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Medical Forum / General / General / January 2004

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Wound healing problem

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N. Thornton - 19 Jan 2004 01:17 GMT
Hi

A surgical wound on the back is being kept damp to promote skin
regrowth, dressed daily and treated with antibiotics. But it is
persistently infecting and ulcerating, and causing some serious
problems. It needs to heal up as quick as possible.

My question here is what would happen if it were allowed to dry?
Cooler drier conditions would obviously make a real difference to
infection and thus healing, but what would be the price? Would the
difference simply be in the appearance, or would the resulting scar
cause physical difficulties? If so, of what level? The damage is 3"
across and located on the back.

Thanks, NT
PF Riley - 19 Jan 2004 02:34 GMT
>A surgical wound on the back is being kept damp to promote skin
>regrowth, dressed daily and treated with antibiotics. But it is
[quoted text clipped - 7 lines]
>cause physical difficulties? If so, of what level? The damage is 3"
>across and located on the back.

There is no way to know without seeing the wound. What is left?
Granulation tissue? Exposed subcutaneous fat? Has any of it
epithelialized already? If so, how much?

If there are persistent problems then consultation with a plastic
surgeon, if not done already, may help, to see if you could benefit
from a skin graft.

PF
N. Thornton - 19 Jan 2004 11:46 GMT
> >A surgical wound on the back is being kept damp to promote skin
> >regrowth, dressed daily and treated with antibiotics. But it is
[quoted text clipped - 17 lines]
>
> PF

Thanks, I'll go ask them those questions. I know a skin graft has been
recommended but I assume that is impossible while the thing is
constantly infecting and tissue dying. Its not for me, fortunately. I
need to find out more about the options here, for a couple of reasons.

Thanks, NT
 
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