This episode is part of Season 5 of The Pressure Effect, focused on pressure injury closure using cellular tissue-based products. Host Dr. Lee Ruotsi is joined by Dr. Allen Raphael, a podiatry specialist based in Smyrna, Georgia with more than 20 years of experience in wound care and limb salvage.

They walk through a compelling heel pressure injury case involving an elderly patient with multiple comorbidities,including diabetes, end-stage renal disease, and peripheral vascular disease. Dr. Raphael explains how early surgical intervention, the use of cryopreserved umbilical cord tissue, and coordinated care helped avoid amputation and lead to full wound closure.

The conversation covers surgical strategy, wound bed preparation, CTP integration, offloading techniques, and the critical role of patient and family education in long-term outcomes. A must-listen for clinicians working with medically complex or immobile patients.

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The challenges of wound care don’t look the same in every setting. Clinicians working in rural or resource-limited environments often have to think differently—especially when treating complex pressure injuries.

In this episode—part of our Season 5 series on pressure injury closure using cellular tissue products—Dr. Lee Ruotsi speaks with Dr. Vilayvanh Saysoukha, a podiatric foot and ankle surgeon and founder of Premier Foot & Ankle Centers of Tennessee. They walk through a unique case involving a dorsal foot pressure injury complicated by diabetes, vascular disease, and limited access to specialty care.

Dr. Saysoukha shares how her team managed the wound using surgical debridement, cellular tissue products, and negative pressure wound therapy, while also addressing broader care coordination challenges. The conversation highlights the value of adaptability, communication, and patient-centered planning.

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Effective management of a complex pressure injury requires more than standard wound care. It involves timely clinical intervention, surgical decision-making, and the integration of advanced therapeutic options to support optimal healing.

This episode is part of Season Five of The Pressure Effect, a series dedicated to pressure injury closure utilizing cellular and tissue-based products. In this discussion, host Dr. Lee Ruotsi is joined by Dr. Eric Yang, MD, FACS, CWS—Medical Director of the University of Chicago Medicine Advent Health Wound Care Center in La Grange. Dr. Yang presents a detailed case study involving a young paraplegic patient with a significant sacral pressure injury. He outlines his clinical approach, beginning with surgical debridement and extending through the use of negative pressure wound therapy and cellular tissue products.

The episode highlights important considerations in both inpatient and outpatient care and underscores strategies to avoid flap surgery while achieving durable closure.

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