Hi
I am currently in hospital in Australia with a wound on her lower back which went down to the metal screws in my spinal fusion.
I came in here anticipating a surgical department head of a vac dressing. However the surgeon found gangrene and necrotic tissue and had to cut it all the way down until the metal was exposed.
Apparently the very bottom layer of tissue is necrotic and doesn't b;need, and therefore I'm being referred to a plastic surgeon for flap surgery. The spinal injuries board is currently full so I am waiting for a bed.
In the meantime I am wondering where the best location would be to obtain the flap? Could it come from the other side of my back? I am nervous of using areas I sit on such as the butt- as I have never had pressured areas there before and I am aware that the flap scar would weaken that skin.
The neurosurgeon in this hospital suggested using my lat muscle- as t5 para
I am not at all keen to use some of the only muscles which do work and a use for transfers etc.
Finally, as this is on my back would I need to be when they dressed like the other flap surgery is on here? My chair has the entire backrest removed in this region and so there is no pressure??.?
Would appreciate any input from nurses or anyone has had a flap in this region has everything I've read has about the buttock,coxynx etcc.
Currently I'm on IV antibiotics and getting four hourly dressing changes with saline packing part until a bed becomes available this hospital is not equipped to deal with spinal-cord injuries so cant to provide further surgery or treatment?? I simply am waiting to get in bed in a spiral facility.
Any Aussies aware of a private hospital which can deal with this procedure? I have health insurance to cover it is simply don't know which facility to contact??. Given that everyone keeps telling me this is life-threatening because of the chance of infection getting into metal concerned about waiting.
Thank you so much in advance for any advice :)
I am currently in hospital in Australia with a wound on her lower back which went down to the metal screws in my spinal fusion.
I came in here anticipating a surgical department head of a vac dressing. However the surgeon found gangrene and necrotic tissue and had to cut it all the way down until the metal was exposed.
Apparently the very bottom layer of tissue is necrotic and doesn't b;need, and therefore I'm being referred to a plastic surgeon for flap surgery. The spinal injuries board is currently full so I am waiting for a bed.
In the meantime I am wondering where the best location would be to obtain the flap? Could it come from the other side of my back? I am nervous of using areas I sit on such as the butt- as I have never had pressured areas there before and I am aware that the flap scar would weaken that skin.
The neurosurgeon in this hospital suggested using my lat muscle- as t5 para
I am not at all keen to use some of the only muscles which do work and a use for transfers etc.
Finally, as this is on my back would I need to be when they dressed like the other flap surgery is on here? My chair has the entire backrest removed in this region and so there is no pressure??.?
Would appreciate any input from nurses or anyone has had a flap in this region has everything I've read has about the buttock,coxynx etcc.
Currently I'm on IV antibiotics and getting four hourly dressing changes with saline packing part until a bed becomes available this hospital is not equipped to deal with spinal-cord injuries so cant to provide further surgery or treatment?? I simply am waiting to get in bed in a spiral facility.
Any Aussies aware of a private hospital which can deal with this procedure? I have health insurance to cover it is simply don't know which facility to contact??. Given that everyone keeps telling me this is life-threatening because of the chance of infection getting into metal concerned about waiting.
Thank you so much in advance for any advice :)
wound on back:where should flap come from?
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