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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?
Tue, 27 Jun 2017
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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. --