James V. Stillerman, MD, CWSP

How I Treat

12/13/2022

The treatment of fungating wounds is a palliative plan of care that shifts the focus from wound restoration to a patient support approach focusing on improving quality of life, management of wound pain and exudate if possible, odor control...

The treatment of fungating...

12/13/2022

Today's Wound Clinic

How I Treat

Surgical Wound Complications: A Slideshow

02/14/2023

James V. Stillerman , MD, CWSP;

Illustrating surgical wound complications, this author presents photos from two patients.

Illustrating surgical wound...

02/14/2023

Today's Wound Clinic

How I Treat

Cellulitis Unresponsive to Antibiotic Therapy: A Slideshow

06/15/2023

James V. Stillerman , MD, CWSP;

Click here for a slideshow of photos of a 58-year-old female with diabetes and a healed left below-knee amputation who developed cellulitis of the amputation stump.

Click here for a slideshow of...

06/15/2023

Today's Wound Clinic

How I Treat

Cellulitis Unresponsive to Antibiotic Therapy

06/15/2023

James V. Stillerman , MD, CWSP;

Cellulitis is a bacterial infection involving the skin and underlying soft tissue. It is often associated with an open wound, but this may not always be the case. Antibiotic therapy is usually the first choice for treatment. What can be done...

Cellulitis is a bacterial...

06/15/2023

Today's Wound Clinic

Pressure Injuries

The Myth of the Mandatory Colostomy

04/11/2023

James V. Stillerman , MD, CWSP;

The treatment of a stage III or stage IV sacral coccyx pressure injury (ulcer) is complex and has many facets. How then does a physician arrive at the decision to perform a colostomy? It may not be so simple.

The treatment of a stage III or...

04/11/2023

Today's Wound Clinic

How I Treat

Surgical Wound Complications

02/14/2023

James V. Stillerman , MD, CWSP;

With Special Attention on the Morbidly Obese Cesarean Section Patient

With Special Attention on the...

02/14/2023

Today's Wound Clinic

How I Treat

Hidradenitis Suppurativa

11/14/2022

James V. Stillerman , MD, CWSP;

In the first installment of a new column, the author offers his experience in treating hidradenitis suppurativa, a chronic, relapsing, and debilitating inflammatory condition.

In the first installment of a...

11/14/2022

Today's Wound Clinic

How I Treat

Palliative Care for a Malignant Enterocutaneous Fistula

07/17/2023

James V. Stillerman , MD, CWSP;

The case presented concerns a 74-year-old female who was diagnosed with a malignant appendiceal tumor, a primary mucous cyst adenocarcinoma that had ruptured, seeding the peritoneal cavity with nests of jellylike mucus secreting cancer cells.

The case presented concerns a...

07/17/2023

Today's Wound Clinic

Using Advanced and Adaptive Technologies for the Management of Wounds - Extracellular Matrix and Gentian Violet / Methylene Blue Antibacterial Foam Dressing

Background: Inherent problems develop when acute wounds digress from the normal healing pathway, generating a de-stabilized, hostile, proteolytic wound environment that cannot progre...

James V. Stillerman , MD, CWSP;

07/26/2019

The Use of Dehydrated Human Umbilical Cord Allograft in the Treatment of Enterocutaneous Fistulas: A Unique Case

Background: An enterocutaneous fistula (ECF) is an abnormal connection that develops between the intestinal tract and the skin. Wound care management of ECF is challenging and results are...

James V. Stillerman , MD, CWSP;

06/10/2019