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Bryn Elizabeth Kelly, MSPA, PA is in Washington, DC specializing in wound care and surgery. Bryn Elizabeth Kelly, MSPA, PA is affiliated with MedStar Washington Hospital Center, MedStar Health and MEDSTAR MEDICAL GROUP II LLC.
Debridement (Removal of Unhealthy Tissue)
Debridement is a procedure that removes damaged skin to help the body heal a chronic wound, acute injury, or burn. Several layers of skin surrounding a chronic wound can include foreign debris, dead (necrotic) tissue, infected tissue, and calloused (hyperkeratotic) skin. If left untreated, these damaged skin layers can spread infection to other parts of the body and may aggravate the wound and delay its healing.
Debriding (removing) this damaged and diseased skin encourages the growth of healthy new tissue, impeding infection by triggering the body's natural cycle of tissue renewal. For this reason, debridement functions both as a wound treatment and as a preventative measure against more complex consequences of infected skin, such as sepsis and amputation. In some circumstances, debridement provides additional aesthetic benefits such as decreased scarring. Debridement also permits doctors to retrieve tissue samples for testing, such as to determine whether patients need antibiotic treatment.
Wounds that frequently require debridement include:
Debridement can be performed either surgically or nonsurgically; some methods are less invasive than others. Doctors select the appropriate debridement technique by considering the location, cause, and size of a patient's wound and may also weigh the patient's overall wellbeing, age, and risk of infection.
Surgical debridement is performed by cutting away dead, infected, and hyperkeratotic skin with a surgical scalpel. For deep wounds that tear away the skin and go into the muscle, skin from another region of a patient's body may be grafted onto the wound, which may then be periodically assessed and rebandaged until fully healed.
Non-surgical debridement is achieved with water or a dissolvent gel. Water softens the damaged skin and affected tissue, allowing doctors to remove it with wet-to-dry dressing. When wet tissue dries, it adheres to the dry dressing or bandage and comes off when the dressing is pulled away. In contrast, dissolvent gel deconstructs tissue, which can be cleaned off of the wound. Nonsurgical debridement is less invasive than surgical techniques; however, it can entail repeat treatments, slowing wound recovery.
While the prospect of stripping away skin may seem jarring, debridement can be critical to the treatment and healing of wounds which cannot not heal independently.
Dermabrasion
Dermabrasion, also known as dermaplaning, uses a high-speed rotating device to scrape away outer layers of the skin and create a smoother surface. This surgical procedure is most commonly used on the face, but it may be performed on other parts of the body as well. It treats the following skin issues:
During dermabrasion, a nurse or other healthcare professional holds the skin taut so that the doctor can apply gentle but constant pressure on the skin using the device. Depending on how much skin needs treatment, it may take a few minutes to over an hour to complete the surgery.
A waxy or moist dressing is placed on the skin at the end of the procedure. The treated area will be red and swollen for about two to three weeks. Itchiness and tingling will likely be present for some time. Although less common, enlarged pores, cold sores, rashes, and permanent skin discoloration may also occur. Normal activities may be resumed about two weeks following dermabrasion. However, swimming in chlorinated water and sports that involve the use of balls should be avoided for four to six weeks.
Skin Grafting
When a large area of skin is too damaged to heal, a skin graft may be used to protect the tissue underneath and reduce scarring. A layer of healthy skin is taken and moved to the injured area, where it is fixed in place. Skin grafts are used to treat burns, infections, large wounds, ulcers, and other significant problems that affect the skin.
There are several different types of skin graft, depending on where the donor skin is taken from:
In all cases, the skin graft may either be full-thickness or partial-thickness. While thicker grafts make recovery more difficult for the donor site, they heal more easily than thinner grafts.
Before skin graft surgery, patients are given anesthesia so they cannot feel any pain. If using an autograft, the surgeon carefully measures and removes the skin from the donor site. Sometimes the graft is cut in a mesh-like pattern, to allow a small piece of donated skin to stretch and cover a larger area. This also helps oxygen pass through the graft. The site where the skin graft will go is cleaned well to remove any dirt, bacteria, or dead skin cells. Then the skin graft is placed and attached with stitches or staples. It is often covered with antibacterial ointment and supportive bandages for the first few days.
As the skin graft heals into its new position, new blood vessels grow to reach and support the skin. Depending on the thickness of the graft, oil glands, sweat glands, and hair follicles may also regrow. Recovery time depends on the thickness of the graft and the overall health of the skin in the grafted area, but it generally takes from two to four weeks.
She is certified by the Board Certification: National Committee on Certification of Physician Assistants and has a state license in District of Columbia.
Board Certification: Board Certification: National Committee on Certification of Physician Assistants
Licensed In: District of Columbia
Bryn Elizabeth Kelly, MSPA, PA is associated with these hospitals and organizations:
Bryn Elizabeth Kelly, MSPA, PA appears to accept the following insurance providers: MultiPlan, Optimum Choice, Optima Health, MAMSI, Magellan Health Services, United Healthcare Choice Plus, United Healthcare Choice, First Health PPO, Blue Choice, Great-West Healthcare, TRICARE, Coventry, TRICARE Reserve Select, Anthem, Aetna Managed Choice POS, Beech Street PPO, Aetna HMO, Kaiser Permanente, CIGNA PPO, CIGNA EPO, Aetna Medicare PPO, Aetna Medicare PFFS, CIGNA Indemnity, AmeriHealth, AARP, Medicare Advantage, TriWest, Coventry National Network PPO, Highmark, Amerigroup, United Healthcare, Medicaid, Humana, Cigna, Sentara Health Plans, WellPoint, United Healthcare Community Plan (AmeriChoice), Humana Medicare Advantage PPO, Blue Cross and Blue Shield of Michigan, CIGNA PPO Plus, HealthyBlue PPO, Aetna Premier 200PD, MedStar Family Choice - Maryland Health Choice, CareFirst NASCO, Private Fee-for-Service Plans (PFFS), M.D. IPA Preferred (POS), CareFirst Maryland Indemnity or PPO, IH-PPO, DC/MD SHOP QHP Small Business Plans, Aetna Advantage 6350PD, CareFirst EPO, MedStar Family Choice DC Healthy Families, Optimum Choice Preferred (POS), OCI Direct (HMO), Medicare Direct, Alterwood Advanatge HMO & DSNP Plans, Aetna Open Choice (PPO), OA Plus, CareFirst Administrators, United Student Resources, IH-Network Only Plus, IH-POS, Aetna Classic 5000, Aetna Signature Administrator PPO/TPA, Healthy Blue (HMO, POS), CareFirst Community Health Plan of Maryland, IH-POS Plus, Jai Medical Systems - Maryland Health Choice, CareFirst Maryland Point of Service Plan, Aetna HMO-Open Access/Select OA/HealthFund/Health Network Option OA, Health Services for Children with Special Needs, Choice POS II, CareFirst Blue Card Program, Choice Fund PPO, IH-EPO Plus, Aetna VA Exchange, Aetna Managed Choice Open Access (POS), CareFirst BlueCross BlueShield Advantage Core/Enhanced, Aetna Better Health of Virginia, Aetna Worker's Compensation Network, Options PPO Cardiac Global, Uniformed Services Family Health Plan, Aetna Advantage 5750, IH-Open HMO Option, HumanaChoice Honor's plan PPO, Aetna Basic, CareFirst FEP Blue Focus, Optimum Choice & Optimum Choice Preferred (POS) Cardiac Global, MedStar Family Choice DC Healthcare Alliance, Core Essential (HMO), IH-Open EPO Plus, IH-Open POS Plus, Johns Hopkins Advantage MD PLUS PPO, Select HMO/HealthFund/Health Network, MD IPA (HMO) & MD IPA Preferred Cardiac Global, CareFirst Blue Preferred PPO, Aetna Elect Choice/ Open Access (POS), IH-Open HMO, Aetna Advantage 6350, Erickson Advantage Plans, M.D. IPA (HMO), Aetna Elect Choice/ EPO (Aetna Health Fund), POS OA, Aetna Quality Point of Service (POS), IH-Open POS II, Aetna Classic 5000PD, Johns Hopkins Advantage MD HMO, CareFirst Dual Prime HMO-SNP, Priority Partners - Maryland Health Choice, Aetna Student Health Insurance, Private Health Care Systems (PPO), Choice POS, Lasso Healthcare - Medicare Medical Savings Account, IH-Indemnity, CareFirst MedStar PPO, CareFirst (NCA) Indemnity, Aetna Traditional Choice (PPO), United Medicare Private Fee-for-Service (PFFS) plans, IH-HMO, IH-Open Network Only Plus, HumanaChoice PPO, CareFirst Federal Employee Program (Std. & Basic PPO), Johns Hopkins Advantage MD PPO, Medicare FFS, Maryland Physicians Care MCO, Veterans Affairs Community Care Network, Advantra Platinum (PPO), Aetna Better Health of Maryland, BCBS Out-of-State Medicare Plans (Blue Advantage), Employee Health Plan, Choice POS II Open Access, Navigate, Police and Fire Clinic, Network OA, CareFirst MedStar Select PPO and Aetna Classic 3500.
According to our sources, Bryn Elizabeth Kelly, MSPA, PA accepts the following insurance providers:
Bryn Elizabeth Kelly, MSPA, PA has an exceptional overall rating with an average of 4.9 out of 5 stars based on 128 ratings. We collect ratings and reviews of Bryn Elizabeth Kelly, MSPA, PA from all over the web to help you find the right in Washington, DC.
These charts describe general payments received by Bryn Elizabeth Kelly, MSPA, PA. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.
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$190
Puraply Antimicrobial $121 |
PuraPly $69 |
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$174
COLLAGENASE SANTYL $62 |
Oasis $35 |
STRAVIX PL $29 |
STRAVIX $28 |
Versajet $19 |
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$24
$24 |
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$14
ENTRE PLUS $14 |
| $403 |
Ms. Bryn Kelly practices surgery and wound care. Her clinical interests include prostate problems, facial problems, and amputation. She is affiliated with MedStar Washington Hospital Center. Ms. Kelly has a 5.0 out of 5 star average patient rating. She most likely takes Anthem, Blue California, and Coventry, as well as other insurance carriers. Doctor.com reports that Ms. Kelly is accepting new patients at her office in Washington, DC.
