3+ weeks after a 3 level laminectomy I’m doing surprisingly well, with one hitch – a portion of my incision appears to be infected and is not sealing. Saw the NS this morning and they believe it to be superficial – by poking they seem to think the fascia is intact. Pending results of the culture, they suspect MRSA, and switched me to Bactrim. I’ve got no fever, redness, swelling, just sharp pain at the incision site.
The question is: I’m being given 2 options for getting this to heal. First, they debrided and packed the wound. Option 1 is to just let the wound heal from the inside out – my husband is supposed to remove small amounts of packing each day, followed up by visiting nurse visits a couple of times a week to check/repack, over the course of 4 weeks. Slow healing, high maintenance, but minimally-intrusive option.
Option 2 is a surgical clean-out where they go in and just remove any infection, clean up the wound edges, and restitch. Overnight hospital stay, possible general anaesthetic (depending on how deep the infection goes). The advantage here is that it’s a more assured solution – I will know now if the infection really is superficial, the healing time will be faster. The obvious disadvantage is that it’s another surgery and another hospital stay.
Has anyone been through something similar and can advise? I am leaning toward the surgery just because I’d hate to get 3 weeks down the road and find that the infection is more extensive, and because I’m really uncomfortable right now.
Thank you for any advice!