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does any one have open wound at incision site does any one have open wound at incision site

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Unread 03-24-2004, 11:15 AM
does any one have open wound at incision site

Is there anyone that has had an opening in there incision site and is packing with with gauze. I have a seroma which is a hematoma in the inside that opened up and bled, now i have an open wound 5 inches long at my incision and its about 5 inches deep, i pack it 3 times a day with a wet off of antibiotics and there is one point that is tunnel to the left of my wound along my incison site and there happens to be green drainage at that part where the dressing comes off of antiobiotics now, and my temp is down..i have search through all the sites here and have found no one that has described this...ihave questions if anyone has this same situation please worried about an abscess forming
thanks connie
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Unread 03-24-2004, 12:03 PM
does any one have open wound at incision site

I say call a wound clinic, they are better at dealing with wounds than the regular Dr. I'm assuming your packing it with nu gauze soaked in normal saline, that usually helps to heal it , but are you flushing it out with anything?? when I used to work, we got elderly people with bedsores, and one of the only treatments that really worked well was making sure all the old gunk from the wound was thoroghly flushed out, then repacked, we did this 2 times a day. Hope you feel better soon!!
Unread 03-24-2004, 12:26 PM
does any one have open wound at incision site

Yep, yep, that sounds all too familiar.

I had an SAH, and two weeks later, started oozing lots of blood out of my incision. My surgeon opened it up about two inches, and sent a home health nurse. She was of no help, so I checked with hospitals in my area, and found a very good wound clinic.

I visited them twice a week, and they packed the wound to keep it open while it drained, and kept the granulation tissue to a minimum. I also had a 7 cm long "tunnel". I went to them for about 3-4 weeks, and it finally finished draining and started to close. It closed totally a few weeks after.

Mine never got infected, luckily, but it does need to heal from the inside out.

It's really NOT fun, but it does get better.
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Unread 03-24-2004, 12:33 PM
does any one have open wound at incision site

Hi -

I am a 6 week post-opper and just read your post. I am a physical therapist (we work a whole lot with wound care). You DEFINITELY need to be with a wound care clinic. It will be well worth it for you and is exactly what I would do in your shoes. Keep me posted about your progress. AND yes....I have seen what you are talking about. It's not common but it certainly does happen. Take care
Unread 03-24-2004, 01:28 PM
does any one have open wound at incision site

I apparently had a hematoma form behind my incision and one day, it just kind of "blew" open. I had had a lot of pressure and tenderness and while sleeping, a small part of my incision came open and started spewing all of that extra fluid. My doctor said that most people's bodies just absorb those guys but apparently mine decided to spit a stitch out and create an outlet.

It was all pretty dramatic and most impressive at the time! I had to do the saline soaked gauze pads until it was completely healed on the outside and that took the full 6 weeks. I never would have guessed that it would heal as nicely as it did and I was worried sick about getting an infection.

The only tenderness or pulling I still have these days is from that area so I guess I'm still healing inside. I've had abdominal surgeries before and nothing like this had ever happened. I can laugh about it now but it created a wee bit of panic at the time!

Unread 03-24-2004, 01:57 PM
does any one have open wound at incision site

Thats exactly what happened to me, it just burst out blood and drainage...what my question is, is there is tunneling on the left side on that, that follows my incision for about an inch..we pack the gauze into that area also, and everytime we pull out the gauze that is the only area where there is green drainage... there rest of the hole is red and meaty and looks good, i was on 2 antibiotics for 10 days and am done with that im not running a fever...did you ever have green drainage..and i am unable to go to a wound clinic, i have group health insurance and they do not have a wound clinic i am just going by what my gyn says to do which is just pack you think that part that is tunnel needs to be opened up...and did you irrigate it with normal saline or just pack it with the gauze and not irrigate it..I really am concerned,i saw my doctor yesterday and it was a fresh dressing that we had put in so he was unable to see the green drainage, thinks he thought i was out of my only 6 weeks to heal...mine is so deep you can see my insides it seems just worried im not going to be able to go back to work in 3 1/2 more weeks, which is the end of my 6 weeks off, plus did you go back to work with this wound packing, or did you wait till it closed up...

thanks again
Unread 03-24-2004, 03:10 PM
yep, me too...reply to munoz124

I am still working on getting 2 or the 3 sernomas to close. Go get them packed every couple days. I also took 2 rounds of anti biotics and have had to take 5 days worth of diflucan b/c of a yeast infection now (yes, in & around my incision)

I am almost 3.5 weeks postop & need to get back to work soon (in 1.5 weeks) I sure hope this is all overwith by then! sheesh!

P>S> sorry, meant to hit reply instead of new I cant delete it
Unread 03-24-2004, 03:48 PM
does any one have open wound at incision site

You didn't mention what type of insurance you had, but I think if you find a clinic, especially if it's affiliated with a hospital, they will work with your insurance so it will be covered. Usually there is a surgeon or certified wound care nurse at the clinic, and it will be covered like any visit to a specialist. Mine was covered by my plan.
I still recommend you seek one's amazing, but a lot of doctors, despite their expertise elsewhere, are not well-versed at wound care.

If you are seeing green drainage (like guacamole), it is most likely infected. A doctor should take a culture and send it to a lab.

They packed my "tunnel" a few times with iodophor ribbon gauze, 1. to prevent infection; 2. to irritate it so it would start healing properly -otherwise it was going to stay open.

When I was going through this, there were several other people who posted that their wounds were larger than mine, but took about the same time to heal, maybe a week or so longer.

I had only applied to be off for six weeks, but when this happened, I had my doctor write a note and got approved for a couple more weeks by my employer's disability carrier.

I was just wearing a small dressing when I went back to work, mostly so my jeans wouldn't irritate my incision where it was open.
Unread 03-24-2004, 04:22 PM
does any one have open wound at incision site

do you think i should go into my doctor before my usual friday visit this week or do you t hink it will be okay until then if im not running a fever...when i first got the wound one of the doctors talked about a seaweed packing and he said with my next wound check that we would try that and my surgeon saw me the next visit and i told her what he said but she didnt say anything about it and just packed it normally...have you ever heard anything about a seaweek packing???

thanks for all your help
Unread 03-24-2004, 04:35 PM
does any one have open wound at incision site

I've heard about dressings that are impregnated with seaweed extract, but I am not sure if what you have is the right application for it.

If you are worried, try to see your doctor as often as you want.

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