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Wound Clinic

The Wound Clinic at FMC is a full service wound care provider. It is located in the Pavilion on the campus of Fairfield Medical Center in Lancaster. We believe any patient with a wound can benefit from our services. Treatment is available for acute skin tears, diabetic foot ulcers, chronic venous insufficiency with or without an ulcer, hiaradenitis, lymphedema, first and second degree burns, infections with MRSA, arterial insufficiency wounds or any general skin condition associated with a wound. Patients in a wound clinic often have other serious comorbid conditions, the most common being diabetes, obesity and cardiovascular/ peripheral vascular disease. The clinic can help manage patients with simple wounds, as well as those who are medically complex.

We provide a team based approach to coordinate a spectrum of care. The goal is to heal wounds but in instances where full healing is not possible, we also can provide insight and guidance in proper wound care. Care includes a basic wound assessment, nutrition counseling, activity guidance and a structured and comprehensive evaluation for other contributing factors. In addition to physicians and nurse practitioners, the Wound Clinic also provides patients with access to nurses to assist in care, physical therapists to provide exercises to treat conditions such as lymphedma, measure for proper compression stocking fittings and off-loading wounds to promote healing. Laboratory, microbiologic, pathologic and other diagnostic testing help to determine the cause(s) of the wound to lead to a better selection of treatment. Patients benefit from visits by obtaining detailed information, assistance in ordering dressings and when needed, continuity of care with extended care facilities or visiting nurses. We also collaborate with a wide variety of other specialties such as vascular surgery, dermatology and orthopedics, as well as with the referring provider to coordinate the patient’s care. Recently, we have been involved in a national research protocol using grafts to heal diabetic foot wounds and hope to be able to do more of this work in the future.

The care of a wound has come a long way from basic wet to dry dressings. The variety of therapies is amazing: gels, silver alginates, foams, hydrocolloids and enzymatic debriders to name a few. We have protocols to treat a variety of wounds and to fine tune the treatment plan to each patient. The clinic has the latest dressings as well as the ability to do wound grafting, negative pressure wound care, total contact casting, debridements and biopsies. Patients can be followed for all their wound care in the clinic, trained to do it themselves or in partnership with other healthcare providers. Outpatient wound clinics are fully reimbursed for this care, unlike a physician’s office where only the cost of the dressing is reimbursed in the regular evaluation and management payments.

FMC Wound Clinic Provides Innovative Treatment Options

With referral to the Wound Clinic at FMC, you can be assured of the most cutting edge care available for your wound patients with tried and true therapies like the wound-vac, as well as the latest evidence-based topicals, dressings, procedures and grafting. Liaisons with on-site and local vascular specialists, infectious disease clinic, surgeons and podiatrists help make the Wound Clinic a comprehensive care source.

Electing to be a test site for some newly developed synthetic and biologic grafts is one of our major assets. Participation in treatment studies helps the center stay in touch with the newest innovations to promote wound healing and visualize first hand treatments to add to our repertoire. Eligible patients who elect participation do so with little to no cost of the enhanced treatment during the study, which is an added patient benefit.

One of the most innovative grafting procedures we are doing at the clinic is Cellutome. This particular grafting procedure is unique in that the Cellutome machine harvests for use the patient’s own healthy epidermal tissue. This is done in the outpatient office with no anesthesia needed. The Cellutome grafting procedure can be used on all chronic wound types that have failed traditional evidence based protocols and is covered by most insurances with no preauthorization required.

The Cellutome procedure harvests the epidermal tissue from usually an upper thigh region, but unlike traditional full thickness grafts, it leaves no donor site wound. The donor site result is a small area of sun-burn appearance skin that heals with no apparent scarring. The “buds” which are removed with a transparent dressing from the harvest site are placed in the prepared wound bed immediately. There has been no evidence of adverse side effects since the machine has been utilized over the past year. Success rate with one application has been phenomenal – even with some of our most persistent wounds.

Outpatient Wound Clinic 135 North Ewing Street, Suite 302
Lancaster, Ohio 43130
Open Monday through Friday by appointment