Cleft Lift in a Week-post op

Discussion in 'Pilonidal Discussions' started by Girlbooty, Jul 8, 2014.

  1. Girlbooty

    Girlbooty Very Helpful

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    Day 19:
    This week has been the worst week of my life. I wish I was exaggerating. The pain is now only relieved if I am on my stomach, and after I sit on the toilet, and then only for a few minutes. I am losing hope that I will get back to my life any time soon. I am very frustrated by all this.
    That is the end of my pity party for today.
    Now that I got that off my chest. The good thing is that the antibiotic seems to be working. The color of the drainage is slightly lighter, still murky but less so. It has also slowed since the appointment yesterday. Part of the numbness has also gone away, now it's just the area directly next to the incision that is still numb. I did notice there was a bit of swelling, so I am icing the area per the suggestion on this site!
     
  2. LILLY

    LILLY Very Helpful

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    I'm not sure in what context this site suggests using ice but with a cleft lift I would not. In a recent post Dr. Immerman explained that one of the concerns with the cleft lift, as with any rotational flap surgery, is blood flow to the flap. The discussion was centered around why a surgeon would require someone to stop smoking before a cleft lift. The reason is because smoking can restrict blood flow. Icing also restricts blood flow- so for that reason I would not do it (unless directed to do so by your own surgeon).
     
  3. Girlbooty

    Girlbooty Very Helpful

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    It said if there was any swelling to ice it, I'll go back and read it again, there was probably something I missed. Thanks for the heads up, the last thing I want is to delay healing!!
     
  4. ellysparkles

    ellysparkles Very Helpful

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    I'm so sorry you're in pain! Is it mostly due to the fluid build up inside? I know you said you had some green drainage stuff come out, did it smell too? Hope the antibiotics take care of any infection that was in there. Keep us updated on how your doing and what your docs say.
     
  5. Brandonw

    Brandonw Very Helpful

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    Really sorry to hear this. I saw somwhere else on this site someone had a build up just like yours. I dont remember who though or what happened with it. I know it wasnt anything extreme. Let us know!
     
  6. Girlbooty

    Girlbooty Very Helpful

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    Thanks Elly and Brandon :)
    I did a lot of crying and praying yesterday and I woke up this morning and the gauze was soaked through. It must be building up for a few days and then bursting at night. The pain this morning was about a 4, whereas yesterday it was probably a 6-7. I do believe the antibiotics are working because I didn't notice that much of a smell this morning, and there was less of that weird green stuff.
    When I have my appointment on Tuesday if this persists, I am going to request a refill of my pain meds (Tylenol extra strength is useless now). There is zero need for this kind of pain almost 3 weeks after surgery!!
     
  7. Brandonw

    Brandonw Very Helpful

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    Definitely makes sense. So sorry its happening like this. Its hard to stay positive but it will work out just fine in the end. When it bursts at night is it one concentrated spot pretty much?
     
  8. Girlbooty

    Girlbooty Very Helpful

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    It is but I have been trying my best, this forum has definitely been a saving grace. My family has been just wonderful about all this too, so that helps.
    It's hard to tell where it comes from, I know I have two open spots, one in the middle where it opened and one where the drain was that hasn't closed yet but is closing. It seems as though during the day there is a slow leak from the bottom and not much from the middle but last night I believe most of it came from the middle
     
  9. Girlbooty

    Girlbooty Very Helpful

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    Top part of the incision opened up. Covering with gauze and have an appt on Tuesday. Sick of this.
     
  10. Brandonw

    Brandonw Very Helpful

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    Dont blame you one bit. It was unexpected. Hope you are feeling a bit better and get through it.
     
  11. Girlbooty

    Girlbooty Very Helpful

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    Thanks. I just can't believe this is happening. I sat for 45 minutes on Tuesday and now I have been reduced to laying on my stomach and that's it. If I walk, the pressure pulls the incision open. Forget about sitting.
    I am really trying to not let this get to me.
     
  12. Brandonw

    Brandonw Very Helpful

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    For sure. Its hard not to let it get to you. So now you just wait til tuesday?
     
  13. Girlbooty

    Girlbooty Very Helpful

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    Yep just lay around staying clean until Tuesday, it's going to do what it's going to do and there is absolutely nothing I can do about it...
     
  14. ellysparkles

    ellysparkles Very Helpful

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    I'm so sorry this is happening to you. Does it still smell or have the antibiotics helped with the infection? Def. let us know how your appt goes Tuesday.
     
  15. LILLY

    LILLY Very Helpful

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    I am sorry you're having such a rough time. At your appointment maybe ask if they would allow email contact. When our surgeon gave us his email address I never thought I'd use it but it really was helpful. We had a direct line to him whenever we were worried and we could send pictures so he could easily see what was going on. It might be good moving forward to be able to get assurance of what was normal and what wasn't.
     
  16. Girlbooty

    Girlbooty Very Helpful

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    Thank you elly and Lilly. This is a mental challenge more than anything, it just looks like a physical thing :)
    Elly, the smell has definitely improved and the swelling has gone down a bit. The fluid is more runny but still has signs of pus in it but I would say the antibiotics are working.
    Lilly I will take your advice, no harm in asking right? :)

    Day 21:
    I have been laying on my bed all day. The couch seems to make it hurt more (??). I can lay on my side now though, and can sit on the toilet without pain now. The last time I took a pain pill was 10am which I say is a good thing. Standing still seems to pull it apart, but only at the top. My room is closer to the bathroom and the kitchen so I don't have to walk as far.
    I have begun taking vitamins a, c, e and zinc as supplements to my daily multivitamin so hoping to see improvements soon.
    I guess I will see what the surgeon says on tuesday but until then I am not doing anything that could hurt it more. So one and a half more days of laying in bed.
    A little nervous about tomorrow though. First time home alone since the top part split. I'm glad my mom still comes by to check on me!
     
  17. Brandonw

    Brandonw Very Helpful

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    Good that it seems to be improving! Vitamins are always a plus also. Those antibiotics should be helping, I would say eat yogurt because they can kill your good bacteria as well. Wishing the best for you. The office is calling me tomorrow.
     
  18. Girlbooty

    Girlbooty Very Helpful

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    Yay that the office is finally calling! Let me know how it goes.
    I have been eating yogurt like it's going out of style lol it's one of the only things I can eat easily on my stomach, and for the probiotics of course. When you have yours done be sure to stock on many flavors, strawberry gets old after a while lol

    So I woke up this morning, and the gauze that was covering the top split was soaked with fluid/pus. After getting over my first instinct of "ew gross," I cleaned it and took a shower. The skin around the split seems to be dis colored, maybe dead skin?
    About 97% of the pressure pain is pretty much gone now, and the bruising seems to be getting better. I was able to walk around and stand much more comfortably. We will see how I feel later lol this thing seems to trick you into thinking you're doing better and then knock you down again
     
  19. Brandonw

    Brandonw Very Helpful

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    Lol i know its about time. I sure will let you know. Good on the yogurt, Il make sure to get the different kinds lol. Need to change it up every so often!

    Sounds better to me. A bit of a relief without that pressure. I guess that could be dead skin, im not really sure.
     
  20. Girlbooty

    Girlbooty Very Helpful

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    Just got back from my appt. the dark brown drainage is probably from where she flattened the cleft, and she says it is either fat necrosis or an underlying infection. I am supposed to report back on Thursday when the antibiotics run out and say what color the drainage is then/what the incision is doing.
    She said I can sit if it doesn't hurt but don't overdo anything. I can't go back to work as long as it is draining like this. She estimates it will be a few more weeks.
     

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