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Had removed Lipoma, have drainage with pain. Is the healing process slow for diabetic?

i had lipoma removed two months ago I still have draniage it burns like crazy...The pain gets so bad it wake me up at night i sit up rest of night.. IS this normal The lipoma was size of grapefruit on left leg inner thign i had out paient surgery 11-21-12. Yes I am dibectic i no healing time is slower but am I still suppose have leakage. On december 24 Surgery call said it has affection preudomonas I my husband start pack wound with Daskin soultion per dr request he change 3 times a day. home health comes twice a week as well... is this normal skin around it is sore after two months of tapping i consider is not right
Asked On : Sat, 2 Feb 2013
Answers:  3 Views:  101
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General Surgeon 's  Response
I am very sorry for the complication you had after lipoma surgery.
Routinely,after removal of any swelling,there will be dead space where in some fluid gets collected.If drain is not kept,it comes out from the suture line.It subsides by itself in course of time.
In your case,the wound got infected.
Please check Blood sugar levels daily and keep it in control.
Your discharge should be sent for Culture and Sensitivity again.
Appropriate antibiotic has to be taken.Automatically,the discharge comes down and your wound will heal.
Nothing to worry.Your normal skin will be back.
Wish you speedy recovery
Answered: Sat, 2 Feb 2013
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Geriatrics Specialist Dr. Surendiran Gaj's  Response
hi there
am dr.surendiran
nice to meet you in healthcare magic
Diabetes has implications for acute and chronic wound healing . Type 2 (non-insulin dependent) diabetes continues to increase in incidence and is more prevalent in older patients, in whom age-related skin changes already negatively impact on the healing process.
Complications resulting from type 1 (insulin dependent) and type 2 diabetes include neuropathy and ischaemia, which may lead to foot ulceration . Patients with unhealed ulcers have an increased risk of infection, and lower-limb amputation is usually preceded by foot ulceration.
Maintaining normoglycemia (normal blood sugar levels) is important as hyperglycemia has been correlated with impaired wound healing . In order to optimize wound-healing potential, patients should be encouraged to achieve target levels for glycated hemoglobin (HbA1c). The target for glycated hemoglobin is 7.2 per cent in type 1 diabetes . For people with type 2 diabetes, the target is similar at 7 per cent . Patients need to be actively involved in this process and require information and support from health care teams.
dr.surendiran hc magic
Answered: Sat, 2 Feb 2013
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General & Family Physician Dr. Pavan Kumar Gupta's  Response
This is not normal.
It may mean few things
1... Your diabetes is out of control
2.. There is pus collection inside.
You must consult your surgeon,get the pus culture done and take antibiotics accordingly,dress your wound with sterile dressings and control your sugar levels meticulously.
In case there is some pus pocket,it should be drained and if there is some infected and dead tissue,it must be removed.
Consult your surgeon .
Answered: Sun, 3 Feb 2013
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