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I have gone through the images and your medical history. I understand that this can be really frustrating for you . But let me assure you there is nothing much to worry. The surgical wound appears healthy and in the process of healing from the pictures. It is NOT uncommon for wounds from surgery to under go a delayed healing. Your Surgeon might have dealt with hundreds of cases like this by now. (and that explains his easy go reaction !)
The wound has to heal naturally . There is no other way. The best we can do is give approximation. So basically there is nothing much you or your Surgeon can do at this stage. Just make sure you are not stretching or moving it too much . Some soaking is ok. This will gradually decrease.
One thing to be ruled out if the healing is delayed is the infection in the wound site. From the image the surgical site looks clean. (so infection less likely ). Still do keep this in your mind and discuss this possibility with your Surgeon.
Hope this helps
Feel free to ask followups.
Patient replied :
Thank you for your response. in your best guess, what would be the time frame in which I should give this to close? Since this past Thursday,to today, it has not decreased in its leaking of blood, again, not tons just enough to keep the strips wet and leak onto my clothing. and is it possible to have a wound dehiscence a second time? I will indeed wait though. it indeed does not appear to be infected like the last time so I am glad about that. I know what to look for in terms of an infection. Perhaps just an estimate of time to wait for proper closure until I should seek my surgeon out again. Thank you very much
To be honest the time frame for wound closure is over. So what we are considering is an extended time frame. That would be something around 1 week. You need not get a complete wound healing in one week, but within 1 week you should be able to see a good progress - that means less gaping of the wound, or better approximation, healing tissue , less or no fluid leakage etc. So in 1 week a at-least a general direction into healing is good.
Event though there are no obvious signs of infections it is better be consider that option if wound remains unhealed even after a week.
Hope this helps
Feel free to ask followups