Wound Care Center

Koru Hospital Wound Care Center is a specialized center providing services with a multidisciplinary approach, dedicated to the treatment of chronic and complex wounds. The scope of our center includes the evaluation and treatment of all non-healing chronic wounds, including diabetic foot ulcers, pressure ulcers (decubitus ulcers), venous and arterial ulcers, surgical wound complications, traumatic wounds, and burn sequelae.

What is a Chronic Wound?

Wounds that do not show signs of healing within 4-6 weeks despite standard care methods are defined as chronic wounds. Chronic wounds are a significant health problem that severely affects patients' quality of life, causes loss of labor, and, if left untreated, can progress to infection, sepsis, and even amputation.

Primary risk factors involved in the formation of chronic wounds:

Diabetes mellitus — impaired healing due to peripheral neuropathy and vasculopathy
Peripheral artery disease (PAD) — reduced tissue perfusion
Chronic venous insufficiency — venous stasis ulcers
Immobilization — pressure ulcers in bedridden patients
Immunosuppression — medications or diseases that suppress the immune system
Radiotherapy — radiation necrosis and delayed wound healing
Malnutrition — deficiency of protein, zinc, and vitamin C

Diabetic Foot Treatment

Diabetic foot is the most common cause of lower extremity amputations in Turkey. At Koru Hospital Wound Care Center, a comprehensive evaluation and treatment protocol is applied to diabetic foot patients:

Neuropathic evaluation — monofilament test, vibration sense, foot pressure mapping
Vascular evaluation — ankle-brachial index (ABI), Doppler ultrasonography, and CT angiography when necessary
Wound staging using Wagner and Texas classification systems
Debridement — removal of necrotic and infected tissues (mechanical, autolytic, enzymatic, or surgical debridement)
Offloading — application of special orthopedic shoes, total contact casting (TCC), or walking boots to reduce pressure on the wound area
Antibiotic therapy — targeted antimicrobial treatment based on wound culture and sensitivity tests
Vascular intervention — collaboration with vascular surgery for angioplasty or bypass surgery in cases of critical limb ischemia

Pressure Ulcers (Decubitus Ulcers)

Pressure ulcers, which develop in patients who remain immobile for long periods, are in intensive care, or are paraplegic/tetraplegic, are frequently seen in the sacrum, heel, trochanter, and ischial tuberosity regions. In our center, the treatment of pressure ulcers is planned according to the NPUAP/EPUAP staging system:

Stage I-II: Pressure-redistributing mattresses and positioning, moist wound care products, nutritional support
Stage III-IV: Surgical debridement, negative pressure wound therapy (VAC), planning for graft or flap surgery
Prevention program: Risk assessment (Braden scale), pressure-redistributing mattresses and seating surfaces, repositioning every 2 hours, skin care, and nutritional optimization

Venous and Arterial Ulcers

Venous ulcers usually appear on the inner aspect of the lower leg and around the ankle due to chronic venous insufficiency. Treatment involves compression therapy (multi-layer bandages, compression stockings), correction of the underlying venous disease, and the use of appropriate wound dressings.

Arterial ulcers occur due to insufficient blood flow caused by peripheral artery disease. The cornerstone of treatment is revascularization (restoring blood flow), and we work in coordination with our vascular surgery team.

Advanced Wound Treatment Technologies

Beyond conventional wound care, advanced treatment modalities are applied at Koru Hospital Wound Care Center:

Negative pressure wound therapy (VAC/NPWT) — reducing edema, accelerating granulation tissue formation, and wound shrinkage by applying controlled negative pressure
Hyperbaric oxygen therapy (HBOT) coordination — increasing tissue oxygenation in resistant cases
Advanced wound dressings — alginate, hydrofiber, foam, hydrogel, silver-containing antimicrobial dressings, collagen matrices
Biological debridement — selective necrotic tissue removal via larval therapy
Platelet-rich plasma (PRP) — supporting healing with autologous growth factors
Skin grafts and flap surgery — collaboration with plastic surgery for the repair of large tissue defects

Multidisciplinary Approach

Successful treatment of chronic wounds cannot be limited to local wound care alone. In our center, the goal for every patient is to bring underlying diseases under control:

Endocrinology — diabetes regulation, achieving HbA1c targets
Vascular surgery — correction of arterial and venous insufficiency
Orthopedics — management of Charcot foot and bone infection (osteomyelitis)
Plastic surgery — tissue reconstruction, graft, and flap applications
Infectious diseases — long-term antibiotic management in wounds infected with resistant pathogens
Dietetics — nutritional program supporting wound healing, protein and micronutrient supplementation
Physical therapy — mobilization, exercise, and edema management

Patient Evaluation and Treatment Process

Every patient who applies to our center undergoes a comprehensive evaluation during the first visit. The size, depth, condition of the wound bed, health of the surrounding tissue, presence of infection, and vascular status are systematically recorded. Healing during the treatment process is objectively monitored through digital wound photography and measurement.

The treatment plan is individualized by considering the patient's general health status, underlying diseases, and the etiology and stage of the wound. The decision for outpatient or inpatient treatment is made based on the severity of the wound and the patient's clinical condition.

Why Koru Hospital Wound Care Center?

Experienced staff consisting of wound care nurses and specialist physicians
Evidence-based protocols in the treatment of diabetic foot, pressure ulcers, and vascular ulcers
Advanced wound treatment technologies — VAC, PRP, biological debridement, antimicrobial dressings
Multidisciplinary integration with vascular surgery, endocrinology, plastic surgery, and infectious diseases
Objective healing monitoring with a digital wound tracking system
Limb salvage-focused treatment philosophy aimed at reducing amputation rates

At Koru Hospital Wound Care Center, with our expert staff, we aim to improve our patients' quality of life and prevent tissue loss by applying advanced treatment methods for non-healing chronic wounds. You can apply to our center for your chronic wound concerns.