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Lessons from overactive post-operative care: Complication - Pulled stitches

Started by Valeriedances, May 01, 2010, 09:27:03 AM

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Valeriedances

We can hurt ourselves in overzealous efforts to recover and heal ...a good lesson for those coming after. The week after surgery found me trying to make sense of my new body and learning how to care for myself properly. I was asking myself what is permanent, what is an effect of healing, what needs to be cleaned. 

My friend, Jenny, a nurse herself going through the surgery the same week as I, plead with me all week 'just leave it alone Valerie'. But I had a need to create order from the seeming chaos that was relentless as I tried to regain control of my own body ...to feel clean, to understand, to accept, to know that I am okay. That week found me extremely obsessive/compulsive, more so than even usual, which i admit I am. The main question, running constantly in my head that needed an answer, 'am I okay?'

Some things I could not reconcile or be okay with. One was a long vertical, fairly wide very, very dark area ...nearly black, running about three quarters the length of my vagina. When I dared touch gently, after much trepidation, found that area had no feeling. It was completely numb ...or dead. And there were other dark areas. The clitoral area was completely numb, no feeling at all. And ...where is my clitoris? I couldn't see one. That area was dark as well with no discernible shape.

'What was that long black area, is it, necrosis maybe?', I thought, secretly scared. When asking the nurses how I am doing, they all said my result is above average and excellent, even 'beautiful work' commented some nurses. They all said there was nothing wrong. Part of me couldn't believe it. It certainly didn't look like a vagina, and would they tell me the truth if there was a permanent defect. Did they tell all the patients the same thing, no matter what?

Note: I found out later that this is a scab that will fall away, but is very scary looking. It is so embedded, it doesn't look like a scab, but rather that part of you is dead ...which is what a scab is. It's weird looking, at any rate, and nothing I had ever seen before. It still freaks me out.

You are provided a detailed diagram of a vagina with all the major areas clearly marked. With all the swelling, dried blood, dark areas, hills and valleys, shapes didn't make sense. I could not make sense of it. Not even the labia majora. So, eventually, I told a nurse I needed an anatomy lesson ...for my own vagina. And she spent some time with me, answering many questions, and I was told about the dark area, it was only a clot and would fall away on its own with washing and time ...and after that there would be sensation. The long, dark nearly black area was my clitoral region. Dark and swollen.

Her answers helped a great deal, I wished I had thought of an anatomy session earlier. So, good lesson, ask for details, ask for their attention. Because the nurses tend to do a quick check and move on to the next patient. And, they do not examine closely, at least to my satisfaction ...a moment only, actually. That is an underlying cause of some of my anxieties.

Another area that tugged at me all week was the bottom of the vagina, where the skin meets, known as the fourchette. This area is held together by stitches/sutures. It gets coated in something white (glue maybe?), and mixed with the stuff draining from the vagina, doesn't look like stitches at all. At some point during cleaning I decided the stitches were dressing stuck to my body that should be removed. We do have dressing that the nurses tells us will fall way on their own. But my mind wants the body clean and I couldn't tolerate dressing stuck to my body any more ...and pulled at the left side, pulling that side away. They were stitches, after all, and I got real worried I had done something real bad ...I did.

The nurses insisted that everything was okay, I had difficulty making it clear there was something wrong. They weren't taking the time to examine the healing area closely each day. So they didn't know and I knew there was a complication.

I eventually got their attention and they asked Dr. B. to make a special trip to examine me at the end of his long day. he looked at it and said it will be okay, no surgery outcome is perfect. They all have some minor complication and this, occasionally, is one of them. He said it will heal on its own and we couldnt re-stitch the area as we would trap germs inside. The best thing to do would be to leave it, keep it dry as best as possible.

So now a few days later it seems to be getting better, but is painful when pee hits that area or it gets wet from washing/cleaning.

Now I am kicking myself some, why couldn't I have just left it alone? (sigh)
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LordKAT

It sounds like a sad live and learn lesson. I'[m glad things are healing but hope you can relax a bit a let things heal well.  I'm also glad you made it to the 'otherside'. Grats Valerie.
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Janet_Girl

Two words, Valerie.  QUIT PLAYING.  Just let it heal and do what you are told.

Listen to me, I would be doing the same thing.  ;D

Glad you are healing well. 


Huggles.
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rejennyrated

Don't worry Valerie

You would think that having been there before I would have known better but it actually happened to me with my revision op too.

I wasn't expecting any stiches at all inside the vagina itself as it was only supposed be a cosmetic improvement to the vulva area - unfortunately there were a couple just inside as well and like you i managed to pull one. Like you I had a little patch which was sore and took a while longer to heal - but it's ok now. So I'm sure you'll be fine.
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Kristyn

Quote from: Valeriedances on May 01, 2010, 09:27:03 AM


Some things I could not reconcile or be okay with. One was a long vertical, fairly wide very, very dark area ...nearly black, running about three quarters the length of my vagina. When I dared touch gently, after much trepidation, found that area had no feeling. It was completely numb ...or dead. And there were other dark areas. The clitoral area was completely numb, no feeling at all. And ...where is my clitoris? I couldn't see one. That area was dark as well with no discernible shape.

'What was that long black area, is it, necrosis maybe?', I thought, secretly scared. When asking the nurses how I am doing, they all said my result is above average and excellent, even 'beautiful work' commented some nurses. They all said there was nothing wrong. Part of me couldn't believe it. It certainly didn't look like a vagina, and would they tell me the truth if there was a permanent defect. Did they tell all the patients the same thing, no matter what?

You are provided a detailed diagram of a vagina with all the major areas clearly marked. With all the swelling, dried blood, dark areas, hills and valleys, shapes didn't make sense. I could not make sense of it. Not even the labia majora. So, eventually, I told a nurse I needed an anatomy lesson ...for my own vagina. And she spent some time with me, answering many questions, and I was told about the dark area, it was only a clot and would fall away on its own with washing and time ...and after that there would be sensation. The long, dark nearly black area was my clitoral region. Dark and swollen.

Her answers helped a great deal, I wished I had thought of an anatomy session earlier. So, good lesson, ask for details, ask for their attention. Because the nurses tend to do a quick check and move on to the next patient. And, they do not examine closely, at least to my satisfaction ...a moment only, actually. That is an underlying cause of some of my anxieties.



Very insightful post Valerie, thank you.  This black spot, was it indeed what they said it was?  How is the area now?  I certainly hope everything is coming along fine.
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Jessica.C

Wow Valerie, Hang in there!! It will get better.


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Jasmine.m

Thanks for sharing, Valerie!! How was the trip home?
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V M

Thank you Valerie, this is a rather insightful post

I'm definitely the sort that would get up to muckin' about the goods as well

So when my day should ever come, your experience will remind me to let it be should I get tempted, knowing me I will get tempted

Heal well dear sister

                           {{{HUGS}}}

- Virginia
The main things to remember in life are Love, Kindness, Understanding and Respect - Always make forward progress

Superficial fanny kissing friends are a dime a dozen, a TRUE FRIEND however is PRICELESS


- V M
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lpfix2009

You kind of lucked out on the security check point.

Earlier in the posts you mention not leaving things alone, I am basically the same way. I can never leave scabs alone or stitches etc..

Time will tell what your full results are. I ve seen more then a handful, a lot are good and some are minorly deformed, but nothing major.

For me, the biggest point is to chop off my skin tag, the esthetics + hole is a bonus..
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FairyGirl

I'm glad you're healing well Valerie. Thanks for the heads up about the dilators on the plane- that is something I was specifically wondering about, as I have to fly all the way from the US back to Australia with mine. lol I'm sure Dr. McGinn will give me a similar note for the airport :)

Girls rule, boys drool.
If I keep a green bough in my heart, then the singing bird will come.
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K8

I'm glad you are healing well, Valerie.  I didn't have the black scab and the knot of stitches at the fourchette has driven me crazy but they always felt like a knot of stitches to me.  But then, I haven't really felt around - too sore - and didn't give it all a good look until my guided tour when they unpacked me.  Guess I'm not nearly as adventurous or curious as you, Val.

*gentle hugs*
Kate
Life is a pilgrimage.
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