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Unhealed perineal wound multiple resutur
17 months ago I had an induced vaginal delivery with vacuum assistance complicated by a severe perineal tear. A rectovaginal fistula developed but has been successfully repaired with no recurrence. MRI, CT with contrast, and transperineal scan all confirm there is no fistula. The remaining problem is a superficial perineal wound that has never epithelialized. The skin is still raw and looks almost the same as day 1. Secondary healing failed. A plastic surgeon refreshed the wound edges and resutured, but the stitches opened on day 14. A urogynecologist treated me with Placentrex for over a month and resutured again, but the stitches gave way in 5 days. I also underwent sinus tract excision, but still no skin has formed. There is no pain, pus, foul smell, stool or gas leakage. Occasionally the wound bleeds while passing stool. Has anyone managed similar cases? What is the definitive treatment to achieve permanent healing? please help me im exhausted mentally physically with a baby
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Don't worry...... Specific medicine available for good control... Treatment depends on the severity..Do direct online consultation for detailed prescription
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Hello,
Thank you for your query.
• Based on the information provided, it is difficult to suggest the most appropriate treatment without a proper assessment, as several skin conditions can appear similar.
• Kindly share clear photographs of the affected area in good lighting along with details such as duration of the problem, symptoms, and any treatments used previously.
• I would advise against starting any OTC creams or self-medication, as some products may worsen the condition or delay proper treatment.
• An accurate diagnosis is the first step towards effective and long-lasting results.
You may book a consultation for a detailed evaluation and a personalized treatment plan. I would be happy to guide you further.
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●𝗬𝗲𝘀 𝗶𝘁 𝗰𝗮𝗻 𝗯𝗲 𝗽𝗲𝗿𝗺𝗮𝗻𝗲𝗻𝘁𝗹𝘆 𝗰𝘂𝗿𝗲𝗱 𝘄𝗶𝘁𝗵 𝗛𝗼𝗺𝗲𝗼𝗽𝗮𝘁𝗵𝘆 𝗧𝗿𝗲𝗮𝘁𝗺𝗲𝗻𝘁 .
●𝗩𝗲𝗿𝘆 𝗲𝗳𝗳𝗲𝗰𝘁𝗶𝘃𝗲 𝗺𝗲𝗱𝗶𝗰𝗶𝗻𝗲𝘀 𝗮𝗿𝗲 𝘁𝗵𝗲𝗿𝗲 𝗶𝗻 𝗛𝗼𝗺𝗲𝗼𝗽𝗮𝘁𝗵𝗶𝗰
●𝗪𝗶𝘁𝗵 𝗺𝘆 𝘁𝗿𝗲𝗮𝘁𝗺𝗲𝗻𝘁 𝗼𝗳 1.5 𝗺𝗼𝗻𝘁𝗵 𝘆𝗼𝘂 𝘄𝗶𝗹𝗹 𝗴𝗲𝘁 𝗽𝗲𝗿𝗺𝗮𝗻𝗲𝗻𝘁 𝗿𝗲𝗹𝗶𝗲𝗳.
●𝗪𝗶𝗹𝗹 𝗽𝗿𝗲𝘀𝗰𝗿𝗶𝗯𝗲 𝘁𝗵𝗲 𝗰𝗼𝗺𝗽𝗹𝗲𝘁𝗲 𝘁𝗿𝗲𝗮𝘁𝗺𝗲𝗻𝘁.
●𝗬𝗼𝘂 𝗰𝗮𝗻 𝗰𝗼𝗻𝘀𝘂𝗹𝘁 𝗺𝗲 𝗻𝗼𝘄 𝘁𝗵𝗿𝗼𝘂𝗴𝗵 𝗼𝗻𝗹𝗶𝗻𝗲 𝗪𝗮𝗿𝗺 𝗿𝗲𝗴𝗮𝗿𝗱𝘀.
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Detailed medical history needs to be assessed before starting you on your personalised treatment plan
Kindly share a clear picture in good lighting of affected areas
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Avoid any OTC Topicals or home remedies
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Dr. Palak Deshmukh
Dermatologist
16 yrs exp
Pune
Non healing wound in perineal region takes time to heal.
Kindly consult for better diagnosis and management
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Dr. Siri N S
Dermatologist
10 yrs exp
Bangalore
Kindly consult for further assistance
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Dr. Arpita
Dermatologist
15 yrs exp
Ahmedabad
Please do not worry. Effective treatment options are available; however, management depends on the severity and extent of the condition. A detailed medical history is essential for appropriate evaluation and treatment planning.
Kindly schedule an online consultation with a dermatologist for a comprehensive assessment, prescription, and further guidance.”
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Dr. Moin Ahmad Siddiqui
Dermatologist
7 yrs exp
Lucknow
Visit a surgeon
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.