Scar still not healed 5 months post op?

Valve Replacement Forums

Help Support Valve Replacement Forums:

This site may earn a commission from merchant affiliate links, including eBay, Amazon, and others.

sunonwaves

Active member
Joined
Mar 8, 2011
Messages
27
Location
a
Its been almost 5 months since my op, and there are two sections of the scar that STILL wont heal! They are always scabbed up, and its starting to really bug me as i want to start swimming again and i cant until its all healed and sealed over..plus it makes me concerned re getting a staph infection etc.
I have asked my surgeon and general doctor about it and they are clueless, they just say the same thing "just give it time" but i think 5 months is enough??
Anyone else experienced this? thoughts?
Thanks :)
 
IF your incision still is not heald 5 months out, I would ask your docotrs if you could go to a wound care center/specialist who deal with chronic wounds, that aren't healing. They might have som suggestion or figure out if there is something like a reaction to the internal stitches that are causing problems.

Do you have diabetes or any other conditions that makes wound hard to heal?
As for infection, I would keep an eye on it, and if you have fevers, or the wound looks redder or has any discharge, definately be seen ASAP
 
Im 34, and heal really quickly (normally) the scar is mainly healed besides two little sections...making me think it may be stitches?
 
Im 34, and heal really quickly (normally) the scar is mainly healed besides two little sections...making me think it may be stitches?

Five months is plenty of time for complete healing. It could be a stitch or two that have a little infection around them, and it could be something else.
Has either doctor prescribed a topical or systemic antibiotic or other RX to expedite healing? You may want to consider consulting a dermatologist or an infectious diseases expert. Those are suggestions off the top of my head, since my niece had to do the same as a teenager for a bug bite that was resistant to healing.
 
Im 34, and heal really quickly (normally) the scar is mainly healed besides two little sections...making me think it may be stitches?

I'm not saying it IS, but it could be a reaction to something, not letting it heal. I know Justin has problems with 1 or 2 of the dissolving stitches not disolving and working there way out,and the first time had to have several removed, but lancing the incision, but I know other people that had to have their sternal wires removed and even somone needed to have old pacemake wires removed because she wasn't healing...well usually it would almost heal then open up again. I would definately call the surgeon with your concerns again.
 
Definitely get in to see a wound care specialist. The bottom part of my incision didn't heal right away and three weeks post-op, I went to the surgeon's office because I was bothered by the way it looked. Just to appease me he cleaned it out and took a culture and then ordered a wound vacuum which would "heal it right up in two to four weeks". The culture came back that I had a bacteria that was super-resistant to antibiotics and they almost re-admitted me to the hospital. They sent me home with a strong prescription. I ended up having the wound vacuum on for six weeks and finally insisted they take it off because it was closing from the top down and I was worried they would have to cut it open and start over if it closed all the way. The surgeon was happy with the way it looked so he took it off and warned me it could still close from the top down and possibly fill up with fluid. It closed up nicely after a week and then a couple weeks later got very sore, opened up and drained. I had to pack it for a couple weeks and it FINALLY closed completely from the bottom up.

Don't mess around with the incision and possible infection. As my surgeon said, you've got a lot of hardware in there that you don't want to get infected!
 
Really appreciate all the responses, its a great help to hear from you all.
I went to the doctors today, he pulled the scab off from one section and off course its not happy now, but there's no infection, but it really concerns me when doctors just scratch at it, make it upset then have no advice for me! leaving it in a state where it could become infected..
Anyhow i have a antibiotic cream..
He really had no idea, he said he couldn't see any stitches, and said to shave away some of my chest hair and apply the anti bac cream and then put a ulcer band-aid (not sure what you call them in the US, like a sticky or plaster) over it for a week and if it dosnt look like its healing then he suggested i go in to have a ultra sound and they can see whtas happening and then if there are any stitches etc then i will have to go to my surgeon and have him remove them.
That all just sounds a bit odd to me...
Plus I have showed both my cardiologist and my surgeon and neither had any clue and the surgeon didnt seem to have anything to do with the sewing up anyhow, he didnt seem interested. :(
So how do i find a wound expert?? do i just google it, ive never heard of such a role before and not the cardio, Giorgione or doctor have mentioned one, they all just seem baffled and leave me with no info.
 
I would try googling wound care expert for your area. I'd never heard of one until I had to deal with my incision issues. Did your doctor actually culture the wound or did he just look at it and say there's no infection? I ask because when my surgeon did a culture, he was positive there wasn't an infection and it came back that there was. Is the incision "open" now? Can you pack it? It's really very simple to pack it and it will help pull any drainage out and heal it from the inside out. Take a bit of gauze (you can wet it with saline if you can get your hands on some and it will help keep it from sticking to the wound) and put it in the wound so that it is still sticking out a little and then put a larger gauze pad with tape over it. Change it 2 to 3 times a day. Continue packing it until you absolutely cannot stick any gauze into it. I would continue to pursue it. You really don't want to mess around with it. After mine re-opened the last time, they did do a CT Scan to make sure it hadn't spread down into the bones, which fortunately it hadn't.
 
You mention you don't live in the US, do you mind sharing where you do live? That might make it easier to figure out where you could start looking for wound care, or even someone else would know what steps you might have to take to actually go to a specialist (do you need to be refered by your doctor, or can you find one and make your own appt type things) Was your surgery done at a larger center, like a university or a smaller hospital? MOST if not all hospitals have a wound care team, but larger one definately would have them. IF you travelled over couple hours for the surgery, there might be a center closer to you that has wound specialists, which would be good since you usually have to go pretty often.

Just so I'm not getting you upset thinking the worst, chances are if you had an infection this long, you would probably be having other symptons besides the wound not healing, most likely you would be having fevers or probably would be feeling pretty crappy.
But since it is following a major surgery, I think its always better to be safe than sorry and rule out any big problems

How big are your small sections? an inch or more, or closer to the size of a pimple or blister? What kind of doctor did you go to today? Like Heather asked did they actually do any cultures or swabs to see if there is an infection or just because of how it looked? Since it has been 5 months already I probably wouldn't want to wait much longer to have an ultrasound or any other image testing to see if there is a problem below the surface you can't see. Or try to figure out what if anything is causing problem, They could even do any Xray to see if the problem areas are right above any sternal wires, etc.

I don't know what an ulcer band aid is, but I probably would NOT do any special dressing like the "wet to dry dressing" (packing wound with saline soaked gauze) unless someone from the medical staff told you to. The salt water USUALLY makes the gauze stick to the wound more not less
FWIW we had to do wet to dry dressing on Justin's incision when he was a newborn and it was awful for us and you could tell it was really painful for Justin. It works great for removing the bad tissue, if there is bad tissue that needs to be removed, to help some wounds heal, but You might cause even more problems than you have now. Because how it works is you soak the gauze in salt water (and put it on the open wound that hurts..like the old saying pouring salt in a wound) and as the saline dries, it pretty much attatches to the top layer of the wound and then usually 12 hours later when it is dry, you rip the gauze out and it takes some of the healing wound tissue with it,so reopens it and then you start over putting salt water soaked gauze in the fresh wound. http://www.upstate.edu/pated/document/wet_dry_dressing.pdf
 
My apologies, Lyn is right. You shouldn't do the packing thing without a doctor's authority. However, I'd still search into the wound care specialist avenue.

Lyn, I didn't have any problems with the saline causing the gauze to stick to my wound. I also didn't have any pain with it.
 

Latest posts

Back
Top