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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Remedy For Infection In Wound Site After Bowel And Colon Reconstruction Surgery

Hello I had surgery January 28th of this year 2014 on reconstructing my bowels and colon that went well on February 2nd they had to do emergency surgery because of a small hole in bowel I was in the hospital for 23 days the wound had to heal inside out due to infection most of the incision has healed except for the bottom part which the sides has healed but left a hole in stomache the top keeps busting open this site has been cut about 15 times due to a 1998 surgery where my bowel was cut and I became septic and about died my doctor now is a great doc he does not want to have to open me up again due to all the scar tissue I have but now I have another infection in wound site just would like to knw ur opiopion on this
Wed, 16 Mar 2016
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General Surgeon,  's  Response
Hi.
Thanks for your query.
Noted your history of in past in 1998 wherein there was infection and was operated or say explored 15 times, again had surgery on Jan 28th for reconstruction of the bowel and colon followed by emergency surgery on Feb 2nd as there was a small hole in the bowel. But resulted in wound infection.
All this history is suggestive of a wound infection.
I would advise you the following in such a situation.
First of all, get a sinogram to see how much is the depth of the sinus.
MRI of the abdominal wall will show the condition of the wound.
Secondly, the most important part is the position of your nutritional status.
Get the hemoglobin and protein level and get corrected along with the addition of multivitamins and minerals.
Such wounds do not heal up unless the foreign body in the form of sutures or dead necrotic tissue is not removed. Hence it is imperative to explore the wounds and the remove the things that are not normal will boost up the healing.
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Suggest Remedy For Infection In Wound Site After Bowel And Colon Reconstruction Surgery

Hi. Thanks for your query. Noted your history of in past in 1998 wherein there was infection and was operated or say explored 15 times, again had surgery on Jan 28th for reconstruction of the bowel and colon followed by emergency surgery on Feb 2nd as there was a small hole in the bowel. But resulted in wound infection. All this history is suggestive of a wound infection. I would advise you the following in such a situation. First of all, get a sinogram to see how much is the depth of the sinus. MRI of the abdominal wall will show the condition of the wound. Secondly, the most important part is the position of your nutritional status. Get the hemoglobin and protein level and get corrected along with the addition of multivitamins and minerals. Such wounds do not heal up unless the foreign body in the form of sutures or dead necrotic tissue is not removed. Hence it is imperative to explore the wounds and the remove the things that are not normal will boost up the healing.