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November 16, 2005
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Previous email questions & their replies are listed
below. Remember, replies have not been validated for accuracy or truthfulness.
I am looking for wound healing rates for abrasions, surgical wounds, stage
1-4 pressure ulcers, soft tissue necrosis, ect. Do you know of any rates or
stats or who would have such a thing
Lu Ann Reed MSN, WCC,, RNC |
sorry,
no replies |
Our hospital is in the process of updating policies regarding whirlpool
culturing. We are wondering if US hospitals are doing this, what are some
guidelines, and if other facilities are doing this. Thank you
Carl Grota,PT |
Few
people use whirlpools anymore. The infection risk is very high,
and the non-selective nature harms granulation tissue, slowing healing.
Pulsed lavage is much more effective.
Renee Cordrey, PT, PhD(c), MSPT, MPH, CWS |
To whom it may concern,
I am a staff nurse and I work on the General Intensive care at the Royal
Liverpool Hospital, and was hoping that you could provide me with any
information that you have on the use of Hydrogen Peroxide and the
desloughing of wounds. I was involved in the care of a patient with a
malodourous and sloughy wound, of which this was the chosen treatment for
her abdominal wound, by the surgical team of doctors!
I was concerned that this was maybe not the most appropriate choice of
treatment and would very much like to improve my knowledge base, within this
area, and review all of the research regarding the solution.
I would be extremely grateful if you could help me in any way.
Thank you and I look forward to your response
Catherine Grey ( Registered General Nurse) |
hello
kindly use a homeopathic lotion called ''SoreKure''.
its highly effective
rgds
Dr. Sam Grewal---
Peroxide is cytotoxic, meaning it kills
healthy cells. It also isn't
as bacteriocidal as people think. Plain saline is better to clean
wounds. Sharp, enzymatic, or autolytic debridement is much more
effective as debriding a wound. The AHCPR pressure ulcer treatment
guidelines in the US recommend against using it. You can find them at
www.guidelines.gov. I'm sure the UK would have something similar.
Renee Cordrey, PT, PhD(c), MSPT, MPH, CWS |
I am a 24 year old female who had a softball size Pilondal Cyst removed Aug
2004, I had very bad infection and was put in the hospital for almost a
week, it was a closed incision with 12 stiches and 22 staples. After a
little over a year now i still have drainage, the drainage isn't come'in
from my incision it's comeing from a small hole under my incision just at
the base of my butt crack. I was wondering if this is normal for this to be
take'in so long to heal, and what i can do for this to make it close and
stop draining....It's driven me crazy I can't do nothing with out worry
about if i have drainage showing on my clothes. Also I have Hypothroidism
could this be slowing my healing down.
Thanks Much
Cary Danielle |
I can
think of two things that might be happening. (There may be more
options--you'll need to see a doctor to be certain what's going on.)
First, there may be a bone infection. Secondly, the cyst may have
recurred. The recurrence rate is significant. See a specialist on this
to see what's going on. You can find a certified specialist at
www.aawm.org and www.wocn.org.
Renee Cordrey, PT, PhD(c), MSPT, MPH, CWS
---
Hi .. Are you sure this isn't another
pilonidol sinus developing? You should be seen by an expert wound care
professional who may find a hair growing abnormally - which is what causes
this in the first place. Unfortunately they do re-occur..
Hope it's not, but good luck
Mary RN. Practice Nurse Exeter,
---
My brother had a pilonidal sinus the same
size as yours, and had it operated
on twice, the first time they closed it, but it never healed, the 2nd time
they left it open, to heal from the inside out. I also had one, and they
left mine to heal form the inside and didnt close it. I think you need to
go back to your Dr, and get it checked out, it is always better for a
pilonidal sinus to heal from the inside out,and not to close it. It is
ususally packed, to aid this kind of healing.
Registered Nurse. ( Practice Nurse. Spain.)
----
I am a surgeon. It appears you have recurrent
pilonidal cyst/sinus. It is not unusual. Consider
returning back to your surgeon Probably this needs to
me removed again, Good luck..unsigned
---
I have had a pilodal cyst removed x 2. These
can always reoccur if the whole enclosed capsule is not removed. If you are
still having drainage you most likely have a fistula and this needs to be
explored. It is usually not normal at least with 30 pts I have spoken with
that had the same surgery. On some they leave the area open and it has to
heal thru secondary intention by packing and allowing the wound to heal from
inside out. I would call around to different surgeons and find one that will
explain all this to you. My surgeon the second time wanted to go in when the
cyst was inflamed, this made it easier for him. My first surgery was in 1980
second in 1984 and I have had no reoccurrence. Good Luck Liz
Liz Gatchel RN, BSN |
Can anyone help? Three years ago I had an operation on a morton's neuroma
and straigtening to toe. Infection followed. Since then I have had about 15
operations including debribements, amputation of fourth toe, exicision of
fourth and third metatarsals due to bone infection. I was about to have a
partial foot amputation in June but pulled out at last minute.
The problem is I have a sinus tract. It does not heal so I get infections
all the time and have to take antibiotics. At present xrays do not show
further osteomylitis but I still have a sinus.
The consultant is just putting dry dressing in place although in the past it
has been packed with various dressing such as sorbsan.
If there is no bone infection why is there still a sinus? There is a problem
the foot may collapse and have to be amputated but I feel if the wound heals
I can move on and at least not deal with the chronic infection all the time.
Incidentally the wound has grown various bugs from staph aureous to proteus
to mrsa to I don't know how many others.
Any advise would be so greatly received.
I am 37 fit healthy, not overweight and non-diabetic. Help!
Nichola |
I
recommend you see a specialist. Go to www.aawm.org and www.wocn.org
to find one near you.
Renee Cordrey, PT, PhD(c), MSPT, MPH, CWS
----
Nichola- have you seen a podiatrist who
specializes in wound care? Or any
wound care specialist? Has anyone suggested plasmagraft and/or dermagraft?
Good Luck to you>
Kim, LPN
Wound Care Coordinator |
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