I can't understand why you haven't been offered district nurse visits before, you're definitely entitled to it. As far as my knowledge goes, the important thing is for the wound to be kept clean at all times, so it can start to heal. Putting a plaster on just encourages a scab to form, when it needs to be healing from the bottom up without a scab forming.
Have you been to the plastics dressings clinic at your hospital? They don't always have the silver dressings as they are expensive, the district nurses ordered mine in especially and laid it in the wound and then put a melanin dressing over. If you need more info, I will have a look in my 'dressings bag' and see exactly what I had.
They didn't use the silver dressings at first, simply wiped it out with iodine, using with a sterile dressings pack (gloves, swabs tweezers etc), after a couple of weeks it was wiped out with sterile saline solution and a dressing put on and after another week or so they started the silver dressing. Actually when I say wiped out they let the iodine run into the wound they didn't wipe inside just the edges. Every day before the district nurse came, I had a shower and directed the shower nozzle into the wound to wash it out, then covered it with a sterile dressing until the nurse came.
Don't even allow your towel to touch it!
it was a bit of a nightmare at first, particularly when I needed to be able to get dressed and get out of the house in the morning, as the nurses would never be able to give me an exact time for their visits. At the time it seemed to go on forever, but as with everything, now it seems way in the past and it's all knitted together, although about 1cm thick/wide in that particular area. Actually even the PS has now admitted that she didn't think it would knit together as well as it has. The rest of my abdo wound is very neat and just a thin line and she wants to taper the end where there is a bit of a dog ear and also to neaten up the thicker scar where it healed itself. needless to say - I'm not in a great hurry to do this!
Anyway - I'm more than happy to share any of my experience with you, as it felt at the time as though I was the only one having this kind of problem and I can only assure you that there is light at the end of the tunnel.
Very best wishes
lotty
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