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