Sunday, September 1, 2013

Preventing Scar Formation Post Snatch Theft Fall Scar

Deep macerated scar following a fall onto bitumen road. Sustained deep abrasion and ugly contaminated gash near the left corner of eye and cheek.



2 weeks after injury

This the image of the abrasion wound three week after debridement and wound toilet  to remove pebble and dirt under local anaesthetic infiltration. Severe post-inflammatory hyperpigmentation
is becoming apparent. Deep linear gash wound is apparent at the corner of her left eye just lateral to the malar mound.

2 months after treatment started

Two months after treatment. Most of the hyperpigmentation has receded but what is still left are
the gashes which has became more shallow and had re-epithelised leaving some underlying deep hyperpigmentation.




5 May 2013 :  2 months after starting treatment


Close -up of the hyperpigmented scars forming.


And after biweekly treatment for three months, the hyperpigmentation and scars have much subsided. Possibility of hypertrophied scars and keloids have been avoided.


1 September 2013:- close-up of wound 5 months after starting treatment

Treatment still continuing

Advances in Treating Diabetic Ulcers with Stem Cell Transplant



Please note the two diabetic foot ulcers in the same foot, the larger plantar aspect at the pressure point of the foot and a smaller one at the medial aspect caused by tight fitting footwear.

Before treatment with Stem Cell Transplant on 21 March 2013.


Size of plantar ulcer before treatment : Length 25mm x width 16mm
Size of medial foot ulcer before treatment:Length 12mm x width 10mm

After a single injection of peripheral blood stem cells when patient came for review 5 days later on the 25th of March 2013
Size of plantar ulcer has shrunk to width 11mm



Length has shrunk to 21mm and has became more shallow with healthy red granulation tissue growing at the floor of the ulcer. Please note the pinkish epithelial cells closing in at the edge of the ulcer with a marginal width of 1.5 to 2 mm.

The lateral ulcer has almost healed shrinking from 12mm x 10mm to a size of about 6mm x 6mm being noticeably more shallow with granulation tissue almost completely covering the base.