What if the wound does not heal after breast cancer surgery?

  Breast cancer is one of the most common malignant tumors in women, and according to statistics, the incidence rate accounts for 7-10% of all kinds of malignant tumors in the whole body. At present, the incidence of breast cancer in China is gradually increasing, and it is one of the most common malignant tumors that seriously affects women’s physical and mental health and even endangers their lives. Surgery is the main treatment for breast cancer, but for various reasons there is the problem of non-healing wounds after surgery.  In recent years, we have used Chinese medicine as the main method to find out some methods to treat postoperative wound non-healing of breast cancer, and achieved more satisfactory results, so that many patients can avoid skin grafting surgery, complete chemotherapy and radiotherapy and other follow-up treatments in time, and improve the quality of life.  1, traumatic infection When the traumatic pus rot is more, thin as water, fishy smell can be selected to clear the heat and detoxification of Chinese medicine impregnation wet compress; to wait for the traumatic pus rot gradually clean, traumatic residual a small amount of yellow-white fascial-like tissue when the appropriate amount of the choice of expel corrosion and muscle medicine, such as Jiuyi Dan, ice stone long skin ointment to promote wound healing.  2, skin flap necrosis First of all, use local Jiuyi Dan mixed with necrotic tissue combined with purple return of long skin ointment thick dressing, can promote the separation of necrotic tissue and normal tissue; when the necrotic tissue loosening trim necrotic tissue; continue to use purple return of long skin ointment, so that the trauma surface bright red buds revealed; at this time into the long skin healing stage, choose wound dressing and ice stone long skin ointment together, when the trauma edge appears white epithelial tissue should be used after the pad cotton method Compression to prevent granulation edema. The edematous granulation of the wound surface should be corrected in time to achieve the purpose of “muscle flattening and long skin”.  3, subcutaneous fluid When subcutaneous fluid wound, first of all, not repeatedly probe, not deep subcutaneous wipe, but available drug rinse perfusion control infection; exudate large amount, can use ice stone long skin ointment combined with wound dressing; we found that the use of appropriate fixed wrapping is the key to close the cavity, can achieve the effect of “flesh and skin” The cavity can be closed by “bonding”.  4, rib exposed Due to the surgery to remove more tissue, making the trauma rib exposed. At this time, there is no hurry to bite the exposed bone, but choose to lift the pus and remove corrosion ointment applied externally, so that the exposed bone becomes rotten, to be removed after loosening, when the exposed bone is lower than the skin timely use of muscle-generating drugs to promote healing; at the same time, internal Chinese medicine pay attention to the “TO”, “supplement” principle of sequential use, adding the liver and kidney, to benefit the tendons and bones. Add medicine for liver and kidney, and for tendons and bones.  When the drainage tube does not heal and a sinus tract is formed, when the pus and rot are not cleared, the tube is flushed with antiseptic drugs to fill the tube and promote the pus and rot to go out; when the granulation tissue in the tube is alive and enters the stage of myogenic healing, the tube is first flushed with myogenic healing drugs, such as rehabilitative new liquid, and then myogenic drugs are placed to promote healing; at the same time, the cotton pad compression method is used throughout the treatment.  At the same time, the combination of external treatment and internal Chinese medicine to help remove blood stasis and myogenesis can often accelerate the healing of the wound.  The “Golden Guide to Medicine” says: “Rot, bad meat also, the books cloud: rot does not go to the new meat is not born.” The external use of Zigui muscle oil ointment in the raw earth, ground bark, licorice to clear heat and cool the blood detoxification to stop bleeding, angelica, comfrey, rhubarb for blood circulation to resolve blood stasis, remove rot and muscle, light powder, elephant bark powder to remove rot and muscle, in the pus rot is not clear when the effect of eliminating pus to remove rot, in the period of removing stasis and muscle has “simmering pus long flesh” effect. Modern pharmacological research has shown that: angelica and rhubarb have strong blood activating and peripheral vasodilating effects, and comfrey has the effect of promoting peripheral blood circulation, promoting toxin excretion and antibacterial effects. In clinical practice, we found that after the application of Zi Gui Biomass Oil Ointment, the color of the wound surface has obvious changes (from purple dark → dark red → light red → red moist), and there is still a small amount of yellowish exudate attached to the wound, thus maintaining a moist environment for wound growth, stimulating the growth of new capillaries and promoting the growth of granulation tissue, i.e. “simmering pus and growing flesh”. This formula has the characteristics of fast infection control, fast necrotic tissue shedding and fast granulation growth, which can well solve the local wound blood stagnation, skin loss of nourishment caused by the long-lasting healing, thus promoting the healing of the wound. Bing Shi Chang Pi Oil Ointment is used to dispel decay and detoxify the toxin in the Middle East, while ice chips, calcined gypsum and elephant bark powder clear heat and grow skin, and astringent and generate muscle. Trauma healing, whether it is a phase one healing or phase two healing, there is the process of granulation tissue filling repair, especially in cases with larger trauma and more tissue defects, there must be more new tissue to fill the defects in order to complete the trauma healing process, and the new tissue to fill the defects is mainly done by granulation tissue.  Experimental research proves that: calcined gypsum can promote the formation of fibroblasts and capillaries in wounds of rats, accelerate the proliferation of granulation tissue, thus promoting the healing of skin wounds, which is completely consistent with the efficacy of traditional medical and clinical use in the treatment of sores and ulcers; elephant skin powder has a very desirable role in promoting the growth of granulation tissue, and the new granulation has a richer capillary network and more colloidal fiber formation, thus facilitating the healing of wounds. The healing of the wound is thus facilitated.  Does chemotherapy delay wound healing after breast cancer surgery? We have observed clinically that the wound surface exudates more during chemotherapy, the pus decay tissue is slower to fall off, and the granulation tissue is mostly dark red in color, so appropriate Chinese medicine identification and topical application of long skin cream do not affect the wound healing.  For those with diabetes, firstly, fasting blood sugar should be controlled below 10mmol/L, and secondly, blood sugar fluctuation should not exceed 1~2mmol/L.