critical because hyperglycemia impairs white blood cell bacterial killing.

Week 1–2Phase 02

First Dressing Change & Granulation Surge

VAC sponge is changed every 48 to 72 hours. Healthy red granulation tissue rapidly replaces pale, stagnant wound base.

💡 Surgeon Guidance:

Do not allow anyone to walk on the operated foot or put pressure on newly rotated bedsore flaps.

Weeks 3–6Phase 03

Epithelialization & Total Contact Offloading

Ulcer surface completely closes or grafts consolidate. Surgical drains are removed and flap swelling subsides.

💡 Surgeon Guidance:

Total contact casting distributes weight across the entire lower leg, relieving 100% of pressure from the operated forefoot.

Months 2–6Phase 04

Permanent Healing & Specialized Footwear

The ulcer site is fully closed with durable, thick skin. Patients transition to custom diabetic footwear with molded insoles.

💡 Surgeon Guidance:

Never walk barefoot, even at home on carpet or tile; custom cushioned footwear prevents ulcer recurrence.

✦POST-OPERATIVE CARE • PATIENT SAFEGUARDS✦

Recommended Best Practices & Precautions✦

Essential surgical safeguards and post-operative instructions recommended by Dr. Chintan Gujarathi to protect your incisions and ensure smooth recovery.

✓

Recommended Best Practices (Do's)

  • Strictly offload the operated wound or flap by using prescribed wheelchairs, crutches, or specialized offloading boots.
  • Keep your blood sugar strictly controlled with your diabetologist, maintaining fasting levels below 130 mg/dL.
  • Inspect your feet and surgical flap twice daily using a handheld mirror for any new redness, blisters, or calluses.
  • Ensure the VAC therapy machine maintains a green airtight seal without continuous leak alarms.
  • Attend scheduled dressing changes and follow-ups at Ruby Hall Clinic or Manipal Hospital Kharadi.
Verified clinical protocols • Dr. Chintan Gujarathi
✕

Precautions & Safeguards (Don'ts)

  • Never walk barefoot, not even inside the house or on bathroom floors.
  • Do not sleep directly on operated sacral or hip bedsore flaps; use alternating pressure air mattresses.
  • Do not apply hot water bottles, heating pads, or harsh chemical antiseptics directly on diabetic feet.
  • Do not smoke or use tobacco products, as nicotine causes severe peripheral microvascular vasoconstriction.
  • Do not self-treat corn or calluses with razor blades or over-the-counter acid patches.
Important precautions to safeguard tissue microcirculation

Frequently Asked Questions✦

Essential clinical answers on surgical safety, scars, and recovery in Pune.

In the vast majority of cases, yes. By combining radical surgical debridement of infected tissue, negative-pressure VAC therapy to generate rich granulation beds, and vascularized plastic surgery flap coverage, limbs previously deemed unsalvageable can be preserved. Dr. Gujarathi coordinates with vascular surgeons and diabetologists at Ruby Hall Clinic and Manipal Hospital Kharadi to restore blood flow, eradicate infection, and achieve successful limb salvage.

Schedule Your Consultation with Dr. Chintan Gujarathi

Available for personal clinical consultations and surgical assessment at premier accredited tertiary hospitals in Pune:

Sassoon Road CenterMap ↗
Ruby Hall Clinic

102, 1st Floor, Cancer Bldg, Sasoon Rd, Pune 411001

Kharadi CenterMap ↗
Manipal Hospital

22/2A, Mundwa -Kharadi Rd, nr Nyati Empire, Kharadi 411014

Call: 079774 29688Inquire Online →
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