Post-Surgical Wound Care: Pain, Gel Application, and Healing - Surgery

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Wound after debridement surgery?


Hello doctor, my mother was discharged from the hospital today.
After I disinfected her wound and applied the wound gel in the evening, she felt pain at the wound site.
Is this due to the gel, or could it be because I didn't disinfect the wound properly? What is the purpose of the Boshutan wound gel? When applying it, does using too little or too much have any effects on the wound? Is it normal for the wound to feel painful after applying the gel? My mother is very worried that the wound might worsen...

Juan, 30~39 year old female. Ask Date: 2019/12/10

Dr. Yu Mingchang reply Surgery


Hello: It is normal to experience pain after cleaning a wound.
The function of the gel is to provide moisture, similar to the need for water, as tissues must remain hydrated for proper healing.
Please visit the surgical outpatient clinic.

Reply Date: 2019/12/10

More Info


Post-surgical wound care is a critical aspect of recovery, especially after significant procedures such as orthopedic surgeries. Your concerns regarding your mother's wound care, pain management, and the application of gel are valid and important to address.

Firstly, it's essential to understand that pain after surgery is common and can be influenced by several factors, including the type of surgery, the extent of tissue damage, and individual pain tolerance. When applying a wound gel, such as the one you mentioned (博舒坦), it is designed to promote healing, provide a moist environment, and potentially reduce the risk of infection. However, the application of any topical agent can sometimes cause discomfort or a stinging sensation, especially if the wound is sensitive or not fully healed.

Regarding the pain your mother is experiencing after applying the gel, it could be due to several reasons:
1. Sensitivity of the Wound: Fresh surgical wounds can be very sensitive. The application of any substance, even if it is meant to aid healing, can cause temporary discomfort. This is often normal, especially in the initial days following surgery.

2. Infection or Inflammation: If the wound is not healing properly or if there is an infection, pain may increase. Signs of infection include increased redness, swelling, warmth, and discharge from the wound. If you notice any of these symptoms, it is crucial to contact her healthcare provider immediately.

3. Improper Application: If the gel is applied too thickly, it may not absorb properly and could lead to increased moisture at the wound site, which might cause irritation. Conversely, applying too little may not provide the intended benefits. It’s essential to follow the instructions provided by the healthcare provider or the product guidelines for optimal results.

4. Underlying Conditions: If your mother has any underlying health conditions, such as diabetes, this can affect wound healing and pain perception. Diabetes can lead to slower healing times and increased risk of infection, which can contribute to pain.

In terms of the gel's application, it is generally recommended to apply a thin layer over the wound. If you apply too much, it may not allow the wound to breathe, potentially leading to maceration (softening and breaking down of skin due to prolonged moisture). On the other hand, applying too little may not provide adequate coverage or moisture, which is essential for healing.

After applying the gel, if your mother continues to feel pain, it is advisable to monitor her symptoms closely. Pain that persists or worsens should be evaluated by a healthcare professional. It’s also important to ensure that the wound is kept clean and dry, and to follow any specific aftercare instructions provided by her surgeon.

In summary, while some discomfort after applying a wound gel can be normal, it is essential to keep an eye on the wound for signs of infection and to ensure proper application of the gel. If your mother is concerned about her wound worsening, it would be prudent to consult her healthcare provider for reassurance and further guidance. Regular follow-ups and open communication with her medical team will help ensure a smooth recovery process.

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