Savi catheter incision not healing
Any suggestions on best way to get an incision under the breast in the crease to heal? It's been almost a month since I finished the bracheatherapy (sp?) savi catheter radiation and the incision is still open - and rash all around it. Surgeon said it "looks good" slapped some bacitracin on a latex bandage and said "okay see you in a few months". The rash is worse. I'm using gauze with bacitrin and tape for sensitive skin. Thinking of getting home health nurse to start coming again when I get out of work. Can't wear a bra - it irritates the rash so am wearing camisoles
Comments
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Luanne, sorry to hear of your healing problems. I had SAVI and it took several weeks for the wound to seal before healing started. Your's sounds like it is in a difficult place to heal and it sounds like you are reacting because of your sensitive skin. Have you tried using no latex bandage--no adhesive--and trying a different antibiotic? Sometimes allergies to adhesives and antibiotics can contribute to rashes. It's probably a hard place to dress the wound without adhesives, but maybe a gentle sleep-type bra, or extra large sports bra could hold gauze in place while healing occurs. I didn't use a bra, but instead wore a breast binder to hold plain gauze in place instead of adhesives. Let me know if you have questions about what I wrote. All the best for healing. Ceanna
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I was going to say the exact thing ceanna did regarding allergy - I am very allergic to topical antibiotics and adhesive - can't tolerate the vast majority of either. I would recommend changing to Povidone topical (unless you're allergic to iodine) and hypoallergenic bandaging. You might consider Xeroform petrolatum gauze also - all of these can be ordered on Amazon, or as mentioned above you can even use a panty liner or thin sanitary napkin held in place by a cotton lightweight sports bra. I would ask your surgeon for a short term prescription for Atarax (hydroxyzine) to control your rash - you will not heal appropriately while the area is inflamed. Good luck! Also, make sure you have adequate protein intake, aim for 100g a day - good sources are meat/fish/dairy, eggs, Greek Yogurt, quinoa, fortified cereal, or protein shakes.
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I second SpecialK's comments about adequate protein, and would add Vit. D which is so important for the immune system and healing. Also, just keeping the area dry.
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Wow - thank you so much. Where would I find a breast binder?
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Thanks!
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Luanne, my hospital sent me home in this breast binder and I found it so useful, I bought a second one so I could wash one, wear one. I just wore it instead of bras to hold the gauze in place while healing (without adhesives), and continued to wear it when I could, once I was healing--just because it was so comfortable. I happened to have my surgery during the winter months, and the binder was warm and cozy, although holding everything firmly in place, so wore it under a tank top with a fleece jacket on top. Even though I'm a DD, I could get away with no bra. It comes in different sizes and colors. I found the same one I used on Amazon if you can't get thru your hospital or medical supply.
https://www.amazon.com/Expand-a-Band-Breast-Binder/b/ref=bl_dp_s_web_10418528011?ie=UTF8&node=10418528011&field-lbr_brands_browse-bin=Expand-a-Band+Breast+BinderHope the rash is improving. Let me know if you have any questions. Ceanna
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the rash is starting to go away. How long did it take for your incision to close? It will be a month tomorrow since they took the savi out. Did you keep gauze and bacitracin on 24/7 until it closed? I'm not getting a definitive answer from my surgeon -- he says put bacitracin on and bandage. (when I told him the bandage caused rash). I'm going to check Amazon again for the breast binder. for now I'm putting gauze, bacitracin and wrapping a large strand of gauze around my lower breast to hold it in place. Bra's are irritating so I'm trying this for now. Thanks again
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Hi Luanne, I think it was about 5-6 weeks for mine to close, and more weeks to truly heal over. Mine was on breast, not in a crease like yours so that may make a difference also. I did not, however, use any antibiotic ointment as I react to so many things including adhesives. Sounds like you have a plan with the gauze strand so maybe don't need to binder. Use what works for you!! All the best for complete healing soon! Ceanna
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it's only been 4 weeks since they remove the Savi catheter so I guess I'm good seeing it's in the crease it probably will take a lot longer thank you and happy healing to you too
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Luanne, I'm fully healed from where they inserted SAVI four years ago. Just a small pink spot on breast which seems to get less noticeable each year. That's a couple of inches away from my LX scar which will probably never go away. I do have a small empty spot in breast where LX was done--from the internal radiation--doctor said I could do fat grafting, but I have chosen not to take that extra step. Although problematic right now, you will probably be glad not to have a noticeable scar because it's in the crease. All the best for healing. Let us know how you're doing.
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4 year survivor -- God bless you!!!!!
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luanneftlaud, wondering how the rash and healing is going. Hope you are recovering well. Please update us when you can. Take care. Ceanna
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The incision finally closed and turns out the rash was a fungus from the bandages and dr. said to use vinegar and water -- amazing!! all healed Thanks !!!
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Fungus. Oh, my!! Never heard of that before! Glad you healed up and are doing well. Stop back when you can and pass along your experiences to those in need. Take care. Ceanna
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will definitely keep checking in -- this group helped me a lot. Now for my scans end of March and follow up with MO & surgeon and by May hopefully I'll be a SURVIVOR - yay!
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yes, allergic to the latex bandages caused it.
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