A special query for those trained in surgery. please give support to.?


I had a r.tibial fracture mended thru external fixation. when surgeon removed fixator rods, here were 5 skin holes overlying the tibial apertures. he said they never stitch them shut, they must stay initiate for weeks to drain blood from within the bones. & they did. When blood finally cease, ortho said the skin holes (only 1/4 in.thick) will close thru secondary intention.
some did, but others remained soft bland scabs & never skinned over. 1 of the holes began to drip river in a constant stream. the river pressure within pierced the scab. This comes motive I have severe CHF w/ wet overloaded in my tissues. (NOT lymphedema) It begin soon after fixator removed & bone healed. I ask you: can any surgery close this crude, painful sore wound, next to stitches - Wouldn't the constant flow of water from the tissues around the hole preserve the site wet & soggy & prevent therapeutic? the flow is unstoppable. 1 gallon daily. Can a cautery, silver nitrate or other, trademark off the tissues leak the water?

Answers:

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deplorably you are in a somewhat unusual circumstance. first of adjectives, the holes are left not to "drain blood from in the bones". they are left get underway because they usually close fairly efficiently on their own and all it take is a couple of steri-strips. and also because the external fixator/pins can be a source of infection (especially after having them on for 3-4 months) so it wouldn't be a pious idea to close past its sell-by date a potential infection and better to let it drain, if any.

more importantly, you entail to be certain that it is indeed "water" specifically draining and not pus (an infection). i don't think that it would unreasonable to suture close the hole/wound if it is not infected, however, you may still hold issues healing. another pick would be a wound vac that keeps the wound hermetic and applies a constant suction, this is usually pretty good surrounded by expedite healing contained by a open wound. don't know if it'll work so ably with "1 gallon daily" pouring out.
what in the region of your cardiologist/internist? can't they do a better job near your diuresis? compressive stockings? water pills? elevation?
but i would to be sure ask your orthopod if he/she would suture it close.
good luck

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Hi there, it sounds approaching lymphorrhea drainage, lymphorrhea is any open nouns or break in the skin that will explanation lymph fluid to weep or drain, it could be that if the surgical drain hole be not there, you would own lymphedema along with the chronic heart washout. You need to be extraordinarily careful of infection.

You have need of to keep the nouns very verbs, try to moisturize around the opening because the constant leak is irritating and breaks down the skin, you need to apply a non sticky absorbant dressing, you call for to elevate, apply pressure bandages, and if it does not stop leak, your doctor needs to refer you to a wound treatment center. It may entail a skin graft to stop leaking but afterwards you might also run the risk of swelling of the lymph fluid in the leg, hence lymphedema.

Lymphorrhea is highly biting to the skin tissue that it come into contact with. Untreated wounds next to this drainage can very vigorously become large gaping areas that may eventually front to the need for skin graft.



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