Surgery Log

Discussion in 'Pilonidal Discussions' started by BetterButt4Me, Dec 20, 2007.

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  1. pilo14

    pilo14 New Member

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    So, I'm on day 6 and I don't feel much down there and I'm scared that the nurse maybe packed it too lightly? I thought the worst pain was around this time - is this the calm before the storm? Or maybe because you guys had the long lasting anesthetic, you started feeling it around that time? How's everyone doing?
     
  2. uwpsocr13

    uwpsocr13 New Member

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    I wouldnt worry about their being a lack of pain. Just whenever they come back, either tonight or tomorrow morning, just express your concern, and maybe ask her to pack it a little tighter. I did start to feel a little worse around this time, but it was just a little increase in soreness, so still not bad at all. and I cant believe the doctor use his hands and just tore it. Hope you took your pain meds before. I mean mine used the scizzors and I thought this was bad, but didnt hurt at all. It should get better though if he has to do it again though, as my doc said by the 2nd/3rd week the nerve endings die off. P.S. Congrats on the bathroom accomplishment! Keep taking all that stuff so it continues.

    Tomorrow is the 3 week mark. I definitely have seen the most improvement with myself within the last few days. I am able to sleep on my back, and starting yesterday am sitting much better. Today was my first time driving, also, with a cushion ofcourse. The changes were like overnight. I hadnt really looked at my wound in a few days, but did today and it really does look smaller already. I go back and see my doctor in a couple days for my weekly visit, and he'll clean it out again and use more silver nitrate. I think I'm definitely over the hump!
     
  3. conservative2

    conservative2 New Member

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    Had my surgery today

    After 3 "failed" drainings and a partial Bascom procedure over the past 6 months, I finally decided to have the full pilonidal cystectomy. I'm now home and really not feeling any pain at all (not taking any pain meds yet), just some discomfort. Surprisingly I'm feeling very similar to when I had the wound drained each time (although it was never infected so I didn't have the painful lancing procedures everyone here describes). :rolleyes:

    I have a visiting nurse coming tomorrow to help change the bandages for the first time and I'm very confident that will be the worst part of the entire process. Other than that, I'm walking around and have been sitting in my computer chair (albeit carefully) for several hours this evening.

    I'm going to continue taking colace (dr. recommended colace as a stool softener and recommended I avoid a laxative at this point) and hope for a BM tomorrow.

    Anyway, I'm happy to say the procedure was very easy (I don't remember a thing) and I'm definitely glad to have this stage over with!

    Good luck to everyone else in recovery. It's nice to be a part of the recovery club. :D
     
  4. pilo14

    pilo14 New Member

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    Uwps - thanks for the update - I'm certainly waiting for the light at the end of the tunnel! It is pretty sore today, but manageable. I'm actually sitting on my bum (well, not really, more like sitting with my thighs, and the tailbone part only slightly touching the chair itself, lol). And the funny thing is, only PC people will understand what I'm saying - hahah, our language, Pilonidalinese :D . And the last time I took any pain meds was at 2PM, and it was just 2 Ibuprofens. I was not going to take Ibuprofens, but since the inflammation phase is over and I'm in the proliferation phase, I think it's safe now.

    My nurse seems like a seasoned nurse and seemed to know what she was talking about. We even had a conversation about a woundvac, but we both agreed, with the location, it would be difficult to get a suction. She said that she packed it lightly because you need some circulation for the cells to "proliferate." But I will definitely express my concerns, I don't want good ol doctor messing with my wound [:xx] again, haha.

    Conservative - GOOD LUCK and welcome to the recovery club! Colace is what I'm on and it really works! Although, I missed the BM yesterday, maybe because I'm scared to go after the doc event. I am hoping to go today, I still take it. Stay strong! [:8)]
     
  5. conservative2

    conservative2 New Member

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    Day 1 of recovery

    So I just had my first packing change with the visiting nurse and it wasn't nearly as bad as I expected. I sat in the tub to moisten the gauze before she came. I guess the gauze loosened while i was in the tub because went I went to get out, it looks like a shark had eaten my leg in the water! Whoa, I wasn't expecting to see all that blood! (sorry for the explicit nature but I wanted to accurately describe what I saw).

    Anyway I got out of the tub and held a gauze pad under the wound area while I went to lie down on the bed for the dressing change. The dressing change went fine although I don't think my visiting nurse ever saw a PC before. My wound is 6cm long x 2cm wide x 1.5cm deep but she kept saying "Whoa, you have a very large wound!".

    I also had a BM last night that cause some more bleeding but I just tacked some more gauze on the area and went to bed. I probably should've taken the Percocet for the pain because while the wound didn't hurt much, it did keep me up most of the night (up at least once every hour to hour and a half).

    One more packing change later today and then on to day 2! [:8)]
     
  6. NorthernGirl

    NorthernGirl New Member

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    3 week follow up appointment with surgeon

    Wow, lots of people have joined this log! I'm still around...I just had my first appointment with the surgeon since the surgery (it's been a little over 3 weeks since my surgery). He said it looks great and I'm very grateful to my nurses for packing the wound tightly because he didn't need to scrape off anything to keep it from healing too quickly (like pilo14 described - poor you!). He said that I can probably go to getting it packed every other day in about a week (the home care nurses will decide when it's right). Keep in mind I had a relatively small wound (about 1 inch deep by 1 1/2 inches long) and it's still going to take at least a couple more weeks to heal. I'm guessing these things really do need to heal slowly for best results.

    The surgeon said I can pretty much go back to all activities, but my home care nurses have said don't try to much too soon - they suggested to start with walking. I'm not going to jump back into soccer yet and risk ripping the wound, though the area feels great and has next to no drainage now.

    I was supposed to go back to work this week, but due to a problem with one of the discs in my back that had started a couple of weeks before the surgery and has been made much worse by lying on my side a lot, I won't be going back until next week. I was finally able to lie on my back a little before the three week mark which is good because it seems to be helping my back (the pain from this disc - I think it's a what's called a "bulging disc" - is much worse than anything I had related to the pilonidal surgery). Anyway, I'm thinking the back problem may be a blessing in disguise because the extra rest will probably help the wound heal more quickly.

    Good luck to the many recoverers out there - there is definitely a light at the end of the tunnel!
     
  7. uwpsocr13

    uwpsocr13 New Member

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    Had my 3 week post-op today...

    Surgeon said it looked absolutely great. Its now only a 1/4" deep, and he still says within 6 weeks he expects it to be fully closed. I had forgotten to take some pain meds before, just cuz i havent been using them really anymore, but again... it wasnt bad at all. He debrided it a little bit again, and used some silver nitrate. Didnt feel a thing! He said to keep doing my sitz baths, and packing it, even though the gause can only go in a little bit. It is still removing some exudate.

    I asked him about still being exhausted and sleeping a lot more than normal. He said the 2 weeks following surgery the body requires a lot more sleep because of the "trauma" and healing process, but that by now I should be better. I think I may just be getting too much sleep, and need to force myself out of the cycle. haha.
     
  8. pilo14

    pilo14 New Member

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    So great to hear that you are all doing so great! It is something to look forward to! I'm doing great as well, they measured my wound, still the same size. I did my packing by myself yesterday and I feel like going back to work already! :)
     
  9. natabz

    natabz New Member

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    Hey there, I understand how feel being exhausted and tired. I was the same, and I got told to take iron tablets as I may be anaemic due to blood loss, etc. Are you taking any vitamins etc? I found it helped me a bit, and going for a little walk each day means you can get out in the fresh air - doesn't have to be far though! Hope you feel better soon - Happy healing :)

     
  10. uwpsocr13

    uwpsocr13 New Member

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    Been a while since anyone posted here...

    Had my 4 week post-op today...

    Still healing very nicely. He said each weak my wound is getting about half as small, making it about 1/8" deep. When he first looked at it he pushed down on it, and then started talking about how the different skin layers heal and how even months after theyre still fragile, so I'm not sure what exactly it was for. He removed some hairs from the surrounding area, just to make sure they didnt get pushed or trapped, and used some silver nitrate. I'm not sure if he cut anything because it was so fast, and I dont feel it anyways. It all took like 1 minute. He tried to pack it, but the gause doesnt really go in anymore, so basically just on top.

    Best news of the day... I get to start working out [:8)]. He said its closed enough that I shouldnt have any issues. He said treadmills and ellipticals are ok, as long as I'm careful and dont push it too much, but no bikes or anything that put pressure on the wound. I cant explain how happy I am after 5 months of not being able to work out at all. I've got a cruise in 6 weeks I gotta get ready for. [oyo]
     
  11. natabz

    natabz New Member

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    Hey that's GREAT news - awesome, now you can start getting back to normal! I'm so happy for you - hope it continues healing so well! wooohoo!![x0x][:8)]

     
  12. pilo14

    pilo14 New Member

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    That's great stuff Uwps! Good luck - you've earned that cruise!
     
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