Why Is My Wound Not Healing Properly After an Accident? - Surgery

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The wound has not healed?


Hello Doctor, I sustained multiple abrasions from a car accident at the end of July.
During this time, I have been changing the dressings regularly and have used artificial skin, but the wounds have only developed a thin, transparent layer of skin, and the underlying tissue appears vascular.
Is this normal? If possible, I would like to send photos for your assessment.
Thank you, Doctor.

Lin Yan-hong, 10~19 year old female. Ask Date: 2021/09/24

Dr. Li Zhonghuai reply Surgery


Hello! Once the wound has healed and there is no more drainage of serous fluid, you can start applying scar gel daily.
Avoid sun exposure.
The appearance you described, resembling blood vessels under the skin, is scar tissue.
It will take some time to fade.
Take care! Changhua Hospital cares about you!

Reply Date: 2021/09/24

More Info


After an accident, it is not uncommon for wounds to heal at different rates, and there are several factors that can influence the healing process. In your case, experiencing a thin, transparent layer of skin over your wounds, with underlying vascular structures visible, may indicate a few potential issues that could be affecting your recovery.

Firstly, the healing process can be divided into several stages: hemostasis, inflammation, proliferation, and remodeling. After an injury, the body initiates these stages to repair the damaged tissue. The initial inflammatory phase can last for several days, during which the body works to prevent infection and begins the healing process. If your wounds are still in the inflammatory phase, it may explain why they appear to be healing slowly.

One common reason for delayed wound healing is inadequate blood supply to the area. If the blood flow is compromised, it can slow down the delivery of essential nutrients and oxygen needed for healing. This is particularly important in areas with less vascularity or in individuals with underlying health conditions, such as diabetes or vascular diseases, which can impair circulation.

Another factor to consider is the presence of infection. Even if the wound does not appear infected (e.g., no excessive redness, warmth, or pus), a low-grade infection can still impede healing. It is crucial to monitor for any signs of infection and consult a healthcare provider if you suspect this may be the case.

Additionally, the type of wound you have can also affect healing. For example, deeper wounds or those that involve significant tissue loss may take longer to heal than superficial abrasions. If you have been using artificial skin or dressings, it is essential to ensure that they are applied correctly and that the wound is kept clean and moist, as this can promote healing.

In your situation, the appearance of a thin, transparent layer of skin could indicate that the wound is in the process of healing but may not be progressing as expected. The visibility of underlying blood vessels could suggest that the new skin is still fragile and may need more time to mature. It is also possible that the wound is not receiving adequate support from the surrounding tissue, which can be influenced by factors such as movement, pressure, or tension on the area.

Given these considerations, it would be advisable to follow up with a healthcare professional, such as a dermatologist or a wound care specialist. They can assess the wound more thoroughly, possibly perform additional tests, and provide tailored recommendations for treatment. This may include adjusting your wound care regimen, considering advanced wound care options, or addressing any underlying health issues that may be contributing to the delayed healing.

In summary, while it is not unusual for wounds to heal at different rates, persistent issues with healing should be evaluated by a medical professional. They can help determine the underlying cause and recommend appropriate interventions to facilitate proper healing. Remember to keep the wound clean, avoid unnecessary trauma to the area, and seek medical advice if you notice any changes or worsening of your condition.

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