Post-Operative Care for Plantar Warts Removal: Essential Guidelines

Surgical excision of plantar warts?

Hello, Doctor.
I would like to ask about the post-operative care procedure following the excision of a plantar wart.
Approximately 10 hours after the surgery, I removed the gauze that was covering the lesion (I felt it was uncomfortable being trapped inside, and the doctor did not instruct me to remove it).
The surgical site is now exposed to air, and from visual observation, the wound is about 1 cm long, with an unknown depth, and it has 4 stitches.
The procedure was performed under local anesthesia on the foot and took about 10 minutes.
The medication I received did not include any antibiotics for bacterial infection, only anti-inflammatory medication.
I would like to know if removing the gauze was too soon? Should I return for a follow-up to change the dressing? Or, if there are no signs of infection, should I purchase breathable gauze to cover the area myself? Lastly, thank you, Doctor, for taking the time to read and respond amidst your busy schedule! I appreciate it!

Long, 10~19 year old female. Ask Date: 2018/10/14

Dr. Wu Yuxin reply Dermatology

General surgery does not always require antibiotics for bacterial infection prevention.
For other concerns, you should consult your attending physician, as they are most familiar with your condition.

Reply Date: 2018/10/14

More Info

Post-operative care for plantar warts removal is crucial to ensure proper healing and to minimize the risk of complications such as infection or recurrence. Here are essential guidelines to follow after the procedure:
1. Initial Dressing Care: After plantar wart removal, it is common for the surgical site to be covered with a sterile dressing. It is generally advised to keep this dressing intact for at least 24 hours or as directed by your physician. Removing the dressing too early, as you did approximately 10 hours post-surgery, can expose the wound to bacteria and other contaminants, increasing the risk of infection. If the dressing was removed prematurely, monitor the site closely for any signs of infection, such as increased redness, swelling, warmth, or discharge.

2. Wound Inspection: After removing the dressing, inspect the wound carefully. A wound that is approximately 1 cm long and has been sutured with four stitches should be kept clean and dry. If the wound appears clean and there are no signs of infection, you may proceed to cover it with a breathable bandage. However, if you notice any concerning symptoms, it is essential to contact your healthcare provider immediately.

3. Hygiene Practices: Keep the surgical site clean. You can gently clean the area around the wound with mild soap and water, but avoid soaking the foot in water (e.g., baths or swimming) until the wound has healed sufficiently. This helps prevent maceration of the skin and reduces the risk of infection.

4. Dressing Changes: If you choose to cover the wound with a breathable bandage, change it daily or whenever it becomes wet or dirty. Ensure that you wash your hands thoroughly before and after changing the dressing to prevent introducing bacteria to the wound.

5. Pain Management: If you experience pain or discomfort, over-the-counter pain relievers such as acetaminophen or ibuprofen can be used as directed. However, avoid taking any medication without consulting your physician, especially if you have other underlying health conditions.

6. Follow-Up Appointments: It is crucial to attend any scheduled follow-up appointments with your healthcare provider. They will assess the healing process, remove stitches if necessary, and provide further instructions on care. If you have any concerns about the healing process or if the wound does not appear to be healing properly, do not hesitate to reach out to your doctor for advice.

7. Avoiding Irritation: Be cautious about wearing tight shoes or engaging in activities that may irritate the surgical site. Opt for open-toed shoes or sandals until the wound has healed completely to avoid pressure on the area.

8. Signs of Infection: Be vigilant for any signs of infection, including increased pain, swelling, redness, warmth, or discharge from the wound. If you notice any of these symptoms, contact your healthcare provider promptly for evaluation and possible treatment.

In summary, while it is understandable to want to remove the dressing for comfort, it is essential to follow your healthcare provider's instructions regarding post-operative care. Keeping the wound clean, dry, and protected is vital for optimal healing. If you have any doubts or concerns about your recovery, do not hesitate to reach out to your healthcare provider for guidance. Proper post-operative care will help ensure a smooth recovery and reduce the risk of complications.

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