Cosmetic & Reconstructive Surgery Expert Forum
Post surgical infection
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Questions in the Cosmetic Surgery forum are answered by Dr. Howard Rosenberg and Dr. Wolfeld. Topics include bariatric surgery reconstruction, breast augmentation, chemical peels, cosmetic or reconstructive surgery, face lift, nose reconstruction, and tummy tucks.

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Post surgical infection

Some background.....Following a full bodylift procedure, there was 5 days of unanticipated post surgical bleeding spent in ICU.  15 units of blood later, additional surgery was then performed to stem bleeding.  Patient was released the following day.  10 days later,  6 JP drains were removed by surgeon in office, although fluid output was over 80cc in several drains.  Within a day, fluids oozing /flowing out of the incision line above but crack.  Surgeon cultured fluid but did not prescribe antbiotics at this time. 2 days later  AM patient developed 101 fever. Surgeon prescribes oral antibiotics.  Later that evening patient fever continuing @ 103 & developed chills.  Taken to ER & following morning  surgery was performed to clean infected wound.  Next, a week in the hospital with IV antibiotics,  patient sent home with pic-line & another 2 weeks home infusion IV antibiotics (Vanco 1 gm, Invan 1 gm. )  4 JP drains removed 10 days after hospital release with IV antibiotic continuing 4 days after drains removed.  This was 3 days ago and it appears surgical site becoming infected again.  Any suggestions.
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This is too complicated a situation to expect any meaningful advise on this forum.  Clearly this requires the coordinated effort of an infectious disease specialist and a plastic surgeon.  With the extensive drainage and antibiotic therapy, the question remains about whether there is some other underlying medical condition or other source of the recurrent infections.
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