Too thin for wound to heal?

New Topic Post Reply Printable Version
[ << Previous Thread | Next Thread >> ]

blueglass
Veteran Member


Date Joined Dec 2010
Total Posts : 3332
   Posted 7/6/2011 2:19 PM (GMT -6)   
So, I saw my surgeon and stoma nurse today. They say that as always, my butt wound looks extremely clean (I had surgery 4 and a half months ago, butt wound is still 2-3 cm deep). My surgeon looked around for a stitch or something, she said often when the wound won't close there's something in there, but she couldn't find anything. She said usually when these aren't healing they need to be debrided a lot and are messy, but not mine.

She said that these wounds heal much better on heavier people (more as a body type thing -- I'm as heavy as I've ever been , and she doesn't want me to gain any more weight).... that I am just not producing enough new tissue to overcome the friction inherent in the wound location. She said prednisone has nothing to do with it at this point, and she is not expecting it to heal without help.

So the plan is that I go on my vacation, and then near the end of the month, I get a wound vac. The nurse is putting in the paperwork, and I'll need a visiting nurse every 3 days. If that doesn't work within 6 weeks, plastic surgery to close the wound. She drew it all out -- they would make these extra triangular skin flaps and then sew them together perpendicular to the way it was sewn originally. She said the timing is good, because that would be around when I'm done with coumadin.

I asked (in a wishful thinking sort of way) if that surgery could be done as an outpatient, and no, not at all, it's full surgery w/anesthesia and all, and then I would have to be immobile for a few days with a catheter etc....

I am pretty bummed today. In the scheme of things, not a huge deal, and certainly people here are dealing with much worse.... but I feel so much better than I have for years, and just don't want to have to go back to the world of visiting nurses and hospitals etc..... on the other hand, I guess it's not a good option to have an open wound indefinitely.....

I'm hoping for a spontaneous healing..... a girl can dream.
48 years old, female.
2004 dx indeterminate colitis. Back and forth between Crohn's and UC dx. Many drugs, minimal success.
2010-11 Crazy skin and eye complications, high fevers, bad flaring. Out of good drug options, tired of scary drugs.
Feb 2011 -- proctocolectomy with permanent ileolostomy; abscess, blood clot. Still healing, still glad for the surgery

Blueheron
Veteran Member


Date Joined Feb 2010
Total Posts : 720
   Posted 7/6/2011 5:36 PM (GMT -6)   
Sorry to hear this, but at least you have a path to follow to hopefully get it healed. I think the wound vac will be a great idea to try and hopefully that will do the trick and you won't have to go through the plastic surgery bit... though it sounds like that is a good option too. As I have mentioned many times, I had to get my incision surgically redone two more times after the initial surgery. Though going through surgery again hurt some, and it was a bummer to have to go through the anesthesiology and hospital stay again, the second two operations were no where near as complicated or painful as the original ileostomy surgery and I bounced back much more quickly. Hang in there!
-39 years old
-Officially diagnosed with UC in 2006, though had symptoms since 1999.
-Had mild/moderate symptoms continuously until severe flare in autumn 2010 which required 2-week hospital stay
-Took Asacol, Rowasa, Canasa and Prednisone to manage flares but meds stopped working
-Tried 1 dose of Remicade but had excruciating joint pain and discontinued
-Had permanent ileostomy surgery 11/8/2010

blueglass
Veteran Member


Date Joined Dec 2010
Total Posts : 3332
   Posted 7/7/2011 6:13 AM (GMT -6)   
I appreciate the reminder that your subsequent surgeries were much easier and that they did the trick. I've only had gi surgery once (fortunately) and so it's easy to generalize from that....

I am much calmer about things today..... is what it is..... and it's great that there still are options.

thanks
48 years old, female.
2004 dx indeterminate colitis. Back and forth between Crohn's and UC dx. Many drugs, minimal success.
2010-11 Crazy skin and eye complications, high fevers, bad flaring. Out of good drug options, tired of scary drugs.
Feb 2011 -- proctocolectomy with permanent ileolostomy; abscess, blood clot. Still healing, still glad for the surgery

80sChick
Veteran Member


Date Joined Oct 2009
Total Posts : 1054
   Posted 7/7/2011 6:19 AM (GMT -6)   
I agree; this definitely sucks! But you've been waiting for this wound to heal for a while, so it's nice to have a final plan. If you DO have to have surgery again, I agree with BlueHeron. I've had a few subsequent surgeries and each one seems to get easier than the last, because you kind of know the drill and know how to make yourself comfortable. Plus, after it's over YOU'LL BE DONE!!
Stephanie, 29 years old

March 2000-Diagnosed Crohn's Colitis
(Tried every drug imaginable, but lived 10 years with daily diarrhea)
March 18, 2010-Total Proctocolectomy and Permanent Ileostomy! :)
(Now med free, 4 subsequent procedures to correct blockages at stoma site)

Stoma named Zoe...She's my best bud!! :)
New Topic Post Reply Printable Version
Forum Information
Currently it is Tuesday, June 19, 2018 8:19 PM (GMT -6)
There are a total of 2,973,436 posts in 326,098 threads.
View Active Threads


Who's Online
This forum has 160980 registered members. Please welcome our newest member, evelynhernandez.
440 Guest(s), 6 Registered Member(s) are currently online.  Details
eyesRopen, Lapis_29, everseeking, Sherrine, RAbid, OriolCarol