Division of Wound Care at Long Island Jewish Valley Stream
At the Wound Care, Limb Preservation and Hyperbaric Chamber Therapy Program at Long Island Jewish Valley Stream, we recognize that it's not enough to treat the wound — we treat the patient. The team looks into patients’ nutrition as well as the management of other diseases to ensure that patients are properly prepared for the optimal healing process. The modern treatments that are used at the Limb Preservation, Wound Care and Hyperbaric Chamber Therapy Program have resulted in a 75 to 85 percent healing rate.
The Limb Preservation, Wound Care and Hyperbaric Chamber Therapy Program is a state-of-the art center dedicated to the treatment of difficult-to-heal wounds. Our dedicated specialists include physicians certified in wound care and hyperbaric chamber therapy, registered nurses with extensive experience in this specialty, as well hyperbaric technicians certified in the use of hyperbaric chambers. Our team approach calls on the combined expertise of various specialties including general, vascular and plastic surgery, as well as infectious disease and other specialties that can have a positive impact on wound healing.
Our program provides state-of-the-art treatment for patients with hard-to-heal wounds, such as:
- Diabetic wounds
- Venous wounds
- Arterial wounds
- Lymphatic wounds
- Radiation wounds
- Pressure ulcers
- Failing skin grafts and flaps
- Sickle-cell wounds
- Traumatic injury wounds
Certain wounds may qualify for hyperbaric oxygen chamber therapy, such as:
- Non-healing diabetic foot ulcers
- Osteomyelitis—infections of the bone
- Acute vascular insufficiency—damage to the blood vessels caused by injury, blood clots or hardening of the arteries
- Necrotizing fasciitis—flesh-eating bacteria
- Radiation ulceration—resulting from radiation therapy
The treatment of wounds has come a long way from the old-fashioned gauze and antibiotic ointment approach. Our program uses the most modern treatments available, so that our patients will benefit from the tremendous scientific progress that has been made in the treatment of hard-to-heal wounds. These leading-edge treatments include:
Apligraf®—A bioengineered skin graft made in a laboratory from cells found in healthy human skin. Cells are taken and grown in the lab, then combined to make a piece of living, bioengineered skin, roughly 2½ x 2½ inches. Apligraf® has many advantages over the traditional skin graft. It's not a surgical procedure; instead, the Apligraf® is simply placed on the wound to stimulate the patient's healing process. It doesn't require the removal of another piece of the patient's skin for use in the graft. Unlike a traditional skin graft, which looks like a piece or "patch" of unchanged skin, the Apligraf® looks better when it heals and contracts to a fine scar.
Regranex®—A synthesized form of one of the 26 known growth factors found in human skin. Extracting Regranex® in its natural form from human skin is a complicated and expensive process. Fortunately, scientists recently discovered how to make it synthetically in the laboratory. Regranex® is now available in ointment form. The ointment is simply applied to the wound and begins stimulating the body's own growth and healing process.
Wound-VAC—A continuous suction device that is placed in the wound to remove excess fluids and promote healing. This battery-powered device uses a small plastic container, no bigger than a small pocketbook or fanny pack that can be worn comfortably around the waist. Wound-VAC has been very successful in the healing of all types of wounds.
Two hyperbaric chambers—Isolated and highly controlled oxygen-rich environments that deliver additional oxygen to the tissues of the body to expedite healing. The chambers compress oxygen bubbles so that even patients with poor circulation can absorb them more efficiently. This increased oxygen delivery furthers the body's ability to kill germs and increases healing, even in the most difficult-to-heal wounds.