Closed wound Journey

Dimino88

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Hello everyone. I wanted to share my journey dealing with this hell of a disease.

November 2022: I woke up with a small but extremely painful lump near my tailbone. Within a couple of days, it burst and continued to drain for a day or two. After that, I was completely pain-free.

January 2023: I woke up one day with intense pain in the tailbone area, making it difficult to walk. I visited urgent care and received a diagnosis of pilonidal disease. It turned out I had several pores/pits. The doctor prescribed antibiotics and referred me to a surgeon.

February 2023: I met with the surgeon who could clearly see the pores/pits with slight drainage, but there was no significant lump at the time, and I was not experiencing pain. The surgeon shaved the area and asked me to return in two weeks.

March 2023: Just a few days before my follow-up appointment, I developed a new painful lump that drained on its own the next day. During my visit with the surgeon, he recommended closed wound excision surgery.

April 7th, 2023: I underwent surgery under general anesthesia. The wound was approximately 7 cm long and slightly off the midline. A JP drain was attached slightly above my tailbone. Dissolvable stitches were used, and the entire wound was covered with surgical glue for added protection. I experienced minimal pain, mostly pressure and soreness in the area. I was advised to avoid sitting and lying on my back for about six weeks.

April 12th, 2023: I met with the surgeon to have the drain removed. Everything looked great, and I was instructed to continue avoiding sitting to protect the soft tissue flap. The drain removal was not particularly painful but felt uncomfortable. I purchased a standing desk and resumed working from home the following day.

April 14th, 2023: I noticed a significant amount of bloody drainage, which worried me about the sutures. However, upon contacting my surgeon, I was reassured that it was just seroma fluid draining. It is better for the fluid to drain than to remain under the skin and potentially cause infection.

April 25th, 2023: Bloody fluid continued to drain near the bottom of the incision. During a follow-up visit with the surgeon, he assured me that everything looked great and the sutures were intact. The pain had been minimal, although walking or sitting for more than 15 minutes was still uncomfortable. The bottom of the incision occasionally became itchy.

May 6th, 2023: The draining from the bottom of the incision finally ceased. However, my JP drain site became swollen and tender for a day or two. Eventually, it started to drain clear or slightly pink fluids, which turned out to be additional seroma fluids leaving my body.

May 12th, 2023: I didn't notice significant improvement. Sitting or walking for more than 20-30 minutes was still uncomfortable, with feelings of pressure and soreness in the area.

May 14th, 2023: A substantial amount of fluid began to drain from the upper part of the incision. I had to change my gauze every hour due to the volume of drainage. Concerned, I contacted my doctor, who assured me it was just seroma fluid leakage.

May 15th, 2023: I woke up with less drainage, and sitting and walking became significantly easier. The swelling around the incision had also decreased considerably.

Today, May 19th (6 weeks after surgery): There is very minimal clear or slightly pink drainage from the upper part of the incision. Walking and sitting are much more comfortable, and the swelling has substantially reduced. Bottom of the incision is still itchy from time to time.

I hope this helps. I will continue to provide update in the future.
 
Hello everyone. I wanted to share my journey dealing with this hell of a disease.

November 2022: I woke up with a small but extremely painful lump near my tailbone. Within a couple of days, it burst and continued to drain for a day or two. After that, I was completely pain-free.

January 2023: I woke up one day with intense pain in the tailbone area, making it difficult to walk. I visited urgent care and received a diagnosis of pilonidal disease. It turned out I had several pores/pits. The doctor prescribed antibiotics and referred me to a surgeon.

February 2023: I met with the surgeon who could clearly see the pores/pits with slight drainage, but there was no significant lump at the time, and I was not experiencing pain. The surgeon shaved the area and asked me to return in two weeks.

March 2023: Just a few days before my follow-up appointment, I developed a new painful lump that drained on its own the next day. During my visit with the surgeon, he recommended closed wound excision surgery.

April 7th, 2023: I underwent surgery under general anesthesia. The wound was approximately 7 cm long and slightly off the midline. A JP drain was attached slightly above my tailbone. Dissolvable stitches were used, and the entire wound was covered with surgical glue for added protection. I experienced minimal pain, mostly pressure and soreness in the area. I was advised to avoid sitting and lying on my back for about six weeks.

April 12th, 2023: I met with the surgeon to have the drain removed. Everything looked great, and I was instructed to continue avoiding sitting to protect the soft tissue flap. The drain removal was not particularly painful but felt uncomfortable. I purchased a standing desk and resumed working from home the following day.

April 14th, 2023: I noticed a significant amount of bloody drainage, which worried me about the sutures. However, upon contacting my surgeon, I was reassured that it was just seroma fluid draining. It is better for the fluid to drain than to remain under the skin and potentially cause infection.

April 25th, 2023: Bloody fluid continued to drain near the bottom of the incision. During a follow-up visit with the surgeon, he assured me that everything looked great and the sutures were intact. The pain had been minimal, although walking or sitting for more than 15 minutes was still uncomfortable. The bottom of the incision occasionally became itchy.

May 6th, 2023: The draining from the bottom of the incision finally ceased. However, my JP drain site became swollen and tender for a day or two. Eventually, it started to drain clear or slightly pink fluids, which turned out to be additional seroma fluids leaving my body.

May 12th, 2023: I didn't notice significant improvement. Sitting or walking for more than 20-30 minutes was still uncomfortable, with feelings of pressure and soreness in the area.

May 14th, 2023: A substantial amount of fluid began to drain from the upper part of the incision. I had to change my gauze every hour due to the volume of drainage. Concerned, I contacted my doctor, who assured me it was just seroma fluid leakage.

May 15th, 2023: I woke up with less drainage, and sitting and walking became significantly easier. The swelling around the incision had also decreased considerably.

Today, May 19th (6 weeks after surgery): There is very minimal clear or slightly pink drainage from the upper part of the incision. Walking and sitting are much more comfortable, and the swelling has substantially reduced. Bottom of the incision is still itchy from time to time.

I hope this helps. I will continue to provide update in the future.
did your surgeon tell you if you could work out after it closed up?
 
did your surgeon tell you if you could work out after it closed up?


I was advised to not work out for 8 weeks after surgery.

I am feeling much better today. I can sit and lay down in any position I want for as as long as I want. Still get a slightly sore if I sit for a long time but that only lasts for like a minute.
 
Thank you for laying this all out and I hope at this point you are out of the woods! Gave me a ton of comfort. I am pretty sure I am going through an identical surgery as you did. I am finding that similar occurrences are happening to me on almost the exact amount of days past surgery.

Mine was CW (off the midline), 6cm long, no drain after surgery. I am currently on the 14 day mark past surgery. I had some drainage of fluid on day 7 and at my follow up appointment yesterday my doctor assured me the wound is healing well. I go off antibiotics tomorrow. Started getting drainage again this morning though but sounds like that was similar to you.

A couple questions:
1) How has it healed up now and are you back to the gym and regular life?

2) Are you doing anything differently now than prior to having this disease?

3) I go back to work on Monday (day 18). Thankfully I have a standing desk but was wondering how much you were sitting around this point of the surgery? I have been super careful up until this point about not sitting at all really.
 
Thank you for laying this all out and I hope at this point you are out of the woods! Gave me a ton of comfort. I am pretty sure I am going through an identical surgery as you did. I am finding that similar occurrences are happening to me on almost the exact amount of days past surgery.

Mine was CW (off the midline), 6cm long, no drain after surgery. I am currently on the 14 day mark past surgery. I had some drainage of fluid on day 7 and at my follow up appointment yesterday my doctor assured me the wound is healing well. I go off antibiotics tomorrow. Started getting drainage again this morning though but sounds like that was similar to you.

A couple questions:
1) How has it healed up now and are you back to the gym and regular life?

2) Are you doing anything differently now than prior to having this disease?

3) I go back to work on Monday (day 18). Thankfully I have a standing desk but was wondering how much you were sitting around this point of the surgery? I have been super careful up until this point about not sitting at all really.
hey man, OW folk here, but I can definitely walk you through what I've been doing so far.
So, I'll answer your questions in order:
1) I healed fine after a ton of complications (hair getting in the way) and am now waiting on my doc to prescribe me some sort of ointment to avoid chafing and sweat. Last time I went out for a run I had a skin rash on my scar and it turned a bit red.
2) Yes, I'm doing a lot of things differently. First of all, I'm not sitting anywhere as long as I used to. Back in the day I would sit for hours, whereas now I only sit for like 2 hours using my coxxy pillow (get yourself one, you wont regret it)
3) Yep a standing desk will go a long way. I dont suggest doing a ton of sitting because my scar which is 10 months old tend to get somewhat sore after like 10 hours straight of sitting, let alone a scar thats 15days old. Sit but do not overdo it.
Also, make sure the wound is dry and well cleaned at all times. If you sweat make sure to wash it soon after. Dont wait.
Last but not least, get laser hair removal as soon as you heal up.
Thats all on my end. Wish you a speedy recovery. have a good one
 
Hello everyone. I wanted to share my journey dealing with this hell of a disease.

November 2022: I woke up with a small but extremely painful lump near my tailbone. Within a couple of days, it burst and continued to drain for a day or two. After that, I was completely pain-free.

January 2023: I woke up one day with intense pain in the tailbone area, making it difficult to walk. I visited urgent care and received a diagnosis of pilonidal disease. It turned out I had several pores/pits. The doctor prescribed antibiotics and referred me to a surgeon.

February 2023: I met with the surgeon who could clearly see the pores/pits with slight drainage, but there was no significant lump at the time, and I was not experiencing pain. The surgeon shaved the area and asked me to return in two weeks.

March 2023: Just a few days before my follow-up appointment, I developed a new painful lump that drained on its own the next day. During my visit with the surgeon, he recommended closed wound excision surgery.

April 7th, 2023: I underwent surgery under general anesthesia. The wound was approximately 7 cm long and slightly off the midline. A JP drain was attached slightly above my tailbone. Dissolvable stitches were used, and the entire wound was covered with surgical glue for added protection. I experienced minimal pain, mostly pressure and soreness in the area. I was advised to avoid sitting and lying on my back for about six weeks.

April 12th, 2023: I met with the surgeon to have the drain removed. Everything looked great, and I was instructed to continue avoiding sitting to protect the soft tissue flap. The drain removal was not particularly painful but felt uncomfortable. I purchased a standing desk and resumed working from home the following day.

April 14th, 2023: I noticed a significant amount of bloody drainage, which worried me about the sutures. However, upon contacting my surgeon, I was reassured that it was just seroma fluid draining. It is better for the fluid to drain than to remain under the skin and potentially cause infection.

April 25th, 2023: Bloody fluid continued to drain near the bottom of the incision. During a follow-up visit with the surgeon, he assured me that everything looked great and the sutures were intact. The pain had been minimal, although walking or sitting for more than 15 minutes was still uncomfortable. The bottom of the incision occasionally became itchy.

May 6th, 2023: The draining from the bottom of the incision finally ceased. However, my JP drain site became swollen and tender for a day or two. Eventually, it started to drain clear or slightly pink fluids, which turned out to be additional seroma fluids leaving my body.

May 12th, 2023: I didn't notice significant improvement. Sitting or walking for more than 20-30 minutes was still uncomfortable, with feelings of pressure and soreness in the area.

May 14th, 2023: A substantial amount of fluid began to drain from the upper part of the incision. I had to change my gauze every hour due to the volume of drainage. Concerned, I contacted my doctor, who assured me it was just seroma fluid leakage.

May 15th, 2023: I woke up with less drainage, and sitting and walking became significantly easier. The swelling around the incision had also decreased considerably.

Today, May 19th (6 weeks after surgery): There is very minimal clear or slightly pink drainage from the upper part of the incision. Walking and sitting are much more comfortable, and the swelling has substantially reduced. Bottom of the incision is still itchy from time to time.

I hope this helps. I will continue to provide update in the future.
Hello, how’s the healing? Did the incision close completely?
 
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