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Thread: Post Op infection and abscess

  1. #1
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    Post Op infection and abscess

    Background
    I had my first colonoscopy in March 2018 (10 years overdue). A large tumor was found in my rectum. Treatment included 6 weeks of chemo/radiation, 7 weeks of recovery and then surgery to remove the tumor and a section of the rectum. Surgery started as laparoscopic but was switched to open due to blood loss (over 3 liters) during the procedure. My surgeon later told me it was one of the hardest surgeries he's performed in 30 years. After 2 days in ICU and a week in general recovery I came home. For about a week I made good progress, but then developed extreme internal anal pain. At his office he examined me and found an internal infection. He flushed the wounded and prescribed antibiotics and daily enemas with betadine. These enemas were extremely painful. After a week I went back and one of the other doctors (at his practice) ordered a CT scan. The CT scan showed a large abscess. Another doctor, using real-time CT assist, put a drain into the abscess. Initially appx 200ml of puss was removed. Another 200ml in the next 24 hrs. Output has dropped but they is still pain/drainage after 6 weeks.
    Question
    Itís been almost 8 weeks since surgery, Iíve had an infection/abscess since the first week, had a drain inserted, taken 3 courses of antibiotics, flushed the wound with water/betadine and show little sign of improvement.
    Does this sound normal?
    Should I get a second option?
    On a separate note when applying lube prior to giving myself an enemas last week I found a surgical tack inside my rectum (sticking into the anal sphincter) I'm guesssing it was used with the inital attempt at laparoscopic surgery and was left behind by mistake?

  2. #2
    Super Moderator Top User Baz10's Avatar
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    May 2011
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    Your post paints a grim and obviously debilitating set of post surgical circumstances which to be frank should not occur, unfortunately they occasionally do.
    I assume when you say “tack” you mean a surgical clip.
    Given you have had to suffer post surgery DRE’s as well as enemas I question just how this was missed by your doctors.

    3 courses of antibiotics with no improvement.
    Question
    After two courses I assume the same antibiotic was the third a different type.

    I would certainly suggest you have a direct conversation with both the surgeon as well as your follow up doctors on what the immediate plan is as if the plan is not working then it needs to be changed.

    Barry
    Diagnosed stage 3 March 011
    Radical resection April 011
    Restaged 2b April 011.
    12/09 Colonoscopy clear but picked up hospital infection.
    Aorta & femoral arteries occluded.
    Clot buster drugs put me in ICU with internal bleeding. 9 blood units later they got it under control.
    Aortobifemoral surgery 5th May. yughh.
    PET scan indicates clear
    DEXA bone scan clear
    13/5 CT showed "unknown" but no concern from docs.
    Inguinal lymph nodes and severe groin pain.
    Ultrasound and MRI show no nasties. Pheww
    Groin pain and enlarged lymph nodes still there.
    October -still the same pains but under semi control.
    Additional chest CT scan ordered for 11th November prior to surgery.
    Sinus surgery done and dusted.
    July 2014 PSA at 5.10. 2months of antibiotics in case of UTI, jan 2015 PSA at 7.20, 23/08 now 8.2, current 8.1
    Prostate Cancer confirmed Gleason 3+Marginal 4.
    Active surveillance continues.
    PET CT Aug 2017 indicated lung nodule changes
    CT Guided biopsy 7/09
    November 1 Vats Wedge section pathology Glomulated previous infection
    no Cancer.

    Not all's rosy in the garden, but see following.
    Stop grumbling Baz, your still alive and kicking so far.
    Age and illness doesn't define who we are, but more what we are able to do.
    Motto
    Do what I love doing, when I can until I can't.
    and dodging bullets in the meanwhile, too many bullets at moment.

 

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