Open Wound Healing (Complete story)

Patrick90

New Member
I have spent the last 20 months going through what I can only describe as the longest most frustrating experience of my life so far. I was diagnosed with a pilonidal sinus in 2014, I am now fully healed. (for healing guide go to October 2015)

I’m a 26 year old male.

I began noticing a little blood whenever I went to the bathroom. Foolishly I ignored it as it went away by itself. As time went on I also noticed an occasional foul smell coming from me that affected my working life and my mental state of mind.

I decided to finally get it checked at my doctors surgery, they informed me that I had a pilonidal sinus and needed an operation to remove it.

This is my complete story from my first operation to being fully healed. I’ll include a list of things that from my own personal experience lead to an accelerated healing process post operation. I hope that if you have the same condition as me you’ll take something away from my story, and learn how you can speed up your own healing process.

June 2014

Operation No. 1 (closed - stitches)

I had an operation to remove the infected sinus and close up the area with stitches. I was in hospital for 3 days following the operation. It did go well, but I was given a sedative called Codeine that ultimately caused the wound to break down. Codeine is an effective pain relief pill that helped me through the first few days and made them more comfortable, however I was severely constipated and didn’t know that I shouldn’t push hard when I went to the bathroom. A week or so later the wound re-opened and I was devastated.

July 2014

I made regular appointments at my doctors surgery to see the nurses who cleaned and dressed my wound and applied a variety of gels and honey. This went on for 6 months with no noticeable difference in wound size. I was starting to lose hope that it would ever heal, and felt totally demoralised.

January 2015

Operation No. 2 (left open to heal)

This time, I admitted myself to hospital as the area began to get very painful, almost so I couldn’t sit down any more. I was operated on the following day given how infected the wound was. This time the wound was left open to heal from the wound bed - up. I had district nurses coming to see me for a month or so. I was still able to work but got tired of driving to the doctors surgery every day so I signed up for the district nurses to come to me in the morning to save time.

October 2015

The wound had hardly progressed. None of the advice I’d found online, and from medical professionals seemed to be working. I was beginning to accept that it might not heal but then I tried something completely new, and it became my routine for six months. With discipline and determination the process healed my wound. These are the steps I followed.

1) Make sure the area immediately around the wound is shaved. This prevents hairs from lying in the wound bed. Literally no healing will take place if there are hairs touching the open wound. You can have this done at the doctors surgery where the nurse will shave you. She used my electric beard trimmer with the guard off. Kind lady!

2) Take warm salty baths every two days. - Depending on the size of the wound (mine was originally about 10 cm long, a few millimeters wide and by this point, not deep at all - maybe about 0.5 cm) you should decrease the amount of baths you have as the wound gets smaller because you don’t want to have too much exposure to the water. 15 - 20 minutes is enough as again you don’t want the skin to get waterlogged. You can just use cheap table salt from the supermarket.

3) Make your wound and the surrounding skin is COMPLETELY dry after your shower. I invested in a hair dryer specifically for this purpose. Put it on cold (not hot) and spend 4 - 5 mins drying your area.

4) I used a gel called Flaminal Forte, you can get it on prescription. It’s vitally important that the wound stays as bacteria free as possible. The gel also aids the healing process by keeping the area lubricated. Apply a pea sized amount with a cotton bud (you can do this in a mirror if no one will help you.) There is a variant of this gel available called Flaminal Hydro which is for wounds that don’t exude slough as much as those that need the Flaminal Forte, I believe it provides more moisture and lubrication.

5) Make sure you’re eating right. A good diet is what makes the difference between success and failure. You need to make sure you have a high fiber diet as your stools need to be soft as to not damage the area when you go to the bathroom. Never push too hard. Try to heat lots of fruit and veg, foods rich in vitamin C and E, and zinc. You can always take a multivitamin if you wish.
I used a natural laxative called Senna to soften the stool - took one pill every two days or so.
Drink lots of water too - this will help the digestion.

6) Expose the area to as much air as you can. This means whenever possible try lying on your side with your underwear off or pulled down so that the air can get to the wound. The main reason why wounds like this take ages to heal is that they’re starved of oxygen being tucked into the cleft.

7) Try not to put pressure on the wound. This means don’t sit unless you have to. Make sure if you do have to sit for a long period of time you shift your weight periodically.

To sum up, the wound needs to be clean, dry, healthy to promote healing.

All these steps happened when the wound was not deep enough to be packed or dressed.

To give you an idea of the speed of this, my wound (10 cm long, 0.5 cm deep and 1 cm wide) took six months to completely close following these steps above. I've been told that's really accelerated healing.

May 2016

The final part of my wound closed up. What a relief to be free of this. I will continue to keep the area hair free and dry, but now I can get on with my life! Thanks for reading my long story, I hope it will help some of you who may be experiencing a slow healing process. . .

Patrick.
 
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InGodWeTrust

New Member
Hey. I read your story and at the current moment I'm dealing with my own Open wound pilional cyst . In the Very beginning it started out as 11cm long and 5cm width and about 6cm in depth Close to the bone of my A**. So the wound is near the tail bone going down near the A**Hole. I was being treated using Aquacel wound dressing. So far it's been 2 months and a week. The doctors say it's about 7cm long and 3.5cm width & no depth. Now the dressing been change to a new dressing called Collagen. This new dressing is meant to get the Cells around the wound to attach to each other so it may close. So far it's now 5cm long, and 2.5 cm width. I'm eating a lot of fruits that have vitamin A,C, and D. I'm eating food that contain zinc as well n I've been using a machine to help my blood flow generate faster ( it's called Diathermy Machine ) it has helped me to heal up my wound. Here's my trouble, I've been dealing with this problem for 11 months, with 3 surgeries overall. I'm hoping with what all the doctors are doing and what I've been doing hopefully my wound can close up soon rather then later. Physically I'm doing good, but as emotionally I need help.I'm keeping good thoughts n praying,but How did you over come this slow healing process emotionally? Also any good advice for me during my slow healing process?
 

Patrick90

New Member
Hey, thanks for telling me your story.

It sounds like you're doing everything right given the progress it's made.

As you're aware the wound heals from the ground up, as it's at no depth now it's really come on a lot since it began to heal.

That's a massive achievement and shows that your body is well equipped to heal.

You need to be able to get your head around that sometimes it might not seem like it's moving fast enough. That can be so disheartening. I got very low over the period of time where I saw little or no progress. But as long as you're doing everything you say you've been doing, and keeping it as clean, and pressure free as possible you know that it WILL progress.

One thing I would say that helped me emotionally was to not dwell on it too much. Yes it was painful sometimes, yes it was restricting in some ways as I couldn't exercise, or run. But there was so many things I could still do and that made it seem easier to deal with.

One thing I learned as my wound was starting to heal was that the body is quite amazing in the fact that it can regrow all that flesh and eventually skin. It's incredible. It does take time, yours sounds a little bigger than mine but as I said it sounds like you've made huge progress already. Don't give up, you can do it, try and stay positive. Also, don't trawl the Internet (there are some great people and good success stories on here) but most of the time it just makes your head spin.

Wishing you have every success.

P
 

InGodWeTrust

New Member
Thank you. I'm trying my best to make sure it heals properly. I notice that the top part of my wound is healing nice so is the bottom part,but it seems it open just a bit. 1 by 1

Note that the bottom part is more inside the butt then the top part of the wound.


I don't know how that could happen. I'm thinking it can be that I'm walking Too much or when I'm going to sleep I tend to move my legs a bit much,but I keep in mind that I can't move too much. Since it's hard for me to sleep on my Belly because for 11 months I have been sleeping on my belly. It's really frustrating.

I know it can't be when I'm using the bathroom because I don't get near the wound. At least I hope not since I can't really see the bottom part of the wound.
 

Pravin Nanwani

New Member
Hey. I read your story and at the current moment I'm dealing with my own Open wound pilional cyst . In the Very beginning it started out as 11cm long and 5cm width and about 6cm in depth Close to the bone of my A**. So the wound is near the tail bone going down near the A**Hole. I was being treated using Aquacel wound dressing. So far it's been 2 months and a week. The doctors say it's about 7cm long and 3.5cm width & no depth. Now the dressing been change to a new dressing called Collagen. This new dressing is meant to get the Cells around the wound to attach to each other so it may close. So far it's now 5cm long, and 2.5 cm width. I'm eating a lot of fruits that have vitamin A,C, and D. I'm eating food that contain zinc as well n I've been using a machine to help my blood flow generate faster ( it's called Diathermy Machine ) it has helped me to heal up my wound. Here's my trouble, I've been dealing with this problem for 11 months, with 3 surgeries overall. I'm hoping with what all the doctors are doing and what I've been doing hopefully my wound can close up soon rather then later. Physically I'm doing good, but as emotionally I need help.I'm keeping good thoughts n praying,but How did you over come this slow healing process emotionally? Also any good advice for me during my slow healing process?

Hi,
It seems you are doing well now. I had an Open wound surgery which was almost 10cm long and 5-6cm deep and 3 cm width. It took 3 months to Cover till top. I am almost healed the wound is closed before 2 months but Occationally it has some opening and discharge of very littel amount of Pus It happens in the midline. My Surgeon said its ok. But i want You to let me know how long it could take to end. It remains good But after 2 weeks it has a Pinhole with slight discharge or infection. Plz help
 

PleaseHelp

New Member
I’m 17 y/o boy, I had my surgery the 25th of January, my doctor said the healing process will Ben no longer than a month, since it was fairly small. Next thing I wake up with stiches about 4 inches omg, with a gauging hole about an inch in diameter.. packed it with iodine tape up until today. When we noticed I wasn’t making progress and tunnels have formed. I currently have 3 holes that need to be packed with callogen 4x4 dissolvable pads. And I will say that was the worst pain I think I have ever experience in my life.. he only packed one of the holes since they all interlinked, it’s about a pencils diameter and 6 cm deep.. stuffed about 4 of those pads in there while I was Just about shaking and watering my eyes out. Now expecting a nurse to come every few days and I have to say this is the worst thing ever.. with high school baseball on the line, senior in highschool I need to make sure I’m not sitting straight down still. I am somewhat relieved that others are going through the same thing but i am so sorry for those that need to go through it.. it’s not fun. And with any advice on what to do thanks.. your comment will hopefully be an asset to this thing..
 

cystburgh

Very Helpful
I’m 17 y/o boy, I had my surgery the 25th of January, my doctor said the healing process will Ben no longer than a month, since it was fairly small. Next thing I wake up with stiches about 4 inches omg, with a gauging hole about an inch in diameter.. packed it with iodine tape up until today. When we noticed I wasn’t making progress and tunnels have formed. I currently have 3 holes that need to be packed with callogen 4x4 dissolvable pads. And I will say that was the worst pain I think I have ever experience in my life.. he only packed one of the holes since they all interlinked, it’s about a pencils diameter and 6 cm deep.. stuffed about 4 of those pads in there while I was Just about shaking and watering my eyes out. Now expecting a nurse to come every few days and I have to say this is the worst thing ever.. with high school baseball on the line, senior in highschool I need to make sure I’m not sitting straight down still. I am somewhat relieved that others are going through the same thing but i am so sorry for those that need to go through it.. it’s not fun. And with any advice on what to do thanks.. your comment will hopefully be an asset to this thing..

I was in your same situation when i was 17. Im now 34. I opted for surgery during basketball season to be back in time for baseball my sr yr. I played about 1/2 my sr year basketball then had the surgery. I played baseball but i was not healed. I then had surgery a 2nd time during summer baseball. Again i did not heal. I opted to not play baseball in college (d2 recruit) bc i had to commute and have my mom change my dressings. I had multiple other failed surgeries last failed one being 2012 shortley after being married. Look up cleft lift and find a good cleft lift surgeon. I just had this surgery and theres no wound and its just over 2 weeks now and im thinking im healed but im hesitent to ever say it. So sorry you are in this sitiation. I know how much it sucks to miss sports for some weird thing which is hard to explain to your buddies.
 

Meena

New Member
I had my pilonidal surgery in Dec 17,my wound is open wound and my wound is 80 percent healed.But the rest 20 percent is not healing .My questions are
1) how to remove hair from the periphery of the wound?
2) does multidex powder help in faster healing?
 

Moggycullen

New Member
Had the same problems had my pilo excision done surgeon cut straight down mid line worst thing ever for healing and stitched closed stitches burst open after 2 weeks and had to have it packed,wound was 3.5 inches long 1.5 inches deep and 2 inches wide massive,
Had major healing problems and took 2 years to fully heal after a year with a chronic wound healing clinic I’ll give as much info as possible to help anybody reading
The wound was packed with calcium alginate rope packing and aqucel with cosmapoor dressing this method didn’t do much good for healing I soldiered on for over a year fighting infection also and the wound was 90% healed after that it slowed right down and would heal over and split back open slightly every week.
The nurse mistakingly never shaved the area and told me not to squat bend or sit this was a massive mistake as it healed tight and wrong with no play in the wound and would constantly break open. I attended a wound healing specialist clinic with a professor that advised me everything the nurse done was wrong.
He said to keep bending moving and sitting as much as possible and use a surgical ring cushion if needed to take pressure from the area, the professor had to physically break the wound open by hand and tape the cheeks apart as the wound was bridging (closing on outside leaving hollow underneath) he shaved the area regular and used inodine dressing rolled up around 10x10 gauze into a wedge to wedge the cheeks apart kill the bacteria with the iodine and dry the wound and used a silicone sacral dressing this worked extremely well fought of infection bringing the wound to heal very quickly.
He mechanically opened the wound every 4 weeks to stop the bridging and used inodine and sacral dressings every day and eventually the wound healed completely.
Even though it’s now healed it’s extremely sensitive and still my movement is restricted cannot sit without a dunlopillo surgical ring cushion and having physiotherapy to slowly stretch the scar tissue.
My advice is
1. do not let them stitch it closed this DOES NOT WORK
2. don’t let them cut down the midline this is very lazy and the worst thing a surgeon can do for healing a good surgeon will make incision few inches to the side of the midline and remove the sinus and cyst from the side and take the tension of the wound away from the midline.
3. ALWAYS shave the hairs around the wound as this has a massive effect on wound healing preventing hairs getting into wound.
4. After wound starts to get shallower use inodine dressings wrapped over gauze into a roll placed in the but crease to wedge open the wound and keep it incredibly clean and stop wound bridging shut to early
5. ALWAYS keep moving bending and sitting no matter how much it hurts as this will make the wound heal correctly compensating for stretching the area as if you don’t the wound will heal tight and restrict your movement
6. If deeper wound is slow healing use flaminol hydro or flamizine gel to clear infection this stuff is great
Last but not least if I could go back in time I’d have had the abscess lanced instead of the excision as this fills a lot of the sinuses and have known people to go 10 years before re occurrence only have the full op if you absolutely have no other choice do not trust the surgeon and always get a second opinion
Hope this helps in some way as I went through all this horror by myself big learning curve and would’ve loved the information beforehand
Reply if you have questions I’m happy to help
 
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