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Thread: KLD/others have you treated this kind of wound? (abscess)

  1. #1

    KLD/others have you treated this kind of wound? (abscess)

    I was diagnosed with a perirectal abscess, which was drained 2 days ago by a colo-rectal specialist. The wound was left open to encourage complete drainage and to allow it to heal ‘from the inside out’. I was given standard wound care instructions: 2x per day pack the wound loosely but completely with quarter-inch gauze, cover opening, which is approximately three quarters of an inch across, with a 4x4 gauze pad. Healing will take ‘a couple of weeks’.

    I have been off the area completely since being drained. The abscess was large and the wound takes 12 inches of quarter-inch gauze to pack. The opening is midway between the anus and I.T. pressure point.

    What special care should I give this wound? Can I do some limited sitting on a ROHO? Anything I should watch for? What can I do to quicken healing? When should I consult a wound care specialist?

  2. #2
    I'm sorry to say I have experience with something quite similar. I took many many baths but you may not be able to. Also many stool softeners, much water. I didn't want to sit actually. It felt like I sat on a coffee grinder.

  3. #3
    Moderator Obieone's Avatar
    Join Date
    Aug 2001
    Quadfather .... Bill has had numerous pressure sores as well as other surgical wounds and the two most important things we/he has learned is : 1. you need to get busy with a wound care specialist not now but right now .. each wound is unique just like sci and they will help you more than any doc 2. that there is never any amount of time ( sorry) you can put pressure on these wounds until they are healed .. and then you must do it slowly in short increments of time as instructed by your wound care team ...


  4. #4
    I agree. I recommend no sitting at this time unless you can guarentee there will be no pressure on this are-highly unlikely. Position yourself off the area while lying. Keep the area clean and dry. watch for change in drainage esp odorous pus-looking drainage, redness or swelling around the site, fever or increased pain (if you are sensate in that area).

    Avoid constipation or straining with your bowel care. Good handwashing before andd after touching the area. Make sure someone is looking at the area twice daily. Eat nutritiously and include protein. A wound care specialist is a good idea. These measures will help it heal.


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