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Posted: 11/22/2014 8:46:22 PM EDT
Two weeks ago I had my shoulder replaced. There is a portion of my incision that hasn't healed as well as the rest, it appeared to have a piece of scab protruding. I tried to pull it off and...damn, it's stuck. Soaked it a bit to get dried blood off and it's frickin' gauze embedded in the wound. Squeezing the area, it's probably a lump of gauze about the size of a small grape. Doctor never mentioned anything left in the incision area or that any follow-up on the area would be necessary.
So, options are: Contact a medical professional for advice OR ask the drunks of ARFCOM if I should continue yanking on it with tweezers (I'll upgrade to pliers if I can get enough out)! UPDATE: It was lump of suture that I was rejecting, everything is ok. I appreciate the offers to split my stuff up, but all my guns and ammo were lost in a boating accident a couple years ago. |
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At this hour I'd go to the ER.
Seriously. Now. Your discharge instructions from your surgery probably say you should go to the ER. You are looking at a potentially life-threatening infection. There is NOT supposed to be gauze embedded in your tissue. Do it. |
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pull it out, no pics of the puss are needed and then use quick clot to seal it.
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Cut it open and pull it out, what's the worst that could happen
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have an urgent care PA rip it out before you get toxic shock or gangrene or something.
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So when is your next scheduled Dr's visit? Open packing?
j/k Go to ER. |
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Had the same thing after elbow surgery. Mine was the end of a "biodegradable suture". Don't recall the actual name. Looked a lot like the end of a thin wet spaghetti noodle barely sticking out of the incision.
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Quoted: No infection, just a foreign body in my arm. I'm still working on getting enough out to take pliers to it. View Quote View All Quotes View All Quotes Quoted: Quoted: At this hour I'd go to the ER. Seriously. Now. No infection, just a foreign body in my arm. I'm still working on getting enough out to take pliers to it. It's an ideal pathway for an infection to get started. This is serious stuff. BTW have you read your discharge instructions? |
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Somebody forgot to do a sponge count. And it's weird it was missed on the post op x-rays.
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It's an ideal pathway for an infection to get started. This is serious stuff. BTW have you read your discharge instructions? View Quote View All Quotes View All Quotes Quoted:
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At this hour I'd go to the ER. Seriously. Now. No infection, just a foreign body in my arm. I'm still working on getting enough out to take pliers to it. It's an ideal pathway for an infection to get started. This is serious stuff. BTW have you read your discharge instructions? Instructions? Pffffftttt! I'm a male. |
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At this hour I'd go to the ER. Seriously. Now. Your discharge instructions from your surgery probably say you should go to the ER. You are looking at a potentially life-threatening infection. There is NOT supposed to be gauze embedded in your tissue. Do it. View Quote This is good advice and you'd be wise to follow it. |
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Sounds a lot like a stitch abscess with a vicryl suture poking out.
I don't want to make any crazy suggestions like going to your follow up appointment and asking the surgeon about it, but...maybe you should go to your follow up appointment and ask the surgeon about it. |
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You need to be seen by a physician. You may need antibiotics.
A prosthetic joint is the perfect breeding ground for bacteria. The body has a difficult time clearing infected prosthetic joints. Go in now unless you would like to take the chance of having your shoulder RE-replaced. |
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I think that warrants a call to the doc.
Could be gauze, could be suture, could be some of the material used in reconstruction, etc. In general, we try to leave inside parts inside the body and not leave outside parts halfway in and out. |
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Sounds a lot like a stitch abscess with a vicryl suthttp://www.ar15.com/biz/engine/click.html?id=814&z=7ure poking out. I don't want to make any crazy suggestions like going to your follow up appointment and asking the surgeon about it, but...maybe you should go to your follow up appointment and ask the surgeon about it. View Quote Had a follow up three days ago, he never mentioned it, I didn't realize what it was at the time. |
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Somebody forgot to do a sponge count. And it's weird it was missed on the post op x-rays. No post op x-ray until 30 day mark... Everybody gets a post op X-ray in PACU (you were coming out of anesthesia and don't remember it). |
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Why the fuck do people post threads like this without pictures?
And get your damn ass to the doctor. |
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Quoted: Quoted: It's an ideal pathway for an infection to get started. This is serious stuff. BTW have you read your discharge instructions? Instructions? Pffffftttt! I'm a male. At this juncture: IN! I'd at least be on the horn to the docs office if they didn't mention anything about sutures or anything left behind... When is your post-op? If its a suture... pulling on it might not be the best idea. |
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Quoted: This is good advice and you'd be wise to follow it. View Quote View All Quotes View All Quotes Quoted: Quoted: At this hour I'd go to the ER. Seriously. Now. Your discharge instructions from your surgery probably say you should go to the ER. You are looking at a potentially life-threatening infection. There is NOT supposed to be gauze embedded in your tissue. Do it. This is good advice and you'd be wise to follow it. |
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Dude thats some medical malpractice shit right thur! But seriously thats some fucked up shit, mate. That is straight up negligence on everyone in that OR because they do make counts of what goes in and what goes out. Not trying to freak you out, but that is a serious risk for infection which could lead to sepsis. Go into the ED, have them take a look, lawyer up, and enjoy the money that you will receive from the lawsuit!
-Cardiac/Transplant ICU RN |
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Get to the ER. Call your surgeon's answering service as well as your PCP's to give them a heads up.
And better call Saul |
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Had a follow up three days ago, he never mentioned it, I didn't realize what it was at the time. View Quote View All Quotes View All Quotes Quoted:
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Sounds a lot like a stitch abscess with a vicryl suthttp://www.ar15.com/biz/engine/click.html?id=814&z=7ure poking out. I don't want to make any crazy suggestions like going to your follow up appointment and asking the surgeon about it, but...maybe you should go to your follow up appointment and ask the surgeon about it. Had a follow up three days ago, he never mentioned it, I didn't realize what it was at the time. I replaced a shoulder on Friday. There's not a lot of room to leave a sponge in there, although its conceivable. You likely have a subdermal vicryl suture with a knot poking through, it's relatively common and it's not hard to grab it and trim it down. |
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Quoted: I replaced a shoulder on Friday. There's not a lot of room to leave a sponge in there, although its conceivable. You likely have a subdermal vicryl suture with a knot poking through, it's relatively common and it's not hard to grab it and trim it down. View Quote View All Quotes View All Quotes Quoted: Quoted: Quoted: Sounds a lot like a stitch abscess with a vicryl suthttp://www.ar15.com/biz/engine/click.html?id=814&z=7ure poking out. I don't want to make any crazy suggestions like going to your follow up appointment and asking the surgeon about it, but...maybe you should go to your follow up appointment and ask the surgeon about it. Had a follow up three days ago, he never mentioned it, I didn't realize what it was at the time. I replaced a shoulder on Friday. There's not a lot of room to leave a sponge in there, although its conceivable. You likely have a subdermal vicryl suture with a knot poking through, it's relatively common and it's not hard to grab it and trim it down. |
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I replaced a shoulder on Friday. There's not a lot of room to leave a sponge in there, although its conceivable. You likely have a subdermal vicryl suture with a knot poking through, it's relatively common and it's not hard to grab it and trim it down. View Quote View All Quotes View All Quotes Quoted:
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Sounds a lot like a stitch abscess with a vicryl suthttp://www.ar15.com/biz/engine/click.html?id=814&z=7ure poking out. I don't want to make any crazy suggestions like going to your follow up appointment and asking the surgeon about it, but...maybe you should go to your follow up appointment and ask the surgeon about it. Had a follow up three days ago, he never mentioned it, I didn't realize what it was at the time. I replaced a shoulder on Friday. There's not a lot of room to leave a sponge in there, although its conceivable. You likely have a subdermal vicryl suture with a knot poking through, it's relatively common and it's not hard to grab it and trim it down. I've only seen black or dark blue vicryl sutures, this is white. Just haven't seen a white vicryl. |
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I've only seen black or dark blue vicryl sutures, this is white. Just haven't seen a white vicryl. View Quote View All Quotes View All Quotes Quoted:
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Sounds a lot like a stitch abscess with a vicryl suthttp://www.ar15.com/biz/engine/click.html?id=814&z=7ure poking out. I don't want to make any crazy suggestions like going to your follow up appointment and asking the surgeon about it, but...maybe you should go to your follow up appointment and ask the surgeon about it. Had a follow up three days ago, he never mentioned it, I didn't realize what it was at the time. I replaced a shoulder on Friday. There's not a lot of room to leave a sponge in there, although its conceivable. You likely have a subdermal vicryl suture with a knot poking through, it's relatively common and it's not hard to grab it and trim it down. I've only seen black or dark blue vicryl sutures, this is white. Just haven't seen a white vicryl. Some vicryl is dyed violet, I don't know anyone that uses it unless the circulating nurse grabs the wrong suture. PDS or prolene may be blue but i dont use that unless its an infection or possibly revision case with lots of scar tissue. Typically the vicryl I use is white and is braided - the cut end can fray and appear like a tiny piece of gauze. |
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Pretty sure it is about damn near impossible to leave gauze/ pads in patients anymore unless they mean to (they actually scan you with a wand after the surgery is over).
Could be a absorbable gauze (helps stop bleeding) like surgicel. Just call and ask tmrw or monday. |
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I've only seen black or dark blue vicryl sutures, this is white. Just haven't seen a white vicryl. View Quote View All Quotes View All Quotes Quoted:
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Sounds a lot like a stitch abscess with a vicryl suthttp://www.ar15.com/biz/engine/click.html?id=814&z=7ure poking out. I don't want to make any crazy suggestions like going to your follow up appointment and asking the surgeon about it, but...maybe you should go to your follow up appointment and ask the surgeon about it. Had a follow up three days ago, he never mentioned it, I didn't realize what it was at the time. I replaced a shoulder on Friday. There's not a lot of room to leave a sponge in there, although its conceivable. You likely have a subdermal vicryl suture with a knot poking through, it's relatively common and it's not hard to grab it and trim it down. I've only seen black or dark blue vicryl sutures, this is white. Just haven't seen a white vicryl. I've removed colorless sutures before. |
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First, read the discharge instructions.
Second, if nothing is mentioned on the instructions, surgeons usually have 24 hour on call doctors. Call the on call first to see what they say. If neither are satisfactory to you, go to urgent care or the ER. Don't mess with your shoulder. ETA: Looks like some medical professionals are checking in. |
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