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Caring for and packing an open wound

22 Feb

Wound Healing Tips:  Photos / Images of wound healing over time

 

You can get an open wound from many different reasons, in the end however, we are all dealing with the issue of how to get it to heal quickly.  Many wounds come from surgery when an incision does not stay close or there is tissue death, necrosis, that must be managed. It can also come from an infection.  My wound came from a seroma of fluid putting pressure on my incision and therefore, causing it to open.

I will give advice in general and in story mode based on what happened to me.  Your wound could be any size.  It will have a length, width, and depth.   It also might tunnel through closed layers of the skin and have a width with in the tunnel.  What matters most is knowing the dimensions so you can measure progress.  My wound was about 2 inches long, 1 inch wide, and 6 inches deep in a tunnel that had a diameter of about an inch.  It was pretty big.   Suggestion: Measure and record your wound size.

Initially, my wound looked terrible, it had black stuff in it (pic 1) and it was unhealthy looking.  It actually needed something called debridement.  This gets rid of unhealthy tissue so new tissue can grow.  The doctor felt around with a long Qtip and packed with wet gauze and saline.  Later, I had to replace the gauze and do this twice per day.  This action does help slowly debride the wound but better and faster methods can be used such as lightly scraping with a scalpel or using Medihoney, which I eventually used and this helped debride the wound very well.

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Wound needs debridement – pic 1

Wet to dry dressings

Wet to dry dressings pic 2

 

I have a video link on YouTube that shows me doing the wet to dry packing of the wound.  Remember that this is a deep hole, so it is like a magic trick of disappearing scarves. The link is at http://youtu.be/Q354L0Vvd5c

When doing these wet to dry dressings, I would have to cover the wound up with something (the dry part of wet to dry dressings) to catch all the fluid.  It was a mix of exudate and serous fluid.  In the beginning, there was a lot of it.  I would cover it with a maxi pad or even two at night and stick them to the side of my underwear to hold them in place.

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First two weeks not doing much, pic 3

For the first two weeks, the wound only got bigger.  It was looking healthier but it did not get smaller at all.  You see in pic 3 that it didn’t do much but by pic 4, the skin is pinker and healthier but the size looks a little bigger.

Once we saw the healthy smooth, red granulation tissue, we knew that healing could start taking place.  I would intermittently use regular saline gauze and the gauze with the Medihoney on it as you saw me do in the video.  I also purchased Medihoney  rope so I could completely pack it with Medhoney.  It was about $60 for the rope,and about $16 for each tube of the paste.  I bought on Amazon.  They sell all kinds of Medihoney products.  The gel and paste are similar but the gel is thicker, I found the paste worked best for putting on a gauze before packing.  The rope is long sheets of honey on a gauze-like alginate that you pack directly with and the honey melts into the wound and then you pull out the gel piece after a day or two.  Read all the benefits of Medihoney and you will be impressed.  It speeds healing, decreases pains, gets rid of infection, and helps keep you from getting an infection.  After 2 weeks of wet dry packing and Medihoney, I started feeling the wound tighten on the inside. Read the rest of this entry »