Wound Care Center
Seton Medical Center
Seton Center for Advanced Wound Care
Open since 1987, the Seton Center for Advanced Wound Care is the most established and experienced wound care program in the Bay Area. Our interdisciplinary team of experts offers an aggressive and innovative treatment approach to heal complex wounds.
The Seton Center for Advanced Wound Care healed my wound quickly so I could get back into a prosthesis and walk again. The staff is consistent, friendly, make me feel welcome, and I would never consider going anywhere else.
— 78-year-old male with bilateral below knee amputations
Some of the state of the art treatments we offer include:
- Skin substitutes
- Skin grafting
- Debridement, which is tissue removal to encourage healing
- Revascularization, a procedure that re-establishes blood flow
- Infection control
- Compression therapy
For more information about wound care, Ask the Expert.
Types of Wounds We Treat
We have expertise in treating of all kinds of wounds, including complex and rare conditions.
Some of the types of wounds that our expert staff can treat include:
- Pressure ulcers
- Diabetic foot ulcers/infections
- Venous ulcers
- Post-operative wound infections
- Traumatic wounds
- Bone infections
- Radiation wounds
- Bone implant infections
The Seton Center for Advanced Wound Care treats their patients with dignity while providing first class care and a high level of sanitation. They gave my husband hope and the ability to remain a man and keep his foot
— Wife of a 71-year-old retired police officer with a plantar foot ulcer
New Patients: What to Expect
Our program operates by appointment, and we are often able to schedule your initial visit within a week of your call. Please arrive 30 minutes before your appointment time to register and fill out paperwork. Bring a list of all your allergies and medications along with your insurance card.
Here’s what you can expect:
- Your first exam will include an in-depth assessment by a nurse and physician to understand your wound.
- This assessment may include blood work, imaging scans and vascular studies, which examine any damage to your veins and arteries.
- After your initial consult, we will design a specialized treatment plan to heal the wound as quickly as possible. You will most likely have weekly appointments with a physician, and a nurse case manager will help handle your care.
- New Patient Questionnaire
Please note: We accept most insurance plans, however some may require pre-authorization.
For more information about our wound care services or to make an appointment, call (650) 991-6780.
Seton Center for Advanced Wound Care
1500 Southgate Avenue, Suite 115
Daly City, CA 94015
Our Wound Care Physicians
- James Stavosky, DPM (Podiatric Surgery)
- Divyang Patel, DPM (Podiatric Surgery)
- David Young, MD (Plastic Surgery)
- Charles Lee, MD (Plastic Surgery)
- Raju Gandhi, MD (Vascular Surgery Consultant)
- Herminigildo Valle, MD (Internal Medicine)
Who is at risk for developing chronic wounds?
People with one or more of the following are at risk for developing chronic wounds:
- Chronic medical conditions, such as diabetes, high cholesterol, severe burns, cancer or AIDS
- Vascular disease, including heart disease, hypertension, atherosclerosis, anemia, varicose veins or deep venous thrombosis
- Elderly, immobile or obese people are at a greater risk
- Unhealthy lifestyle or habits like smoking, poor diet and hygiene or lack of exercise
- Previous history of ulcers, multiple surgeries or prolonged periods of bed rest
- Weak immune system, as in patients taking corticosteroids, chemotherapy or radiotherapy
What causes venous stasis ulcers?
Venous ulcers are the most common type of ulcers occurring in the lower limbs, accounting for more than half of all ulcer cases.
Venous leg ulcers occur when the one-way valves of the veins fail to maintain the blood flow toward the heart and prevent any back flow. This problem with blood flow is known as venous insufficiency. The venous system in the lower limbs includes the deep, superficial and perforator veins. The deep veins lie between the muscles, the superficial veins in the upper layers just below the skin, and the perforator veins are located in between, connecting the other two types of veins. In damaged valves, the blood backs up and pools in the veins, building up pressure, causing edema, which prevents nutrients and oxygen in the blood from reaching the body tissue. Eventually, the tissue breaks down and forms an ulcer.
To help prevent venous leg ulcers, these measures may be followed:
- Avoid long periods of standing or sitting
- Raise the legs above the heart and use compression stockings as often as possible
- Maintain a healthy lifestyle that includes regular moderate exercise, a healthy diet (low in fat, rich in fruits and vegetables) and reduce body weight, if overweight
- Quit smoking, reduce alcohol consumption and try to stay active
- Inspect the lower limbs daily and look for any color changes or cracks in the skin
What is Lymphedema?
Edema is the medical term for swelling. Lymphedema is chronic edema (usually in the extremities but not confined to) caused by damage to the lymphatic system. Lymphedema is an accumulation of lymphatic fluid in the interstitial tissue that causes swelling, most often in the arm(s) and/or leg(s), and occasionally in other parts of the body. The lymphatic system is the bodies filtering system that aids in destroying pathogens, filtering wastes, removes excessive fluid, and assists the circulatory system to deliver nutrients, oxygen, and hormones.
What are the causes of chronic wounds?
Conditions such as diabetes, poor circulation, edema of the legs, and pressure can all be causes of chronic wounds. There can be many causes for a wound to become chronic. The most common are infection, poor blood supply and pressure.
What is the best way to treat wounds?
When wounds become chronic, they are difficult to treat at home. They should be evaluated by a medical professional. And if they’ve been there longer than a month, it should be seen by wound care professional or at the wound care center.
What are the complications of chronic wounds?
Chronic wounds heal very slowly. This increases their likelihood of becoming infected. Infection can lead to gangrene, which then could lead to amputation. If the chronic wound becomes worse, it could lead to loss of life.
Since chronic foot wounds are particularly common, especially among patients with diabetes, what steps can be taken to prevent them?
It is important to inspect your feet daily. You should look for calluses, changes in color, hotspots, and wounds. If you are unable to inspect them yourself, you should have a family member or caregiver do it for you. Proper shoe gear is important for preventing increased pressure in your shoes that could lead to wounds.