instruction: hi doctor around 12 years back my unsealing leg wound was cured by multiple skin grafting now after 12 years the wound opened up reason is unknown is it varicose I have attached the latest snaps
output: hi can be due to weak immune system or malnutrition or chronic medical illness over tightening of sutures or poor suturing technique followed it can also be due to the suture material used in appropriate surgery site grafted smoking can be a cause can be due to obesity it could have caused because of premature post surgery exercise heavy lifting physical examination from a general surgeon is a must blood tests such as abc complete blood count and wound culture to be done check post prandial fasting blood sugar and glycated hemoglobin up fbi hba1c wound dehiscence good wound care and hygiene with appropriate dressing and cleaning as instructed by your doctor regular wound dressing antibiotics to be taken if the culture is positive for micro organisms revert back with the investigations to a general practitioner online