Pressure Ulcer & Wound Care in Limassol, Cyprus
Pressure ulcers and other slow-healing wounds need expert, consistent care to heal well. Wound management is an area of special interest for Dr. Koulouteris, who provides specialist assessment and a structured treatment plan for pressure injuries and chronic wounds. Dr. Koulouteris is the current President of the Cyprus Wound Management Society and a board member of the Cyprus Surgical Society.
- Approach
- Specialist wound assessment, staging and an individual treatment plan
- Conditions treated
- Pressure ulcers (bedsores), diabetic and venous leg ulcers, other non-healing wounds
- Setting
- Outpatient wound care; surgical debridement or reconstruction for advanced wounds
- Anaesthesia
- Most care needs none; debridement may use local or general anaesthesia
- Healing time
- Varies widely with the stage of the wound and overall health
- Private or through GESY
- These operations are covered both within GESY and privately and/or through insurance funds.
What are pressure ulcers and chronic wounds?

A pressure ulcer — also called a pressure injury or bedsore — is damage to the skin and the tissue beneath it, caused by sustained pressure on one area of the body. They develop most often over bony points such as the heels, hips, lower back and tailbone, and are a particular risk for people who are less mobile, bed-bound or use a wheelchair.
A chronic wound is any wound that does not heal in the expected time — commonly a diabetic foot ulcer or a venous leg ulcer. These wounds often need more than a simple dressing: they require assessment of why healing has stalled, treatment of the underlying cause, and a consistent, expert plan. Wound management is an area of special interest for Dr. Koulouteris.
Signs a wound needs specialist care
Early, expert assessment gives a wound the best chance to heal and helps prevent it from worsening. Consider a review if you or someone you care for has:
- A wound that has not healed, or has not improved, over several weeks
- Reddened, discoloured or broken skin over a bony area such as the heel, hip or tailbone
- Skin that feels unusually warm, hard, or unusually soft compared with the area around it
- A wound that is increasing in size, depth or discharge
- A diabetic foot ulcer or a leg ulcer
- Pain, odour, swelling or signs of infection in or around a wound
When to seek prompt care
A wound that becomes hot, increasingly painful, swollen or starts to discharge pus, or that is accompanied by a fever or feeling unwell, may be infected and needs prompt attention. People with diabetes or poor circulation should have any foot or leg wound assessed early rather than waiting.
How wound care works
Effective wound care is structured and individual. Dr. Koulouteris assesses the wound, treats the underlying cause, and follows a clear plan that is reviewed and adjusted as healing progresses.
- 01
Assessment & staging
The wound is examined and staged, and the reasons healing has stalled — pressure, circulation, diabetes, infection — are identified so the plan addresses the real cause.
- 02
Wound preparation
Cleaning and, where needed, debridement removes dead or unhealthy tissue so the wound bed is ready to heal. Debridement may be done in the clinic or, for advanced wounds, surgically.
- 03
Dressings & pressure relief
Modern dressings are matched to the wound, and — for pressure injuries — relieving pressure with repositioning and suitable support surfaces is an essential part of the plan.
- 04
Review & ongoing care
The wound is reviewed regularly and the plan adjusted. For deep or advanced wounds, surgical reconstruction may be discussed.
What to know before your appointment
- 01Bring a list of all medication, and details of any conditions affecting healing — diabetes, circulation problems or reduced mobility.
- 02If you can, note when the wound started and how it has changed — photographs over time are helpful.
- 03A carer or family member is welcome to attend, particularly if they help with day-to-day wound care.
- 04Good nutrition and hydration support healing and may be discussed as part of your plan.
What healing looks like
Healing times vary widely depending on the stage of the wound, its cause and overall health. The stages below describe the general path rather than a fixed timeline.
Early
The wound is assessed and staged, the underlying cause is addressed, and the first treatment plan and dressings are put in place.
Ongoing care
Regular reviews track progress. Dressings, pressure relief and the wider plan are adjusted as the wound responds.
Healing phase
Healthy tissue gradually fills the wound and the skin closes. Continuing pressure relief and good skin care remain important.
After healing
Healed areas can remain fragile. Prevention — pressure relief, skin checks and managing the underlying condition — protects against the wound returning.
Contact the clinic if you notice
- •A wound that is rapidly enlarging, deepening or more painful
- •Spreading redness, heat, swelling or pus
- •Fever or generally feeling unwell
- •An unpleasant odour or a sudden change in the wound
Frequently asked questions
Many pressure ulcers can be prevented. Regular repositioning, suitable support surfaces, keeping skin clean and dry, good nutrition and routine skin checks all lower the risk — especially for anyone with limited mobility. Advice on prevention is part of every care plan.
Discuss wound care with Dr. Koulouteris
A pressure ulcer or slow-healing wound responds best to early, expert care. Book a consultation for a specialist assessment and a clear treatment plan.
This information is reviewed by Dr. Eleftherios Koulouteris, General & Laparoscopic Surgeon. It is for general guidance only and does not replace a personal medical consultation.