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Chronic wounds can be challenging to manage, especially in patients with underlying conditions such as diabetes. At Elrevo Clinic, we recently treated a 55-year-old female who was referred by a skin specialist for Reactive Perforating Collagenosis (RPC) and Cellulitis of the right leg. Through a combination of advanced plastic surgery techniques, the patient achieved complete healing without complications. This case highlights the importance of multidisciplinary care, modern wound management, and surgical expertise in treating complex skin conditions.

Understanding Reactive Perforating Collagenosis (RPC)

Reactive Perforating Collagenosis is a rare skin disorder where the body’s collagen is extruded through the epidermis, leading to chronic wounds, itching, and scarring. It is often associated with diabetes, kidney disease, and other metabolic disorders. Patients with RPC are prone to infections like cellulitis, which, if untreated, can progress to deep tissue damage.

Patient’s Condition and Referral

The patient, a diabetic female, developed severe cellulitis and ulceration of the right leg due to RPC. Despite initial treatments, the infection worsened, prompting her dermatologist to refer her to Elrevo Clinic for specialized plastic surgery management.

Step-by-Step Surgical Approach at Elrevo Clinic

Step 1: Hospital Admission and First Surgery

Upon admission, we assessed the wound and planned a two-stage surgical approach:

• The first procedure involved debridement to remove dead tissue and control infection.

• A VAC (Vacuum-Assisted Closure) therapy was applied to promote healing by improving blood circulation and reducing bacterial load.

• The surgery was performed under spinal anesthesia for patient comfort and safety.

Step 2: Second Surgery – Skin Grafting for Wound Closure

After seven days, the patient showed significant improvement, allowing us to proceed with the second surgery:

• A second-look debridement was performed to ensure a healthy wound bed.

• A split-thickness skin graft (STSG) was harvested from the patient’s same thigh using a dermatome.

• The graft was carefully applied to cover the wound and secured for optimal healing.

Recovery and Outcome

The post-operative period was smooth, with excellent graft acceptance. The patient followed a structured aftercare regimen, including:

• Blood sugar control to promote healing.

• Wound care instructions to prevent infection.

• Regular follow-ups to monitor progress.

Within a few weeks, the wound was fully healed without any complications, showcasing the effectiveness of plastic surgery in chronic wound management.

Innovative Laser Wound Care: A Global Perspective

At Elrevo Cosmetic and Plastic Surgery Clinic, India, innovative laser-assisted wound healing is revolutionizing chronic wound management. Advanced laser technologies enhance tissue regeneration, reduce inflammation, and accelerate recovery for patients with diabetic ulcers, burns, and skin conditions like RPC. Such groundbreaking treatments emphasize the global advancements in plastic surgery and wound care, inspiring specialists at Elrevo Clinic to integrate cutting-edge techniques for better patient outcomes.

Why Choose Elrevo Clinic for Plastic Surgery?

At Elrevo Clinic, led by Dr. Ram Chilgar, we specialize in plastic and reconstructive surgery for complex wounds. With a focus on patient-centered care, cutting-edge technology, and expertise in diabetic wound management, we ensure the best possible outcomes for our patients.

If you or a loved one is suffering from chronic wounds, skin infections, or surgical reconstruction needs, schedule a consultation with Elrevo Clinic today. Our expert team is here to provide personalized, compassionate, and advanced surgical care.

📍 Elrevo Clinic, Chhatrapati Sambhaji Nagar
📞 Contact us: 7447339444🌐 Book your appointment now!