Specialized Treatment
Mobile post-surgical wound care specialists serving Los Angeles, Orange County, Riverside, San Bernardino, Ventura, Santa Barbara, and Kern County. Expert treatment for surgical wounds that won't heal, surgical site infections (SSI), wound dehiscence, seroma drainage, hematoma evacuation, and post-operative complications after surgery. Advanced care including wound debridement, negative pressure wound therapy (NPWT/VAC), infection management with wound cultures, skin substitutes, and wound reconstruction. Board-certified wound care specialists provide in-home treatment after orthopedic surgery, abdominal surgery, cardiac surgery, and vascular surgery. Medicare Part B covered mobile wound care serving Beverly Hills 90210, Anaheim, Irvine, Riverside, San Bernardino, Oxnard, Santa Barbara, Bakersfield, and all Southern California.
Your surgeon fixed your medical problem brilliantly. Surgery went perfectly. But now—2, 3, 4 weeks later—the incision won't close. It's draining. Maybe infected. Edges pulling apart. And when you call the surgeon's office? "Keep it clean, it'll heal on its own. Come back in 3 months."
You've Just Discovered the Post-Surgical Wound Gap:
Surgeons are trained to perform procedures, not manage complex wound healing complications. Once you're discharged and the "surgical warranty expires," you're often left to figure out wound care on your own. That's where we come in.
Here's the typical journey patients experience when their surgical wound fails to heal. Sound familiar?
You notice the incision looks off—red, draining, maybe edges separating slightly. You call surgeon's office. Nurse says "Some drainage is normal, keep it covered, follow up in 2 weeks." You trust them and wait.
What's actually happening: Infection establishing. Biofilm forming. Every day lost increases healing time by 3-5 days.
Follow-up appointment. Surgeon removes staples/sutures. Wound gaps open 1-2cm. "We'll let it heal by secondary intention—pack it with gauze and change daily. It'll close from the bottom up." You're sent home with gauze and saline.
What this means: They're giving up on primary closure. Wound will take 2-6 months to fill in, leave bigger scar. But with advanced care, could close in 4-8 weeks.
You've been packing gauze for a month. Wound looks the same—or worse. Smells bad. Constantly draining through dressings. You call again. "Keep doing what you're doing, these things take time." You're going through boxes of gauze, hours of daily dressing changes.
What's wrong: Biofilm preventing closure. Wound stuck in inflammatory phase. Needs debridement + advanced dressings, not gauze packing.
Surgeon finally admits this isn't normal. Writes referral to wound clinic or plastic surgeon. But earliest appointment is 4-6 weeks out. "Just keep packing it until then." You're 3 months post-surgery living with an open wound, unable to shower properly, changing dressings 2x daily.
The frustration: You've lost 3 months to "wait and see" when you needed intervention at week 2.
You finally see wound specialist. They debride the wound, start advanced therapies, maybe wound VAC. Within 4-6 weeks, it finally closes. The specialist comments "If we'd seen you at week 2, this would've been closed in a month." You've spent 6 months dealing with something that could've been resolved in 6 weeks.
The lesson: Surgical wound problems need wound specialists immediately, not surgical follow-ups indefinitely.
Understanding what went wrong helps you advocate for proper treatment:
Happens: 2-5% of all surgeries, higher in abdominal/contaminated cases
Looks like: Purulent drainage, spreading redness, increasing pain, fever
Why surgeons miss it: Early infection looks like "normal inflammation." By time it's obvious, biofilm established.
Needs: Cultures, targeted antibiotics, possible I&D (incision & drainage), aggressive debridement
Happens: Days 5-10 post-op when sutures under maximum tension
Looks like: Sudden gush of fluid, visible gap, edges separated, sometimes organs visible
Why it happens: Tension, infection, poor nutrition, coughing/straining, steroids
Needs: If shallow, wound VAC + aggressive closure attempts. If deep (fascia), surgical emergency—return to OR.
Happens: Weeks 2-4, wound just...stops progressing
Looks like: Clean but not closing, granulation tissue flat or absent, edges not contracting
Why surgeons struggle: They don't have wound closure tools beyond "wait"—no access to biologics, wound VAC, advanced dressings
Needs: Debridement to restart healing, moisture-retentive dressings, possibly skin substitutes/grafts
If you had one of these procedures, you're at higher risk for wound complications—watch your incision closely:
Why: Abdominal wall under constant tension from breathing, moving. Contamination from bowel flora.
Why: Poor blood flow delays healing. Orthopedic infections require hardware removal = disaster.
Why: Large dead space created. Tension. Radiation history impairs healing.
Why: No time for proper prep. Body in crisis mode, not healing mode.
We specialize in exactly the thing surgeons don't: getting failed surgical wounds to actually close. Here's how we do it:
Cut away all the accumulated inflammatory tissue, biofilm, exposed sutures, unhealthy granulation. Create fresh bleeding wound base that's capable of healing. This is the single most important intervention surgeons don't do post-discharge.
"But it looked clean!"—it wasn't. Microscopic biofilm coating everything. Debridement resets the wound to Day 0 of healing cascade.
Suction device pulls wound edges together, removes exudate, increases blood flow. Turns a wound that would take 3-6 months to close into 4-8 weeks. Why your surgeon didn't offer this: They don't manage wound VACs post-discharge. We do.
Medicare covers wound VAC for post-surgical wounds. We set it up, train you, manage it, no hospital visits needed.
For wounds that plateau after 3-4 weeks optimal care, we apply biologic grafts (amniotic membranes, dermal matrices). Provide scaffolding + growth factors that kickstart stalled healing. Especially effective for large abdominal wounds.
These products cost thousands. Your surgeon doesn't stock them. We bring them to your home.
No more gauze packing. We use modern dressings—foams, hydrocolloids, alginates, antimicrobials—matched to wound phase and drainage level. Change every 3-7 days instead of twice daily.
Proper dressings cost $20-50 each. Medicare covers them. Your surgeon sends you home with $2 gauze.
Quantitative wound cultures (not swabs—deep tissue sampling). Identify specific bacteria and sensitivities. Prescribe targeted antibiotics, not broad-spectrum guessing. Use antimicrobial dressings to reduce bioburden without systemic antibiotics.
Week 2: "Keep it covered, follow up in 2 weeks"
Week 4: "Let it heal from inside out, pack with gauze"
Week 8: "These things take time, keep packing"
Week 12: "Here's a referral to wound clinic"
Month 6: Finally sees specialist, closes in 6 weeks
Total time to closure: 7-8 months
Week 2: You contact us, seen within 48 hours
Week 2: Debridement + advanced dressings started
Week 3: Wound VAC applied if needed
Week 4: Biologic graft if not progressing
Week 6-8: Wound closed
Total time to closure: 6-8 weeks
Mobile wound visits, debridement, wound VAC, advanced dressings, skin substitutes, infection management. Medicare Part B pays 80%, Medigap typically covers remaining 20% (you pay $0).
Your surgeon may not know what's covered for post-surgical wounds. We do—we handle all paperwork and prior authorizations. Coverage details.
Your surgeon did their job—they fixed your medical problem. Now let us do ours: close the wound that won't heal. We typically see patients within 48 hours of contact. Bring mobile advanced wound care to your home.
✓ 48-Hour Response • ✓ Wound VAC Available • ✓ Medicare Covered