Surgical wound is not healed, especially in elderly patients. 1. First, we should consider whether there is diabetes, because diabetic patients have the right to nutritional metabolism problems, which may easily lead to prolonged wounds or surgical incisions. It is recommended to check fasting blood glucose or glucose tolerance test in endocrinology department. If you are complicated with diabetes, you should actively treat diabetes and strictly control blood sugar. When the blood sugar is controlled, the surgical incision will heal easily. 2. Whether the patient has malnutrition such as anemia, and if so, symptomatic nutritional treatment should be given; 3. Whether there is sinus, dead space and subcutaneous fat liquefaction in the surgical incision, you can check whether there is local fluctuation, or whether there is a large amount of secretion and infection in the incision. If there is dead space and sinus, effective drainage should be chosen, and the incision is easy to heal. What is more troublesome is the liquefaction of subcutaneous fat and the secretion of fat droplets. At this time, it is necessary to open the incision and scrape off the subcutaneous fat as much as possible.
The case you mentioned is likely to be complicated with diabetes. In this case, not only the surgical incision will not heal for a long time, but also the wound will be necrotic and enlarged. Please check your fasting blood sugar as soon as possible. If you are complicated with diabetes, it is best to choose insulin treatment so that the wound can heal.