Wound management
Hello doctor, I had a tumor resection surgery two weeks ago.
There has been some drainage, which has caused the surrounding skin to become slightly necrotic.
I am currently using a silicone adhesive, but it has also caused a rash on the surrounding skin.
After applying the silicone adhesive, the sutured area has formed a scab, but due to the rash on the surrounding skin, when I removed the adhesive to clean the wound, I noticed that the scab (from the necrotic surrounding skin) came off with the adhesive.
I would like to ask if I should continue using the silicone adhesive, or should I stop using it to allow the surrounding skin to breathe?
Athena, 20~29 year old female. Ask Date: 2017/04/12
Dr. Zhou Hongzhang reply Plastic Surgery
If the skin is allergic to beauty patches, it is best to avoid using them altogether.
You may consider using other types of scar patches instead.
Reply Date: 2017/04/12
More Info
Managing wound care after tumor removal is crucial for optimal healing and minimizing complications. Given your situation, where you are experiencing some drainage and irritation around the wound site, it’s important to approach this with care and attention to detail.
First and foremost, it’s essential to keep the wound clean and dry. If you notice any drainage, it’s advisable to gently clean the area with mild soap and water, patting it dry with a clean towel. Avoid scrubbing the area, as this can further irritate the skin and disrupt the healing process. If you have been using a beauty tape or adhesive bandage, and it has caused a rash or irritation, it may be wise to discontinue its use. The skin surrounding the wound can be sensitive, especially after surgery, and allowing it to breathe can promote healing.
In your case, since you mentioned that the scab came off with the adhesive, it’s crucial to monitor the wound closely. If the scab is intact and not causing any issues, it’s generally best to leave it undisturbed, as scabs protect the underlying tissue and promote healing. However, if the scab is loose or if you notice any signs of infection (such as increased redness, swelling, warmth, or pus), you should contact your healthcare provider immediately.
Regarding the use of beauty tape, if the surrounding skin is reacting negatively, it’s advisable to stop using it. Instead, you can cover the wound with a sterile, non-adhesive dressing that allows for airflow while protecting the area from further irritation. This can help keep the wound clean without causing additional trauma to the surrounding skin.
In terms of hydration and nutrition, ensure you are consuming a balanced diet rich in vitamins and minerals, particularly vitamin C and zinc, which are vital for wound healing. Staying well-hydrated is also important, as it helps maintain skin elasticity and overall health.
If you are experiencing persistent irritation or if the rash worsens, consider consulting with your healthcare provider or a dermatologist. They can assess the situation and may recommend a topical treatment to alleviate the rash or suggest alternative wound care products that are less likely to cause irritation.
Lastly, avoid any activities that could strain the wound or cause excessive movement in the area until you receive clearance from your doctor. Gentle movements and light activities are generally acceptable, but listen to your body and avoid pushing through pain or discomfort.
In summary, prioritize keeping the wound clean and dry, discontinue the use of any irritating products, and consider using a breathable dressing. Monitor the wound for any signs of infection and maintain a healthy diet to support your healing process. If you have any concerns or if the situation does not improve, do not hesitate to reach out to your healthcare provider for further guidance.
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