| Lost password
27 users onlineYou are not loggend in.  Login
infection
 1
 1
05/26/2009 18:01
rufus45zak 
05/26/2009 18:01
rufus45zak 
infection

my husband had his op on 27th april 09, they operated on 3 fingers on one hand but left the thumb for another time low and behold he got an infection in the wound. i took him backwards and forwards to hospital for dressing changes everyday for 2 weeks they plied him with loads of tablets but after the 2 weeks admitted him to hospital for i v antibiotics he now goes every other day to have it dressed and has not been pain free for weeks and most of the time its mega pain, we have been to the physio but he said it will be a very long process as he has lost the use of the whole hand. The hospital said he has been unlucky. we were wonderin if anyone else has been so UNLUCKY. the whole process has put him off having the other hand done but his fingers are in the palm of his hand his father had the same problem and his sister has had 3 ops so far.

05/27/2009 06:07
Wolfgang

not registered

05/27/2009 06:07
Wolfgang

not registered

Re: infection

That's a sad story and we all are wishing your husband a quick recovery! Infections in hospitals are not unlikely and Dupuytren surgery usually reults in a fairly big wound. In 2006 Dr. Keith Denkler summarized side effects of surgery using data from various publications http://www.dupuytren-online.info/surgery...s_denkler_2.htm . He concluded a probability of 2.5 % for infections, i.e. one out of 40 patients gets an infection. Of course that does not exclude that the hospital did something wrong in the treatment and post-surgery handling.

For his other hand your husband might also consider NA (= needle aponeurotomy) http://www.dupuytren-online.info/needle_aponeurotomy.html- This is minimal invasive, has a lower risk for infection (about .5 %) and a very fast recovery. Usually you can use your hand already after a couple of days. But I guess he will want his operated hand be recovered first.

Wolfgang

05/28/2009 07:53
rufus45zak 
05/28/2009 07:53
rufus45zak 
Re: infection

Many thanks for your concern. My husband will see his consultant today at the moment his little finger is changing from purple to red to black with so much pain he cannot sleep. which is making him bad tempered and depressed. he now wishes he had, had at least the little ringer removed which still may happen. we will look into the needle treatment for the other hand many thanks

05/28/2009 13:43
nriedell 
05/28/2009 13:43
nriedell 
Re: infection

Hello. I am sorry to read about your husband's nightmare. I had my surgery on Friday 5/22. I am surprised that his doctor was willing to operate on more than one finger. I actually have the contracture in my little, ring, and middle fingers as well as my thumbs in both hands. My doctor was NOT willing to also operate on the nodule on my middle finger. He was only willing to operate on the most severe one which was my little finger on my right hand. He told me that operating on both the little and middle fingers at the same time would increase the risk of infection and possibly encourage more growth.

I hope your husband is doing better. I would encourage you to 1) discuss operating on one finger at a time; 2) getting a second opinion; and 3) closely check your doctor's background with the American Medical Association and other sites.

Your husband should not have gone thru this. My father was a very well respected physician for over 40 years. He was Chief of Staff at a large county hospital for 20 years. I have the good fortune of knowing a good physician as soon as I meet him or her. Researching your doctor's history is always wise.

Good luck.

06/22/2009 20:01
bstenman 
06/22/2009 20:01
bstenman 
Re: infection

A good part of the reason for out-patient procedures is that the less time you spend in a hospital the less likely you are to get an infection and with hospitals this includes drug resistant bacteria. With NA the procedure is performed in the doctor's offices and so the exposure to bateria is greatly reduced.

Skin functions to keep out bacteria and with open hand surgery the skin is peeled back for 90 minutes and then sewn back into place. This makes exposure more a problem and the longer healing process also adds to the patient's vulnerability.

With my NA procedures I was instructed not to wash my hands for 24 hours to prevent infection and that was it. I took no antibiotics whatsoever.

When I researched having a fasciectomy performed the high rate of complications (6% with severe complications and roughly another 12% with serious problems) caused me to rethink the surgery and that was when I learned about NA, something neither my local doctor or the expert hand surgeon had any knowledge of and the hand surgeon naturally preferred the more expensive and lucrative open hand surgery - after all he was not going to be inconvenienced by any complications of my surgery.

 1
 1
Association   fasciectomy   Infections   publications   antibiotics   procedures   infection   contracture   hospital   aponeurotomy   husband   surgery   probability   dupuytren-online   complications   vulnerability   inconvenienced   Researching   post-surgery   out-patient