Won't heal

Discussion in 'Pilonidal Discussions' started by Brandi24, Nov 10, 2004.

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  1. Brandi24

    Brandi24 New Member

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    I am 24 years old and had my first(open)surgery when I was 17. It took almost 2 years for my wound to finally heal. I was sent to several doctors and tried almost everything, including topical cremes and silver nitrate. It was finally close to be healed when they sent me to the hyperbaric chamber. I went about 12 times before it freaked me out enough and I never went back. It finally closed about a month later. For the next couple years I would get flare ups off and on when I decided to go back to another doctor. He followed me for some time and then decided to redo the surgery. He thought that maybe they didn't get all of it the first time. I had the second (open) surgery in Feb. 2004. It is now Nov. 2004 and I still have a wound approx. 2 cm in depth and 3 cm wide. It hasn't healed any since July. I changed doctors and she has been applying the silver nitrate again and I am packing it once a day with Aquacel. Still nothing has happened. I went to a plastic surgeon to see about a skin graft. Instead they want to re-excise it some and close it up in layers with stitches. Still yet, nobody can tell me why this thing won't heal. I had blood work done and everything came back fine. I am scheduled for surgery to close it up on Dec. 6th. She says there is only a 50/50 chance this may work. Does anyone have any advice on what I should do?[=(]
     
  2. CathyK

    CathyK New Member

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    Have you been to a wound care center yet? If not I would check into this before you go thorugh another surgery.
     
  3. Brandi24

    Brandi24 New Member

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    I have been to 2 wound care clinics with the first sugery and they didn't do anything that my doctor wasn't already doing.
     
  4. Anonymous

    Anonymous Guest

    Brandi,

    I had my open excision done in the summer of 2002. I am still healing. It is about 95% done, it just wont close. For the first year after the surgery I went to many wound care clinics. All they could do was pack it and use silver nitrate on it. they could not explain why I was such a slow healer. they suggested plastic surgery. I decided to just let it heal over a long period of time. I can not notice changes in it healing every day, but i can defenitly see progress every month. make sure you sleep on your side or stomach, dont sit down or slouch too often, and keep packing it. it will eventually heal like mine, even though i never ever thought it would.
     
  5. Brandi24

    Brandi24 New Member

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    It would be great if it healed some from month to month but I haven't seen a change since July. I usually do sleep on my stomach or side. Unfortunately, I am a secretary so I have no choice but to sit all day. Which I know is not good for it at all but I still should notice some healing. Is there anything special to pack it with? Right now I am using Aquacel, I know they said if you use regular 4X4's it can pull some of the good tissue out as your unpacking it.
     
  6. I too had silver nitrate used on mine for 'overhealing' as the nurse called it but Im not all that convinced this didnt hinder progress[:?]

    I hope your surgery works on dec 6th[^^]
     
  7. CathyK

    CathyK New Member

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    It's possible then that you have either another cyst or a tract that was missed. To not be healed by now is nuts! Get another opinion if necessary, do whatever it takes to get this taken care of and healed!
     
  8. JT

    JT New Member

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    Brandi...is there anything coming out of the part that hasnt healed? If you are draining from it, then I would bet that there is still something there.
     
  9. Brandi24

    Brandi24 New Member

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    Yes, it still drains. Not like it did when I first had the surgery but still a little bit. It also has been bleeding very easily lately, when I pull the packing out and clean it. Is it not supposed to drain while it's healing?
     
  10. JT

    JT New Member

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    well....any kind of wound you have is going to have some type of drainage. I'm talking about the kind of drainage you had prior to any surgeries? What color is the drainage?


    There is something that they can do to you after you've had surgery to make sure they caught all the tunnels and pits and stuff. Do you know if the doctor did anything to check?

    Cathy ..Anyone....what is that called???
     
  11. Linda

    Linda New Member

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    JT,
    Do you mean an MRI done with contrast at high resolution.
     
  12. JT

    JT New Member

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    yeah that might be it. I remember some others talking about something that could detect to make sure the doctor took care of the entire area. Making sure there were no tunnels and pits left
     
  13. Brandi24

    Brandi24 New Member

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    It is more of a redish/brownish color and there is green stuff on the gauze sometimes. As far as I know they didn't do anything to check for tunnels or atleast they didn't tell me if they did. All they ever tell me is it looks clean.
     
  14. JT

    JT New Member

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    Green stuff???? That doesnt sound good...I dont think you are suppose to have Guacamole back there :D

    Seriously..havent heard of anyone having green stuff in that area
     
  15. Kali

    Kali New Member

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    Before surgery you mean? With the methylene(is that how it's spelled?) blue, "aka" the blue dye?
     
  16. Brandi24

    Brandi24 New Member

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    LOL....Yea it's like a light greenish color, just a little bit. It's kind of gooky.[:xx]
     
  17. ladyleekz

    ladyleekz New Member

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    I used to always get that green stuff. I was never told it was necessarily bad but my wound was never really right either.
     
  18. kelsta26

    kelsta26 New Member

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    Unfortunately, I am in the same boat Brandi. I had surgery in April 2004 and have two openings left. I just had an MRI today and they told me I have fluid built up and an infection. I too have green/red/brown discharge, everyday. And for the last few days, it has bled and bled. My surgeon says, we should just wait until your body reacts. Can you believe her?? Well, thats another story.
    Good Luck, listen to all the advice and stories on here.
     
  19. Brandi24

    Brandi24 New Member

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    Sounds like maybe I have the same problem. I can't believe she said wait until your body reacts. What is it supposed to do? Shouldn't they give you some antibiotics?
     
  20. Brandi24

    Brandi24 New Member

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    Well I went to my primary care doctor to get an antibiotic for what I think is an infection in my open wound. She said there was no actual way to test the wound to see if there is in fact an infection since there is bacteria that lives in it anyway, I don't know if I believe that or not. In her opinion she says I should go forward with the surgery set for Dec. 6th where they will re-excise the cavity and stitch it up in layers. I guess I have nothing to lose at this point. I will keep you updated as I find out anything and have the surgery. I pray this works.[^^][oyo]
     
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