Is Closed-Wound Surgery the Answer?

Discussion in 'Pilonidal Discussions' started by Jeffrey Jones, Feb 28, 2016.

  1. Jeffrey Jones

    Jeffrey Jones New Member

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    So I made a thread detailing my worries about this whole thing, but then I met with a doctor, who then cleared some things up. My doctor prescribed me with antibiotics (which seem to be helping, as the lump above the sinus has been draining a lot, and the lump has shrunk considerably), and then he told me what surgery would look like:

    To my relief, he said that it would be a closed-wound surgery where they remove the affected area and then stitch it up, and later remove the stitches about 5 days later. I was worried that it would be some sort of open-wound surgery where I'd have to pack my wound with gauze at least twice a day. SO, that part really took away a good portion of my stress.

    However, today, I read some horror stories on closed-wound surgery - mostly by sufferers who had their wounds open up and ended up having to pack them. What the doctor said sounded reassuring, but I'm now frightened that I could go through this same surgery and end up having my wound open up. The doctor did warn me that, after the surgery, I wouldn't be able to do practically any sitting... which sounded logical. Perhaps those whose wounds opened up did not follow/receive proper guidelines and ended up doing things such as sitting for prolonged periods, which then caused their wounds to open up?

    I also read about cleft-lift, and it seems as though - from what I have read - that's the more preferred and effective method. What do you guys think? Should I go with closed-wound or cleft-lift? I was all relieved until I found out what some went through with their closed-wound surgeries. By all means, I would probably just lie flat on my stomach for days on end until healed - I wouldn't risk anything. However, would even that necessarily prevent a possible re-opening of my wound?

    -Thanks
     
  2. Baxter4321

    Baxter4321 Very Helpful

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    There can be complications with a closed wound, however I had mine in May and had 100% healing with no complications. Most people say go with the cleft lift, I chose otherwise and I don't regret it at all. You have to make your best decision for yourself.
     
  3. Jeffrey Jones

    Jeffrey Jones New Member

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    So did you simply refrain from any activity? Because if it means physically doing utterly nothing for a couple weeks, I am all for that; as long as that would keep the darn thing from opening up.

    I'll definitely ask my doctor about the cleft-left, though, when I see him later in the week. However, due to his mentioning only of the closed-wound one, something tells me he has had success with it in the past.

    (BTW, how long did yours take to heal post removal of the stitches? I'm also worried about stitching removal, since that would mean I might have to be put under again. Wouldn't dissolvable stitches make more sense?)

    -Thanks
     
  4. Baxter4321

    Baxter4321 Very Helpful

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    I basically did nothing for like two weeks while my stitches were in. I spent a lot of time laying on my stomach or side, I was really scared of ripping my stitches. I don't see why you would need to be put under for the stitch removal, in fact I wasn't even put under for surgery. After my stitches came out I took it easy for about another month, just to make sure nothing reopened. It was uncomfortable to sit for long periods but you have to work back into that. Once the stitches were out though, I felt so good! I went shopping right after.

    Before my surgery I didn't really ask anyone for options, this option sounded best for me so I went with it, I'm happy I did.
     
  5. Jeffrey Jones

    Jeffrey Jones New Member

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    Cool - thanks for elaborating on your experience! I suppose I'll go with it as well and make sure to take it easy. Currently, I am on antibiotics and have already seen the lump shrink to half its size (lots of leakage), which is good. However, I'm in some more pain now, as there is now this odd nub sticking out of the lump. I had something similar happen when I got this large zit on my face; I had picked at it and noticed that this squishy nub of skin was poking out of it. Well, the same thing is happening with the lump I have above the sinus itself. Trying to figure out what this is. I guess the doctor will tell me by this Thurs., but if anyone else here knows, figuring it out sooner is better!

    -Thanks
     
  6. krisrenee

    krisrenee Very Helpful

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    I had the closed excision as well. I had the same fears. Mine was the week before Christmas. I felt fine with my stitches in. They were annoying at times but I took it easy but also didn't baby it too much. I didn't really drive. And when I sat down, it was nice directly flat down. I always sat an angle. And even find myself doing that now sometimes. I never had reopening. Infact started my HIIT again a few weeks after my stitches were removed. If you ever sit for prolonged periods of times, you will experience some soreness to the touch. Even when you get constipated you will probably feel funny inside the surgical sight. Don't be alarmed. Just a heads up. It's a sensitive area.
     
  7. Jeffrey Jones

    Jeffrey Jones New Member

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    Thanks for the info. I really hope that the area heals well. For how many hours, though, would I need to sit in an office chair in order to feel any pain? Even though I'm an active person, I am calm enough to spend all day in a chair. I once sat at my desk for nine hours straight, working on homework. I'm sure anyone would feel pain at that point, but would I be able to sit for a couple hours and be pain-free?

    Come to think of it, I have a scar on my wrist (no, I didn't try and cut myself) that sometimes stings a tiny bit if I pick up something heavy. I suppose I might know what you mean when you say that the scar will remain a sensitive area. I guess I'm wondering if I will be able to slump fully down/sit fully flat and back in my chair and not feel discomfort. I am incredibly tired of sitting forward, sitting in a slanted fashion, or - no matter what - not putting all of my weight in the central area. It's putting strain on the rest of my body.
     
  8. LILLY

    LILLY Very Helpful

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    What you need to understand is that any surgery will have you sitting contorted for awhile. It's the nature of the beast. The location is hard to heal and will be sore for some time. How long and to what extent depends on how extensive your disease is and how much tissue is removed-( if you go with excision surgery).

    Further, every closed excision has the potential to open up and need to be packed. Complete inactivity is not an insurance policy against this. It's important to know all the information before you go in, and manage your expectations. Are all closed excisions a nightmare- no- not at all. I believe it's better to be informed of the possible pitfalls before going in to help minimize any surprises. Good luck with whatever you choose.
     
  9. Jeffrey Jones

    Jeffrey Jones New Member

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    I wonder what else could cause one to open. However, I'll make sure to obtain as much info as I can and try to prevent it. I'm sure that doing things like sitting would make for a more likely chance of it opening up.

    Thanks for your reply.
     
  10. krisrenee

    krisrenee Very Helpful

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    @Jeffrey Jones
    I went on a 4 hour drive and sat on hard areas while out of town. It's a different kind of sore feeling. I guess any trauma like surgery to the body will always be sore. But depends on your body. It does have the potential to open, but don't worry heavily about it. Just eat well, be mindful. Invest in a coccyx pillow/tush cush. I have yet to invest in one. But if you have a desk job, I'd advise one. I still sit slanted a lot just because in my head, it seems in wired too now lol Gonna sound corny, but if you believe in God, just pray about it. Pray that God would lead you in the hands of a good, Pilonidal educated/experienced and caring surgeon. That's what I did. And I had an amazing surgeon. He knew my case, educated me before hand. His plan was to close the incision but also told me there is a chance he leave it open. Thankfully he was able to close it. He said it can open up down the road because of the area but he does not anticipate it with my particular case. So just pray, trust and not worry yourself. keep educating yourself and keep praying about it.
     

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