Wound Care

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To make an appointment, please call a doctor below, or visit our outpatient wound centers.

While most wounds heal uneventfully by normal bodily processes, some do not. A problematic wound is typically one that has not healed within 4 weeks.

When wounds fail to heal, the underlying reasons must be identified. These reasons are varied and may include conditions such as infection, uncontrolled diabetes, peripheral arterial disease (PAD), swelling and repeated trauma.

Whatever the cause, non-healing wounds lead to pain, disability, prolonged hospitalizations and impaired quality of life.

Physicians & Providers

William J Lagaly, MD
William J Lagaly, MD
Undersea & Hyperbaric Medicine, Wound Care
Currently accepting new patients
Lee C Ruotsi, MD
Lee C Ruotsi, MD
Undersea & Hyperbaric Medicine, Wound Care
Currently accepting new patients
Judy A Wesolowski, MD
Judy A Wesolowski, MD
Wound Care
Currently accepting new patients

What We Treat

  • Ulcers, wounds or sores that will not heal or keep returning; these include diabetic foot and lower extremity ulcers, venous insufficiency ulcers, arterial insufficiency ulcers and pressure ulcers (bedsores)
  • Skin grafts and/or flaps that have failed or are in the process of failing
  • Surgical wounds that have reopened or in any way have failed to heal
  • Edema (swelling) and lymphedema
  • Delayed soft tissue radiation injury (i.e. radiation injuries to bowel and bladder)
  • Mandibular Osteoradionecrosis (delayed radiation injury to jaw)
  • Chronic Osteomyelitis (bone infection that has failed to respond to standard treatment)

How We Treat Wounds

Treatment may include:

  • Individualized dressing management
  • Debridement – removal of debris and/or dead tissue from wound
  • Bioengineered skin and tissue replacement
  • Compression wrapping (for ulcers associated with swollen legs)
  • Electrical stimulation (E-Stim) – a treatment in which a very low electrical voltage is applied to the wound in order to stimulate cellular healing elements
  • Hyperbaric Oxygen therapy – a treatment in which the patient breathes 100% oxygen while inside a treatment (Hyperbaric) chamber at a pressure that is roughly twice atmospheric pressure. This enriched oxygen environment promotes the development of new blood vessels (angiogenesis) and promotes the growth of new tissue and skin within certain wounds.
  • Transcutaneous oxygen testing to determine blood/oxygen supply to wound area

Wounds from Diabetes Complications

Diabetic patients are at increased risk for acquiring foot ulcers that can become non-healing wounds. If you have slow-to-heal wounds due to diabetes complications, we have state-of-the-art solutions that can dramatically accelerate the healing process. In fact, many of our patients heal within half the time. For you, that could mean new relief from the slow, frustrating struggle to heal your wound.

Number of Weeks to Heal a Wound

A difficult 2 1/2 years of seeing experts and having costly, painful treatments had left my mom's stage 4 wound in very poor condition. 

Several doctors, nurses, and specialists had treated her, stating, "She will have this wound for the rest of her life, just try to keep it clean." Another expert said, "Keep her in bed, up for meals only."

For weeks and weeks, my mother could not sit in her favorite chair, play her games, do her crafts, go out shopping, or a visit with family. She had no quality of life. 

Dr. Rohan, mom's primary doctor, had learned of the Advanced Wound Healing Center that had recently opened in Orchard Park, New York. He called me and insisted that I take her there ASAP.

She was seen immediately by Dr. William Lagaly.

He did a full assessment of her and started her on a treatment plan. This treatment plan was an antibiotic solution that Dr. William Lagaly had put together himself. After years of no movement to heal, this stage 4 wound began to close. Dr. William Lagaly found just the right treatment.

Today, I heard, "This wound is healed!" I just can't believe it!

This is an exceptional doctor who is an expert in his field. He is caring, considerate, and most of all, he invests himself in his patients (a rare trait seen today). His staff is wonderful!

This office is clean, bright and beautiful. I can't express enough thanks to this wonderful doctor and the staff.

Please, if anyone has a skin or wound problem of any kind, go to the Advanced Wound Healing Center in Orchard Park NY. We are so fortunate to have this facility in Western NY.

– Connie Rogers