Pressure Sore to Flap Surgery
Photos show the growth of a pressure sore, and the post- surgery healing.
Sunday, November 23, 2014
Blogger Lost My Pictures !!
I am working to resolve the issues --Blogger please return photos -6/16-SEE MY BLOG&PHOTOS-- http://mjhealthyquad.simplesite.com/
Monday, February 6, 2012
Sunday, November 27, 2011
Flap Success in 12 weeks
12 weeks after ischial flap surgery the wound site is healthy, and relatively pain free. I notice 'burning pins and needles' type pain during stretching,but nothing that interferes with daily activities.
Thursday, November 17, 2011
Suture Spitting-not flap failure
Five weeks after surgery, the surgeon said the site was healed and I could resume my regular activities. This would be sitting in my wheelchair 11or 12 hours a day. Everything I had read indicated a 4 to 6 month recovery period, so I was pleasantly surprised, yet hesitant. The next day I went out for 2 1/2 hours, rested in bed for 2 hours, then went out for 7 hours. The following morning during range of motion, blood came out of a staple hole that was situated over the old pressure sore. The next day a small piece of string was coming through the staple hole-see picture #1 and #2. Called the surgeon in a panic, and made an appointment for the next day. Upon examination, the Doctor explained that the wound was healing fast. The sutures (which I did not know were there) under the skin had not yet dissolved, and the healing tissue was 'spitting' the stitches out. He snipped the visual piece off (picture #3), and gave me a kit to remove any other stitches that might push out. There were three other spots where the stitches could be felt. The surgeon said everything was fine. The stitches would dissolve with time. The dark red scar would take 6 months or more to become a skin-colored scar.
Is this Flap Failure? No
So 10 days after stitch removal, some parts of the staple-line edge have a gap. The gaps have a red color skin filling in. This is o.k. I sat in my wheelchair (Roho air cushion) for a 2 1/2 hours and my pants left wrinkle marks-first picture. Insurance won't cover a Roho seat cushion for my shower/commode chair (using the bathroom is not medically necessary), but I did not want to risk sitting on the surgery site without one, so spent my grocery money, and plan on Top Ramen for a month. Second picture is of roho commode cushion marks after 2 hours.
Saturday, November 12, 2011
Flap Surgery Healing
These are day-to-day photos of the flap site healing, for the 2 weeks after the staples were removed. Kept up protein in diet, and rubbing coco butter and vitamin E oil onto the scar site. Began gentle range of motion on both legs. Of course the left leg (surgery site) was sore. The leg will extend completely straight. During range of motion the leg is tight when trying to bend knee towards chest, just be very gentle--want to stretch the new skin, not stress the suture site. Photo #5 shows the ripples on the thigh where skin needs to stretch.
Sunday, November 6, 2011
Staple marks and open edges
the scar is uneven and lumpy. The surgeon said to begin sitting on the edge of the bed for 10 minutes at a time, several times per day. Then gradually increase the sitting time over a 2 week period. Some people experience low blood pressure (fainting) when sitting upright after 3 weeks in bed. I did not. However, the loose and uneven nature of the scar made me hesitate to put much weight, or pulling on the area. So I continued bedrest (turning every 3-4 hours) for another week. Began rubbing the surgery site with cocoa butter and vitamin e oil to soften and heal the scar. Kept up the 60 grams of protein per day. The second week I sat up for 30 minutes twice, with no dizzyness. Stil stayed off the wound site--on my side, on the couch or in bed. Next visit with doctor soon.
Friday, October 21, 2011
Removed Staples and drain tubes
So 3 weeks post-operation and it was time to get staples removed. There are two drains-literally, 2 tubes inserted under skin flap to suck blood and other fluids from site of surgery. The tubes emptied into plastic airtight bulbs, which were emptied twice a day. After emptying bulbs, be sure and push the air out, in order to create suction. When I left the hospital, the drainage was very blood-red. The amount of liquid was 10 cc. for drain#1(morning & night); and 5 cc for drain#2. By the start of week 3, drain #1 was watery discharge, the amount 5 cc. or less; drain#2 was dry. Counted 60 staples. I was surprised that the edges of the wound still had gaps and puckered regions--the surgeon was not concerned.
Saturday, October 15, 2011
Recuperating at home--Important stuff
The two weeks following my return home were crucial to the healing of such a large wound. Set the alarm clock, and Superman spent 14 days turning me from side-to-side, every 2 hours. I was about 80lbs. and needed to put on weight. Proper diet is crucial to the healing process--especially protein. At least 60 to 80 grams per day, along with the proper balance of electrolytes, and extra zinc, iron, vitamins D &C. I used liquid protein supplements along with powdered pea protein and powdered egg-white protein. The liquid supplements made me urinate more. For electrolytes, I like emergenC, be careful not to overdo the zinc intake. Soups with protein supplements, and milk (Lactade for my IBD) smoothies with egg-white protein added. The wound was covered and the surgeon said to keep the dressing on, so we did. After a week we changed it. At all times the wound was clean, dry, and had no weight put on it.
Monday, October 10, 2011
One week in Hospital-a new record!
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