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Thread: Please any help with this....

  1. #21
    I have talked with my uncle, he says that doctors will have a meeting to see if they make another surgery or not. In the eccography they see 25 cubic centimeters of a yellow liquid called "sanguijuela" ??? I dont know anything about this name. In the eccography made some weeks ago they found 60 cubic centimeters of tha same liquid.
    So they will determine if maybe the liquid will reduce in some days or not, what do you know about this?? if they determine to make a surgery , they will a surgery with the "musculo cutaneo", in the other surgeries they made it with the leg muscle.
    What do you think about this dear SCI nurse, or friends?? what advice could you give me?

  2. #22
    Hi msaraviah,

    I did an online translation for the word "sanguijuela" and apparently it means "leech". There is a treatment they use here in the USA with leeches. They are special sterilized leeches that suck all the bad blood and fluid from an infected area. Maybe that's what they have planned for your uncle.

    Or the online translator didn't translate correctly.

    Best of luck to you and your uncle.

    Bob.
    "Be kind, for everyone you meet is fighting a great battle." - Philo of Alexandria

  3. #23
    Maria,

    Escribe en español, yo te traduzco para que la enfermera y las demás personas puedan ayudarte. "sanguijuela" y "colgajo" no deben estar bien traducidas...

    Tienes algún documento o historia cl*nica en la que esté explicado el diagnóstico de tu tio, o la cirug*a que piensan realizarle? Puedes pedirle al médico que te explique y anotar lo que te diga?

    A.

  4. #24
    Muchas gracias Agnes!
    A ver te cuento, luego de la ultima operacion hecha a mi tio, luego de unas 8 semanas comenzo a sentarse y de nuevo se le comenzo a poner el area roja , asi es que dejo de hacerlo y fue a una cita medica, donde le dijeron que tenia liquido acumulado (es un liquido amarillento), asi es que se lo extrajeron con una jeringa, aprox 60 cc3. Luego de unas semanas el ya no tiene el problema de que el area se le ponga roja, pero regreso a la cita como se lo pidieron y ahora encontraron unos 20 cc3 de ese liquido, asi es que le dijeron que mejor se internara para poder examinarlo mejor. El dia de hoy se reuniran los medicos para decidir si le hacen el colgajo, pero esta vez dicen que usaran el musculo cutaneo (no sé qué usaban antes en los colgajos realizados), y si es asi dicen que esta vez debe ser la cirugia definitiva. Qué opinará la enfermera? no ha contestado ya mis consultas , tambien le envié mensajes privados pero nada.
    No tengo mayor informacion dado que no tengo acceso a su historia medica, pero si creen que es necesario algo mas de informacion , hare lo posible por obtener algo mas.

    Muchas gracias de nuevo Agnes.

  5. #25
    If he just had a primary closure of the wound with the incision right over his ischium, it is unlikely to be able to tolerate sitting for any significant length of time, even with a Roho cushion. Sitting can be tried for 15 minutes once daily for 3 days, then increase by 15 minute increments twice daily every 3rd, but sitting on a scar nearly always causes it to again break down.

    If he has a fluid collection (hematoma or seroma) he should not sit on the area until it has been drained, more tests done for osteomyelitis (MRI and needle bone biopsy) and then allowing the tissues being separated by the fluid collection to heal together again (another several weeks at least). Hematomas and seromas are caused by the failure to use drains (JP drains or Hemovacs) in the incision initially, removing them too soon, or allowing the joints above/below the surgery to be moved in the first few weeks post-op (sometimes by uncontrolled spasms).

    (KLD)

  6. #26
    YESTERDAY, MARIA WROTE:

    "After the last surgery done to my uncle, he started to sit after 8 weeks. The area started to get red again, so he stopped and went to se his Dr. He was told he had a pocket of liquid (yellowish liquid), so the liquid was taken out with a syringe, approximately 60 cc3.

    After a few weeks, he did not have the problem of redness in the area, but he went back to another Dr’s appointment as requested, and they found another 20cc3 of the liquid. They told him he has to stay in the Hospital to get more tests. He is meeting with his Drs today to decide if they do a “colgajo”. *** This time the Drs say they will use muscle, as opposed to the previous surgeries where they did not use it. They say this time it will be the last surgery.

    What do you think the SCI-nurse will think? She has not answered my questions, I have also sent her private messages, but she has not replied. I have no more information since I have no access to his clinical records, but I am going to try to get more info."

    **I do not know what this means, it may be the term the Drs in Peru use for a flap. Agnes.
    Last edited by agnes; 10-19-2010 at 08:21 AM.

  7. #27
    Mar*a, la enfermera (KLD) escribió ayer:

    Si la herida acaba de cerrarse con la incisión en el hueso ischium, es poco probable que tu t*o pueda tolerar sentarse, incluso si él tuviera un coj*n especial para silla de ruedas (marca Roho). Puede intentar sentarse durante 15 MINUTOS unicamente, UNA VEZ AL DIA, durante 3 d*as. Si no hay problemas durante estos 3 d*as, puede incrementar el tiempo que está sentado a 15 minutos 2 vces al d*a, pero SENTARSE SOBRE LA CICATRIZ CASI SIEMPRE HACE QUE SE ABRA.

    Si tu t*o tiene fluido (hematoma o seroma), no debe sentarse en esa área hasta que el l*quide sea drenado y se le practiquen exámenes para saber si él tiene osteomielitis (infección del hueso). Estos exámenes son una resonancia magnética y una biopsia del hueso. Luego de que le hagan los exámenes y el l*quido haya sido drenado, el tejido donde se recolectaba el l*quido podrá sanar, pero eso demorará varias semanas (yo creo que la enfermera también quiere decir que durante estas varias semanas tu t*o no debe sentarse!).

    Los hematomas y seromas (acumulación de l*quido o sangre) son causados por
    - la falta de use de drenajes o sondas (sondas JP o Hemovacs) durante la cirug*a.
    - retirar la sonda o drenaje demasiado pronto.
    - permitir que la cadera o las rodillas se muevan durante las primeras semanas de post-operatorio, debido a que el paciente se mueve o a espasmos.

  8. #28
    Hi Agnes,

    colgajo = flap

    Bob.
    "Be kind, for everyone you meet is fighting a great battle." - Philo of Alexandria

  9. #29
    Muchas gracias a todos por sus aportes...,
    thank you so much for your cooperation...
    I wil be asking another things ....

    mari

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