How to care for necrotic tissue post-abdominoplasty?

Question

Hi doctor,

I had an abdominoplasty and developed a necrosis spot at the center of my incision, about half an inch wide, which the surgeon cut off. She also removed the dead tissue underneath. A week later, I went back, and she removed more dead tissue, a process she called debriding.

The wound is now huge and deep, about a 2.5-inch wide hole. It looks like she cut out dead tissue almost down to my muscle, another 1.5 inches deep. I am prescribed Silverdine, I think it is called, and am instructed to clean and pack it twice a day. Is this a typical treatment?

I felt like as soon as I changed my dressing, it was developing cream-colored slough inside again, which she just seemed to cut away. I am a non-smoker. I underwent surgery seven months ago for a tummy tuck with liposuction. I am scared now. Please give your opinion.

Thank you.

Answer 1

Hi,

I am here to help you with your health queries.

I read about your concern in detail.

The necrotic patch needs debridement (removal) so that it heals properly, even if it is deep (down to the muscle). The photograph you have attached (attachment removed to protect the patient’s identity) shows slough (a yellow, creamy substance, as you have mentioned) that also needs removal, either by medication or by debridement; your plastic surgeon will decide this.

Once the wound is red and clean without any slough and develops good healthy tissues underneath, it will be closed by your plastic surgeon. Do not worry; a plastic surgeon can easily handle it. You just need to follow the surgeon's instructions.

I hope this has helped you.

Please feel free to reach out to me again in case of further queries.

Thank you.

Answer 2

Hi,

Welcome back to icliniq.com.

I hope you recover soon.

If you ever have more questions or need assistance in the future, do not hesitate to reach out.

Take care.

Thank you.