I have had seven abdominal surgeries, namely gastric bypass, laparoscopic cholecystectomy, exploratory laparoscopy, panniculectomy, ventral hernia repair, mesh removal from hernia repair with exploratory laparoscopy, and recently open epigastric incisional hernia fix a month back. Immediately upon opening my eyes after surgery, I knew something was different, I had extreme pain, more pain than I have ever had with any surgery. Within one week my incision opened, both at the top and bottom. It drained significant amounts of fluid, which went from serosanguinous to seropurulent drainage, on four occasions. At this time, the upper part of my incision is open to a depth of 5 cm. I have been packing it for two weeks with no improvement.
I almost completed Augmentin but developed a rash and was switched to Bactrim DS. I continue to have severe pain and see no signs of improvement. I am actively draining yellow to green pus that has a very slight odor which continues to increase. I have only had a low-grade fever, I am fatigued, and feel unwell. I am a registered nurse, and to me, all these are the signs that the mesh is preventing my incision from healing. I had complications from the mesh placed during my first hernia repair as well. I was supposed to return to work, but I would like the incision to be opened, cleaned out, and mesh removed. As I am a nurse, the PA is treating me for MRSA, and they have not cultured the wound. At this time, would it be a good idea to have the mesh removed? Or should something else be done?
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