Managing Post-Surgery Wound Care: Concerns and Best Practices

Wound issues

Hello Doctor: My father recently discovered a filiform skin tag near his groin.
He found it bothersome when wearing pants, but felt it wasn't necessary to seek medical attention.
Last night, I took it upon myself to cut it off with a small beauty scissors and covered the wound with artificial skin.
I would like to ask: 1.
When I changed the dressing this morning, I noticed the wound was clean and not red or hot, but the surrounding skin appears to be noticeably more raised than usual.
There is no discharge, and it looks like a small bump with the wound in the center.
Although it is not very prominent, I am somewhat worried and unsure what has happened.
Is it swollen? How should I proceed? 2.
Does this indicate that the wound is swollen and infected? Can I still use artificial skin, or should I apply an antibiotic ointment (like bacitracin) instead? 3.
Given this situation, should I seek medical attention for anti-inflammatory medication? I really regret my impulsive action and am quite concerned...
Thank you.

vivian244, 50~59 year old female. Ask Date: 2017/09/17

Dr. Chen Jiaming reply Surgery

When the general public self-removes skin tags, they tend to cut at the narrowest point, resulting in the smallest wound.
However, the remaining skin may not appear smooth (it may be slightly raised), which is normal.
The completeness of disinfection during self-removal is crucial as it affects the risk of infection.
Key symptoms to monitor include redness, swelling, heat, pain, and pus formation.
Proper disinfection followed by the application of a synthetic skin covering is acceptable.
Medical attention and antibiotic treatment are only necessary if symptoms of infection, as mentioned above, arise.
I hope this information is helpful!

Reply Date: 2017/09/17

More Info

Managing post-surgery wound care is crucial for ensuring proper healing and preventing complications. Based on your description, it seems that your father has experienced a minor surgical intervention at home, which can lead to various concerns regarding wound management. Here’s a comprehensive guide on how to handle the situation effectively.

1. Understanding the Wound Condition
From your description, the wound appears clean without signs of redness or heat, which is a positive sign. However, the surrounding skin being raised could indicate mild swelling, which is not uncommon after any form of trauma, including surgical procedures. This swelling can occur due to inflammation as part of the body's natural healing response. If the swelling is localized and there is no discharge or significant pain, it may not necessarily indicate an infection.

2. Wound Care Practices
- Keep the Wound Clean: It’s essential to maintain cleanliness to prevent infection. Gently clean the area with mild soap and water, avoiding any harsh chemicals that could irritate the skin.

- Use of Artificial Skin: Artificial skin can be beneficial for protecting the wound from external irritants and promoting a moist healing environment. If the wound is clean and there are no signs of infection, you can continue using the artificial skin. However, ensure it is applied correctly to avoid trapping moisture underneath, which can lead to maceration.

- Antibiotic Ointment: If you notice any signs of infection, such as increased redness, warmth, or discharge, it may be wise to apply a topical antibiotic ointment like bacitracin. However, if the wound remains clean and dry, using the artificial skin alone may suffice.

3. Monitoring for Infection
Keep an eye on the wound for any changes. Signs of infection include:
- Increased redness or warmth around the wound
- Swelling that worsens over time
- Pus or other discharge
- Increased pain or tenderness
- Fever or chills
If any of these symptoms develop, it is crucial to seek medical attention promptly.

4. When to Seek Medical Attention
Given the circumstances of the self-surgery, it is advisable to consult a healthcare professional, especially if:
- The swelling persists or worsens.

- You notice any signs of infection.

- The wound does not show signs of healing after a few days.

- Your father experiences increased pain or discomfort.

A healthcare provider can assess the wound properly, possibly prescribe oral antibiotics if an infection is suspected, and provide further guidance on wound care.

5. Preventive Measures for Future Care
In the future, it’s essential to avoid self-surgery unless absolutely necessary and to seek professional medical advice for any skin lesions or concerns. Medical professionals can provide safe and sterile environments for procedures, reducing the risk of complications.

Conclusion
While it’s understandable to feel anxious about the situation, maintaining proper wound care and monitoring for signs of infection are key steps in ensuring a positive outcome. If you have any doubts or if the condition of the wound changes, do not hesitate to consult a healthcare professional for further evaluation and treatment. Your father's health and safety should always come first, and professional guidance is invaluable in managing post-surgery care effectively.

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