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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For A Non-healing Laparoscopic Incision

I am a 32 yr old female. I had a laparascopy 4 weeks ago, two of the incisions have healed, however the third incision was through a hair follicle. It is not healing and has pus coming out of it. Had a skin culture, showed no infection, but I am concerned that it is not healing. Have used neosporin, aired it out, and washed it 3-4 times a day with Dial antibacterial soap. It's not healing.
Thu, 2 Apr 2015
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Infectious Diseases Specialist 's  Response
Thanks for posting you query to health care magic.
some time some wound take longer time to heal and there are so many causes for that .if your culture is not showing infection than there might be some other causes .I would like to suggest you some measure which will help in rapid healing :
1.no need to clean it 4 times a day as frequent irritation interfere with healing .you need to give rest to your wound so that regeneration can be takes place .
So I advice you to do cleaning with normal saline and hydrogen peroxide 3% and dressing with povidone iodine with metronidazole cream .every 24 hr if discharge is lalrge or every 48 hrs if discharge is small amount .
Take multivitamine tablet containing vitamin b complex , vitamin C and Zinc as it help in rapid healing .
give rest and restrict movement of wound part .
no need to wash with soap.
presently oral antibiotic is not needed as culture is negative but if pain develop at wound site and discharge increases oral medication with consult to general surgeon will be required .
Hope you would be satisfied with my answer . Feel free to communicate if any query .
regards,
Dr.Manish Purohit
Infectious disease specialist
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Suggest Treatment For A Non-healing Laparoscopic Incision

Thanks for posting you query to health care magic. some time some wound take longer time to heal and there are so many causes for that .if your culture is not showing infection than there might be some other causes .I would like to suggest you some measure which will help in rapid healing : 1.no need to clean it 4 times a day as frequent irritation interfere with healing .you need to give rest to your wound so that regeneration can be takes place . So I advice you to do cleaning with normal saline and hydrogen peroxide 3% and dressing with povidone iodine with metronidazole cream .every 24 hr if discharge is lalrge or every 48 hrs if discharge is small amount . Take multivitamine tablet containing vitamin b complex , vitamin C and Zinc as it help in rapid healing . give rest and restrict movement of wound part . no need to wash with soap. presently oral antibiotic is not needed as culture is negative but if pain develop at wound site and discharge increases oral medication with consult to general surgeon will be required . Hope you would be satisfied with my answer . Feel free to communicate if any query . regards, Dr.Manish Purohit Infectious disease specialist