29.01.2020 Follow-up

Just saw my patient Voahirana, my C-section patient from last week for follow-up today.  I removed the steri-strips and was pleased to find that the wound was healing well.  Uterus was well below the navel and the post-partum bleeding was all physiological.  I was quite relieved to see everything healing well, especially compared to the wound care case we have been managing from a C-section done somewhere else.  Below is a picture of my patient and her wound followed by the wound we are hoping will secondary heal despite poor adaptation.  The lower section of the wound is sutured into the subcutaneous part of the upper section so the skin is not adapted.  We are checking it regularly for signs of infection but are hoping this will heal without further intervention.  If she ever has a C-section again, the scar tissue can be removed during this procedure.  For anyone who has a tendency to get queezy please take caution when scrolling past the first picture.

I don't have an absorbable skin suture at the moment so I'm using one that needs to be removed after 10 days, which is what we did today. 

Sorry for the vertical picture, I couldn't figure out how to turn it...

Now again, kind reminder to anyone sensitive, you may not want to look.