The trouble with perineal wounds-wound care and dressings

 

 

Ok, so this is more of an update and a moan.

I have had this stupid perineal sinus tract for two years now, after the proctectomy I have had two further surgeries to try and sort it out. Now I don’t blame anyone for the complication, but I do think I should have more wound care because of living with such an awful wound for this length of time. No one seems in a hurry to help me, and no one seems in a hurry to sort me out.

Just before I went home I still had blood on the sheets and the ST ( yes, a sanitary towel was stuck to my buttocks as a dressing) felt wet and uncomfortable. I asked a nurse if she would help me tidy and clean myself up, which she did as best she could, even she didn’t really know what to do with the wound. So again, I had a sanitary towel stuck to my cheeks, this time I said look, can we just stick it to the pants? it’s doing the same thing but not causing me a rash by sticking to my skin. I definitely believe that had I not asked to change the ” dressing” , it wouldn’t have been done before I went home. and I was never given any information about the care of the wound for any of the operations.

That was fine up to a point, but what to do when the operation failed an the sinus returned a few weeks later ? No one really helps with that except my stoma nurse really. I role a swab up and place that over the wound ( right between the cheeks ) but I still need to wear a thin pad as it can leak through. The discomfort is sometimes awful too, any wound hurts and this is no exception. It feels bruised and sore, so sitting for any length of time ends up being painful. Also being up and down, standing and sitting causes the leaks to be worse, so what do you do?

I suppose what I am trying to say is, there is nothing dressing- wise, that I have been given that is specifically helpful for a butt wound. You get sore ( like nappy rash) constantly changing the swab, and you are constantly aware that you might leak through. This has been me for two long years, so you would think that because of the long waits for surgery, someone would have come up with something better than this. The only time anyone checks it out is when I go to my practice nurse one in a while, this waiting cannot be doing me much good. I am now awaiting another MRI to see why it is back with a vengeance, so will have to wait for that result before I get put on any list, and they have to coordinate the plastic surgeon again so that could take a while.

So I need the powers that be to come up with better care for the perineal / perianal wounds. Most people have to wait a long time with no real support before they get surgery. I never imagined straight after my original surgery that my stoma would be less of a bother than my bottom.

I also didn’t think the timeline for sorting me out would be horrendous.

 

 

Surgery next week eek eek

Surgery for the perineal sinus is nearly here. Am slightly apprehensive but more excited to get it done. It has been such a long wait ( over a year) that I can hardly remember using knickers without having to use pads. I will then have a month before I go away with the girl friends. I know these sinus tracts can come back and I shall just have to be super confident that mine won’t,  I don’t relish the flap surgery but will still have that over the leaking any day of the week. The surgeon will open up the proctectomy scar and perform a sinus excision and will also explore the area for other issues that may be there, such as suspected fistula and also a cyst, the cyst showed up on the MRI, I will then be sewn shut again as before.

I had my pre op last week which seemed to go ok, they checked my heart and lungs, and asked lots of questions then did a blood test, which I haven’t heard anything so assume it was ok. I am a born worrier though and have had a cough and allergy symptoms for months, but the GP assures me it’s chronic sinusitis so I will have to stop thinking I have every other disease known to man. Fingers crossed I don’t get cancelled.

I have been on a diet and resumed low level keep fit ( 10 minutes most days on a rower, I know its not much but it is something lol) I haven’t had chocolate, cakes etc for ages and cannot quite believe it as I am a known chocaholic and lazy bugger. I am hoping it will help me survive general anaesthetic ( I am also a tiny bit hypochondriac when it comes to being put to sleep ).

Not looking forward to getting up at the crack of dawn either, there for 7am ?????.

I am an inpatient but unsure how long for , but hoping it is ward E14 because they are lovely , and know me from my long stay previously so will be great to see them, then it’s home to recover ( on my side 😉  )