| What is the typical recovery time? |
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01/13/2012 05:05
stephenp 
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01/13/2012 05:05
stephenp
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Re: What is the typical recovery time?
Moist wound healing doesn't mean using any creams or lotions but rather keeping the wound covered with an advanced dressing the prevents the wound drying out. Healing requires cell growth and cells do not grow well in a dry environment.
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01/13/2012 14:57
callie 
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01/13/2012 14:57
callie
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Re: What is the typical recovery time?
Tolwvn,
Again, that is surprising advice. I noticed from the picture you had that the wound was dry and scabbing over. I am not suggesting that your surgeon doesn't know any better, but I have never heard of that advice. It is more than a difference of opinion, it goes against almost all surgical recovery advice. How did you massage the wound to break up the scar tissue without any lubricant?
If anyone has similar advice to let a wound dry out after surgery, I would like to read the study/information. Especially referring to a fasciectomy.
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01/13/2012 15:01
callie
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01/13/2012 15:01
callie
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Re: What is the typical recovery time?
stephenP,
I am wondering about your last statement. Many wounds are not covered until they heal, especially a hand wound from a fasciectomy. I don't understand what you said about not using lotions or creams to keep the wound moist.
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01/13/2012 15:13
Tolwyn 
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01/13/2012 15:13
Tolwyn
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Re: What is the typical recovery time?
Coming from both the surgeon and the hand phyiscal therapist.
Can't start doing any of that until today.
callie:
Tolwvn,
Again, that is surprising advice. I noticed from the picture you had that the wound was dry and scabbing over. I am not suggesting that your surgeon doesn't know any better, but I have never heard of that advice. It is more than a difference of opinion, it goes against almost all surgical recovery advice. How did you massage the wound to break up the scar tissue without any lubricant?
If anyone has similar advice to let a wound dry out after surgery, I would like to read the study/information. Especially referring to a fasciectomy.
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01/13/2012 16:19
callie
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01/13/2012 16:19
callie
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Re: What is the typical recovery time?
This is a website that I think explains Dupuytren's surgery recovery well.
http://www.dupuytren-patienteninfo.de/in...n_aftercare.htm
"A good advice is to use rich cream several times a day for the first months after the surgery.
After the removal of the bandages it is helpful to bath the affected hand 5 minutes 5 times a day in warm water. Continue day by day until the mobility of the hand is re-established.
Do not forget to use the rich cream after the hand bath."
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01/13/2012 16:28
callie
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01/13/2012 16:28
callie
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Re: What is the typical recovery time?
This is interesting. In looking for more information about wound care I ran across this study about the preference for type of stitches used in a fasciectomy surgery.
J Hand Surg Eur Vol. 2009 Oct;34(5):618-20. Epub 2009 Aug 17.
A prospective randomised trial of absorbable versus non-absorbable sutures for wound closure after fasciectomy for Dupuytren's contracture.
Howard K, Simison AJ, Morris A, Bhalaik V.
Source
Orthopaedic Department, Arrowe Park Hospital, Upton, Wirral, Merseyside, UK. kim.howard@whnt.nhs.uk
Abstract
After fasciectomy for Dupuytren's contracture the wound has traditionally been closed with non-absorbable sutures. A prospective randomised study of 59 patients was undertaken to compare wound closure after fasciectomy with irradiated polyglactin 910 absorbable sutures and non-absorbable sutures. The outcomes studied were: time spent attending to the wound at the first postoperative visit; the patient's pain score at that visit; and any complications. Wound care required significantly more time when non-absorbable sutures were used. There was no significant difference in pain scores or in complications between the two groups. We recommend the use of irradiated polyglactin 910 absorbable sutures for wound closure after fasciectomy as it saves time and resources without compromising wound healing.
Comment in
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01/13/2012 17:19
spanishbuddha  Administrator
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01/13/2012 17:19
spanishbuddha Administrator
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Re: What is the typical recovery time?
callie:
stephenP,
I am wondering about your last statement. Many wounds are not covered until they heal, especially a hand wound from a fasciectomy. I don't understand what you said about not using lotions or creams to keep the wound moist.
IANAD but have had other surgery. Wounds are in my experience covered until the point at which non-sterile contact (air, water, lotions, etc) will no longer be a factor in any risk of infection. Maybe that is the thinking with Tolwyn's case, followed up with scar conforming?
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01/13/2012 18:15
callie
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01/13/2012 18:15
callie
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Re: What is the typical recovery time?
I think you are probably correct, and perhaps there isn't a right or wrong time to start keeping it moist. I have just always been instructed to never let the wound dry and reach a scab stage.
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01/13/2012 18:17
callie
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01/13/2012 18:17
callie
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Re: What is the typical recovery time?
Wolfgang,
Thank you for the information about the book. I was just getting to the answer about wound care in the book (page 308) and then the tease (to purchase the book) ran out and everything was blurry.
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