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Comprehensive Wound Center and Hyperbaric Medicine

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Comprehensive Wound Center & Louise Gartner Center for Hyperbaric Medicine

Baylor University Medical Center
3500 Gaston Ave.
Barnett Tower, Suite 210
Dallas, TX 75246
214.820.4400

Office Hours: Monday – Thursday, 8 a.m. to 4 p.m.
Friday, 8 a.m. to 2 p.m.
Bi-lingual staff available

Medical Director
Andrew Appelwhite, MD

Evaluating and treating chronic wounds using advanced technologies and traditional therapies

The Comprehensive Wound Center at Baylor University Medical Center, part of Baylor Scott & White Health, focuses on evaluating and treating chronic wounds using advanced wound care technologies and traditional medical and surgical therapies.

Physicians on the medical staff are all board-certified and provide inpatient and outpatient treatment. Our collaborative approach combines hyperbaric oxygen therapy, advanced technology and treatments to provide total care to patients with chronic wounds.

Baylor Dallas is nationally certified and accredited by the Undersea and Hyperbaric Medicine Society. This national designation—the gold standard in hyperbaric facilities—means the center meets the highest standards of care and patient safety, and the facility, equipment, staff and training are of the utmost quality.

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Conditions treated with hyperbaric therapy

  • Hyperbaric treatment of air or gas embolisms
  • Arterial insufficiencies
  • Carbon monoxide poisoning
  • Clostridial myonecrosis (gas gangrene)
  • Effects of hyperbaric oxygen on compromised grafts and flaps
  • The role of hyperbaric oxygen for acute traumatic ischemia
  • Decompression sickness
  • Delayed radiation injuries (soft tissue and bony necrosis) and potential for future research
  • Intracranial abscess
  • Necrotizing soft tissue infections
  • Refractory osteomyelitis
  • Severe anemia
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Oxygen therapy

Using concentrated oxygen to begin or speed the healing process


Oxygen therapy is based on the fact that all human cells, tissues, and organs need oxygen to function, and a number of health problems can occur when there is a lack of oxygen. Along those lines, when patient therapy uses concentrated oxygen, the goal is to enable cells to utilize the oxygen to begin or speed the healing process.

 

Some more frequent uses are as follows:

Diabetes and diabetic neuropathy

Over time, high blood sugar causes blood vessels to narrow and harden, reducing blood flow essential to the healing process. The combination of poor blood flow and diabetic neuropathy complicates wound recovery.

Limb salvage and crush injuries

Prevent the loss of the limb and preserve function when an arm or leg is severely injured or crushed.

Soft tissue damage and skin grafts

Survival of the skin graft depends on adequate oxygen and blood flow in both the wound and the transplanted skin. Obstacles to healing may occur when underlying chronic conditions that impact good circulation are present.

Delayed radiation injury

In some instances, radiation-related injuries can occur months or even years after the treatment has concluded. Delayed radiation injury most commonly occurs when radiation is used to treat cancers of the head, neck, breast, chest and pelvis (gynecological cancers). It is characterized by the destruction of blood vessels and the replacement of healthy tissue cells with thick, fibrous tissue.​

Conditions treated with wound care

  • Arterial wounds (caused by narrowed arteries that decrease blood flow to the wound)
  •  Venous wounds (caused by abnormal veins leading to inflammation and swelling)
  • Diabetic lower extremity wounds (caused by decreased sensation leading to repeated injury)
  • Diabetic ulcers
  • Non or non-healing surgical wounds
  • Traumatic wounds (related to injuries)
  • Pressure wounds (caused by unrelieved pressure over bony prominences)
  • Minor burns
  • Atypical wounds (like vasculitis, pyoderma gangrenosum, and Warfarin necrosis)
  • Radiation wounds
  • Abdominal stomas
  • Non-healing wounds on any body part
  • Antimicrobial wound dressings
  • Diabetes counseling
  • Transcutaneous oxygen monitoring
  • Total contact casting for some diabetic foot ulcers
  • Negative pressure wound therapy (Wound VAC)
  • Wound care and debridement
  • Application of skin substitutes
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Hyperbaric oxygen therapy

Specialists at Baylor Louise Gartner Center for Hyperbaric Medicine use oxygen therapy to treat hard-to-heal wounds associated with diabetes and diabetic neuropathy, soft-tissue damage from skin grafts, cancer radiation therapy and to help salvage limbs.

During hyperbaric oxygen therapy, patients breathe 100% pure oxygen at increased atmospheric pressures, which increases the oxygen levels in body tissue to aid in healing and fighting infection.

The Comprehensive Wound Center program at Baylor Dallas has both monoplace (single) and multiplace chambers.

Specialized services

We provide many treatment options and services at the Comprehensive Wound Center. The management of wound care includes:

  • Hyperbaric oxygen therapy
  • Negative pressure therapy (wound VAC)
  • Advanced cellular tissue products
  • Total contact casting
  • Compression wraps

Hyperbaric oxygen therapy

Hyperbaric treatment is provided to patients in our center using chambers that provide 100% oxygen at increased atmospheric pressures to promote healing.

Negative pressure therapy (wound VAC)

Wound VAC is a non-invasive therapy that uses controlled localized negative pressure to stimulate the growth of healthy granulation tissue. Removing wound fluid to manage the bacterial bioburden and support a moist wound environment can help enhance cell migration and epithelialization.

Advanced cellular tissue products

Total contact casting

Compression wraps

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