sutured infection

god-of-neurosyphilis  asked:

any good (other) medical blogs?

My absolute favourite is:

Other ones that I’d recommend are:

The list isn’t exhaustive and they’re not all necessarily active, but they’re the most obvious ones I could think of that I personally follow. Hope it helps!

Phalloplasty - 1 month post-op

May 25th, 2016

On April 25th, 2016 I had stage 1 RFF phalloplasty with Dr. Chen in San Francisco. This is part of a series of posts talking about my recovery from bottom surgery. For more information on the operation itself you can look through my “phalloplasty” tag and for posts specifically about my surgery you can look through my “gendercube phalloplasty” tag.

Keep reading

werewterrefgrin  asked:

You mentioned in a post that wounds shouldn't be stitched after 24 hours; why is that? Are there any exceptions?

You know, I can’t find a good resource on exactly why this can be detrimental?

My preliminary research goes like this: if a wound is going to become infected, that infection usually takes 24-72 hours to show up. Within that first 24-hour window, it’s safe to close the wound (sutures, liquid stitches, staples, whatever), because the bacteria haven’t taken hold (unless the wound is majorly contaminated). The very last thing we want is to suture a bacterial infection into a wound, underneath a closure, where the bacteria can just eat away at the tissue below. Limbs are lost doing things this way.

There doesn’t seem to have been a lot of research, but the best sources I can find say that most wounds can be safely closed in the first 18 hours (24h+ on the scalp).

If that timeframe has passed, the wound will be left open, dressed, and left for “secondary closure”–letting it heal on its own. For high-risk wounds (such as animal bites) that present, even within the 18 hour window, an approach called tertiary closure is used, where the wound is left open (secondary closure) for a few days to insure there’s no infection before stitching it closed (primary closure).

Wound care is an area that I’m embarrassingly weak in, actually. Believe it or not, the first goal I set up on the blog Patreon account is $200/month for textbooks (we’re 10% of the way there!), with wound care and orthopedics being my first-round-draft textbooks to nab.

HOWEVER, this ask is making me consider a post on different types of wound closures, which is good. It’s always nice to have inspiration now and again :)

Thanks for the question, @penstgrin . Good luck with your stories.

xoxo, Aunt Scripty


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