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After undergoing surgery, most patients expect their incision to heal smoothly within a set timeframe. However, for some individuals, wounds may take longer than expected to heal—or may not heal properly at all. When a surgical wound remains open, drains excessively, or shows signs of infection, it could indicate underlying circulation issues, infection, or other medical conditions that require attention.

At Vascular Surgery Associates (VSA) in Los Angeles & Santa Monica, our vascular specialists and wound care experts help patients manage non-healing wounds, ensuring they receive advanced treatment for faster recovery and long-term healing success.

Why Do Some Surgical Wounds Fail to Heal?

Surgical wounds go through a structured healing process, but when something disrupts that process, healing can be delayed or even stalled entirely. Some of the most common reasons for non-healing surgical wounds include:

  • Poor circulation (arterial or venous insufficiency) Blood flow is essential for wound healing. Blocked arteries, vein disease, or conditions like diabetes can prevent proper oxygen and nutrient delivery to the wound site.
  • Infection If bacteria enter the wound, redness, swelling, drainage, and delayed healing can occur.
  • Diabetes & High Blood Sugar Levels Diabetic patients are more likely to experience slow wound healing, especially in the legs and feet.
  • Smoking & Tobacco Use Nicotine restricts blood flow and prevents oxygen from reaching the wound, delaying recovery.
  • Malnutrition & Dehydration The body needs proteins, vitamins, and hydration to generate new tissue. Deficiencies can lead to slower healing times.
  • Excessive Pressure or Friction on the Wound Too much movement or pressure on the wound site can prevent proper healing and cause further irritation.

If a surgical wound isn’t healing, early intervention is critical to prevent infection, tissue damage, or long-term complications.

Signs That Your Surgical Wound Isn’t Healing Properly

If you notice any of the following symptoms, it’s important to seek medical attention immediately:

  • Persistent redness, warmth, or swelling around the wound
  • Increased pain or tenderness instead of gradual improvement
  • Excessive drainage or pus with an unusual color or odor
  • Blackened or dead tissue (necrosis) around the incision site
  • Separation of the wound edges instead of gradual closure
  • Fever or chills indicating possible infection

Ignoring a non-healing wound can lead to serious complications, including chronic infections, deep tissue damage, or even limb loss in severe cases.

How Vascular Health Impacts Wound Healing

A well-functioning vascular system is crucial for delivering oxygen and nutrients to healing tissues. When a patient has vascular disease, diabetes, or venous insufficiency, circulation is compromised, leading to chronic wounds or ulcers that won’t close properly.

At Vascular Surgery Associates, we specialize in advanced treatments for circulation-related wound issues, ensuring that patients receive the best possible care to promote healing.

Advanced Treatments for Non-Healing Surgical Wounds

When a wound isn’t healing as expected, a vascular specialist or wound care expert may recommend:

  • Wound Debridement Removal of dead or infected tissue to promote new tissue growth.
  • Compression Therapy For patients with venous insufficiency, compression reduces swelling and improves blood flow.
  • Hyperbaric Oxygen Therapy (HBOT) Increases oxygen levels in the blood to stimulate faster wound healing.
  • Negative Pressure Wound Therapy (NPWT) Uses a vacuum dressing to reduce excess fluid and encourage tissue regeneration.
  • Skin Grafting & Bioengineered Skin Substitutes Advanced options for chronic, non-healing wounds requiring tissue replacement.
  • Minimally Invasive Vascular Procedures Treatments such as angioplasty, stenting, and bypass surgery can improve circulation and accelerate healing.

By addressing circulatory issues early, vascular specialists can prevent wounds from becoming chronic and significantly reduce the risk of complications.

Preventing Complications and Encouraging Proper Healing

While some factors affecting wound healing are beyond a patient’s control, there are steps you can take to support recovery:

  • Follow all post-surgical care instructions carefully
  • Keep the wound clean, dry, and properly dressed
  • Avoid smoking and excessive alcohol consumption
  • Monitor blood sugar levels if you have diabetes
  • Stay hydrated and eat a protein-rich, nutrient-dense diet
  • Limit movement or pressure on the wound site
  • Seek medical attention at the first sign of complications
  • Taking an active role in post-surgical care can make a significant difference in healing outcomes.

Expert Wound Healing & Vascular Care in Los Angeles & Santa Monica

If you are struggling with a non-healing surgical wound, don’t wait for complications to arise. At Vascular Surgery Associates in Los Angeles & Santa Monica, our top vascular specialists provide state-of-the-art treatments to improve circulation, support tissue regeneration, and accelerate healing.

Contact us today to schedule a consultation and learn more about your treatment options for non-healing wounds and vascular health.

Posted on behalf of Vascular Surgery Associates

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Dr Tulloch and his very competent and experienced team performed three relatively minor procedures to improve the circulation in my lower legs. ( I am 80.) After only six weeks, improvements were very noticeable, including reduced swelling, shrinking of three small venous ulcers, improved skin condition and easier walking / hiking.
Mitja Hinderks
Dr. Moridzadeh is absolutely an amazing doctor, and human being. So very nice, approachable, and an excellent listener. Very knowledgeable in all areas, in addition to his specialty. You are in good hands with Dr. Moridzadeh. He is the top of the line. First class doctor! So happy I was referred to him!
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Your Trusted Vascular & Vein Specialists in Los Angeles & Santa Monica, CA

Our expertise spans all areas of vascular surgery, from diagnosing complex conditions to performing advanced therapeutic procedures. Our physicians are not only leaders in the field but also dedicated mentors to the next generation of vascular surgeons. They actively contribute to the medical community through extensive research and publication in peer-reviewed journals.

Leaders in Minimally Invasive Vein Care Solutions

Our surgeons excel in minimally invasive techniques for treating abdominal aortic aneurysms, peripheral artery blockages, and venous diseases, ensuring quicker recoveries and less discomfort for our patients. This patient-focused approach is why individuals in need of vein and artery care choose us for their treatment.

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