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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can A Non-healing Surgical Site Near The Tail Bone Be Healed?

my son had surgery in October for a cyst removal from the top of the tail bone area. There is still a hole about the size of a dime that will not heal. I clean the area daily with saline and put a bandage over it. It gets really close to closing and then it will open back up. Any suggestions on how to close it and keep it closed?
posted on Mon, 8 May 2017
Twitter Sat, 24 Jun 2017 Answered on
Twitter Tue, 27 Jun 2017 Last reviewed on
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General & Family Physician,  's  Response
HI,
Thanks for the query. I understand your concern.
In spite of daily cleaning & dressing only does not suffice. Infection & pressure over the area while lying down or sitting are the causes of non healing.
- preventing pressure on the wound due to constant lying down/ sitting would need being out of bed & resuming daily routine.
-Infection of the base of wound needs adding antibiotic to daily dressings.
Some infections need debridement of infected tissue to hasten healing along with dressings & antibiotics.
- some times infection reaches bone ( osteomyelitis ) & here removal of infected bone is needful.
- A good diet with proteins, vitamins help healing of wound.
* please consult the surgeon for addition of suitable antibiotic, anti inflammatory drug & any surgical intervention to hasten healing apart from daily dressing after cleaning.
Thanks.

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How Can A Non-healing Surgical Site Near The Tail Bone Be Healed?

HI, Thanks for the query. I understand your concern. In spite of daily cleaning & dressing only does not suffice. Infection & pressure over the area while lying down or sitting are the causes of non healing. - preventing pressure on the wound due to constant lying down/ sitting would need being out of bed & resuming daily routine. -Infection of the base of wound needs adding antibiotic to daily dressings. Some infections need debridement of infected tissue to hasten healing along with dressings & antibiotics. - some times infection reaches bone ( osteomyelitis ) & here removal of infected bone is needful. - A good diet with proteins, vitamins help healing of wound. * please consult the surgeon for addition of suitable antibiotic, anti inflammatory drug & any surgical intervention to hasten healing apart from daily dressing after cleaning. Thanks. --