| | Joined: Oct 2007 Posts: 104 Senior Member (100+ posts) |  Senior Member (100+ posts)
Joined: Oct 2007 Posts: 104 | My husband's PEG tube was initially sutured but these were removed in a week's time. If the sutures are left in they will become irritated and infected. On subsequent tube replacements no sutures were used. Daily cleansing around the tube with saline and a dry dressing applied was all the care required.
Caregiver to husband Dx. Stage 4 SCC of gingiva with 3 nodes pos. Partial mandiblectomy with bone graft from iliac crest Dec. 2006. IMRT x30, Cisplatin x3. Completed Tx. March 15, 2007. Osteonecrosis & removal of graft & plate Oct. 2007. Recurrence of SCC Dec. 2007. Deceased Jan. 17, 2008.
| | | | | Joined: May 2008 Posts: 551 "Above & Beyond" Member (500+ posts) | | "Above & Beyond" Member (500+ posts)
Joined: May 2008 Posts: 551 | No stitches here! Both of my PEGs were held in initially just by being cinched up tightly and then after a week of healing, loosened. There is a bumper inside the stomach, or a balloon, that keeps it in place.
Stage IV SCC lt lateral tongue, surgery 5/19/08 (partial gloss/upper neck dissection left side/radial free flap reconstruction) IMRT w/weekly Cisplatin & Erbitux 6/30/08, PEG 1 6/12/08 - out 7/14 (in abdominal wall, not stomach), PEG 2 7/23/08 - out 11/20/08, Tx done 8/18/08
Second SCC tumor, Stage 1, rt mobile tongue, removed 10/18/2016, right neck dissection 12/9/2016
Third SCC tumor, diagnosed, 4/19/2108, rt submandibular mass, HPV-, IMRT w/ weekly Cisplatin, 5/9 - 6/25/2018, PEG 3 5/31/2018
| | | | | Joined: Nov 2005 Posts: 1,128 Patient Advocate (1000+ posts) | | Patient Advocate (1000+ posts)
Joined: Nov 2005 Posts: 1,128 | Yes, my second PEG came with a sturdy plastic rectangle around it and the PEG-placer put several sutures in to hold it in place.
On my first followup visit to the nurse practitioner (a member of Dr Haakenslash's team, who follows me through the entire process, allowing the Docs to do the major blood 'n guts stuf), she removed the sutures saying that they got infected so often that she didn't bother to wait any more.
My first PEG in 2005 had no sutures.
Age 67 1/2
Ventral Tongue SCC T2N0M0G1 10/05
Anterior Tongue SCC T2N0M0G2 6/08
Base of Tongue SCC T2N0M0G2 12/08
Three partial glossectomy (10/05,11/05,6/08), PEG, 37 XRT 66.6 Gy 1/06
Neck dissection, trach, PEG & forearm free flap (6/08)
Total glossectomy, trach, PEG & thigh free flap (12/08)
On August 21, 2010 at 9:20 am, Pete went off to play with the ratties in the sky.
| | | | | Joined: Jul 2007 Posts: 939 "Above & Beyond" Member (500+ posts) | | "Above & Beyond" Member (500+ posts)
Joined: Jul 2007 Posts: 939 | No sutures used on Bill's PEG. Just a round button (small, about the size of a nickle) that held it in place. While it was healing we used sterile saline solution and a gauze pad to clean around the button. After healing, his shower water mostly did the trick but I would clean under it with the gauze.
Deb
Deb..caregiver to husband, age 63 at diagnosis, former smoker who quit in 1997.
DIAGNOSIS: 6/26/07 SCC right tonsil/BOT T4N0M0
TREATMENT START: 8/9/07 cisplatin/taxol X 7..IMRT twice daily X 31.5.
TREATMENT END: 10/1/07
PEG OUT: 1/08
PORT OUT: 4/09
FOLLOWUP: Now only annual exams. ALL CLEAR!
Passed away 1/7/17 RIP Bill
| | | | | Joined: Jul 2008 Posts: 228 Gold Member (200+ posts) | | Gold Member (200+ posts)
Joined: Jul 2008 Posts: 228 | I had stitches on both sides of my PEG because I had two small incisions about a quarter of an inch from the main incision from when they put it in, but they were not actually stitched to the PEG. I had my PEG put in using Xray and they didn't go through my mouth for anything. My stitches dissolved or something after a couple of weeks. I have the balloon on the inside of my stomach holding it in and a round bumper on the outside.
Stephanie, 23, SCC on the right side of my tongue, surgery on 5-19-08, over half my tongue removed, free flap constructed from my forearm, bilateral neck dissection, one positive node. Radiation (32) and chemo (carboplatin) started on 6-16-08. Recurrence 4/09 in lungs.
**** Stephanie passed away 12.15.09.... RIP our dear friend****
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