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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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Category: Sexually Transmitted Diseases(STD)Specialist
Dr. Deepu Sebin Sebastian is online now

Expert:  Dr. Deepu Sebin Sebastian replied 4 Days.

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 Sebin Sebastian
Category: Sexually Transmitted Diseases(STD)Specialist
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.
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