My surgery today 3-18-2011

Kizzy

Very Helpful
#81
Sounds positive. Was there a lot of drainage when they got the seal at the centre? It could be you really are healing well now and the draining is reducing.
 
#82
There was lil to no draining in the vac hose when the home health nurse sets up the vac seal, However when the wound care center sets up the vac im getting the correct drainage. Hopefully the home health does a better job this week.
 
#83
Duct tape ? The handyman's secret weapon. Smile as she leaves, then don the mighty silver armor. Only kidding, hopefully she got some good pointers.
 

Hound

Very Helpful
#85
I guess it still has to be better than not having it at all, must be doing some good.
 
#86
Yeah i think it has to be doing some good since it's still is holding decent vacuum. The only thing that bothers me is the drainage trough the hose pretty much stops when the slight leak starts. I'm sure everything will be good
 

Kizzy

Very Helpful
#87
I'm sure this is a stupid question but... Is there anyone else that could try and seal it for you if this happens between nurse visits? Could you do it yourself in a mirror? I'm sorry but I don't know a lot about these vacs and whether or not this would be possible.
 
#88
Sometimes the leaks are hard to find since the leak in not big at all, especially if it's down low. I think we may of found this one. I'll update in a bit
 
#90
Lol yeah duct tape owns :). My mother and me found the leak and she was able to get it fixed. The leak was very very small and the wound still had vacum on it even with the small leak. There is a big difference on drainage in the hose once the leak is fixed.... I am sure this vac is going to help me get healed up quick. tired of laying in bed, I have been in bed for 22 days now. Also need to get back to work. So glad my parents are able to help me right now
 

Kizzy

Very Helpful
#91
Great that your mum has been able to help with this and fingers crossed if you can keep that seal...
 
#92
Still fighting leaks with the home nurse care. however she has the machine pretty quiet only the very slightest leak. however the drainage inst as good when less than 100% seal. Also im hoping they are not using to small of a piece of foam in the upper part of the wound (the widest and deepest part) because the vac draws in the edges in towards each other pretty good, however the edges are not touching.

The wound care I go to on fridays gets the seal perfect, but they have not treated alot of pilonidal cyst excission wounds. The would care nurse said they treat around 2 a year. I dont think they are to well versed in pilonidal cysts, but I guess they know how to make wounds heal lol. im sure everything will go well.
 

Hound

Very Helpful
#93
So I guess it has some sort of tank to catch the exudate? Does it need to be emptied and sterilized or anything?
 

Hound

Very Helpful
#95
Sounds like a great bit of kit, though no doubt you will be glad to see the back of it when the time comes!
 
#96
Yeah, the nurse was able to get a perfect seal this morning and now the drainage is good. Before she keeps telling me that my drainage is getting less, when in fact I know it was just the seal not bein correct. Anyway hopefully she gets it right each time now because it needs good drainage so it don't become infected
 
#97
Went to the wound care center on friday and they said the wound appears to be healing pretty decent, however they said the much larger part of the wound right above the cleft would probally be healed before the smaller part of the wound that goes almost to my anus. From most of the blogs and healing posts I have seen it is almost always the opposite. They dont seem to well versed in pilonidal excisions, but I guess that does not mean they are not familiar with wound healin processes.

Also the wound vac pulls the sides of the large part of the wound fairly close together (but not touching of course) does that seem like its ok? another thing is when the wound center originally looked at my wound they thought it was shorter then it actually was, it wasnt until the next week I went in that they realized it was a lil longer (closer to my anus) then they orignally thought. so now for the last 2 weeks they have been making the foam longer to fit the actual length of the wound (hopefully no pockets formed down there).

One last thing is every 2 weeks they put guaze in my wound and shave around my wound area. I just hope they do not get any hair in the wound I get worried really easy and maybe im over reacting. Im sure all is well, but wont mind some input.
 

Hound

Very Helpful
#98
I think they will be real careful about getting hair in a wound. My dad was a barber years ago and he said even in barber college they taught not to get any hair in a cut or graze on your hand is it causes big issues, so I am sure nurses get taught it to an even greater extent.
 

Kizzy

Very Helpful
#99
Sounds like everything's moving in the right direction. I've read a few people say it's the lowest part of the wound that's most difficult and last to heal. I guess it's not getting as much air as the toolset etc.
 
Once again no Complete seal from home nurse :( she says it's fine however wound care center says no. It's not terriby loud but there is limited to no drainage. If the drainage is low it means it's going to accumulate in the wound :( something has to be done I'm tired of the run around. Ill call wound care center again in morning