Hard-to-heal post-operative abdominal wound

Good morning,

I’m writing you regarding my father’s condition: on  January 15 he underwent an urgent surgery due to the sigmoid colon perforation, with Hartmann surgery. The problem is that the abdominal wound doesn’t heal. The doctors say that it is open, with a sort of “ball”. Therefore it needs a further surgery for the prosthesis.

Moreover, my father is affected by an Adenocarcinoma of the lung treated with radiotherapy and chemotherapy. I don’t know if he can undergo another surgery with the total use of anaesthesia: therefore, I kindly ask you if there is an alternative to surgery to make the wound heal or if it is possible to undergo another surgery under local anaesthesia.

Thank you for your kind attention.

Waiting for your reply.

Best regards.

One comment on “Hard-to-heal post-operative abdominal wound

  1. Claudia Rastelli on

    Dear Katia,
    I’m really sorry for your father’s condition. It seems to me that the clinical picture you described is complicated and it is hard to express an opinion about it without knowing the details and seeing the wound.

    Unfortunately, your father has several comorbidities that make the wound slow to heal: age, a tumorous disease and the use of chemotherapeutic drugs. Moreover, if I correctly understand your letter, what you describe as “a ball” inside the wound might be a hernia. Was it the case, the prosthesis surgery your clinicians want to perform would be the most appropriate decision. The anesthesiologist will then evaluate the risks of a local anaesthesia.

    Best regards,
    Dr Claudia Rastelli
    Degree in Medicine and Surgery at the University of Ferrara
    Subscribed to the Medical Council of Rimini, Number 2074

    Reply

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