Managing Unpleasant Odors After Surgical Drain Placement: What to Do? - Surgery

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Odor after fistula surgery?


Hello Dr.
Ke: I had surgery on July 20th of this year, and it has been over a month since my recovery period began.
During this time, my wound has been healing well, but in the past few days, I have noticed a sour odor coming from the wound, along with some yellowish-green discharge and clear, sour serous fluid.
After observing this condition, I applied Neosporin ointment as I did after the surgery, and I also rinse the wound after using the restroom, but the situation has remained the same after two days.
Currently, there is still slight pain when I exert pressure on the wound.
I recently took a photo of the wound, and the surface appears white.
Given this situation, if I rinse the wound with clean water every day, will that help it heal faster? What additional measures should I take to address this issue?

Mr. Huang, 10~19 year old female. Ask Date: 2017/08/27

Dr. Ke Fangxu reply Surgery


The doctor's response is as follows: It is normal to have a small amount of discharge before the wound is completely healed.
However, if this occurs one month post-surgery, it is advisable to have the doctor examine it.
If it is not a complex fistula surgery, there is a possibility that a recurrence has occurred.

Reply Date: 2017/08/27

More Info


Managing unpleasant odors and unusual discharge from a surgical site can be concerning, especially when you are in the recovery phase after surgery. Based on your description, it seems you are experiencing some signs that may indicate an infection or delayed healing at the surgical site. Here’s a comprehensive approach to managing your situation:

Understanding the Symptoms
1. Odor and Discharge: The presence of a foul smell and colored discharge (yellowish-green) can be indicative of an infection. The transparent, acidic fluid you mentioned could be serous fluid, which is normal in the healing process, but the combination of these symptoms warrants attention.

2. Pain: Mild pain during movement is not uncommon post-surgery, but if it is increasing or accompanied by other symptoms like fever or increased swelling, it could signal a complication.


Immediate Steps to Take
1. Keep the Area Clean: It is essential to maintain cleanliness at the surgical site. Gently wash the area with mild soap and water. Avoid using harsh chemicals or scrubbing too hard, as this can irritate the skin and worsen the situation.

2. Drying the Area: After washing, gently pat the area dry with a clean towel. Moist environments can promote bacterial growth, so keeping the area dry is crucial.

3. Avoid Self-Medicating: While applying Neosporin or other topical antibiotics may seem helpful, it’s important to consult your healthcare provider before continuing this practice. Overuse of topical antibiotics can sometimes lead to resistance or allergic reactions.

4. Monitor Symptoms: Keep a close eye on the wound for any changes. If the odor worsens, the discharge increases, or if you develop fever, chills, or increased pain, seek medical attention promptly.


When to Seek Medical Attention
- Persistent Symptoms: If the unpleasant odor and discharge do not improve within a few days of proper care, or if they worsen, it is crucial to contact your healthcare provider. They may need to assess the wound for signs of infection or other complications.

- Signs of Infection: Look for symptoms such as increased redness, swelling, warmth around the wound, fever, or spreading redness. These are signs that you should seek immediate medical care.


Follow-Up Care
1. Regular Check-Ups: Ensure you attend any scheduled follow-up appointments with your surgeon or healthcare provider. They can assess the healing process and determine if any interventions are necessary.

2. Wound Care Instructions: Follow any specific wound care instructions provided by your healthcare provider. This may include how often to clean the wound, when to change dressings, and what signs to watch for.

3. Nutrition and Hydration: Support your healing process by maintaining a balanced diet rich in vitamins and minerals, particularly vitamin C and zinc, which are important for wound healing. Staying hydrated is also essential.


Conclusion
In summary, while some odor and discharge can be normal during the healing process, the symptoms you describe suggest that you should take proactive steps to manage your wound care. Keeping the area clean and dry, monitoring for signs of infection, and seeking medical advice when necessary are crucial components of your recovery. If you have any doubts or if your symptoms persist, do not hesitate to reach out to your healthcare provider for further evaluation and guidance. Your health and recovery are paramount, and timely intervention can prevent complications.

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