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Scraped wound on thigh with dressing cotton sticking

Resolved Question:

I have a wound on my left thigh. This was caused by a scraping of the skin when i had a fall from my two-wheeler. Met the doc and she did the dressing yesterday and asked me to remove it the next day. But now when i try to remove it the cotton seems to have stuck to the skin. And removing it is peeling the skin too. What should i do? Shall i remove the cotton or shall i leave it to get dried and fall on its own

Category: Family Physician-GP

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Hello,

Thank you for your query at DoctorSpring .

I understand that you have sustained a wound over the left thigh and you have problem while removing the dressing . That should not be much of a problem . As your doctor has advised you , it is best to remove the dressing than wait for it to fall off as there is a high chance of increasing wound infection .

Wound healing occurs in 3 stages namely :

a)Inflammatory phase - following an injury , the blood vessels at the site of the wound contract and result in clot formation . Once the clot is formed , the blood vessels dilate and white blood cells fight against the microbes . Here signs of inflammation like redness , swelling , warmth are seen .

b) Proliferation phase - This phase deals with rebuilding of new granulation tissue with collagen and blood vessels known as Angiogenesis .

c) Maturation phase - is the last phase where the wound gets closed .
However wound healing may be delayed due to certain factors like infection , dead skin , hemorrhage . In regard to your question , it would be best to remove the cotton gently using normal saline solution or moisten the cotton with water . It is much easier to remove it through this method . You could also trickle water while removing the cotton . It is not a problem if a little skin comes along while removing it . once it is removed , you can use a topical application like Betadine cream twice a day for 5 days over the wound .

Hope this helps .
Thank you .


Dr. Deepu S Sebastian
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Experience: 
MD, Internal Medicine - Stanley Medical School
Medical School - MBBS - Govt. Medical College, Kottyaam

Diagnostic Prediction - Stanford School of Medicine
Received Specialty training in Critical Care, Cardiology, Neurology, Gastroenterology, Nephrology from Stanley Medical College and in Endocrinology, Rheumatology.

Hematology and Geriatrics from Madras Medical College.
Dr. Deepu S Sebastian and 4 other Medical Specialists are ready to help you

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