Post-Surgery Wound Care: Traveling with an Unhealed Injury

I would like to inquire about postoperative wound care issues?

Hello Doctor, last September, after having a steel pin inserted in my left foot, I developed a small hole in the front of my left calf (the orthopedic doctor said that part of the tissue had necrosed and needed to be excised).
It is deep, with nerve damage, and I have no sensation in that area.
At the end of September, a plastic surgeon sutured it, but two days later, a small hole reappeared in the middle of the sutured wound, just large enough for a toothpick to pass through.
The plastic surgeon discharged me and instructed me to change the dressing myself (after all, I had been hospitalized for two months).
Since my discharge on October 2nd, I have been caring for the wound myself, with regular follow-up appointments.
The wound has shrunk but has not yet healed.
I have undergone bacterial cultures, which showed no issues, and there is a small amount of exudate.
However, if I exert my foot too much, a small amount of blood will come out, while prolonged standing or walking only results in increased exudate.
I would like to ask if, given the condition of my wound, I need to travel abroad, what actions should I take to be able to board a plane?

Xiansheng He, 20~29 year old female. Ask Date: 2016/05/06

Dr. Li Zhonghuai reply Surgery

Hello! The wound has not healed for 8 months and needs to be kept moist with dressings to allow granulation tissue to fill in the wound.
It is fine to travel abroad by plane; just make sure to bring enough supplies for dressing changes and materials.
Safe travels! Changhua Hospital cares about you!

Reply Date: 2016/05/06

More Info

Traveling with an unhealed wound can be a concern, especially after a significant injury like yours. Based on your description, it seems that you have been managing a complex wound following surgery and are now considering traveling. Here are some recommendations and considerations for your situation.

Wound Care Before Traveling
1. Keep the Wound Clean and Dry: Before you travel, ensure that your wound is clean. Use saline solution or a mild antiseptic to clean the area gently. Avoid using harsh chemicals that could irritate the wound.

2. Dressing the Wound: Use a sterile dressing to cover the wound. This will protect it from dirt and bacteria, especially in public places like airports and airplanes. Change the dressing regularly, particularly if it becomes wet or soiled.

3. Monitor for Signs of Infection: Keep an eye on the wound for any signs of infection, such as increased redness, swelling, warmth, or discharge. If you notice any of these symptoms, it may be wise to consult a healthcare professional before traveling.

4. Pain Management: If you experience pain, consider taking over-the-counter pain relief medications, such as acetaminophen or ibuprofen, as needed. However, consult your doctor about what is appropriate for your specific situation.

5. Limit Physical Activity: Since you mentioned that the wound bleeds with excessive activity, it’s crucial to limit activities that could strain the area. Avoid long walks or standing for extended periods.

Traveling Considerations
1. Travel Insurance: Ensure you have travel insurance that covers medical issues. This can provide peace of mind in case you need medical attention while away.

2. Medical Supplies: Bring enough medical supplies for your wound care. This includes dressings, antiseptics, and any prescribed medications. It’s better to have more than you think you’ll need.

3. Consult Your Doctor: Before traveling, it’s advisable to consult your healthcare provider. They can give you personalized advice based on your wound's current state and your travel plans.

4. Inform the Airline: If your injury affects your mobility, inform the airline in advance. They may provide assistance, such as wheelchair services or priority boarding.

5. Hydration and Nutrition: Staying hydrated and maintaining good nutrition can support your healing process. Drink plenty of water and eat a balanced diet while traveling.

During Travel
1. Keep the Wound Elevated: If possible, keep your leg elevated during the flight to reduce swelling and promote circulation.

2. Avoid Tight Spaces: Try to avoid cramped seating arrangements that could put pressure on your wound. If you can, choose an aisle seat for easier movement.

3. Take Breaks: If you have a layover or are traveling by car, take breaks to stretch and move around. This can help with circulation and reduce the risk of complications.

Post-Travel Care
1. Follow-Up Appointment: Schedule a follow-up appointment with your healthcare provider as soon as you return. They can assess the wound and make any necessary adjustments to your treatment plan.

2. Continue Wound Care: Maintain your wound care routine as advised by your doctor. If the wound shows any signs of infection or does not improve, seek medical attention promptly.

In conclusion, while traveling with an unhealed wound requires careful planning and management, it is possible to do so safely. By following these guidelines and staying vigilant about your wound care, you can minimize risks and enjoy your trip. Always prioritize your health and consult with healthcare professionals when in doubt. Safe travels!

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