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Just how long should it take for an open wound to heal? Dr?

Just how long should it take for an open wound to heal? Dr?

Postby mssmith » Tue Aug 28, 2007 7:11 am

I have had an open wound at the t-incision for a month now, it is about the size of a silver dollar but more oval in shape. I see no difference.

All I've been told to do is keep it clean and covered. He gave me the flexzan wound covering to put over it.

It is becoming frustrating, and it is uncomfortable.. braless I feel the weight of the breast and bra on the bands constantly ride up and irritate.

When something like that flexzan wound covering is used is it better to change it daily? Or better to leave it alone until it either starts coming off on its own or you can tell it is becoming saturated with the oozy stuff? then remove clean and replace with new?

It is beginning to itch often also, is this a sign it is healing, or something else.?
Mary

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Postby neraknna » Wed Aug 29, 2007 4:45 am

Hey Mary
If you are itching thats a good sign that the healing is happening. I had an open wound for about 5 weeks its finally getting there. I changed and cleaned the wound every day to make sure that it was clean I was really worried that I would get an infection, what does your PS say?

I still wear a bra 24/7, I sleep in the walmart bra's for support, it helps. During the day I wear a sports bra also for support, if yours are riding up are you sure you have the correct band size, I also sometimes have to put some lint pads or nursing pads just under the band in places to help cushion the scars.

Give it time, it takes time for these things to improve.
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Postby mssmith » Wed Aug 29, 2007 5:14 am

I'm about in tears over this crap this morning. I'm so tired of this. I woke up and the goop had oozed all out from around the dressing. It seems to be weeping more than it has over the last few weeks. Is this normal? I don't really know what the stages are in this. It seems bigger this morning, and the breast tissue seems to be protruding more from the opening.

I'm so emotional and on the verge of tears.. I have a very crampy feeling so I'm thinking I must FINALLY be getting my period, I wonder if that has anything to do with the area (the tissue that is protuding) seeming more swollen,..I'm sure it must have something to do with the tears! I'm just a mess this morning. This wound is giving me the creeps! Why is it getting larger and oozing more instead of steadily smaller. The ooze is a fairly clear ooze, it doesn't really have an odor. so I don't think its infection, but is does seem to be much more than I've seen to this point.


As for the bra, I'm in the walmart bra.. According to every bra measurement thing on the planet it says my brand size should be a 40. But I've always worn a 38. But yes it does ride up a bit, so should I go get a 36 and try it? This morning, I have the flexzan over the wound, a mini pad over that to pad the bra band and THEN LOL, I have my flexi cami to give me even more support..

Oh, PLEASE make this thing HEAL!!It has been about a month or so now, it originally was about dime size, it is now about silver dollar size. My ps looked at it last thurs. and just said, keep doing what you are doing. let the water from the shower wash it, pat dry, air out a little then put the flexzan over it. .... :(
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Postby fayzedout » Wed Aug 29, 2007 6:37 am

I had open wounds all down the front incision and at the Tfor about 5 weeks. Initially, my PS said he would have to revise the scars after six months, but we both became equally frustrated and at my 5 week check up he finally said "enough is enough" and scheduled me for suregry 2 days later. He fixed and closed the incisions and i never had another problem. let him know that you are unhappy and uncomfortable - even if the wound does heal you will probably left with a wide, unsightly scar that would need revising down the road. keep your spirits up! Good luck :wink:
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Postby mssmith » Wed Aug 29, 2007 7:03 am

ok, I take it back, I found my first post and this thing was discovered on August 7, what is today? The 29th? So it has beem just over 3weeks.

Is it normal for MORE oozing to be happening? is that a sign it is healing and that is a side effect of all the stuff coming together? OR is that a sign it is getting worse.. it has clearly gotten bigger over the three weeks since I have been dressing it.

I called and asked the nurse, and all she said was come in tomorrow and let him look at it. I'm going but I know he'll probably roll his eyes that i'm back a week later :roll: He, is a great ps I think, but his bedside manner is a bit short.

All I want is for someong to explain to me the phases to expect while these stupid spots heal!!.
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Postby BigUns » Wed Aug 29, 2007 7:28 am

Mary,

I am into my 3rd week with my open wound. My PS has told me it can take weeks to months for it to heal! :( I certainly understand your frustration! I am with ya! Mine starts at the t and moves over towards my arm. It is about 1 1/2 inches high and 2 inches wide at the worst spot and then kinda goes down from there.

I am seeing my PS every week for monitoring. His instructions have been clean with soap and water and put Biactrin on it and cover with a non-stick gauze.

I have found that cheap mini pads tacked from the bottom with a little strip of paper tape to keep it in place has worked the best. They seem to stay in place and absorb better and seem to last me all day while I am at work. Plus the cheap ones aren't soo large or stiff than the better brands. It's more like a mini full size maxi.

Mine is finally starting to show signs of healing... But it is a very slow process. I have been taking vitamin B12 don't know if that helped to finally start the healing process??

Hang in there! I know it is very frustrating!

Feel free to PM or email me anytime!

We will ge through this!
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Postby cristywisty » Wed Aug 29, 2007 9:36 am

Mary,
Couple of weeks ago you said you could see a stitch... did you ever get that out?

It sounds like your body is trying to spit out a stitch... thats what they did when I had issues with them. I had a tt revision in 1/07 and found out that my body doesnt like the dissolvable stiches... I spit quite a few. When I went in the first time, not knowing what was wrong the nurse just squeezed and squeezed and got all the goop out that was in the hole. I thought I was going to die!

She said to clean tweezers with peroxide or alcohol and pull the stitch out next time then cover with polysporin (neosporin) and gauze or paper tape. They each closed up in a day or too... once the stitch was removed.

Most of the ones that I pulled out were where the knots where.. so they came out pretty easy.

If its a stitch you dont want to keep it so tightly covered. You want to allow it to fester up. It sounds like all you are doing is keeping it in and making it worse? :cry:

If its not a stitch, hopefully your PS can give you some advice when you see him tomorrow.
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Postby mssmith » Wed Aug 29, 2007 9:59 am

Actually, last night another stitch did fall out, about a half inch worth and I clipped it off, so I wonder if that is what has prompted all the extra goop and inflamation since last night.
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Postby cristywisty » Wed Aug 29, 2007 10:51 am

I would suspect so.

If it were me:
I would squeeze in all directions until you cant squeeze any more. You want to get out all the goop that is in the hole. Sometimes the stitches looked like blood clots (knots covered in blood). There may be more in stitches in there trying to come out. I would pull as much out as I can... not clip it, unless you can actually feel that its attached and pulling on the skin.

Once the stitch is out and have the hole opened, put some polysporin on it and gauze with tape. I wouldnt use the other tape stuff you have been using. You want to allow it to dry out and the other tape keeps its moist. I would change the gauze in the am and pm and put more polysporin on when ever you change it.

Again... This is what I would do :wink:

My holes would close up within 24 hours, once the stitch was out that was causing the irritation.

Good Luck!

PS... also make a note of what kind of stitch it is. So you can say you are "allergic" to them and they will use the other kind for any future surgeries.
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Postby boobalicious » Wed Aug 29, 2007 10:53 am

Mary -

I oozed noticibly for 6-8 weeks post-op. It took about that long for the holes I had in leftie to fully close up as well. My surgeon was unconcerned and said that that particular area often takes longer to heal.
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Postby mssmith » Wed Aug 29, 2007 11:21 am

Cristywisty.. I'm not sure you and i are talking about the same kind of holes..this thing is a good two inches wide by about that in the other direction... I can sometimes see the stitches, other times I can't. In the last week two have 'fallen' out and been about about a half inch long hanging.

The tissue has begun to buldge lower than the skin opening.
Mary

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Postby DDdownsizin' » Wed Aug 29, 2007 11:32 am

Hi All-

I also have an open wound along the bottom, It has also been getting larger and its been oozing and gross for the last 2 and a half weeks. MY PS is going to stitch it up tomorrow in the OR. He decided that it would heal much quicker after it was stitched up, otherwise it will take awhile. I made the mistake of putting a band-aid over it the other day, when I took the band-aid off It ripped off a layer of skin around the wound! UGGH! the skin is still sensitive.

I'll let you all know how it goes after tomorrow.
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Postby cristywisty » Wed Aug 29, 2007 11:45 am

The holes I got on my TT revission were about 1 inch in length going across the scar. They would always "pop" before they got any bigger and I would dig/squeeze until I could find the stitch or knots and pull them out. I assume if I didnt pop or pull they would have eventually "fallen out"... but I didnt want to hold up my healing. And my PS said to pull them out!

Sometimes I would get 2 holes right next to each other one right days apart. If you look at my scar on tt you can see where it is red and big...each one of those spots had a spit stitch.

I would expect that if you didnt get the stitches out that are trying to get out. By keeping it closed up with the tape they arent able to fully come to head, are just trying to find another way out. So what started out as a small hole, is continuing to get bigger. Does this make sense?

My PS used the thread like sutures very limited so I only had 1 stitch spit on my BR scar at the T of the anchor. It was oozing on and off for awhile, so I knew it was just a matter of time. It got big and red like a boil and I finally popped it. If I hadnt I am sure it would eventually on its own, but who knows how long it would have taken, or how big it would have gotten. When I saw my PS on Wed last week, she actually pulled the scab and dug around and pulled out some more even though it wasnt irritating me.

When I have seen or heard about people talking about other problems like necrosis, no one ever mentions "stitches" falling out. So I wouldnt think thats what it is. Maybe you could post a picture and the other ladies that have had that problem might be able to help you if thats what it looks like?

From my experience with the spitting stitches it sounds like what you are talking about. Hopefully your PS will be able to help you tomorrow, so you can continue the healing process.
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Postby kpa2007 » Wed Aug 29, 2007 2:00 pm

Hi Mary,

I know you are feeling desperate, but a wound takes as long as it needs to heal. And, I know you probably don't want to hear that (sorry), but you are dealing with an unknown and no one not even the doctor can say for sure how long it is going to take to heal. It's so individual--most likely those of us a bit younger bounce back sooner. It's something none of us are really prepared for and when it happens to us, it can hurt, cause extra work, be very frustrating and preclude us from enjoying some fun activities with our family. Mine started off the size of pencil eraser, turned into a dime, and then got to the half dollar size (very terrifying). In the mean time, however, continue seeing your PS on a regular basis and just keep the area clean, stuff the breasts in the bra, don't play with them, and try not to stress too much about it. Hell, don't look at them too much in the mirror. :oops:

Remember you've had two major surgeries: a tummy tuck and a breast reduction and there are a lot of stitches and it's going to be a long recovery and even longer now that you've developed a healing problem. Also, remember each breast heals differently as they are separate entities. Try to eat good protein, eat pineapple, and flush out the toxins from your system by drinking a lot of water.

I think the PSs' see these wounds so much that they become jaded to them, so they are not the best people to get emotional support from, unfortunately. But, I would follow your PS's advice because if you stray from the directions, he or she will not be responsible for fixing the problem and you don't want to be alone in the middle of a healing crisis and eventually you may want a scar revision.

You will get better with time, but you are not going to see big changes from week to week. You will see some changes from month to month. I'm almost three months out and I still have some skin growing over my hole.

It's disappointing right now, but you can and will get past it with time. You need to be patient, though, which I know is not easy. It's perfectly normal to feel sad over this healing setback, but look at it as a bump in the road and eventually a year out from now this small setback will have been worth it in the end.

Cheers,

Karen
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Postby mssmith » Wed Aug 29, 2007 2:20 pm

Karen, Thank you for your reply.. I appreciate what you are saying but I don't think what I'm wanting to know is coming across clearly.

Because my PS basically explains nothing, I do not know what to expect. I understand that no one can tell me exactly when this will heal, I'm just trying to understand if what is happening at THIS point is normal to a wound that is HEALING, or if it is turning into an infection. I saw the PS last thursday and he just said to keep doing what I had been doing the last couple of weeks and I felt fine with that..I'm not scheduled to see him for another week..

However, the sudden change in the amount of seepage coming out of it, the fact that the inner tissue is now protruding from my skin and it has gotten bigger than it was last week, makes me wonder if something is going wrong?... If this is normal "behavior" for a healing wound then ok, I'll deal with it, it just seems like logic would have it that this is backward..but then, I don't know squat about healing wounds like this that is why I am asking.

I can deal with about any of it, so long as I know it is normal for what it is,.. but these changes came just about over night, so I am a little puzzled as to whether "I" contributed to this, or if this is just part of it... and this sort of thing is to be expected during the healing of such wounds.
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