We offer the whole range of conservative wound care modalities as well as advanced wound care modalities including surgical debridement, negative pressure wound therapy and / or hyperbaric oxygen therapy for complex wounds related to venous insufficiency.We are one of the cogs in a larger machine of colaboration including General Surgery, Plastic Surgery, Vascular Siurgery, Orthopaedic Surgery, Wound Care Specialists, Dietitians, Podiatrists, Psychologists and other health care workers. We often incorporate the circle of care to address issues with logistics. At the centre of it all is the patient with a wound, who wants to heal as soon as possible.
Quick facts about lower limb ulceration:
Eighty per cent have evidence of venous disease
Ten to twenty-five per cent have evidence of arterial insufficiency to a variable degree
Twelve per cent have co-existing diabetes
Chronic venous insufficiency affects 2–10% of the general population
Fifty per cent of ulcers have been present for >1 year
Seventy-five per cent of ulcers are recurrent
Dr Weir has been an active member of the Wound Healing Association of Southern Africa (WHASA) since its inaugural meeting in 2005. He has served as President of the Association in 2010 and 2011. He has also completed the International Interdisciplinary Wound Care Course at the University of Stellenbosch in 2010.
Advanced peripheral vascular disease, chronic venous insufficiency and diabetes can sometimes present with very complex wounds, which requires an interdisciplinary team approach. Dr Weir has the advantage of formal training in General Surgery, Vascular Surgery, Hyperbaric Oxygen Therapy and Wound Care, which enables him to accurately assess, diagnose and treat the underlying disease responsible for the complex wound. Because he understands the complexity of these challenging wounds, he is a member of a larger interdisciplinary team that is able to address not only clinical issues, but also patient centred concerns.
The team will at all times manage a patient with a wound according to the Wound Bed Preparation paradigm.
The whole team is trained in and involved in basic wound care at the practice. Dr Weir takes charge of to the management of complex wounds. Stefan Dippenaar and the personnel of Ward 9 take care of the hospital patients. A whole network of wound care practitioners collaborate with our team, when patients are managed on an outpatient basis. Special mention must be made of the longstanding collaboration with Sr Renate Wannenburg, who has become an indispensable extended member of our team, even though she works in her own practice.
The basic principles of wound care are adhered to including the wound bed preparation paradigm
Infection and Inflammation control
Negative pressure wound therapy
Hyperbaric oxygen therapy
International guidelines are adhered to
THIS PRACTICE DOES NOT CONDONE THE USE OF TOPICAL ANTIBIOTICS.
WE STRONGLY CONDEMN THE USE OF OZONE GENERATORS DUE TO THE RISK OF RESPIRATORY TOXICITY
If you have any problems with any of these conditions, please contact your General Practitioner, or your Vascular Surgeon. If you live in Pretoria and have not seen a Vascular Surgeon before, you are more than welcome to contact my rooms for a formal consultation.
The purpose of this web site is to offer Dr Weir’s patients and their families access to information regarding vascular disease in general as well as specific information on certain disease processes. The information on this site does not necessarily apply to all patients with the same diagnosis. If you are not a patient of Dr Weir, please do not regard the information on this website as a substitute for a thorough assessment by a qualified Vascular Surgeon. If in doubt, consult your doctor.