📍 92 Mall Road, Kingsway Camp (GTB Nagar Metro Gate 3) • Advanced Wound Care & Minor OT Desk: +91 96259 00919
100 Stars Clinic
Advanced Wound Care • Minor OT Surgical Debridement • Limb Salvage

Diabetic Foot Ulcer, Slough Debridement & Bioactive Dressing Clinic

Specialized multidisciplinary care preventing amputations through precise surgical debridement by Dr. Sakshi Singhal (Surgeon) coupled with rigorous glycemic & infection optimization by Dr. Naryan Dass (Internal Medicine & Critical Care Lead).

Wound Bed Micro-Environment Active Granulation
Offloaded Biofilm & Slough Surgical Debridement Collagen + Ag Dressing Epithelial Edge Migration
Wagner 0–4 Ulcer Staged
10g S-W Test Nerve Sensation
Minor OT Slough Cleared
Clinical Staging Protocol

Wagner Diabetic Foot Ulcer Classification

Every wound is staged using precise anatomical criteria to direct surgical debridement, antibiotic triage, and advanced bioactive coverage.

Wagner Grade 0 Pre-Ulcerative
Intact Skin with High Risk

Thickened hyperkeratotic calluses, claw toes, prominent metatarsal heads, loss of 10g monofilament sensation, or bony deformity with no active breach in skin.

Action: Prophylactic callus shaving & custom silicone offloading insoles.
Wagner Grade 1 Superficial
Superficial Full-Thickness Ulcer

Ulceration confined entirely to the dermis and subcutaneous tissue without extending to deeper tendon sheath, joint capsule, or bone.

Action: Bioactive Collagen / Hydrocellular Foam Dressing + Offloading.
Wagner Grade 2 Deep Ulcer
Tendon, Ligament or Joint Exposure

Deep penetrating ulcer involving subcutaneous fat down to the deep fascia, tendon, or joint capsule. No visible abscess or bone infection yet.

Action: Minor OT Surgical Debridement + Silver Alginate Bio-Sponge.
Wagner Grade 3 Deep Infection
Osteomyelitis / Deep Abscess

Deep seated abscess, tenosynovitis, joint sepsis, or osteomyelitis (positive probe-to-bone sign with foul odor and necrotic purulence).

Action: Urgent Drainage, Slough Debridement, X-Ray & Daycare IV Antibiotics.
Wagner Grade 4 Partial Gangrene
Localized Gangrene (Toe / Forefoot)

Necrotic black dry or wet gangrene localized to one or more digits, metatarsal area, or forefoot accompanied by severe vascular ischemia.

Action: Urgent Surgical Triage, Arterial Doppler & Immediate Intervention.
Wagner Grade 5 Extensive
Extensive Gangrene of Whole Foot

Disseminated gangrene involving the entire foot requiring emergency hospitalization and specialized vascular limb salvage evaluation.

Action: Emergency ICU & Inpatient Hospitalization Transfer.
Evidence-Based TIME Framework

How 100 Stars Clinic Heals Chronic Foot Wounds

Combining modern minor OT surgical debridement with strict metabolic and vascular optimization.

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T - Tissue Management Surgical Slough Debridement

Performed by Dr. Sakshi Singhal in our sanitized minor procedure room. Gentle excision of non-viable yellow slough, biofilm, and callus rims under local ring block.

Converts chronic to acute bed
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I - Infection & Biofilm Targeted Antimicrobial Care

Deep tissue swab / bone culture testing. Eradication of Pseudomonas and MRSA with silver alginate matrices and culture-guided daycare oral/IV antibiotics.

Prevents bone osteomyelitis
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M - Moisture Balance Bioactive Collagen Dressings

Hydrocellular foams, collagen particle matrices, and hydrogels that maintain physiological humidity without macerating surrounding peri-wound skin.

Accelerates granulation
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E - Epithelial Edge & HbA1c Glycemic Optimization

Dr. Naryan Dass adjusts insulin regimens to achieve target fasting sugar <130 mg/dL and HbA1c <7.0%, restoring neutrophil phagocytosis and capillary perfusion.

Ensures permanent wound closure
Specialized Surgical Dispensary

Hudson Pharmacy 24x7 Advanced Dressing Stock

Standard pharmacies carry only basic cotton gauze and betadine. Hudson Pharmacy 24x7 inside our clinic maintains complete stock of modern wound biologics:

• Silver Alginate & Ionic Silver Dressings: Sustained antimicrobial release (Aquacel Ag, Kaltostat).
• Type-1 Bovine Collagen Sheets & Particles: Direct cellular scaffolding to bridge deep tissue deficits.
• Polyurethane Foam & Hydrocolloid Pads: Exudate absorption, edge protection, and cushion offloading.
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Need Specialized Wound Dressings?

Free doorstep delivery across GTB Nagar, Hudson Lane, Mukherjee Nagar, and Model Town.

Location: Inside 100 Stars Clinic (92 Mall Road)

Pharmacy Helpline: +91 96259 20919 (Call or WhatsApp)

Hours: Open 24 Hours • 365 Days

Order Wound Supplies on WhatsApp (24x7)
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Dr. Sakshi Singhal

Consultant Surgeon (Debridement & Minor OT)

Expertise in surgical slough debridement, sharp callus excision, abscess drainage, and bioactive dressing applications (OPD: Mon & Fri 5–7 PM).

Dr. Naryan Dass

Dr. Naryan Dass

Internal Medicine & Critical Care Lead

Focusing on intensive glycemic stabilization, targeted antimicrobial therapy for osteomyelitis, and cardiovascular risk prevention (Daily OPD).

Frequently Asked Questions

Is surgical wound debridement painful for diabetic patients?

Most patients with diabetic ulcers suffer from peripheral sensory neuropathy and experience minimal discomfort. However, for deep debridement near sensitive margins, Dr. Sakshi Singhal uses gentle local anesthetic blocks to ensure a completely painless procedure.

How often do advanced collagen and silver dressings need to be changed?

Unlike conventional wet gauze which requires daily or twice-daily changes, advanced bioactive dressings can remain undisturbed for 48 to 72 hours, maintaining a constant cellular healing environment and reducing clinic visits.

How can I protect my feet if I have diabetes and no active ulcers?

Undergo annual 10g monofilament neuropathy screening at our clinic, never walk barefoot (even indoors), inspect the soles of your feet daily with a mirror, moisturize dry heels (avoiding the spaces between toes), and wear customized seamless diabetic footwear.

🩺 Call Clinic 💊 24x7 Pharmacy