Is This Post-Surgery Condition Normal? Concerns About Recovery

Is this normal after surgery?

Hello, doctor.
I had surgery on August 2nd and was discharged after about three days in the hospital.
I was originally scheduled for a follow-up appointment on the 10th, but I couldn't go due to my living situation.
Around the 10th, I noticed a raised area around my anus and was worried it might be a recurrence.
Last week, I hurried back to see the doctor, who said I was allergic to the sutures, so he removed them.
During the surgery, it seemed to be an incision procedure.
When I applied medication and looked in the mirror, I noticed a very deep wound in the anal area.
Over the past few days, while applying medication, I found that there are still one or two strands of suture remaining.
Should I go back to the doctor to have them removed? They seem to be embedded in the tissue.
The wound is currently about 1-2 cm long (it was originally at least 3-4 cm).
There is one 3 cm strand of suture still visible on the outside.
Should I cut it myself? Will it have any impact? Thank you.

danxin, 20~29 year old female. Ask Date: 2016/08/31

Dr. Ke Fangxu reply Surgery

What type of surgery is being performed? Is it for hemorrhoids or a fistula? If it involves either of these, the sutures used are mostly absorbable and will fall out on their own.
If it is another type of surgery that uses different kinds of sutures, you will need to consult the surgeon for more information.

Reply Date: 2016/08/31

More Info

Dear Patient,
Thank you for reaching out with your concerns regarding your post-surgery condition. It’s understandable to feel anxious after a surgical procedure, especially when you notice changes or complications during your recovery. Let’s address your questions and concerns step by step.

1. Post-Surgery Condition: It is not uncommon to experience some complications after surgery, such as allergic reactions to sutures or residual suture material. The fact that your doctor identified the issue as an allergic reaction to the sutures and removed them is a positive step. Allergic reactions can manifest as swelling, redness, or the formation of bumps around the surgical site, which can be alarming but are generally manageable.

2. Residual Sutures: If you have noticed that there are still remnants of suture material present, it is essential to consult your healthcare provider before taking any action. While some sutures are designed to dissolve over time, others may need to be removed manually. If the remaining suture is causing discomfort or if it appears to be embedded in the tissue, it is best to have a professional evaluate it. Attempting to remove it yourself could lead to infection or further complications.

3. Wound Healing: The healing process can vary significantly from person to person. The fact that your wound has reduced in size from 3-4 cm to 1-2 cm is a positive sign of healing. However, the presence of a deep wound and any remaining suture material should be monitored closely. It’s crucial to keep the area clean and follow any post-operative care instructions provided by your surgeon.

4. Follow-Up Care: Since you mentioned that you missed your follow-up appointment, I strongly recommend scheduling a visit with your surgeon as soon as possible. They can assess the healing process, check for any signs of infection, and determine whether further intervention is necessary regarding the remaining suture. Regular follow-ups are vital in ensuring that your recovery is on track and that any potential issues are addressed promptly.

5. Self-Care: While it may be tempting to try and manage the situation on your own, it’s essential to prioritize professional medical advice. If you are experiencing pain, increased swelling, or any discharge from the wound, these could be signs of infection, and you should seek medical attention immediately.

6. Emotional Well-Being: It’s also important to acknowledge the emotional toll that surgery and recovery can take. If you find yourself feeling anxious or overwhelmed, consider discussing these feelings with your healthcare provider. They may be able to offer resources or support to help you cope during this time.

In summary, while some post-surgical complications can be normal, it’s crucial to have any concerns evaluated by a healthcare professional. Please do not attempt to remove any sutures on your own, and make sure to follow up with your surgeon for a thorough evaluation of your healing process. Your health and safety should always come first.

Wishing you a smooth and speedy recovery.

Best regards,
Doctor Q&A Teams

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