Doctor insights on:
Healing C Section Incision
28 wks pregnant, previous c section, placenta anterior, no acretta now- placenta is 4cm above c section scar. Could acretta still develop at this pt?
You may have : Stretched your healing incision, esp internal stitches while very sore, probably not serious & should improve. Try to take it easy, especially lifting for a week or so (as much as you can). Brace the area w pillow if you need to cough or sneeze. Consider wearing a girdle or spanx to add some support. Of course, if doesn't improve or if you have fever or unusual bad smelling discharge, call doc. ...Read more
depends: The type of incision can be the same in both c-section and ovary resection, the surgeon opens the skin along the bikini line and then opens the fascia from the umbilicus to the pubic bone. The same suture, usually absorbable can be used in both. The ovarian cyst surgery also can be done with a laprascopic approach, minimally invasive. Okay to ask your surgeon about these choices. Be well. ...Read more
Could be problem: Any pain, fevers....if so need to see your OB asap. If not...can have some discharge for several weeks after c sectionl. Continue to observe and if any pain, fevers, increasing foulness of discharge, see your OB. ...Read more
Not recommended: Controversy over vaginal birth after c-section has gone from one end of the spectrum (no) to the other (sometimes) . Your OB can determine if you are a candidate for vaginal birth after c-section and if you are your delivery will be very closely monitored and preparation for c-section will be in place in case you need it. The surgical team will be nearby throughout your labor and delivery. ...Read more
Discuss these: concerns with your obstetrician. Knowledge is power. Take care. ...Read more
Unknown: There is not information here to comment. I would schedule a follow up visit with the doctor treating you to confirm the treatment plan and to discuss all of your options. General anesthesia is the most comfortable anesthetic method for a D an C. An epidural or spinal are other options. ...Read more
Why after hemorrhage and unplanned c hyst would attending let resident close incision with suture?
They are learning: Residents are learning their craft from the attending physician. Your attending is involved in every part of the operation, even if the resident is doing the sewing. ...Read more
Had a simple vulvectomy 5 wks ago-area of over-granulation tissue removed-no VIN. Wound healing well altho 1 stitch opened. Still have pain- normal?
Too soon : It's too soon to determine the need for a c section at 33 weeks. Your baby could still change its position over the next 5-6 weeks. If your baby remains transverse or becomes breech late in pregnancy, you will need a c section. However, it is simply too early to tell right now. Discuss this with your obgyn. Good luck! ...Read more
CTscan=Possible umbilical hernia.What's differential diagnosis?Have had 2 cesarean,1 EXTREME dehisence,wound vac,revision surgery b/c not healing,PAIN
Hernia versus other: If I'm understanding correctly you had wound healing complications after you C-devotion. You still have pain and a non-healing wound wound? You could have a hernia, and the CT should show that. If not you mace have scar tissue or adhesions causing pain. Generally if a wound is chronic after surgery you would worry about infection or chronic irritation around a suture. ...Read more
Robotic surgery 2 wks ago. Glue on umbilical incision fell off. 90% closed, 10% teeny opening. No bleeding, pain, or discharge. Can it heal naturally?
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