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Thread: Question-on healing a pressure sore

  1. #1

    Question-on healing a pressure sore

    I had a stage 4 pressure sore or my butt which is now 0.5 centimeters deep my question is do I allow it to hea naturally or consult a plastic surgeon?
    Last edited by Hawk; 04-11-2016 at 09:39 AM.
    "Yesterday's History,Tomorrow's a Mystery"

  2. #2
    I have one on my coccyx and was considering plastic surgery as well. On my last trip to the wound clinic I brought up the question of plastic surgery and I was told my wound was too small now to do it. My wound measurements were 0.4 cm by 0.5 cm by 0.4 cm deep. Hope this helps.
    DaDutchman
    C5/C6 since 2007 due to car accident

  3. #3
    Are you working with a wound care specialist (nurse or physician)? I would follow their advice. While it is possible to heal a stage IV pressure ulcer with conservative management, it may be problematic sitting on the scar without it breaking open again. Each wound and person needs to be individually assessed related to this.

    (KLD)

  4. #4
    I'm going to a woundcare center weekly, they recently removed them vac because the sore is too small. Woundcare Dr. Feels it's too small for surgery. When I inquired about surgery he told me I can get a second opinion however I cannot get a consultation with a plastic surgeon until May 1 which by then this will probably be healed. I have read conflicting articles or whether to allow the sore to heal on its own or have it surgically repaired. I'm so confused! I just want to get back to my life out of the bed, 90 days is driving me crazy!
    "Yesterday's History,Tomorrow's a Mystery"

  5. #5
    I went to my wound care specialist this week and she said it is healed. My wife said their definition of healed just means I don't have to go back. It took almost a year for this to heal. I did not confine myself to bed as they might have suggested, which is why it took so long. My wife will continue to put a dressing on it until it meets her definition of healed.
    DaDutchman
    C5/C6 since 2007 due to car accident

  6. #6
    Quote Originally Posted by SCI-Nurse View Post
    Are you working with a wound care specialist (nurse or physician)? I would follow their advice. While it is possible to heal a stage IV pressure ulcer with conservative management, it may be problematic sitting on the scar without it breaking open again. Each wound and person needs to be individually assessed related to this.

    (KLD)
    You were correct, after 105 days in bed on the woundvac and nearly healed plastic surgeon said he feels bone and wants to do a flap... now I have to wait 21 days surgery schedule. Dam it!!
    "Yesterday's History,Tomorrow's a Mystery"

  7. #7
    Sorry to hear you need surgery. Fingers and toes crossed that all goes well.
    ckf

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