Childhood Diseases

Posted by: Peta | 2011-09-15


Mucosa oozing out of mickey fistula

Hi Dr
Us again… Since the insertion of Tay’ s mickey last Tuesday, he has developed a surgical hernia (think that is the term the surgeon used). The mucosa is oozing past the fistula and since Saturday has already formed up to 1cm “ oozing”  on the sides around the mickey area.

We have been told to apply 2 x “ button buddies”  (material that goes under the mickey) to put pressure on it to try and get it to decrease in size. If this doesn’ t happen in 3 days, we will then need to see the surgeon again.

Excuse my ignorance, but how is that mucosa going to get back into the stomach? There is no way it is going to fit down that fistula again –  Tay screamed blue murder when it popped out on Saturday to start with and it now just seems to be increasing in size. It caused him a lot of pain when it came out –  and still is –  and l don’ t see that putting some material over that hole to keep the mickey tight within the fistula is going to help.

Am I correct in saying that this will need to be quaterised again and somehow the mucosa stitched from the inside to prevent it popping out again?

Also, what is the average height and weight of 3 year old boy? We are currently sitting at 13.1kg and 88cm. He will be 3 on 24th Sept.

Excuse the lack of medical terminology, l am just a mom trying to nagivate my way through this challenge once again.

Expert's Reply



You know that you are always welcome to write to me and I will do my best to help. Tay has had such a difficult time. This is a very specialised area of paediatric surgery and you probably know more about nursing and treating Tay than most health care professonals. I must agree with you, I cannot see how this herniating mucusa is going to return back into the stomach simply by using a dressing. It does seem that it is necessary to fasten it back in some way so that it cannot protrude again.
The average weight of a 3 year old boy is 14.5kg, height 96cm.
Good luck, I am sure that I speak for all of our regular forum members when I wish Tay a speedy recovery.

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