Hunter made it through another surgery… but tonight he’s back in the ICU again.
And once the anesthesia fades, the hardest part is about to begin.
Hunter Alexander is back in the ICU tonight following another surgery — and while doctors are encouraged by what they’re seeing, the fight to save his arms is still far from over.
His father shared an update confirming that the procedure went well overall, but surgeons were forced to remove more damaged tissue in order to stay ahead of a dangerous threat: necrosis.
During surgery, doctors had to remove a thin necrotic layer from the bottom of an outer forearm muscle, measuring approximately 3 to 4 inches long. While that detail is unsettling, the encouraging news is what came next — aside from that area, Hunter’s inner forearm, wrist, and hand injuries looked good.
Even more importantly, the ulnar artery repair from his previous surgery is healthy. That is a major positive sign, because stable circulation can mean the difference between tissue survival and further deterioration.
But the road ahead remains complicated.
Specialist Teams Now Consulting on a Flap Procedure
Hunter’s case has now reached a stage where multiple surgical teams are actively consulting on what should happen next.
The vascular surgery team and the oral and maxillofacial surgery (OMFS) team are discussing whether it may be possible to create a flap to cover the most delicate inner forearm areas before skin grafting begins.
This is a major development in his treatment plan.
LSU-S does not have a dedicated plastic surgery team, but the OMFS team is experienced with these types of flap procedures because they routinely perform similar reconstruction work in complex neck and facial surgeries.
For Hunter, this means the hospital is bringing in every available level of expertise to protect his arm and preserve function before the next phase begins.
No Skin Grafts Yet — Doctors Still Removing Small Areas of Dead Tissue
One key point from the update: no skin grafts were done during this surgery.
Doctors are still in the stage of identifying and removing small pockets of dead tissue that must be cleared before grafting can safely begin.
Nothing was done to Hunter’s right hand during this procedure, and surgeons remain focused on preparing the wounds properly before moving into the grafting stage.
A wound vac has also been placed back on his arm to help manage drainage and support healing.
Another Surgery Likely in Two Days
Even after today’s operation, the timeline remains relentless.
Hunter’s next surgery will likely be in about two days, meaning there is little time to recover before he faces the operating room again.
And as his father pointed out, the most difficult part often comes after the surgery ends.
The Pain After Surgery Is Expected to Be Rough
Those closest to Hunter know the pattern by now.
The surgery may go well.
The doctors may be encouraged.
But once the anesthesia wears off, the pain returns — and it can be brutal.
His family is asking for prayers, especially that Hunter can get some relief and rest tonight as his body absorbs yet another procedure.
Cards and Mailing Address Update Coming Soon
Many supporters have asked where they can send Hunter a card.
His father shared that as soon as Hunter is moved into a room on the floor and assigned a specific room number, the family will post updated mailing information so cards can reach him properly.
Until then, the message remains simple:
Another surgery down.
Another difficult recovery night ahead.
And more surgeries still coming.
Hunter is still fighting — and his family is asking everyone to keep the prayers going.
