Critical Wound Healing Clinic

Our outpatient Critical Wound Healing Clinic provides specialized treatment for chronic or non-healing wounds, which are defined as sores or wounds that have not significantly improved from conventional treatments.  This is usually due to inadequate circulation, poorly functioning veins and immobility.


These non-healing wounds can lead to lower quality of life and may lead to amputations.


A wound that does not respond to normal medical care within 30 days is considered a problem or chronic wound.  The following conditions may result in wounds that will not heal:

  • Gangrene
  • Lymphedema
  • Lower leg ulcers
  • Pressure ulcers
  • Diabetic foot ulcers
  • Decompression sickness
  • Skin tears or lacerations
  • Post-operative infections
  • Necrotizing soft tissue infections
  • Radiation and other burns
  • Slow or non-healing surgical wounds
  • Insect or dog bites that will not heal
  • Failing or compromised skin/muscle grafts or flaps
  • Chronic bone infection (osteomyelitis)
  • Crush injuries, Compartment Syndrome and other traumatic ischemias
  • Any wound which has failed to show signs of healing for more than 30 days
  • Any wound which has not responded to previous treatments or therapies

The clinic uses an interdisciplinary model of care, including infectious-disease management, physical therapy, occupational therapy, laboratory evaluation, nutritional management, pain management, diabetic education, radiology testing and debridement to address total patient health. 


The clinic is made up of a team of healthcare professionals, including:

  • Physicians with advanced training in wound management and hyperbaric oxygen therapy
  • Nursing staff trained in the care of chronic wounds
  • Technicians who perform non-invasive studies and various therapies
  • Experienced staff to assist with appointments, medical records and health insurance processing
  • A personalized wound treatment program

Based on the evaluation, a customized treatment plan is developed to optimize the therapies best suited to address the patient’s needs. Wound size and depth are documented at the initial visit and again at each subsequent visit.


Some of the diagnostic modalities which
may be used include:

  • Laboratory evaluation 
  • Radiology (including MRI)
  • Transcutaneous oxygen testing
  • Vascular studies, electrocardiogram
  • Ultrasound

Please call our office for an appointment to discuss your treatment plan for proper Critical Wound Care.

Dr. Domingo Galliano in the news!


General Surgery

Board Certified by the American Board of Surgery


Colon and Rectal Surgery

Board Certified by the The American Board of Colon and Rectal Surgery (ABCRS)


Surgical Critical Care

Board Certified by The American Board of Surgery


Dr. Galliano is the most experienced Board Certified Colorectal Surgeon with Da Vinci Robotic Surgery in Lee, Charlotte, Sarasota, and De Soto Counties! He has performed over 100 DaVinci Robotic procedures!


Minimally Invasive Procedures

Experience less pain, minimal scarring, faster recovery, and better results.


Robotic Surgery
via Da Vinci


Laparoscopic Surgery


FENIX for Accidental Bowel Leakage (ABL)


TEM Transanal Endoscopic Microsurgery


NOSCAR/ NOTES Painless Natural Orifice Trans-endoscopic Surgery


Solesta is a sterile gel injected into the anus to treat the symptoms of fecal incontinence.


Esophyx long-term incisionless solution for chronic acid reflux GERD


The LINX System stops acid reflux (GERD) at the source.


The Stretta procedure results in significant GERD symptom control and patient satisfaction.


STARR Staple Transanal Rectal Resection


ENTERRA -- Gastric Electrical Stimulation for Gatroparesis


Barrx - Radiofrequency Ablation in Barrett's Esophagus with Dysplasia


TIF Transoral Incisionless Fundoplication procedure corrects the root cause of GERD


ABS - Artificial Bowel Sphincter


SECCA - for incontinence


Sacral Nerve Stimulation


Anorectoplasty for anal incontinence


Pelvic rehabilitation for incontinence and constipation, anal / pelvic pain


Anal Fistula Plug