Post-Surgery Recovery: Addressing Concerns About Finger Wound Healing

Wound issue

Dear Doctor,
I would like to inquire about post-operative recovery issues.
Due to an improper operation of the machine, the flesh of my finger was partially removed, exposing the bone.
An X-ray showed no damage to the bone.
There were several treatment options at that time: one was to transplant the finger into the abdomen for a flap surgery to regenerate soft tissue, and the other option was to cover the finger with artificial skin and then wrap it in gauze for observation over three weeks (currently in the first week).
I later chose to cover my index finger with artificial skin (due to work reasons).

I would like to ask the doctor:
1.
Is it normal for there to be bleeding while it is still wrapped in gauze?
2.
The doctor only warned me against smoking to prevent necrosis; are there any other aspects I need to pay attention to?
3.
If the finger heals successfully, will the finger's flexibility be able to return to its previous state?

kaikai, 30~39 year old female. Ask Date: 2017/09/21

Dr. Zhou Hongzhang reply Plastic Surgery

1.
The amount of seepage should be assessed; a small amount of seepage is normal.

2.
The wound should be kept clean, dry, and free from contaminants.
Avoid smoking, drinking alcohol, and other harmful substances that could affect the wound.

3.
The more severe the injury, the greater the potential for functional loss in the future.

4.
It is advisable to consult a physician for the best answers.

Reply Date: 2017/09/21

More Info

Post-surgery recovery, especially for finger injuries, can be a complex process that requires careful monitoring and management. Based on your description, it sounds like you've undergone a significant procedure to address a severe finger injury, and you have several important questions regarding your recovery.

1. Bleeding Under Bandage: It is not uncommon for a wound to bleed during the initial stages of healing, especially if it is still within the first week post-surgery. However, if the bleeding is excessive or does not seem to subside, it is crucial to contact your healthcare provider. They may need to assess the wound to ensure that there are no complications, such as infection or improper healing. It’s also important to keep the area clean and dry, as moisture can lead to infection.

2. Post-operative Care: Besides avoiding smoking, which can significantly impair blood flow and delay healing, there are several other factors to consider:
- Wound Care: Follow your doctor’s instructions regarding changing the dressing and keeping the wound clean. If you notice increased redness, swelling, or discharge, these could be signs of infection.

- Pain Management: Use prescribed pain medications as directed. Over-the-counter pain relievers may also be helpful, but consult your doctor before taking any new medications.

- Mobility: Depending on your doctor’s advice, gentle movement of the finger may be encouraged to prevent stiffness, but avoid any activities that could stress the healing tissue.

- Nutrition: A balanced diet rich in vitamins and minerals, particularly Vitamin C and protein, can support healing. Staying hydrated is also essential.

3. Recovery of Finger Mobility: The extent to which your finger can regain its previous range of motion depends on several factors, including the severity of the injury, the type of surgical intervention, and your adherence to rehabilitation protocols. After the initial healing phase, physical therapy may be recommended to help restore function. This can include exercises to improve flexibility and strength. While many patients can regain significant mobility, some may experience limitations due to scar tissue formation or damage to the surrounding structures.

In summary, while some bleeding is normal in the early stages of healing, it is essential to monitor the wound closely for any signs of complications. Adhering to post-operative care instructions, maintaining a healthy lifestyle, and engaging in rehabilitation exercises will be critical to your recovery. If you have any concerns or if your symptoms worsen, do not hesitate to reach out to your healthcare provider for further evaluation and guidance. Your proactive approach to your recovery will play a significant role in achieving the best possible outcome.

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