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[HIP INFECTION] Infection will not go away

Discussion in 'Hip Replacement Recovery Area' started by Bugmusic, Apr 14, 2019.

  1. Bugmusic

    Bugmusic new member
    Thread Starter

    Member Since:
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    I had a left anterior hip replacement on September 24, 2018. I developed a Seroma which ruptured and fluid gushed from my hip incision. My doctor said I did not have an infection but put a dry packing in it. A week later, I could not walk and I had major infection.

    I had emergency surgery to irrigate the hip and replace movable parts of the hip joint. I was in the hospital for 8 says running a high fever. I went home with a PICC line and antibiotic IV, a wound vacuum and oral antibiotics. I had home care 3 times per week for 2 months. On December 12, the PICC line and wound vac were removed. I have remained on 100mg of Doxicycline daily ever since.

    It is now April 14th and I still have an infection and an open wound but no fever. I am walking just fine but I do have pain after sitting for a while and discomfort when trying to sleep.

    How long is it supposed to take for the infection to go away. The drainage fills about 3 ABD bandages every day! My Dr said he doesn't want to see me again until October
     
  2. Izabel

    Izabel senior

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    Oh my goodness @Bugmusic. This sounds dreadful what you are going through and completely unreasonable and unacceptable.! Did you have a spacer installed or did he put new parts in? Do you know what type of infection you have?

    When you say your doctor does not want to see you till October, do you mean your Orthopedic Surgeon?

    Someone else will come along with advice who knows the American system but here in Europe this would not be tolerable.

    Please keep us updated. My thoughts are with you that you can get some help asap. :praying:
     
  3. Layla

    Layla FORUM ADVISOR Forum Advisor

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    Hi, Welcome to BoneSmart. Thanks for joining us here.
    I'm so very sorry for your ongoing situation. You need and deserve to be under better care.
    I'm tagging the forum Nurse, @Josephine to weigh in on your situation.
    Please continue to stop by for support. We're here for you. :console2:
    Wishing you comfort and perfect healing.
     
  4. skigirl

    skigirl FORUM ADVISOR Forum Advisor

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    I am going to tag @Celle, one of our members who has had some experience with a seroma.
     
  5. Celle

    Celle FORUM ADVISOR Forum Advisor

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    Hello @Bugmusic ,
    I'm sorry to hear you are having all this trouble.

    It is unforgivable for your doctor to say he doesn't want to see you until October. Is this the surgeon who initially did your hip replacement and who treated the seroma and the infection?

    You definitely need to be seen again, but preferably by someone who has more idea of what to do to help you.

    Can you phone your surgeon's rooms and ask for an urgent appointment? Or will your own general practitioner/PCP help by referring you to another surgeon?

    You've had the replacement hardware removed and replaced before the infection had cleared. Is that what was done? And you're now taking antibiotics orally, but the wound is still discharging. In that case, I think you should still have a wound vacuum.

    My husband has had a seroma following surgery. He describes his seroma as being like a pita pocket , where the layers of pita have pulled apart.

    Here's an illustration, to explain: upload_2019-4-16_6-22-30.jpeg

    It's being treated with a PICO suction dressing. The little suction machine applies continuous suction to the wound, which not only removes the liquid, but also helps to pull together the tissue layers of the seroma, so that they can close together and heal the seroma. It's taken a couple of months, but his drainage has now decreased to almost nil and he only has to have the dressing changed once a week.

    If you have no success getting back to your surgeon and asking for further treatment, or seeing another surgeon, can you go to the Emergency Department of a large hospital, where they may have someone who will be more helpful?

    In my opinion, you not only need a surgeon who has experience in dealing with infected hip replacements, but you also need an Infectious Disease doctor, to oversee infection control. This sort of doctor will not only suggest appropriate antibiotics, but can also assess blood results for indications of infection control.

    I know how very frustrating and worrying this can be. Before my husband's wound formed a hole that didn't close prematurely, he had about 6 episodes where fluid would burst out of a different part of his wound each time. Several doctors told us "It will stop. Just give it time."

    We worried a lot, but at last this suction dressing seems to be doing the trick.

    I hope that you can find a doctor who will be more sympathetic and helpful.
    Do let us know how you get on, won't you?.
     
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  6. Jamie

    Jamie ADMINISTRATOR Administrator

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    @Bugmusic ... Celle has given you a very detailed response and asked some questions. We're going to need more information before we can be of much help for you. If you could answer her questions, that will help and I have a few as well.

    I see you life in a fairly small town. Who was your surgeon and where did you have your hip replacement done? Have you given any consideration to a second opinion? You definitely need an infectious disease doctor on your case as well as an revision specialist.

    Would you have any problems seeing someone in Columbus or maybe even Indianapolis? You are going to need to drive to get the expertise you need to deal with the infection. There is no specific time frame for how long it takes for one to clear up. But it is not the norm for a surgeon to remove hardware and then replace it with a new implant until the infection is completely clear. So please give us as much detail about what you've been through and what you've been told by your medical team as you can.
     

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