r/WoundCareSupport

Been using a vac assist

it has been a trial by error process and at times it decides to screw up before work I’m afraid the doctor has lost patience with me as when it works it’s fine but with my skin having reacted to the adhesive and needing to be down for a week at a time while the inflammation goes down. my window of opportunity is almost go , which sucks

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u/CrazyCapable7769 — 19 hours ago

Wound Developed Pustules Despite IV antibiotics… concerning?

First pic shows the purulent material building around the wound. Second pic was Tuesday night. Bite from domestic cat (outdoor cat, no recent vax, canine puncture at the joint) Sat night, went on augmentin, Sunday night (~16hrs post incident) streaking up to the crease of my elbow developed so I went back to ER for IV antibiotics. They tried to turn me away to continue orals until I pushed back. Hospitalized on IVs thru this morning. Pustules developed overnight. In the 3 hrs since I took this picture, they’ve grown about 1-2mm in width. Not more swollen, no add’l pain. They’re sending me home on augmentin again, and given how laissez faire they’ve been about this, I’m nervous.

u/thatsonehandsomecat — 1 day ago
▲ 1 r/WoundCareSupport+1 crossposts

After silver nitrate.

Silver nitrate has helped a lot ! Going on day 3 of no drainage ! Looks like it’s closed.

u/Torimarie23 — 2 days ago
▲ 2 r/WoundCareSupport+2 crossposts

Is this infected?

For reference I’m 18f 5’2 and 138lbs. I got cut by my bedframe, the same day (yesterday) I swam in a lake and went to work without covering it. It’s sore a little bruised, and for some reason the area is really hot. Is this something I need to go to the doctor for?

u/Gardenbussy420 — 4 days ago

Need help (TW: self harm)

I have a deep cut on my arm that goes to the fat layer. Its infected and i dont think i can take care of it by myself. I would tell my mom, and get help from urgent care, but its her birthday. I cant on her birthday. I dont have the money to go without her knowing what can i do?

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u/Top_Commercial_1690 — 5 days ago

Breast Cellulitis Pain and Appearance Worsening 25 Hours After Hospital Discharge From 3 Day Admission-New Temp Over 100 and Increased Pain

Reposting a new picture because it’s clearly not improving. I’ve done everything I can to help this heal and it’s just not improving. (On my left breast). I was admitted on IV antibiotics for a few days and was discharged over 24 hours ago. My temp is now 100+ and I’m just on the fence if I should go back to the ER for this. I have a history of sepsis so fevers make me nervous. I just don’t know why it’s not getting better. :(

u/Visual_Counter_4897 — 5 days ago
▲ 5 r/WoundCareSupport+1 crossposts

T Junction Split and Areola Necrosis

Currently going to wound care and applying sorbitol with sorbact dressings on top. The areola photo is 2 days after debridement. Anyone have any advice for these wounds? I’m so worried. 4 weeks post op reduction and implants.

u/Ill_Position7153 — 5 days ago

T junction incision opened after breast lift & Augmentation with implants

I am two weeks +1 day postop from a breast lift and augmentation with implants. I got my procedure done out of state and I live in a small town where we don’t have many options for care other than urgent care in the hospital. I was instructed to leave my tapes on until they fall off on their own and this recent Sunday, my left side is healing great, everything is closed and it hasn’t been bleeding or anything, but I noticed my right side underneath was bleeding through the tapes and onto my gauze and just soaked through the gauze. It was dark blood, however, like it was old, so I thought maybe it was just old fluid/blood being released. I took the tape off the next day and saw that my incision looked like it was open, and some of the sutures were exposed. My surgeon’s office has been very hard to get a hold of, and I haven’t been able to talk to a nurse or show them photos of what’s going on. I have been keeping it clean with saline washes, keeping dressings on it and applying ointment (switching bacitracin and a silver antimicrobial ointment) before hand after cleaning it but it is definitely still draining that dark blood. The area is not warm, no smells and I don’t have a fever or anything. As of today, the sutures aren’t as visible, but it just keeps bleeding on my gauze so I don’t know if it’s just draining or if there’s an active opening or something. I’ve been wearing my surgical/sports bras as instructed and sleeping upright.
Does anyone have any suggestions or experiences with something like this? I am very worried and it is stressful that I cannot get a hold of my doctors office in a timely manner, and they just keep telling me a nurse will call me. We have a plastic surgeon here in town, but they are not available until Monday either and I’m worried about something going wrong. I have the ability to go to urgent care, but I am trying to get some answers before Monday when the doctors office here opens up again.

u/Fluffy_Republic_1723 — 6 days ago

Coccyx Wound

Background: 6 years ago I (22ftm) developed a pilonidal cyst I was entirely unaware of until it burst. Soon after, I went to my gp to discuss the perfectly circular hole it had left behind. I was diagnosed with pilonidal disease and sent for surgery, which had packing as the recovery care. Wound showed signs of good healing until the final stretch in which it entirely reopened itself and I had to get it operated on again. The fistula tracts were incredibly deep and resulted in the second surgery failing as well. Changed surgeons, had 2 more operations with stitches this time. Both failed. Had the wound cauterized 6 times with silver nitrate. Failed. Had a 5th surgery in July of 2024 with colorectal and had all tracts successfully removed, but the stitches still reopened during recovery. Ever since, I have been left with a gaping wound which has been varying sizes over the course of time. It is incredibly painful and prone to infection, of which I have been on several different types of antibiotics for. My body is unable to heal itself, whether due to how much scar tissue I have developed or some immune condition I am unaware of. I see a wound care nurse every week, and she has treated me with a whole slew of things ranging from collagen to hydrofera blue. None of it works. The wound tears itself open regularly and bleeds excessively. My life has been ruined by this thing as I am incredibly fatigued and sick on the regular. I have the opportunity to pursue plastic surgery, and while I have discussed this with my nurse, I wanted some other opinions as well. Would skin grafting help me at all?? I've been cursed with this for 6 long years and want it to end

u/WHiskWell — 8 days ago

Wet to dry dressings are really hurting - advice?

Had gyno surgery and the incision opened up. My surgeon suggested wet to dry, but if I’m being honest, it’s really been hurting since the area is sensate. Plus, every time I remove the gauze the area bleeds and I feel like it’s peeling off some of my tissue.

I think I’ll try asking my surgeon for an alternative at my next post op, but that’s not until two weeks. The pain is really frustrating and is really bothering me. I wonder if anyone has any advice as to what could help in the meanwhile?

A friend suggested using water to loosen the gauze during dressing changed and that’s maybe helped a tiny bit. Before the wet to dry, my surgeon had me using neosporin and non-woven gauze and that also was less painful. But, the woven gauze that I’m currently using - a nightmare. I feel like I can feel it peeling off my skin.

I have some xeroform around, but I wonder if this is a wound that looks like it needs to be packed since there’s some open space? I know wounds are supposed to stay moist, but I really cannot handle this wet to dry dressing. It feels agonizing. Thoughts/advice?

u/Winter_Hovercraft163 — 7 days ago
▲ 3 r/WoundCareSupport+1 crossposts

Sutures split opening

Was told if this happens to use diluted peroxide to wash it out and an antibiotic gel. That is what I have done so far + place gauze. I’m currently on antibiotics but any advice is welcome.

Does it look like it’s healing? Is that white good? 😩

u/NeonPeachesss — 8 days ago
▲ 11 r/WoundCareSupport+2 crossposts

Wound at 4MPO

I am 4mpo and everything was goong well! I randomly had a pimple that my surgeon confirmed is a late spitting stitch. I popped it to remove the stitch like my doctor said and there was a hole. Cleaned it up as usual, put a hydrocolloid bandaid and some hypafix

However a week or so later, it looks so much worse! Its bleeding and it theres some pain. Its almost trippled in size and Im freaking out.

Any advice?

u/Sea_Resource1093 — 9 days ago

Where can I purchase a wound vac?

My best friend, lives in the Caribbean recently had surgery on her Pilonidal cyst, it developed a seroma that refuses to heal. She’s been going through this one month now and is now trying to source a wound vac she can purchase. Where can this be purchased online? She’s also a MD but isn’t not practing right now. She can use her license to purchase it they’ll accept a medical license from abroad.

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u/Betterthanbefore5 — 9 days ago
▲ 32 r/WoundCareSupport+2 crossposts

Nipple necrosis

Has anyone here dealt with nipple necrosis or a partial/full thickness wound after breast surgery? I’m trying to hear from people who had wounds that looked similar and what your healing process was like.

I’m currently 6 weeks post-op from explant with breast lift + internal mesh bra galaflex and dealing with an open wound with slough/dead tissue after necrosis. My surgeon has already debrided the area twice, and they’re expecting I’ll likely need another debridement on May 21. He also suggested a skin graft once all the dead tissue is gone and healthy tissue granulation is present.

Right now I’ve been doing wet-to-dry gauze dressings and Hydrofera Blue with a silicone bandage over the top. I’m curious what wound care routine ended up working best for others and if anyone used something similar. How long did it take before you started seeing healthy tissue and significant healing?

If you ended up needing a skin graft, did it help? Where did they take the donor skin from, and how was the recovery for both the graft and donor site?

I know everyone heals differently, but hearing real experiences would really help mentally right now. Pictures or timelines are appreciated too if you’re comfortable sharing. Thanks

u/Informal-Flight-4296 — 12 days ago

T junction on breast won’t heal

Can anyone recommend or advise how to support this wound?

I’ve been using silver dressing and gauze as advised by surgeon but it won’t close. It’s been a few weeks now.
I’ve seen a nurse twice now she did two debridements to clean out slough and make it bleed a bit to help healing. She confirmed no necrosis or infection

It doesn’t get worse or better. It just stays the same
Feeling hopeless

u/Outrageous-World — 9 days ago

Wound Vac Therapy Question

Hello,

I have a wound vac installed after an open wound pilonidal cyst surgery. Following a change of dressing I had today, I can hear an engine-like sound non-stop. The pressure is maintained at 125 mmHg with no error message, but the motor seems to be running non-stop. The liquid inside the tube is discrete droplets rather than small continuous sections, and I can see that the sucked in liquids go through iterations traveling toward the canister then dissipating in a continuous set of attempts.

I asked the nurse and she dismissed me saying as long as there's no alarm and the pressure reads 125 mmHg the device is doing its job, but I want to make sure that I am having it work properly and optimally.

Can anybody confirm if I should be worried or if I should tolerate this continuous sound until my next appointment? I feel there might be a small air leak in the dressing.

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u/Uneasy_comfort111 — 10 days ago

Worsening Cellulitis on Breast -Temp of 100 And Pain and Redness Increasing After 4 Days Of IV and Then Oral Antibiotics (Clindamycin)

I’m not sure what else to do to help this. It started as a small patchy rash and now it’s blistered, popped and is looking like this after 4 days of IV and oral Clindamycin and is oozinng on and off. I also have a temperature of 100. I see one of my specialists tomorrow afternoon but I’m just wondering if this looks okay enough to wait until then or if it should be reevaluated sooner. For reference when I went to the ER my white count was 15 and blood cultures taken from a few days ago so far are negative.
Any advice is appreciated.

u/Visual_Counter_4897 — 9 days ago
▲ 7 r/WoundCareSupport+3 crossposts

Help, i accidentally hit my nail pretty hard

the whole finger is swollen. I am pretty sure my natural nail ripped almost out underneath.Is the white thing the matrix sticking out? 😭😭😭
I dont want to lose my nail, but i live on a small island, i searched and we dont have any doctor i can come to for help

u/Accomplished-Bit5787 — 11 days ago