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Glad_Safety7418 t1_jdp4e7l wrote

TF happened to you bro? That shit gonna hurt for a while. Peace be with you

I posted some shit like this when I chopped off my finger.. got taken down.

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frenix5 t1_jdp4xsj wrote

Looking healthy. Healthy skin grafts are also beautiful in their own way, just takes a bit of experience seeing them

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NKevros t1_jdp5re6 wrote

Many years ago I got my appendix removed. After the surgery they decided to only stitch inside with dissolvable sutures and left the outer cuts open. I lived alone at the time and was required to soak gauze in saline and stuff my own open wound multiple times a day. I'll never forget that.

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aehanken t1_jdp93ia wrote

That is terrifying but pretty damn awesome at the same time. Love to see it but would freak me tf out on my own arm

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AngryLobby t1_jdpf02j wrote

That's not mildly interesting, that's astounding.

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0h_WTF t1_jdpib7w wrote

Replying to soapboxingdaychamp (#2,363,801)

I did the same thing you did, but I didn't have bones pop out thankfully, got a plate and 6 screws in each bone in my forearm. The tendon you see in the pic of your arm, mine is fused to my scar so when I ball my fist or pinch my thumb and middle finger, it pulls the skin on my arm, its trippy

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No_You_Are_That t1_jdpid3g wrote

Any chance we could see an update pic of your healed arm today?

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Book_1love t1_jdpip45 wrote

Did you have to stay in the hospital the whole time it was open or were recovering at home?

4

Bttm4FandT t1_jdpl515 wrote

Replying to Ok_Telephone_3013 (#2,364,898)

People are often put in charge of wound care for themselves. I’ve done a bit of home health care and I’ve seen bed sores progress to a point they had a few inches deep tunneling you have to pack with gauze and bandage up.

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stlfiremaz t1_jdplawm wrote

It's called a fasciotomy. To release pressure and prevent the loss of circulation.

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Sethmeisterg t1_jdpoxpg wrote

Wow. Was that to prevent compartment syndrome?

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Degenerecy t1_jdprt3g wrote

Replying to NKevros (#2,363,446)

Had a similar thing. The Drs referred it as wet to dry treatment. Something about the gauze drying pulled in fresh new tissue. Left a bump but no scar. Might be why they do that. Researching, it is. Granted they consider it an outdated procedure.

My wound therapist used a dressing with silver gauze and gel. Which is one alternative. It always depends on the training. Our city docs may not know the new stuff(Nearest PT is 70 miles away).

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i_should_be_coding t1_jdpwcyx wrote

Replying to NKevros (#2,363,446)

I had an abscess on my back. Went to a doctor who cut it open, drained it, and then put a bandage over it. When I came home I thought I'd need to change bandages at some point, and my wife was like "Why is your back bleeding?" and that's when I realized he never closed it up.

At first I freaked a bit, mostly because I never really expected my skin to just be able to open up like that with no pain. Went to a nurse clinic and they gave me some pads and instructions on how to clean it. As it was on my back, I couldn't really do it alone. If I wasn't living with anyone I don't know how I would have handled it. The doctor didn't even take a second to explain how to care for it after, tell me to go to the nurse's station or anything.

My brother saw it at some point and asked if I got stabbed. I was like "Yeah, but the guy was a doctor, and it happened in his office."

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JonLongsonLongJonson t1_jdpzkls wrote

Replying to NKevros (#2,363,446)

Yep, I was involved in an explosion and had an amputation. Helicopter ride and everything. I had a Fentanyl drip directly into my nerves in my shoulder for the pain. They gave me a shit ton of thin yellow gauze pre-coated in anti-bacterial goo, a bunch more dry white gauze for wrapping, and a shit ton of Suboxin to wean me off the Fentanyl while providing adequate pain relief.

Let me tell you, for a couple weeks there unwrapping and wrapping my burned, raw, open wounds, looking INSIDE myself for a while there, and treating myself alone (the Suboxin didn’t help much) was one of the most mentally challenging things I’ve ever gone through.

Really fucked me up inside, I didn’t leave the house for almost a year. Thankful the pandemic kicked off around then and I didn’t have to.

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bluetheslinky t1_jdpztku wrote

That looks like it should hurt non stop, how did you survive two weeks with it like that? This they give you a truckload of painkillers?? I really can't imagine any other way

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buddincooler t1_jdq0j6y wrote

I had a pilonidal cyst removed from the base of my spine in the 70s. Not sure if they still do it this way, but stitching it closed was said to increase the probability of the cyst coming back, so instead they left a drainage tube in place and just sewed the top of my butt crack together. I woke up from surgery on my stomach and had to stay like that for almost a week. This was back when they actually let you recover in the hospital and not throw you out the same day.

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acuriousguest t1_jdq3fj1 wrote

Replying to JonLongsonLongJonson (#2,366,546)

I sincerely hope you are okay now. The pandemic did a number on many people without having the added pleasure of taking care of a... struggling with adjectives here.. Broken body. Seeing some things just seems wrong if you aren't used to them and really make reevaluate life.

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firthy t1_jdq3t3s wrote

Looks like a butcher's bin

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Agile-Department-345 t1_jdq41o9 wrote

Replying to NKevros (#2,363,446)

my mom had stitches like that for a cyst she had removed. then she popped the internal stitch. I came home from school and she calmly asked me to bring a roll of paper towels. I had never seen so much blood in my life and cried because I really thought she was going to die lol

3

JonLongsonLongJonson t1_jdq4dlk wrote

Replying to acuriousguest (#2,366,887)

I am doing much better now, thank you. I had to pull myself out of a deep depression to get back into living again though.

I was out of work for about a year and a half due to the injury and related depression. A few months after I got back to work (warehouses, didn’t graduate since I became homeless at 16, so that’s what I’m stuck with) I threw my back out horribly and was out again for about 5 months. Lost my job and therefore insurance, and therefore my car, and couldn’t finish physical therapy due to cost and transportation.

Laid around feeling bad for myself since I’m only 22 with such a messed up body including a chronic shoulder injury and no high school diploma or family whatsoever to fall back on.

Realized I was dragging my girlfriend down with me and we were just existing with no joy. Had to start going outside again, and then talking to people, and then applying for jobs. I’m at a temp agency now so I get bounced around a lot which sucks since I still don’t have a car. Been working 10hr days not including 3 hours commute every day to pull us out of paycheck to paycheck life, and now we have a great apartment in a better place, lots of time with each other, and I’m not fantasizing about a bus running me over nearly as often as I used to.

So all in all, things could be a hell of a lot worse. One week I lived on a single can of watermelon Arizona and 3 slices of bread because getting out of bed was literally an insurmountable task. Now I spend 13hrs a day out makin things happen for myself and my relationship.

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hira123 t1_jdq64cq wrote

Is it real or just edited?

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Born_ina_snowbank t1_jdqih6l wrote

Incision?! What tool did they use to make the incision? An industrial belt sander?

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Amazing_Sundae_2024 t1_jdqptwh wrote

Congratulations--yours was the first photo on reddit that actually almost made me vomit. Something about that white thing (tendon?? ugh). Good luck with your healing! It eventually will, but now you get a nice conversation piece until it does.

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Viridia411 t1_jdqs77z wrote

Replying to i_should_be_coding (#2,366,250)

I had a similar surgery on the bottom of my back, down into my buttcrack a little, and it had to be kept open to heal from the inside out, i got a home care taker to come over twice a day to pull out the gauze clean it and stuff new gauze in :p

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los-gokillas t1_jdqsy2c wrote

Replying to WatermelonWithAFlute (#2,366,059)

We've been so programmed by movies and TV to think that every single wound needs stitching. Often stitching is not the best option because it has a higher chance of infection. Being able to observe an open wound and clean it multiple times a day is healthier. Though it does create more of a scar and a aesthetically people don't love that

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bearhaas t1_jdqw3jx wrote

Replying to Benbot2000 (#2,366,918)

Understandable thought. In fact, we used to close all wounds on the battlefield during early wars. But eventually it became clear that closing the wound just traps in bacteria. Bacteria are just like us. They like warm wet places. So now standard of care is to leave infected wounds open and they heal from the bottom up. Best thing for a wound is to be draining and not accumulate.

Source: I’m a friendly surgeon

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bearhaas t1_jdqwlve wrote

Replying to danifanboy (#2,369,971)

Yeah. We leave stuff open all the time. Sometimes we even leave abdomens open with the intent to go back to the OR 1-2 days later. This is a fasciotomy. Just gotta keep it clean. It’ll get closed a bit little by little and if not all the way, skin grafted.

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soapboxingdaychamp OP t1_jdr1jn1 wrote

Replying to JonLongsonLongJonson (#2,366,969)

Holy shit man. I’m so proud of you and I hope you are insanely proud of yourself. Congratulations on being a badass and I hope whatever you are striving for in this life is presented to you. I have no idea who you are or where you are but if there is absolutely anything I can do to help you please don’t hesitate to reach out. It takes a lot to be resilient when facing what you have. Cheers!

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Evanthekid16 t1_jdr1ut8 wrote

Did you get any infections in that time frame that they had to clean up? Or was there some preventative measure to ensure you didn’t get one?

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poppinkorn t1_jdr3mk1 wrote

Sometimes they leave them open so that they will heal from the inside out to prevent an abscess from forming.

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_lippykid t1_jdr46fi wrote

Replying to NKevros (#2,363,446)

That’s crazy. The procedure must have improved massively since then. I can’t even see the scar from my appendectomy. I was in/out in about 8 hours. Walked out the hospital after a banging crab cake lunch

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theluckyfrog t1_jdr4lca wrote

Replying to Benbot2000 (#2,366,918)

All wounds have bacteria in them, but unless you've got certain comorbidities, your body is really good at using its own mechanisms to handle that, as long as all the waste products (dead white blood cells, dead tissue cells, loose bacterial cells) have someplace to go. When a wound is "open" like this, they get sloughed off the surface and absorbed by the bandages. No big deal (from your body's perspective). But if the wound is closed, all that stuff just collects in it, and you get an abscess which prevents further healing, causes pain and inflammation, and can lead to sepsis if the bacteria gets into adjacent blood vessels. It's like the difference between taking your trash out on a regular basis or keeping all of that trash in your kitchen as it rots.

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los-gokillas t1_jdr5hi7 wrote

Replying to WatermelonWithAFlute (#2,371,581)

Anything that was missed is stuck in there and it will take longer to notice an infection starting. An open wound can be continuously cleaned which allows for error and you'll be able to see the skin and fluids changing colors or even start to notice a smell earlier

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WatermelonWithAFlute t1_jdr6cbx wrote

Replying to los-gokillas (#2,371,621)

That does make sense, though wouldn’t the constant exposure be an issue? Cant clean it if your sleeping. Although I guess you’d probably have it wrapped in something- I can’t imagine you’d just have your arm like that exposed the entire time. I’d hope.

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27go t1_jdrb4bt wrote

glad you recovered ok

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Dazzling-Yam-1151 t1_jdrbjvc wrote

I'm sad for anyone with massive wounds but as a nurse I love them, not necesarrily the wound itself but getting it back to healthy skin is such an amazing process. I'm training to become wound specialist in the near future.

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Obar-Dheathain t1_jdrbql5 wrote

That's a bite, you're infected, please report to your nearest military base for termination.

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Prinzka t1_jdrfbo3 wrote

Replying to _lippykid (#2,371,461)

That depends on how bad your appendicitis is.
I was in the hospital for two weeks.
They've been doing laparoscopic appendectomies for a long time, but that only works if things haven't exploded yet.

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Prinzka t1_jdrfjhm wrote

Replying to NKevros (#2,363,446)

Hey, samesies!
They had to exteriorize so I've got a huge scar and yeah it was left completely open to reduce risk of infection.
Rinsing that out multiple times a day was an odd experience.

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anon_lurk t1_jdrg8dq wrote

Replying to JonLongsonLongJonson (#2,366,546)

Holy shit that’s crazy. You have to do that so everything can drain?

I would have much less of a problem doing something like that to another person. I freak when it’s my own shit though. I pulled nose packing out of my nose by myself and thought that was bad…

3

Flimsy-Buyer7772 t1_jdrggbo wrote

Replying to NKevros (#2,363,446)

My ex had an abdominal surgery incision that got infected from the inside out because the skin closed too early- before the rest of the wound healed. The Dr picked up a scalpel and slit that sucker right open in front of us and then packed it with gauze. It was…quite a thing to witness. Ex had to pull the gauze and rinse the wound out nightly until it fixed it was WILD.

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_lippykid t1_jdrhca3 wrote

Replying to Prinzka (#2,372,819)

Sorry to hear that. Similar thing happened to my nephew in the UK. His parents thought he was trying to get outta school so didn’t take him to the hospital quick enough. Nearly died. Shit is no joke

Luckily, in my case I’d literally just read the symptoms a few days before and knew what it was right away. Happened in NYC and the hospital was awesome

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Prinzka t1_jdrjf7z wrote

Replying to _lippykid (#2,373,056)

>Nearly died. Shit is no joke

Yeah same here, came pretty close.

>Luckily, in my case I’d literally just read the symptoms a few days before and knew what it was right away.

Yeah, recognizing the symptoms makes such a gigantic difference, and it can go wrong so quickly.
Had I recognized the symptoms right away it would've probably been minor.
As it was it was quite close to killing me.

>Happened in NYC and the hospital was awesome

I was in one of the best hospitals, so I trust they did what was best. It was mainly my own stupidity that made it bad.

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AndyAintShhh t1_jdrm0cr wrote

I know that gauze hurt like hell coming off …. yikes 😬

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anewconvert t1_jdrq72b wrote

Replying to Benbot2000 (#2,366,918)

Bacteria aren’t smart. They don’t think “let’s go over there to eat”. They go from high pressure to low pressure (lots of bacteria to fewer bacteria).

Basically If you leave the wound open the bacteria can’t burrow into healthy tissue. They are met by a host of immune cells and connective tissue that makes the process hard. If you close the wound you trap the bacteria in a warm, wet space with plenty of food. They will multiply and pressure will build up and start separating the tissues and the bacteria will move into that new area. That’s an infection. If they have somewhere else to go that is no longer an infection. Leave the wound open and it will heal towards to skin, then the skin will heal over the healthy tissue and there will be no pocket for bacteria to hide in. This is a VERY simplistic way of describing the process.

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JonLongsonLongJonson t1_jdruo3j wrote

Replying to anon_lurk (#2,372,934)

Well, the main problem I had was that the gauze dries out and sticks to you after a day and night. So to change it felt like peeling off an entire layer of skin off of the burned raw stuff underneath, every day for weeks. At a certain point it WAS peeling off fresh skin once it got healed enough that I didn’t change the bandages daily. So that really sucked that it was so painful every time.

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M00nstoneFlash t1_jdrxgbo wrote

Had an abscess the size of an orange removed from my armpit. They only stitched it halfway and left an incision open with some kind of rubber tubing sticking out of my armpit to help drain the remaining pus. I had to clean the the tube and cut 2x a day of blood and pus myself. It was gnarly

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JonLongsonLongJonson t1_jdry4e4 wrote

Replying to Alexander556 (#2,374,726)

My right hand and some more of the arm, large chunks of my midsection area, and burned all over my chest, stomach, and arms/left hand.

My hospital roommate fell asleep while camping with his dad and woke up to their trailer exploding with him inside it from a gas leak. He had like 90% burns over his whole body. That dude was fuckin tough to the quick. I don’t feel bad about my burns when I think of David in full body gauze and crying from the pain of breathing.

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a_bearded_hippie t1_jdryd9m wrote

Replying to JonLongsonLongJonson (#2,366,546)

I literally wouldn't have been able to do that 😔. Fuck me I hope you are good now. I cut my hand pretty deep so I could see tendons and I passed the fuck out so hard, pissed myself and all. Woke up on the floor with my coworkers saying they called an ambulance lol.

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DrHamHands t1_jdryfhx wrote

Orthopedic surgeon here. We sometimes have to leave it open like this to prevent too much swelling. If you close it, and swelling and pressure is too much, you get compartment syndrome: and the muscles of your arm die. Better to leave it open, and skin graft later, and save the arm

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JonLongsonLongJonson t1_jdrz034 wrote

Replying to a_bearded_hippie (#2,374,939)

Man I woke up in a helicopter being flown to the hospital and the guy was like “are you okay” ( I had passed out originally) I was like “I think I’ve pissed myself but besides that, yeah” and then I looked over and saw the mess of what used to be my arm and stomach, I realized I was not okay, and promptly passed out again. Woke up post surgery and you know what? I pissed myself AGAIN!

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Lost_Buffalo4698 t1_jds25on wrote

Usually when there's a post involving gore it is censored until you click on it. I was surprised by this image

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karlienneke t1_jds2kfb wrote

I don't think you want this to be sutured. The tension would be unbearable and would probably rip anyway

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mattstorm360 t1_jds39me wrote

Can someone explain to me why doctors would leave incisions open weeks after a surgery? I don't leave the case on my computer open after doing work, why would a doctor get that pass?

−2

Inside_Gap_7626 t1_jds4436 wrote

Couldn’t decide whether to sew it up or not? More like an indecision

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WILSON_CK t1_jds54iw wrote

Replying to soapboxingdaychamp (#2,369,424)

I had an open abdominal wound after a couple of back-to-back emergency surgeries that looked similar (obviously no bone), and being at home with it for months while it healed was a weird experience for sure. Glad you're all better now!

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bolonomadic t1_jds8j77 wrote

Was the skin growing back incredibly painful? Did you have to use opioids for the pain? I know someone who broke her femur recently and found that after two weeks of opioids she had a serious time getting off of them I hope you heal quickly.

1

BagofEndlessHugs t1_jds9ajr wrote

This is both incredibly interesting and horrific at the same time.

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d_2957 t1_jdsatcn wrote

Ouch! What took that much skin away!? I mean, they’d have to do a skin graft in order to close that size of wound. Guessing you’re having to keep it moist and covered.

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Alexis_J_M t1_jdsbh6r wrote

Looks like those Renaissance anatomical paintings.

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Fayarager t1_jdsc8rw wrote

Replying to Pepsi_Cola64 (#2,365,799)

This is called a fasciotomy. It's to prevent compartment syndrome.

For an ELI5; When you injure something, your body responds naturally by inflaming the area. In other words, swelling up the area. Your body doesn't care about side effects and doesn't monitor what this can cause in the process, it just wants to deal with the current injury. When your body goes too hard with this, or swells too much, it increases the pressure under the skin or muscle. If this pressure gets too high, it can squeeze the arteries and veins inside the muscles too.

When these arteries get squeezed, it can cut off blood supply completely, to anything past that area. Within minutes of complete loss of circulation, irreparable damage to everything past the bloodflow blockage, can occur. It can lead to losing a limb or even killing you (blood will clot, then when swelling goes down, the clot can move to your heart or brain and you die.

To prevent these complications, there is a procedure called a fasciotomy. This is basically just a fancy word for cutting open a hole so that some of the pressure has a place to go. Think about a stress ball. When you squeeze it really hard, you're putting pressure on it, and the stress ball will move around to disperse the pressure youre squeezing. Your body cannot do that, if you squeeze your arm as hard as you can, it doesn't act like a stress ball and just move somewhere else, its stuck there.

So this fasciotomy, opens up a hole for the tissue to squeeze out, just a little bit. Now, it wont completely come out cus again its tissue, its muscle, its all attached, but it gives it a place to kind of move around a little bit. This little bit of pressure release is typically all that is needed to relieve pressure on the arteries and veins, allowing bloodflow through again, saving the arm/leg/whatever.

Typically this is a last resort emergency measure.

hope this helps

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Fayarager t1_jdsc9w8 wrote

Replying to AnkhThePhoenix (#2,363,253)

Copy/pasting my reply from further down.

>This is called a fasciotomy. It's to prevent compartment syndrome.
>
>For an ELI5; When you injure something, your body responds naturally by inflaming the area. In other words, swelling up the area. Your body doesn't care about side effects and doesn't monitor what this can cause in the process, it just wants to deal with the current injury. When your body goes too hard with this, or swells too much, it increases the pressure under the skin or muscle. If this pressure gets too high, it can squeeze the arteries and veins inside the muscles too.
>
>When these arteries get squeezed, it can cut off blood supply completely, to anything past that area. Within minutes of complete loss of circulation, irreparable damage to everything past the bloodflow blockage, can occur. It can lead to losing a limb or even killing you (blood will clot, then when swelling goes down, the clot can move to your heart or brain and you die.
>
>To prevent these complications, there is a procedure called a fasciotomy. This is basically just a fancy word for cutting open a hole so that some of the pressure has a place to go. Think about a stress ball. When you squeeze it really hard, you're putting pressure on it, and the stress ball will move around to disperse the pressure youre squeezing. Your body cannot do that, if you squeeze your arm as hard as you can, it doesn't act like a stress ball and just move somewhere else, its stuck there.
>
>So this fasciotomy, opens up a hole for the tissue to squeeze out, just a little bit. Now, it wont completely come out cus again its tissue, its muscle, its all attached, but it gives it a place to kind of move around a little bit. This little bit of pressure release is typically all that is needed to relieve pressure on the arteries and veins, allowing bloodflow through again, saving the arm/leg/whatever.
>
>Typically this is a last resort emergency measure.
>
>hope this helps

9

International_Bet_91 t1_jdscf73 wrote

Replying to JonLongsonLongJonson (#2,366,546)

WTF? They gave you Suboxone for pain relief? If is NOT approved by the FDA as a pain reliever: The literature on the pain relieving effects show it may work for some people.

I am so sorry. The war on drugs has meant you were likely severely retraumatized as your doctors gave u a placebo for an amputation. Adequate pain management is an importance component of reducing the risk of PTSD.

3

wontonsoda t1_jdsd20x wrote

Omg!! I have a very similar wound but on my left arm, with a skin graft. I don’t know why this excites me.

1

Cause_Why_Not03 t1_jdseb9v wrote

No offense but that looks fake as shit. It’s probably the gauze on it, but my brain can’t comprehend that your arm was just open like that like it’s fine

1

DongLongus t1_jdsfn2u wrote

Replying to AlohaChris (#2,371,078)

I kicked a dirty old nail in a rotten board once but the nurse said I won’t need a tetanus shot because I bled all the dirt out after I removed the nail, sometimes bleeding is part of the healing process

1

SegaNaLeqa t1_jdsgqhm wrote

I’m my worst enemy, no way I could handle that. I’d be poking and picking at that so much if it were me. 🙈😅

1

JonLongsonLongJonson t1_jdsj6pm wrote

Replying to International_Bet_91 (#2,376,641)

Yeah i believe it was because I was on Fentanyl drip direct to nerve cluster for an extended period of time in the hospital.

Isn’t it like a drug treatment for heroin? I might have said the wrong thing, it’s this little square of stuff that tastes nasty and you have to let it dissolve under your tongue. Might have been called something else, this was 3 yrs ago now. They said it was to help with side effects of getting the drip out of my nerves.

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DongLongus t1_jdsk38g wrote

Replying to slowy (#2,377,357)

I mean I did bleed a lot immediately after I removed it, there’s no way anything that entered would still be in there it was POURING I guess gravity helped push all the blood and dirt out, can’t have tetanus in my blood if I lost the blood that was in contact with the nail lol I’m no nurse tho

1

slowy t1_jdsrurb wrote

Replying to DongLongus (#2,377,642)

It is better for reducing the risk of infection when wounds bleed like that, but key word is reducing, bacteria can still be stuck at the edges of the wound with blood flowing past them, tiny pieces of dirt or rust can get stuck in the tissues if the wound is deep, and it is just not a 100% guarantee at all. It also definitely should be considered in the context of the treatment - a very safe, single vaccination, with good long term efficacy, ~10 years. It’s not like a risky invasive surgery or anything, just seems very strange not to suggest it. If you had got it in the more recent past maybe she was just reassuring you?

2

New_Horse3033 t1_jdss6l4 wrote

Replying to NKevros (#2,363,446)

I'm dealing with an open wound I have to repack every day by myself right now. It's in a hard to reach place and I have to use tools to get it done. In a way I'm glad I'm by myself, I don't want to see me repacking with my tools on tic-tok.

1

DongLongus t1_jdtajlw wrote

Replying to slowy (#2,378,557)

It was a galvanized nail so no rust, the only thing I was worried about was that it was in rotten wood but he said I bled out a lot and I got it cleaned with soap and water, the bleeding was enough to get rid of any dirty blood, it sounds like people think I’m some sort of antivaxxer for saying that when you bleed it gets rid of anything that might cause infection so sometimes it’s better to control the bleed then contain everything immediately

1

BubbleBoyBotanica t1_jdv4kg2 wrote

Replying to JonLongsonLongJonson (#2,366,969)

Love u man. Been through hell my self. Ran over by forklift. Compartment syndrome and crush syndrome. 16 surgeries. I had 2 kids at the time with my girl 7 mo preg... at the time of the accident I was 2 years clean and sober off opiates I had gone cold turkey off 200mg daily methadone 2 years prior to accident. Went through all this with almost no pain meds.. our bodies and minds are insane.

2