Non healing post surgical wound plz kindly suggest ..what to do...

Poor post surgical wound Debridement done.....still not healing.... doc advice he cant do much about it kindly suggest possible management....any advanced surgery... Chief Complaints Frist time; Patient admitted to hospital with pain abdomen Vomiting admitted for week discharge and advice elective surgery...usg abdomen shows Ventral hernia with small bowel obstruction Second time patient admitted to hospital with same complaints...emergency surgery done...discharged after 10 days.. Admitted for third time with enents hypoglycemia, anemia...with poor post surgical wound....debridement done....blood infusion... Still wound is not healing... History k/c/o T2DM, IHD with mitral valve replacement, HTN, CKD, obesity Investigations Sr. Creatinine, urea, uric acid are high gone for dialysis many times, Management Dialysis, blod transfusion, Debridement done on surgical wound but still it doesn't shows any good response.... Now once again sr. Creatinine rises, having fever, urine infection...

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Needs further investigation and EVALUATION to conclude particularly culture n sensitivity . Realignment n resitting by surgeon taking all reports into consideration . Tense suturing after through debridement n addressing all ailments.

Sir Culture and sensitivity done....but not effective......
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Refer to any medical college which has plastic surgery along with surgery dept , it will be taken care . It's not like ntg can be done ... So many things can be done .. And good surgeon is enough to handle it .. Patient condition needs to be stabilised first . Treat comorbidities and bring under control ... Treat infection .. Then can plan for abdominal wall repair ...

Thank you doctor
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Burst abdomen Needs realignment and resuturing by sourgeon Pt needs tense suturing

Thank you doctor
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