Wound treatment that cures quickly and cleanly without pain

TEL:052-953-9676Reception: 10: 00 to 19: 00 Regular holiday: Wednesday

Please contact us for treatment of scars such as injury and surgery.

Concerning wound treatment Opinion, criticism and latest information

Regarding wound treatment There are pros and cons and many opinions in the academic field.

http://www.woundhealing-center.jp/

This site does not deal with wound care that requires hospitalization or management of people with underlying illnesses, but mainly considers wounds that can be cared for by themselves in general daily life, school life, and sports. We are.

We believe that this is the correct view as a first aid before a doctor sees you.

http://www.woundhealing-center.jp/faq/kizu_q5.html

On the above site, the academic and easy-to-understand contents are introduced in Q & A.

In order to avoid the misunderstanding that this is true for all medical settings, we will add new comments, criticisms and the latest information.

Japan Wound Healing Societyhttp://www.jswh.com/index.htmlWas established.

However, it is also true that the idea of ​​disinfection, gauze, etc. still exists in any medical site.

More specifically, I would like to discuss and provide information on what kind of wounds really need disinfection, whether gauze can be applied, or rather.

When disinfection is necessary, it seems that there are many special cases in medicine.

Is there any consideration for general trauma?

In addition to my thoughts and clinical experience, I would like to convey various information about wound treatment so that the site does not communicate unilaterally and alone.

We recommend that you carefully read the judgments regarding the wound treatment of the referral HP linked within the site with reference to this site.

For your reference, here are the opinions we have received so far.


■ Disinfection and gauze are commonplace at first aid treatment sites. Wouldn't it be better to disinfect wounds and gauze just at the beginning?

■ Depending on the type of disinfection, may it be possible to disinfect wounds?

■ It is not natural to use clean gauze as a first aid because clean gauze is not used.

■ Wouldn't it be necessary to disinfect wounds with contaminated wounds or foreign objects if they cannot be removed by cleaning?

■ Actually, is the possibility of infection higher when not sterilized, or is the possibility of infection higher when sterilized?

■ Is wound healing delayed? As a result, isn't it better to disinfect the wound?

■ Isn't it safe to disinfect 1 times to reassure parents?

■ Beauty surgeons are not allowed to put out their mouths for wound care.

■ Actually, I often see patients who have undergone “disqualified cosmetic surgeons” in other hospitals. In such an example, it is certainly necessary to have a professional response that should be called “wound care”, but at least it is not a “cosmetic surgery” job.

In a sense, disinfection is both harmful and beneficial.

■ In a sense, gauze is both harmful and beneficial.

■ Don't say there is no consensus at the conference!

■ Use the trauma care methodology as evidence. Do not use it for postoperative wound care in cosmetic surgery.

■ If you sew it properly, you can disinfect it.

■ Even if you trouble a little, it will solve your time without having to mess with complicated protocols.

■ Examples of direct application of gauze include extensive burns in the subacute phase. Since a large amount of exudate comes out from a wide area, it will flow no matter how much chemical is applied, and it will not stick even if gauze is applied directly.
Expensive wound dressing is rather unable to absorb the exudate and needs to be replaced in a few hours. For this reason, it is important to apply burn gauze directly and seal it with drape to reduce exudate. Large amounts of exudate caused hypoproteinemia and low-capacity shock and are fatal. Of course, if exudate is reduced, another drug or material will be placed under the gauze.
A large amount of necrotic tissue remains attached, but since the necrotic area is not fixed, early debridement is performed (although some universities recommend early debridement), a large amount of soft tissue is removed. In order to lose and significantly lower the patient's quality of life, it is necessary to look for a certain period of time, during which the risk of infection increases.
Large amounts of exudate and necrotic tissue can be a source of pathogens, so direct disinfection of the wound is essential to reduce the absolute amount.

■ The use of antiseptics for intractable intractable ulcers is controversial, but if the protracted healing factor is clearly infection, the use of antiseptics is still essential.

■ It is important to seek the optimal treatment for each case while always discussing it in the field.
Even if the evidence is obscured by unclear principles, it is the patient who is in trouble.

■ It often takes time to re-educate the comedy, which is an expanded interpretation of what XX teacher says.

■ Professor of Plastic Surgery at Sakai University has sounded a warning against the recent “disinfection harmful theory”.


Although there are various opinions, I would like to say from the clinician's standpoint that direct disinfection of scratches and cuts is harmful.

Personally, I think it is better to control the infection with antibiotics than to repeat disinfection frequently and cause pain in the patient.

Of course, after removing foreign material from the wound surface and debridement.

Abuse of antibiotics! You may be asked, but which one you want to receive ... Again, avoid disinfection.

Gauze is also a problem if it destroys a moist environment, but it seems to be possible to use it to cover patients with peace of mind because of exudate control (although rare in outpatients).

However, there are few opportunities for gauze with recent superior wound dressings.

<Other comments received>

<The wounds introduced on this website mainly mean skin trauma

Please contact us for treatment of scars such as injury and surgery.

Doctor Introduction

Doctor of Medicine Nobuhiro Suetake

Nobuhiro Suetake

Part-time lecturer at Juntendo University School of Medicine

Sakae ClinicDirector
Vice President of Advanced Medical Sports Academy
Certified specialist of the Japan Cosmetic Surgery Society
Top Athlete Co., Ltd.CEO

Protect children and athletes from wrong medicine! In our hospital, we are striving to spread new wound care as a volunteer.

<Biography>
I have lived with 2 people with my dead mother who suffered from severely disabled people. I would like to continue activities that provide healing for people with disabilities, children who suffer from disabilities, and those who suffer from illness as long as their lives last. What you can do as a volunteer with a little effort. I want to start little by little.
● Showa 62 year 3 month Graduated from National Gifu University School of Medicine
I try to improve the physical ability of professional athletes including Japan's Olympic athletes and main baseball players.
As a professional boxing trainer (Certified by JBC), he teaches and ranks the world rankers and develops world champions. President of the 88 Japan Cosmetic Surgery Society
● Specialist certified by the Japanese Society of Cosmetic Surgery 219
Former board member of the Japan Society of Cosmetic Surgery
Players belonging to 2004 years Participated in Athens Olympics Sakae Clinic Track Club (Track and Field Club)general manager
● Professional boxing trainer (JBC certified No.31532)
Professional baseball player Medical trainer
Various professional fighters exclusive trainers

ACCESS

Sakae Clinic
TEL:052-953-9676

Nishiki, Naka-ku, Nagoya, Aichi Prefecture 3-5-21
Nishiki HOTEI Building 2nd Floor
Reception: 10: 00 to 19: 00
Closed: Wednesday

The number of emails and telephone calls related to wound treatment has increased rapidly, and it has become impossible to respond. We will refrain from answering questions in situations where we cannot see you because it may cause misunderstandings.
Please be aware that we cannot respond to inquiries directly by e-mail or telephone regarding wound treatment.

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