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Dr.s & anyone w/knowledge abt WOUND HEALING from INSIDE/

Dr.s & anyone w/knowledge abt WOUND HEALING from INSIDE/

Postby Courtrw » Sat Feb 04, 2006 9:44 pm

As some of you know I had an extended TT/LBL/lipo contour/breast reduction & lift on 1-16-06. Mine has been one of the more difficult healings, I have five open wounds that we are wet/dry cleaning twice daily. We clean out the site, wash with peroxide and saline, then fill as deep as we can with saline soaked gauze covered by a 4x4. The wounds are still creating fairly profuse yellowy orange goop (sorry y'all).

WHat is the timeframe on these wounds healing up? Does the yellow stuff go away first and then will the interior of the incicison start to mend together? My PS said that when I start to see red in there it will mean it's getting better--- maybe "granualization"???" ---is this red in the surrounding tissue or where?

Does putting the gauze in there push apart potential mending or at this point should I just be concerned about draining as much of the goop as possible?

Also, does moving around slow down the healing of this type of wound or does it not matter? (I guess here I am wondering if moving around puts undue extra pressure on the wounds sites to stay open and not mend shut??)

And what does the begining of necrosis look like?

I am on 750 mg Levaquin, Day 8. No scent to the goop. CUlture taken last Friday was apparently not testable, they took additional sample this past Friday for results next week.

Thanks,
http://www.makemeheal.com/pictures/view ... lbumid=478.
Courtney
ETT/MR/lipo contour/breast lift and reduction/TCA peel 1-16-06
Courtrw
 
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Postby somethingforme » Sat Feb 04, 2006 10:28 pm

Sheesh, you poor thing....you've just been thru it all haven't ya? Well, let me start by explaining that the "granualization" of a wound is the healing from the inside out. The inside of the wound will begin to turn a beefy red color (looks a little like a steak) This is GOOD. BUT if the skin surrounding the opening turns an angry shade of red- call the PS right away. this is spreading infection. By using the wet to dry dressings, your dr is creating an environment similar to your body's own tissues. When you pull out the "dry" packing, you are pulling out dead tissue, this is good. The drainage will be an orangey-yellow color for a while...this is serous fluid and is normal. Wound healing is a tough business. And it will take a good 6-8 weeks of treatment maybe longer to see major improvement. As for activity, I would be off your feet as much as possible. when you tire yourself out, your body's immune system is busy fighting elsewhere....not in the wounds where you need it. i would also encourage you to take a daily vitamin, increase your fluid intake and eat lots of veggies and protein rich foods. your body needs all these extra nutrients to build up a good defense to infection as well as speed up healing. I feel so bad for you Court....and just know that as long as you do everything...I mean everything the Dr tells you...to the letter...you will heal. It just is a long process. I'll say a prayer for you and I'll check in often to see how you're doin....
HUGS!!!
Jonnie
FTT/MR/HR/LIPO EVERYWHERE
www.picturetrail.com/somethingforme
pw:hopefully
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Postby Bouge » Sun Feb 05, 2006 8:58 am

Ditto what Jonnie said. I didn't have the infection, but did have wound healing issues. I went to a wound clinic every day for two weeks. They basically did everything you are doing, except they used a "pressure washer" thing to clean the wound. They also cauterized the edges of the wound with silver nitrate. I think that was so the surface of the wound wouldn't heal shut before the inside did. The drainage did take a long time to stop - just kept getting less and less - then nothing.

I'm now at 11 weeks, and just last night pulled a knotted stitch out of a small opening that hasn't healed - maybe now it will. I was surprised to have that this far along, but I guess it's par for the course.

Hang in there, and take care of yourself!
Lee
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Postby charliesgirl » Sun Feb 05, 2006 9:52 am

Courtney.
I can't answer your questions but I will say a prayer for you. Good Luck!
Jeannie
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Postby teddi » Sun Feb 05, 2006 10:08 am

Hi Court,

Let me tell you a bit about wound healing. The reason to pack it is b/c an empty space will try to fill with fluid, not tissue. When the space is filled with gauze, the surrounding tissues try to fill it with tissue and it continues to get smaller. Hence, the filling in.
Red tissue means the blood supply is healthy. Granulation is when the WBC's come and healing is developing.
Can be a slow process at first but as it heals it can o much quicker.
Keep us posted. I wish you a quick recovery.
Teddi
FTT/MR/lipo hips and flanks
11/8/05
BR/ lipo to back, arms and thighs 3/01/07
Lipo to arms, axilla, back, hips, waist, inner and outer thighs 7000cc's removed 7/10/08
teddi
 
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Re: Dr.s & anyone w/knowledge abt WOUND HEALING from INS

Postby Jewels » Sun Feb 05, 2006 11:35 am

Hi Court,

So very sorry to hear of your trouble!! It looks like you are getting great advice here!

Has your PS reccomended enzymatic debriding? It may help aid healing by getting rid of the dead tissue without injuring the healthy tissue. Accuzyme is a good one for this if your PS thinks it will be helpful (ACCUZYME enzymatic debriding ointment contains papain, USP (8.3 x 105 USP units of activity per gram) and urea, USP 10% in a hydrophilic ointment base composed of emulsifying wax, fragrance, glycerin, isopropyl palmitate, lactose, methylparaben, potassium phosphate monobasic, propylparaben, and purified water.)

In my experience, the yellow stuff (dead WBC) stays with you throughout the healing process (hence the need for debriding) although the ozzing does go away. The healing process takes 3 - 4 to fully close up and heal.

I would reccomend you limiting your activity as much as possible.

I am no medical expert. I just had an issue with wound healing and that was my experience.

Take Care!!
Jewels
 
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Postby Courtrw » Sun Feb 05, 2006 11:44 am

Wow, you guys are SO HELPFUL. Thanks so much, you answered most of my questions!

In my case, unfortunately, the breast wound was open but not infected /making yellow goop until recently, whereas the two pubic area wounds have been infeccted from the get-go. So the two in the pubic area are just starting to make less STUFF to come out with the gauze each time. The breasts are several days behind and....I have no idea what's up with the thing on my hip, it doesn't look like any of the others, it's more of a cavity with mixed patches of crusting.

I have been mopving around a lot since yesterday morning and feel much better. And I go back to work tomorrow, YAY! :-)
Thanks, you are all angels :-)
Courtney
Courtrw
 
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Postby Jewels » Sun Feb 05, 2006 12:10 pm

Courtney, I meant 3 or 4 months. Also, I can tell you what the beginnings of necrosis looks like but I am not sure what causes problems with wound healing verses necrosis. I have a picture on my link of my scar at day 3 PO. You can see the first look of necrosis there under my "Necrosis" file.
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Postby teddi » Sun Feb 05, 2006 4:19 pm

Court,
One more thing about the cultures. They are obviously trying to see if it's infected and with what organism, so it can be targeted with the best antibiotic for it.
I'm not sure if I'm totally correct about this or not, but it may be that since you're on an antibiotic, it may "contaminate" the sample, so the results are not as accurate.
I wouldn't lie around but I wouldn't stress myself either. Moderation. And as always, a good night's sleep, good healthy food and a positive attitude may tip the scales in your favor.

Good luck!
Teddi
FTT/MR/lipo hips and flanks
11/8/05
BR/ lipo to back, arms and thighs 3/01/07
Lipo to arms, axilla, back, hips, waist, inner and outer thighs 7000cc's removed 7/10/08
teddi
 
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Joined: Sat Sep 10, 2005 7:30 pm



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