skin graft or bandage? (warning: wound image enclosed)
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skin graft or bandage? (warning: wound image enclosed)
Postby jules21 » Fri Feb 24, 2012 11:19 am
spent most of last night in casualty waiting to have this checked out. the doctor sent me there, reckons it may need a graft. the hospital couldn't decide so i have to go back next week to see the plastic surgeon. reckon i might ask for my eyelids to be lifted slightly while i'm there.
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Re: skin graft or bandage? (warning: wound image enclosed)
Postby twizzle » Fri Feb 24, 2012 11:27 am
So... what's the story? Drunk riding? Superman leap off the bike?
...real cyclists don't have squeaky chains...
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Re: skin graft or bandage? (warning: wound image enclosed)
Postby trailgumby » Fri Feb 24, 2012 11:29 am
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Re: skin graft or bandage? (warning: wound image enclosed)
Postby wizardhat » Fri Feb 24, 2012 11:34 am
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Re: skin graft or bandage? (warning: wound image enclosed)
Postby A_P » Fri Feb 24, 2012 11:45 am
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Re: skin graft or bandage? (warning: wound image enclosed)
Postby jules21 » Fri Feb 24, 2012 12:04 pm
my rear tyre disintegrated mid-corner in a crit on Wednesday. pretty embarassing as there was still a reasonable amount of tread left, but on closer inspection the rubber seems to have perished a bit. it was torn apart during the crit and spat me offtwizzle wrote:So... what's the story? Drunk riding? Superman leap off the bike?
yes, it's just a flesh woundOxford wrote:not to sound to Monty Python and unsympathetic, but is it really that serious? just looks like a bit of gravel rash. I've had far larger areas, with deeper wounds heal up fine.
i thought the same but apparently the medicos are worried there may be too little flesh/fat in that small area in the middle for the skin to grow back.
i'd prefer a bandage too, but i'll wait and see what the plastic surgeon says next week.trailgumby wrote:Bandage. You want them to cut skin off somewhere else? Then you'l have two areas to heal and two scars instead of one.
i might give that a go, ta.A_P wrote:when you go back, ask for a silver foam dressing like mepilex Ag ( you wouldnt want to by theses a the chemist) and leave it there for a week.
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Re: skin graft or bandage? (warning: wound image enclosed)
Postby cp123 » Fri Feb 24, 2012 5:23 pm
I was potentially on the cards for a skin graft (re previous posting of a bogan attack riding home one night.. .) anyway, mine was waaaay grosser than yours. (hope that didn't sound up myself sorry) But its healed up fine and i just have a ringbarked neck now.
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Re: skin graft or bandage? (warning: wound image enclosed)
Postby hotfoot » Fri Feb 24, 2012 5:28 pm
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skin graft or bandage? (warning: wound image enclosed)
Postby toolonglegs » Fri Feb 24, 2012 5:33 pm
Doctor has obviously never dealt with roadies!.
I have a big moto related skin graft on my shin... They are fragile and annoying for a long time.
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Re: skin graft or bandage? (warning: wound image enclosed)
Postby Ken Ho » Fri Feb 24, 2012 5:34 pm
Yes, this is basically a burn.A_P wrote:when you go back, ask for a silver foam dressing like mepilex Ag ( you wouldnt want to by theses a the chemist) and leave it there for a week.
I had a permanent revolving door of this wound from one knee to the other for at least 5 years as a kid. I would not even bother my mother with them, just a good wash under a tap.
However, I suffered a lot of discomfort from the scabs as they dried, and then cracked. A wound dressing that keeps it moist is a good idea. Many things will suffice, from the above mentioned Mepilex, to Tegaderm, or simple gaffer/electrical tape, which is basically the same thing in a less glamorous package.
The king though, is Hypafix, also known as Fixomuls or Mefix. It sticks like shOwtime to a blanket, can get wet and dry again, and allows new skin to form under it. Just put a few layers on in small pieces to avoid creasing, and leave it for a week. You will be amazed at how it heals under that.
I would probably use a bit if gel like Solugel or Solosite in the deeper section for a few days to fill it in a little. It certaily does not need a skin graft. As TLL< noted, his inexperience was really showing there, and TBH, an appt with a plastic surgeon for that wound is bleeding ludicrous.
And yes, I do heal wounds for a living.
If you carry one piece of gear for first-aid on a bike, let it be a piece of Hypafix.
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Re: skin graft or bandage? (warning: wound image enclosed)
Postby ft_critical » Fri Feb 24, 2012 5:49 pm
http://www.bicycles.net.au/forums/viewt ... &start=100
The yellow parts scarred because that is down to the fat cells. Nothing else scarred.
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skin graft or bandage? (warning: wound image enclosed)
Postby sogood » Fri Feb 24, 2012 6:08 pm
Heal well!
RK wrote:And that is Wikipedia - I can write my own definition.
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Re: skin graft or bandage? (warning: wound image enclosed)
Postby jules21 » Fri Feb 24, 2012 9:19 pm
in my defence, i think the photo doesn't show the depth of the wound - it goes down a fair way. it's really only that little section in the middle that the medicos are worried about. i needed sleep last night and was about to walk out of the hospital when the doc returned and advised me to see plastic surgeon in outpatients. maybe they're being overly cautious?
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Re: skin graft or bandage? (warning: wound image enclosed)
Postby Mulger bill » Fri Feb 24, 2012 9:49 pm
Might as well see the plastic bloke Jules, don't mean you have to agree with just one opinion.
Heal quick and clean.
Shaun
London Boy 29/12/2011
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Re: skin graft or bandage? (warning: wound image enclosed)
Postby wombatK » Fri Feb 24, 2012 9:59 pm
So where do you get it ? When I asked at local chemists, the best I got was blank stares; some made me feel like an alienKen Ho wrote: The king though, is Hypafix, also known as Fixomuls or Mefix. It sticks like shOwtime to a blanket, can get wet and dry again, and allows new skin to form under it. Just put a few layers on in small pieces to avoid creasing, and leave it for a week. You will be amazed at how it heals under that...
If you carry one piece of gear for first-aid on a bike, let it be a piece of Hypafix.
who'd come to take their first born away
Somebody has to do something, and it's just incredibly pathetic that it has to be us -Jerry Garcia
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Re: skin graft or bandage? (warning: wound image enclosed)
Postby sogood » Fri Feb 24, 2012 10:14 pm
There are way too many commercial options out there with more coming all the time. It's not realistic to expect chemist to know them all. Fact is, outcome varies little.wombatK wrote:So where do you get it ? When I asked at local chemists, the best I got was blank stares; some made me feel like an alien
who'd come to take their first born away
RK wrote:And that is Wikipedia - I can write my own definition.
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skin graft or bandage? (warning: wound image enclosed)
Postby Dr_Mutley » Sat Feb 25, 2012 12:54 am
Jk!
Should heal fine... Keep it clean & semi moist... Anything from the chemist to facilitate that should be fine....
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Re: skin graft or bandage? (warning: wound image enclosed)
Postby Semar » Sat Feb 25, 2012 10:08 am
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Re: skin graft or bandage? (warning: wound image enclosed)
Postby Semar » Sat Feb 25, 2012 10:10 am
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Re: skin graft or bandage? (warning: wound image enclosed)
Postby matagi » Sat Feb 25, 2012 4:50 pm
You can get just as good a result using OpSite Post Op which most chemists should know of (some will actually have it in stock). It isn't quite as tenacious as Hypafix/Fixomull/Mefix so it tends to peel off quicker and therefore need replacing more frequently but it will do the job.wombatK wrote:So where do you get it ? When I asked at local chemists, the best I got was blank stares; some made me feel like an alienKen Ho wrote: The king though, is Hypafix, also known as Fixomuls or Mefix. It sticks like shOwtime to a blanket, can get wet and dry again, and allows new skin to form under it. Just put a few layers on in small pieces to avoid creasing, and leave it for a week. You will be amazed at how it heals under that...
If you carry one piece of gear for first-aid on a bike, let it be a piece of Hypafix.
who'd come to take their first born away
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Re: skin graft or bandage? (warning: wound image enclosed)
Postby foo on patrol » Sat Feb 25, 2012 5:10 pm
I had one on my knee that was the size of that and the Doctors at Bundy hospital said that I would need plastic surgery/skin grafts because you could
see the white tissue, that I'm guessing was fat. I can't even see where it was now, but it did take ages for it to heal properly.
Foo
Goal 6000km
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Re: skin graft or bandage? (warning: wound image enclosed)
Postby U2adam!!! » Sat Feb 25, 2012 6:20 pm
Tim
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Re: skin graft or bandage? (warning: wound image enclosed)
Postby Percrime » Sun Feb 26, 2012 10:31 pm
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Re: skin graft or bandage? (warning: wound image enclosed)
Postby jules21 » Sun Feb 26, 2012 11:04 pm
i've done my share and i've always just bandaged them, but this one was deep. the photo doesn't really give perspective but there's a big hole dug out of my elbow. nurses/doctors have variously responded with "it will definitely won't/might need a skin graft" they can't make their minds up, lol. it's feeling pretty good so if i reckon it's healing up i will cancel my outpatient appt. for tuesday.Semar wrote:Why have you taken so long to remove chunks of skin to that depth? Never been on a mountain bike? You'll have a scar of which to be proud! Nerve ending damage will ensure less pain next time.
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Re: skin graft or bandage? (warning: wound image enclosed)
Postby scotto » Mon Feb 27, 2012 11:05 am
it may seem that A+E staff and GP's more often these days seem either afraid to make such calls or ignorant about injury management.
Too often i see young kids with greenstick fractures for example that went from A+E to ortho specialist just to be told "plaster for 4 weeks" and $190 thanks.....
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