Post-Surgery Care for Fistula Surgery: What to Expect and When to Worry - Surgery

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Postoperative care for fistula surgery?


Hello, doctor...
I underwent a fistula excision on September 4th.
It has been 12 days, and there hasn't been much bleeding from the wound.
I had a follow-up appointment, and the doctor advised me to keep the wound dry and apply the ointment twice a day, ensuring that no granulation tissue forms.
I would like to ask, I have some yellowish discharge when I remove the gauze, and there is a slight stinging sensation.
The doctor mentioned that there would be sutures inside to prevent complications.
The stitches were removed during my follow-up.
Is it normal to experience stinging pain around the anus and have pus on the gauze?

Ming, 30~39 year old female. Ask Date: 2017/09/16

Dr. Ke Fangxu reply Surgery


The wound from anal fistula surgery typically takes about a month to heal.
It is normal to have slight discharge from the wound during this time.
Regular warm sitz baths are recommended.
As long as there is no redness, swelling, heat, pain, or significant bleeding, there is no cause for concern.
Otherwise, you should consult your surgeon for evaluation.

Reply Date: 2017/09/16

More Info


Post-surgery care following a fistula surgery is crucial for ensuring proper healing and minimizing complications. It’s understandable to have concerns about your recovery, especially when experiencing symptoms like yellow discharge and a stinging sensation around the surgical site. Here’s what you can expect and when you should be concerned.


What to Expect After Fistula Surgery
1. Wound Healing: After a fistula surgery, it is normal for the surgical site to have some discharge as it heals. The yellowish discharge you mentioned could be a sign of normal healing, but it can also indicate the presence of infection, especially if it is accompanied by increased pain, redness, or swelling.

2. Pain and Discomfort: A certain level of discomfort or pain is expected after surgery. This can be due to the healing process and the body’s response to surgery. However, if the pain intensifies or becomes sharp, it may be a sign of a complication.

3. Dryness and Care: Keeping the wound dry is essential, as moisture can promote infection. Your doctor’s advice to apply ointment twice a day is standard practice. Ensure that you are following this recommendation closely and that the area is clean before applying any medication.

4. Signs of Infection: While some discharge is normal, you should be vigilant for signs of infection. These include:
- Increased redness or swelling around the wound
- A significant increase in pain or discomfort
- Fever or chills
- Foul-smelling discharge or pus
If you experience any of these symptoms, it is essential to contact your healthcare provider immediately.


When to Worry
- Persistent or Worsening Symptoms: If the stinging sensation around the anus becomes more pronounced or if the discharge changes in color or consistency (especially if it becomes green or foul-smelling), you should seek medical attention.
- Fever: A fever can indicate an infection, which requires prompt evaluation and treatment.

- Changes in Bowel Movements: If you notice any changes in your bowel habits, such as increased pain during bowel movements or difficulty passing stool, this should also be discussed with your doctor.


Follow-Up Care
- Regular Check-Ups: It’s essential to keep all follow-up appointments with your surgeon. They will assess the healing process and determine if any additional interventions are necessary.

- Hygiene: Maintain good hygiene in the area to prevent infections. Gentle cleaning with mild soap and water, followed by thorough drying, is recommended.

- Diet and Hydration: Eating a high-fiber diet and staying well-hydrated can help prevent constipation, which can put additional strain on the surgical site.


Conclusion
In summary, while some discomfort and discharge can be normal after fistula surgery, it’s crucial to monitor your symptoms closely. If you notice any signs of infection or if your pain worsens, do not hesitate to reach out to your healthcare provider. They are best equipped to evaluate your condition and provide the necessary care. Remember, your recovery is a process, and being proactive about your health will help ensure the best outcomes.

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