Open wound in tummy tuck incision. What kind of treatment? (Photo)

Question

I have a small opening about 1-1.5". It's not deep at all. There are stitches poking out and a hard white thing with hooks was stuck to my binder. I'm guessing that was an internal stitch. There is another item making its way out which can be seen in one of the pictures. What kind of treatment is usually done on wounds like this? I'm seeing my doctor tomorrow to have it treated. I've been taking antibiotics for 18 days as my drains are still in. Will this just require ointment and bandages?

Tom J. Pousti, MD · Answer

I am sorry to hear about the complication you are experiencing.  Superficial separation of the incision line is a known complication after tummy tuck surgery.   Close follow up with your plastic surgeon will be in your best interests; sometimes removal of a exposed suture and/or removal of any unhealthy tissue will expedite healing. Otherwise, wound care regimens will differ from one plastic surgeon to another.  Generally, this will involve application of some type of sterile dressing ( in my practice I use a non-stick dressing covered by a sterile dressing). You should have peace of mind that these types of wound healing problems generally go on to heal over the course of the next several weeks,  without long-term sequelae. Also important to concentrate on a healthy diet,  including good protein source. Occasionally, in the event of a wider scar, scar revision surgery may be helpful down the line.  Best wishes.

Earl Stephenson, Jr., MD, DDS, MBA · Answer

Thank you for your pictures.  Your wound separation is best treated by removing the extruding stitches and local wound care with medicated gauze.  Earl Stephenson, Jr, MD, DDS, FACS

Tiffany McCormack, MD · Answer

This may have started with one of your dissolvable sutures spitting out- local bacteria from your skin can cause an opening.  These are generally treated with conservative wound care such as antibiotic ointment and possibly gauze dressing changes.  Your surgeon can help evaluate this in person and guide you as to how to help it heal as quickly as possible.

Michael B. Tantillo, MD · Answer

Adequate evaluation of open wounds requires the surgeon to understand the patient's history and also a physical examination.  Your surgeon will be able to give you the best advice.

Darryl J. Blinski, MD · Answer

Yes close follow up with your surgeon is indicated. Also daily aggressive local wound irrigations and washings are best. This will close in a few weeks...

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Answer: Open wound in tummy tuck incision. What kind of treatment?

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Answer: Open wound in tummy tuck incision. What kind of treatment?

Answer: Open wound in tummy tuck incision. What kind of treatment?

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