Final Stages of Wound Closing

secondBH

New Member
I am wondering if anyone has experience/advice for (what looks like) the final stages of the wound healing? I had closed wound surgery in August 2019, it reopened in October, and now many months later I *think* it has closed. The trouble is, sometimes I check it and am confident it’s closed, and other times I am not so sure it’s fully closed. I’ve figured out how to check it in the mirror myself, but it’s still hard to get a great look due to the location. I have not seen drainage in a couple weeks, but sometimes I feel like I can see the smallest of openings back there.

My current daily routine is showers once or twice a day where I still rinse the area with a small squirt bottle, blow dry for about a minute after getting out, and then apply the gauze pad to keep the area drive (I roll one up and push it in there, so it would certainly soak up an drainage). I shave about once a week (electric razor), and don’t do any physical activity beyond walking. I hardly ever sit, and when I do it’s with a donut pillow.

Any advice on what to look for, or add to my wound care routine at this stage? Can it be open even if there is never drainage now? I am growing increasingly frustrated, as all the bars and restaurants and such are reopening, and yet I am still stuck dealing with this.
 

lorenrobb

New Member
There’s not much more than what you’re currently doing. I had open wound surgery unfortunately but I did drink at least 90 grams of protein everyday (as a male), be sure to walk as you are, and get 8 hours of sleep. I would research if collagen protein has any negative side effects with wounds but from what I’ve found it helps promote skin repair.
 

aleximo

New Member
I am wondering if anyone has experience/advice for (what looks like) the final stages of the wound healing? I had closed wound surgery in August 2019, it reopened in October, and now many months later I *think* it has closed. The trouble is, sometimes I check it and am confident it’s closed, and other times I am not so sure it’s fully closed. I’ve figured out how to check it in the mirror myself, but it’s still hard to get a great look due to the location. I have not seen drainage in a couple weeks, but sometimes I feel like I can see the smallest of openings back there.

My current daily routine is showers once or twice a day where I still rinse the area with a small squirt bottle, blow dry for about a minute after getting out, and then apply the gauze pad to keep the area drive (I roll one up and push it in there, so it would certainly soak up an drainage). I shave about once a week (electric razor), and don’t do any physical activity beyond walking. I hardly ever sit, and when I do it’s with a donut pillow.

Any advice on what to look for, or add to my wound care routine at this stage? Can it be open even if there is never drainage now? I am growing increasingly frustrated, as all the bars and restaurants and such are reopening, and yet I am still stuck dealing with this.
Hi buddy,

I feel everyone's pain, having had some 7 surgeries spanning over 10 years, this is tough old thing to get through and live with not to mention embarrassing. Not all the surgeries revealed a sinus or cyst, in fact I am sure that it was only on about 3 of those surgeries that they actually removed any form of hair or sinus from the open wound. A lot of the time I was fed up of having a healthy wound that would not close. Having tried a number of methods like Manuka honey dressings, which made a slight improvement (but not definitive) and also multiple laser hair removal sessions over a year, the best thing that I had come across for fully (and I mean fully) healing the superficial wound I had was this:

-Buy a tube of hydrocortisone cream 1% w/w (a readily available steroid with no prescription required) and put a dab of it on the wound
-Then cut a rectangle of Jelonet dressing (this comes in a foiled pack and is lubricated) this helps to keep the area moist the hydrocortisone cream active in the area. A 5cm by 5cm pack will cut into three bits.
-Then place a dry gauze (rolled or flat) on top of this secured by tape. Do this every day until the wound heals. Carry on until the skin appearance is back to normal.
Tip- It is best to get a swivel make-up mirror and place this on top of the toilet, this allows you to accurately apply the cream and inspect the wound. Shaving the area also assists the process. However, as I had hair removal this was less applicable to me.

I would caveat that I am not a medical professional but this worked a treat for me as a steroid cream was suggested to me after seeing a dermatologist. I was fully healed in under two weeks! However, I would stress that you seek medical advice before using this or any other cream, whilst steroid creams are relatively harmless you want to be sure that it is right for you.

Good luck.

Alex
 

secondBH

New Member
There’s not much more than what you’re currently doing. I had open wound surgery unfortunately but I did drink at least 90 grams of protein everyday (as a male), be sure to walk as you are, and get 8 hours of sleep. I would research if collagen protein has any negative side effects with wounds but from what I’ve found it helps promote skin repair.
thanks, appreciate the response! I was not familiar with collagen protein, I’ll look into it.

Any advice on returning to physical activity? Before surgery I was pretty active, playing sports, weightlifting, going for runs, etc.
 

secondBH

New Member
Hi buddy,

I feel everyone's pain, having had some 7 surgeries spanning over 10 years, this is tough old thing to get through and live with not to mention embarrassing. Not all the surgeries revealed a sinus or cyst, in fact I am sure that it was only on about 3 of those surgeries that they actually removed any form of hair or sinus from the open wound. A lot of the time I was fed up of having a healthy wound that would not close. Having tried a number of methods like Manuka honey dressings, which made a slight improvement (but not definitive) and also multiple laser hair removal sessions over a year, the best thing that I had come across for fully (and I mean fully) healing the superficial wound I had was this:

-Buy a tube of hydrocortisone cream 1% w/w (a readily available steroid with no prescription required) and put a dab of it on the wound
-Then cut a rectangle of Jelonet dressing (this comes in a foiled pack and is lubricated) this helps to keep the area moist the hydrocortisone cream active in the area. A 5cm by 5cm pack will cut into three bits.
-Then place a dry gauze (rolled or flat) on top of this secured by tape. Do this every day until the wound heals. Carry on until the skin appearance is back to normal.
Tip- It is best to get a swivel make-up mirror and place this on top of the toilet, this allows you to accurately apply the cream and inspect the wound. Shaving the area also assists the process. However, as I had hair removal this was less applicable to me.

I would caveat that I am not a medical professional but this worked a treat for me as a steroid cream was suggested to me after seeing a dermatologist. I was fully healed in under two weeks! However, I would stress that you seek medical advice before using this or any other cream, whilst steroid creams are relatively harmless you want to be sure that it is right for you.

Good luck.

Alex
Very in depth, thank you! Glad to hear you finally got it sorted out. I have been doing the rolled up gauze pad still despite the wound closing up, but had not been told about steroids.

Any advice on returning to physical activity? Before surgery I was pretty active, playing sports, weightlifting, going for runs.
 

aleximo

New Member
Very in depth, thank you! Glad to hear you finally got it sorted out. I have been doing the rolled up gauze pad still despite the wound closing up, but had not been told about steroids.

Any advice on returning to physical activity? Before surgery I was pretty active, playing sports, weightlifting, going for runs.
Yeah you should be OK to return to normal activity pretty soon after the op, I did although it makes you more cautious. The main things to avoid are things like cycling (which I used to love doing) and activities such as rowing as these can aggravate the area by their very nature. It too went to the gym (and still do). I think that was why I got PS as I had been going from about the age of 18 and this can place a lot of pressure goes on that region when you are working out. Before I got PS the area was extremely itchy.

I would say try the steroid cream first before considering any further options. You will feel it work as the area becomes active and you will feel a tingle or slight itch in the area. If you do you know that it is healing.

I found that you will get advice from a lot of medical practitioners and this advice will vary and question everything that you do and likewise it will also question the validity of what they are saying. I personally don't think salt baths do anything, it didn't for me but I had a nurse that kept telling me to have them with no real results. Invigoration of the wound area is good as it will draw blood to it and in turn this will assist with healing.
 
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