2nd Time Old Wound Has Split Open

Discussion in 'Pilonidal Discussions' started by Blackrose, Jan 28, 2008.

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  1. Blackrose

    Blackrose New Member

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    So my wound split open just before xmas. Family doc gave me antibiotics (it was leaking pus) and I went to see my surgeon. I was scheduled for a "minor surgery" tomorrow, to do what my surgeon called a mini excision, pretty much the same thing I had done before but only with local freezing as it wouldn't be so deep. She wanted to do this because she saw a "tunnel".

    BUT I had a pre-surgery visit with her on this past Friday (like 3 days ago) and she said I was healed up all fine (tunnel gone) and that the antibiotics and the bit of cutting she did to me on the last visit must have taken care of it and she said I didn't need another surgery, I was so happy.

    Now, of course, I was feeling a bit of pain in the area yesterday and just decided to ignore it. Well there was more pain today, so I checked it out and of course the damn scar has split open AGAIN! Bleeding, doesn't look like it's leaking anything but blood at this point. [:^]

    What the hell do I do? Just leave it and have it heal again? And rip open again? Go back to my surgeon and have her recommend surgery again? I don't think the PC is back, it's just that my damn scar keeps ripping open after it's been closed for weeks. What am I doing wrong? How do I stop it from ripping open? I'm still taking it easy, haven't found a new job yet, not doing any exercise cause I'm worried about ripping it open. I'm not putting any strain on it other then when I'm sitting down. This is driving me crazy.

    And there is no way humanly possible that I can get a cleft lift. It's an 8 hour drive to the closest doc that does it and I don't drive or have a car or have anyone willing to drive me. I've also looked for wound care centers. We don't have any. This thing is really pushing me to my limits, I don't know how much more of this I can take.
     
  2. Extendacrack

    Extendacrack New Member

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    Well, from an engineering background I would suggest that if you can't limit the force you need to strengthen the scar. You can use horizontal strips of tape to reinforce the skin to prevent tensile load failure. I'd put a small amount of gauze (10mm thick) over the scar to avoid tape damaging it on removal.

    Just an idea.
     
  3. J's Mother

    J's Mother New Member

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    I have heard this theory before.

    In fact when J had his cleft lift, Dr. Bascom crossed tape across J's incision... like X. I think he had 5 "X" down his incison. Dr. Bascom advised us to leave them on for 10 days while coating them with betodine 3 times per day. I do think they helped reinforce the incision area.
     
  4. Extendacrack

    Extendacrack New Member

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    It makes logical sense. You are effectively bridging the forces, in part, through the tape. Bending over which pushes the skeletal structure outward into the skin is going to cause the most local tensile force. The tape may reduce 30 - 40% of this however if it is applied with pre-tension.

    Sitting compresses the buttocks and applies a pinned / pinned situation that does not allow the center member (your butt crack) to slide. Instead it is pulled apart both internally (muscle movement) and externally (skin movement). The tape can reduce skin movement and give more biofeedback? It's pretty noticeable when skin is being pulled by something, not so much when a fresh wound is being degraded as with cavity wounds we have poor local nerve response usually.
     
  5. NorthernGirl

    NorthernGirl New Member

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    The two suggestions above sound really good for helping the skin mend itself where it opened.

    A suggestion I got from a physiotherapist was to do some sitting while the wound was healing to give the new tissue some flexibility. So maybe as the skin starts to heal again, try sitting for longer periods of time (maybe even do some light stretching - also suggested by the physiotherapist), so that the skin will regain its elasticity and will be less likely to split open again.

    BTW Blackrose, that's awesome that you didn't end up needing the surgery! Hopefully the scar will toughen itself up soon!
     
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