Using Santyl on open wound. My PS debrided the opening on po day 14. I have been using Santyl and wet dry dressing. It keeps getting bigger. Please any advice on what to do? Is it healing? Why is it yellow and green?
Answer: Delayed After Tummytuck MyTime18. So sorry you are going through this. It appears from your photographs that you are experiencing wound healing issues after your tummy tuck, which can occur. The wound care medicine Santyl is an excellent enzymatic debriding agent that will clean up your wound without further surgery. Once all the dead tissue is removed by this effective wound care regimen, your wounds will heal uneventfully. It appears that your plastic surgeon is treating you appropriately and well and I would continue followup. Good luck.
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Answer: Delayed After Tummytuck MyTime18. So sorry you are going through this. It appears from your photographs that you are experiencing wound healing issues after your tummy tuck, which can occur. The wound care medicine Santyl is an excellent enzymatic debriding agent that will clean up your wound without further surgery. Once all the dead tissue is removed by this effective wound care regimen, your wounds will heal uneventfully. It appears that your plastic surgeon is treating you appropriately and well and I would continue followup. Good luck.
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November 4, 2018
Answer: Tummy tuck incision Dear Mytime18,this type of wound is not uncommon after tummy tuck. It is usually caused by poor blood flow. The tissue you are mentioning (yellow and green), is not vital and should be removed. I would suggest you to consult your plastic surgeon, follow your surgeon's instructions and keep your wound clean and covered. It can take few weeks or months for wound to fully heal. Daniel Barrett, MD
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November 4, 2018
Answer: Tummy tuck incision Dear Mytime18,this type of wound is not uncommon after tummy tuck. It is usually caused by poor blood flow. The tissue you are mentioning (yellow and green), is not vital and should be removed. I would suggest you to consult your plastic surgeon, follow your surgeon's instructions and keep your wound clean and covered. It can take few weeks or months for wound to fully heal. Daniel Barrett, MD
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Answer: Is it healing at 19 days post op tummy tuck? (Photos) Hi there! Thank you for your question and for the pictures. This type of wound is not uncommon after tummy tuck. You have wound dehiscence and with proper care it will heal well. Santyl will help with debridement of tissue. However go back to see your PS, he or she could debride some more in the office. It can take weeks for this type of wound to heal, be patient. I hope this helps and best wishes!
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Answer: Is it healing at 19 days post op tummy tuck? (Photos) Hi there! Thank you for your question and for the pictures. This type of wound is not uncommon after tummy tuck. You have wound dehiscence and with proper care it will heal well. Santyl will help with debridement of tissue. However go back to see your PS, he or she could debride some more in the office. It can take weeks for this type of wound to heal, be patient. I hope this helps and best wishes!
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November 4, 2018
Answer: Tummy tuck. We would recommend excision of the necrotic tissue with consideration of closure. I would see your surgeon regarding that possibility. Good luck.
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November 4, 2018
Answer: Tummy tuck. We would recommend excision of the necrotic tissue with consideration of closure. I would see your surgeon regarding that possibility. Good luck.
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November 10, 2019
Answer: Healing postop tummy tuck. Thank you for your question. I’m sorry you are having healing issues after your surgery. Most of the time, these wounds look worse before they start looking better. All of the yellow and white tissue that is not healthy has to be removed from other mechanically by surgical debridement or more slowly with chemical debridement (santyl) and dressing changes. It takes a considerable amount of time to remove the dead tissue until you get a base of healthy red tissue. One the red, bleeding tissue is at the base of the wound, you will begin to quickly see the size decrease. The smell, drainage and color is typically produced by bacteria sitting on top of the wound. This doesn’t usually cause systemic infection but should be treated as it slows the resolution of the wound healing. I would recommend you wound to be cultured and then a short course of antibiotics tailored to the wound culture that can help lower the bacterial load as you continue the wound debridement and dressing changes. It is not unusual for these wound to take up to 8 weeks to completely heal so be patient and make sure you have frequent follow up with your plastic surgeon so that they can monitor, debride, culture and change the management as needed.
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November 10, 2019
Answer: Healing postop tummy tuck. Thank you for your question. I’m sorry you are having healing issues after your surgery. Most of the time, these wounds look worse before they start looking better. All of the yellow and white tissue that is not healthy has to be removed from other mechanically by surgical debridement or more slowly with chemical debridement (santyl) and dressing changes. It takes a considerable amount of time to remove the dead tissue until you get a base of healthy red tissue. One the red, bleeding tissue is at the base of the wound, you will begin to quickly see the size decrease. The smell, drainage and color is typically produced by bacteria sitting on top of the wound. This doesn’t usually cause systemic infection but should be treated as it slows the resolution of the wound healing. I would recommend you wound to be cultured and then a short course of antibiotics tailored to the wound culture that can help lower the bacterial load as you continue the wound debridement and dressing changes. It is not unusual for these wound to take up to 8 weeks to completely heal so be patient and make sure you have frequent follow up with your plastic surgeon so that they can monitor, debride, culture and change the management as needed.
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