my ps advised i was doing well after he already debreaded appx 1/2 o 2 inches off left side on Aug 22 These are current photos as of today. My ps thinks I am freaking out and over reacting because i want to see another surgeon? Abdomen gets wet saline compresses and breast tissue covered by neosporene and bandages twice a day.the one ps I called wont see me till Sep 29th.Should I just show up in a diep flap specialists emergency room in order to get help?
DIEP on Aug 1, 2012 Extensive Open Wounds on Abdomen and Breast Tissue? (photo)
Doctor Answers (2)
Diep flap issues
It looks like you have wound healing issues in multiple areas. Key things to know would include your medical history and any histroy of smoking. In general, if thins are not cleaning up with local wound care, sometimes surgical debridement is necessary. Good luck.
Unfortunately you have wound dehescence and some fat necrosis.
It is best to have the original surgeon take care of these wounds. A new surgeon may not know all the facts of the surgery and where the vessels are.
You simply need more aggressive treatment plan. Surgical debridement of all necrotic tissue. Then a decision whether the wound can be closed or be treated as open wound with WOUND VAC. and secondary closure if needed.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.
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