Pilonidal incision not healing 8 weeks

#1
Hi everyone! My name is Hattie! I had my incision and drainage operation 8 weeks ago today!! My incision was around 6cm deep and 3cm wide, it has healed to the surface just about and at the bottom very light pink skin is growing over but only thd smallest bit, the top of the incision has no skin at all, it barely bleeds at the moment I am putting aquacel extra on the wound and putting an aquazorb square over the top, i change the dressing every other day even though nothing soaks through, it doesnt bleed much only blood is present when you clean the wound with a guaze. I currently clean it with hibiscrub but i want it to heal much faster than it has, i am still worried about sitting for long periods of time and use a coccyx cushion always but it is very embarassing to drag it around with me! I am a medical student so have already lost a lot of time on my course!! Any ideas why it is healing so slowly?
 
#2
I had my surgery 8 weeks ago now, my incision was not as deep or wide, only 2.5 x 2.5, but still eight weeks later its only raised to 2cm deep. Still getting it packed and dressed every two days by a nurse. It still oozes a bit and theres still discomfort and a bit of pain.. I also have missed so much college because of it! How is your protein intake? Because I think thats what my problem might be, not enough protein..
 
#3
Hello! Hope your recovery is going well! I am about in my 9th week now my healing has been very very slow even the nurses said, yes you make a very good point however I am always unsure how much protein would they want us to have? I eat meat once a day and have greatly increased my calcium intake and been taking vitmain D supplements, these past few days have sped up in healing! There was about a 1cm oval of deep dark red tissue which went away in one day and I can see a lot more pink skin growing. One thing I would say was that I had been using hibiscrub 4% concetrated solution to heal my wound and I think that was a big mistake and actually hindered healing, i now us 0.05% clorhexidine solution and I am getting dressed every other day! Would you say the discomfort is because it has not raised to the surface or is it painful when you walk? Dont worry at all my incision bled for a very long time even though it wasnt much it bled pratically up until the 8th week but never through the guaze in the 7th and 8th week! What sort of dressing do you use? Same I have missed A LOT of university which has been so so infuriating! I would suggest getting a coccyx cushion I got mine off amazon and I used it in lectures, it is a little embarassing carrying it around but I really cant afford missing more lectures
 
#4
Hello! Hope your recovery is going well! I am about in my 9th week now my healing has been very very slow even the nurses said, yes you make a very good point however I am always unsure how much protein would they want us to have? I eat meat once a day and have greatly increased my calcium intake and been taking vitmain D supplements, these past few days have sped up in healing! There was about a 1cm oval of deep dark red tissue which went away in one day and I can see a lot more pink skin growing. One thing I would say was that I had been using hibiscrub 4% concetrated solution to heal my wound and I think that was a big mistake and actually hindered healing, i now us 0.05% clorhexidine solution and I am getting dressed every other day! Would you say the discomfort is because it has not raised to the surface or is it painful when you walk? Dont worry at all my incision bled for a very long time even though it wasnt much it bled pratically up until the 8th week but never through the guaze in the 7th and 8th week! What sort of dressing do you use? Same I have missed A LOT of university which has been so so infuriating! I would suggest getting a coccyx cushion I got mine off amazon and I used it in lectures, it is a little embarassing carrying it around but I really cant afford missing more lectures
I've just been to my nurse and the wound is infected so I'm back on antibiotics now :( I have my outpatient check up with the surgeon in 2 days so if I find out any useful info ill let you know! Regarding the protein, my nurse had recommended these little protein drinks before, I'll try and find out the name because ill be back to the nurse tomorrow. I try to eat meat or eggs 3 times a day though, so that might be worth trying? I've been taking Vitamin C aswell to help the ol immune system! Its not painful when I walk anymore just when I sit back or try lay on my back, which means sitting at a desk to do assignments is quite difficult! I only have 4 hours of lectures a week and my lecturers are very understanding and all my material is online so that hasnt been much of an issue thank god, I'm just behind on my assignments and my dissertation. Have you been certified for time off by the doctor? Cause if so you could use those certificates in order to get extensions on assignments if needed, that's what I have been able to do. I was on sorbact for the packing and tielle for dressing, which is a rubbery kind of plaster with a foamy pad to soak any discharge. I'm back to aquacel AG for the packing today though, which I had for the first 6 weeks. What about you? I have never done the dressing myself, I've always had a nurse do it cause where I am its free!
 
#5
Oh no!! I am so sorry!! I hope the antibiotics get working fast and you are healed asap! I have not had my outpatient appointment yet which is weird, i heard that in out patient the surgeon suggests the option of having full excision of the sinus, after all the trouble a simple incision has done I cant imagine ai will be saying yes to that suggestion!! Oh yes I have been going to my GP to get it dressed but no longer packing inside, just aquacel over the wound and then an advasorb square over the top! Are you in the UK? I have been lucky that I havent had assignment deadlines, but I do have exams coming up so might get a written letter about that, i dont have much pain sitting down but my nurse has often told me not to put weight on my bum, so i have always sat down with my legs folded out to the side, this is such a pain! Quite a simple surgery but a very very long healing phase
 
#6
Thank you so much for all your help too!! This website has really helped me to be honest, i had never heard of a pilonidal sinus till this!! I am just glad the really severe pain is behind us!! If you dont mind me asking how old are you? I am 18 and I heard its quite rare in young females but clearly I am one of the lucky ones ;)
 
#7
Thank you so much for all your help too!! This website has really helped me to be honest, i had never heard of a pilonidal sinus till this!! I am just glad the really severe pain is behind us!! If you dont mind me asking how old are you? I am 18 and I heard its quite rare in young females but clearly I am one of the lucky ones ;)
Did you have yours done under local or general anaesthetic? Mine was done under General. Yeah ive a feeling thatll be suggested for me at this stage because my wound just isnt healing so I need to really think about it! I'm in Ireland! Yes I never thought it would be this long, id never heard of it before either and thought id be back on track within 3 weeks, oh how wrong I was haha! I'm 21 and female, so you're not alone haha! The surgeons and nurses were quite surprised I got one because its usually from an ingrown hair and I have no hair in the area that the cyst occurred, so I was especially lucky it seems lol
 
#8
Did you have yours done under local or general anaesthetic? Mine was done under General. Yeah ive a feeling thatll be suggested for me at this stage because my wound just isnt healing so I need to really think about it! I'm in Ireland! Yes I never thought it would be this long, id never heard of it before either and thought id be back on track within 3 weeks, oh how wrong I was haha! I'm 21 and female, so you're not alone haha! The surgeons and nurses were quite surprised I got one because its usually from an ingrown hair and I have no hair in the area that the cyst occurred, so I was especially lucky it seems lol
Was yours just lanced and drained? Or was it scooped out? Mine was scooped out
 
#9
I had mine under general anaesthetic too! Yes the nurse was shocked I had one because she said I had barely any hair there!! Guess we are just super lucky!! Now I will be so consious over my position on a chair!! I really do not want this to come back, i had it incised and drain but the incision was very deep nearly 6cm deep and 3cm wide! My healing is very slow too, there is no discharge but the skin growing over the top is very slow!! I normally remove the dressing in the shower and its a problem when the dressing is changed every other day because that means I normally have to skip a shower in between! How have you overcome that problem?
 
#10
I just had a blood test today to check for diabetes because my wound is healing so slowly! The nurse said the wound is looking good as it is light pink in colour I hope for both of our sakes it heals very quick
 
#11
I had mine under general anaesthetic too! Yes the nurse was shocked I had one because she said I had barely any hair there!! Guess we are just super lucky!! Now I will be so consious over my position on a chair!! I really do not want this to come back, i had it incised and drain but the incision was very deep nearly 6cm deep and 3cm wide! My healing is very slow too, there is no discharge but the skin growing over the top is very slow!! I normally remove the dressing in the shower and its a problem when the dressing is changed every other day because that means I normally have to skip a shower in between! How have you overcome that problem?
Oh god you poor thing I can only imagine the pain you were in before the procedure! I have managed to devise a system which may sound like a lot of effort haha, I have not stood under a shower properly since the surgery because my nurse advised that I dont clean the wound in the shower. So I just stand facing the shower, not letting the water get near the dressing, and wash my front, underarms and my legs, and then I wash my back separately with a back scrubber with a towel around my waist. I wash the backside area with a cloth then. And then I wash my hair over the bath haha. So my showers take a while now, and at the start I required my mother's help to do my hair because I couldn't bend over! But the system works and means I can shower without having to take the dressing off!
 
#12
I just had a blood test today to check for diabetes because my wound is healing so slowly! The nurse said the wound is looking good as it is light pink in colour I hope for both of our sakes it heals very quick
Oh really? When will you get the results? Well its good that its looking well I guess!
 
#13
Ooh the shower tips are great thank you so much! Thats strange I got told to wash fully my wound in the shower but I guess different nurses have different ideas :) yes I still wash my hair over the bath its quite a struggle but I always get my brother to do it for me ahah! The pain was so so bad before surgery I couldnt sleep at all and slept with a hot waterbottle every night and took the max dose of ibuprofen! I think results take a week i will message you the results! Hopefully everything is ok! Have you got an appointment today?
 
#14
No problemo! Yeah I found it a tad strange too! Yeah I'd say it was so awful, especially if it was that big!
Okay best of luck with the results!
Yep just back from it, she said the wound is looking better today then yesterday so the antibiotics must be kicking in already. Hopefully we're are both coming to the end of this tough road!
 
#16
Yesss I hope so too!! Its been a long long journey!! Did you find out what protein drinks needed? Thanks for all your help :)
DANG IT I knew I forgot to ask her something haha! When I'm with the surgeon tomorrow I'm gonna be asking him for loads of tips on how I can speed this up so I'll ask him, so sorry I forgot to ask! Also can I ask, when you were on antibiotics were you really fatigued? Any time I've been on them I get so so tired even if I've had a good nights sleep.
 
#17
No worries at all!! Yes I would love to know what the surgeon says, I still havent seen a surgeon so it will be great to hear any tips he has too!! Yes definitley I got tired all the time, i dont think its a real side effect but I think your body gets tired from all the healing it has to do! What antobiotics are you on? I was on flucloxaccilin for a while
 
#18
Yeah I'll be sure to pass on any useful info, I'm gonna take vigorous notes! Yeah that's true, its just even more so when I'm on the anti bs which is annoying. I'm on augmentin now, I was on flucloxacillin for the last infection!
When are you due to go back to uni, do you think you'll be able to manage it?
 
#19
Yes please!! I am so intrigued to find out! I started nearly a week ago, i sit on a coccyx cushion at uni or sometimes I miss uni because it is all put online! But i have been travelling from home to uni, luckily I have thay option! How about you?
 
#20
Its strange that you haven't gotten any word on an outpatient appointment.. oh very good that's great! I commute from home aswell, I'm not back until next Thursday so I have another weeks healing time! And lucky I only have two lectures a week which are two hours long each so its all good, and the stuff is usually put online too! I think I might get a coccyx cushion myself, have you found it really makes a difference?
 
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