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Wound Dehiscence (coming all the way open) Wound Dehiscence (coming all the way open)

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Unread 03-19-2008, 03:41 AM
Wound Dehiscence (coming all the way open)

My TAH/BOS was Thursday March 13. They took out the staples and sent me home on Sunday, March 16. At that point the wound was already oozing a lot of thin, bloody fluid and was gaping under the steristrips. By Monday afternoon the entire eight inch wound had come open. It's quite nasty looking.

I saw the surgeon on Tuesday and had the wound cleaned and packed with gauze, and they are sending a home health nurse to me Wednesday to attach a WoundVAC for several weeks to drain the wound and try to get it to close.

Has anyone else had trouble with wound dehiscence (coming apart)? Did they take the staples out too soon? I'm feeling a bit untrusting of my surgeon at this point, because he's seemed several times to not listen to me, like when I told him before he took out the staples that the wound was oozing and weeping and felt sharply painful.

Any advice welcome.
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Unread 03-19-2008, 06:04 AM
Wound Dehiscence (coming all the way open)

I had mine the 13th to. they took my staples out this tuesday. keep an eye on that i came home sat. are you having any problems going to the bathroom? today i feel much better as far as pain.
Unread 03-19-2008, 06:08 AM
Wound Dehiscence (coming all the way open)

I had a hip-to-hip incision which was deliberately left open to heal "from the inside out". My surgeon believed strongly that this was the best way. For this method to work, you don't try to force the skin together -- you allow new skin to grow underneath to close the incision. He actually said that to have the skin together was counterproductive to this method!

I was skeptical, but after ten long weeks, the incision did in fact close.

Here was my wound care regime: Twice a day, I was to clean the incision area. During my morning shower, I was to allow the warm water to cascade over the incision area, but never hit it directly. Then I was to allow the entire area to air-dry for at least 30-45 minutes. (Lots and lots of TV watching got done each morning! ) Then my dh would put on fresh bandages. No wound vac, no "packing" -- just bandages. I then put on a tummy binder they gave me at the hospital, which not only gave me good support but also meant we didn't need any nasty adhesive tape.

Fast-forward to evening, and all of the bandages would come off. Then I'd take a warm, damp (and of course clean!) towel, and press it on the incision. Again, an air-dry session, followed by dh putting on fresh bandages.

I was instructed to not put any sort of ointment or even use soap for the first few weeks!

I did have a couple of staples along the incision, but they were removed shortly after my surgery -- probably within two weeks.

Your incision isn't as big as mine, so I would guess that it will not take ten weeks for it to close. As long as you're not showing signs of infection and you can say you feel generally better each week than you did the week before, you're probably on a good track. Don't judge by the hour, or you'll get discouraged or get false hope; really try to think about how things are going overall. If they seem to be getting worse, don't hesitate to call the .

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