Post-Surgery Recovery: Care After Fistula Surgery

Postoperative recovery after fistula surgery?

Hello, I had a fistula surgery a week ago, and during my hospital stay, the nursing staff provided me with ointment to apply.
However, when I returned for a follow-up appointment a week later and asked the doctor if I could get more ointment, he said that ointment is needed throughout the treatment process, but the initial ointment was provided by the hospital and not prescribed by him.
He mentioned that the only oral medication I have is pain relief and that I just need to keep the wound clean.
He advised that I don't need to do anything else besides soaking in a basin.
However, when I researched other people's experiences, many mentioned using ointment.
I'm unsure if it's normal not to use ointment and whether this could lead to the wound worsening.
My family and I are concerned because we believe the wound is quite large, and we expected the doctor to say otherwise.

Xiao Yihuo, 20~29 year old female. Ask Date: 2020/02/07

Dr. Ke Fangxu reply Surgery

The size of the wound is generally not related to whether or not to apply an ointment.
It is commonly believed that the key is to keep the wound clean rather than the application of ointment being necessary.
Personally, I do not apply ointment in the early postoperative period because I feel that applying ointment can hinder the removal of secretions and lead to fecal adhesion.
Of course, there are physicians with differing opinions.
Therefore, taking warm sitz baths after surgery is very important, as this is widely recognized to aid in wound healing.

Reply Date: 2020/02/07

More Info

Post-surgery recovery after a fistula surgery is a critical period that requires careful attention to wound care and overall health management. It is understandable to have concerns about the recovery process, especially when you hear differing opinions from other patients regarding the use of topical medications.

First and foremost, it is essential to follow your surgeon's specific instructions regarding wound care. In many cases, after a fistula surgery, the primary focus is on keeping the wound clean and dry to prevent infection. Your surgeon's recommendation to avoid additional topical medications may be based on their assessment of your specific situation. If they believe that the wound is healing well without the need for further ointments, it is likely that they have a good reason for this approach.

The healing process for a fistula can vary significantly from person to person. Factors such as the size of the wound, the technique used during surgery, and your overall health can all influence recovery time. Generally, it is normal for the surgical site to be sensitive and for some swelling or discomfort to persist for a few weeks post-operation. However, if you notice any signs of infection—such as increased redness, swelling, warmth, or discharge from the wound—it is crucial to contact your healthcare provider immediately.

Regarding your concerns about the size of the wound and whether it could worsen without the use of topical medications, it is important to remember that the body has a remarkable ability to heal itself. As long as you maintain proper hygiene and follow your doctor's advice, the wound should heal appropriately. If you feel uncertain about the healing process or if your wound appears to be worsening, do not hesitate to reach out to your healthcare provider for reassurance or further evaluation.

In addition to wound care, there are several general recommendations to support your recovery after fistula surgery:
1. Diet and Hydration: Eating a balanced diet rich in fiber can help prevent constipation, which is particularly important after surgery. Staying hydrated is also crucial for overall health and can aid in the healing process.

2. Pain Management: Continue to take any prescribed pain medications as directed. If you find that your pain is not adequately controlled, discuss this with your doctor, as they may need to adjust your medication.

3. Activity Level: While it is important to rest and allow your body to heal, gentle movement can promote circulation and healing. However, avoid strenuous activities or heavy lifting until your doctor gives you the green light.

4. Follow-Up Appointments: Keep all scheduled follow-up appointments with your healthcare provider. These visits are essential for monitoring your recovery and addressing any concerns you may have.

5. Emotional Support: Recovery can be a challenging time, both physically and emotionally. It may be helpful to talk to friends, family, or a mental health professional if you are feeling anxious or overwhelmed.

In conclusion, while it is natural to have concerns about your recovery after fistula surgery, it is essential to trust your healthcare provider's guidance. If you have any doubts or if your condition changes, do not hesitate to reach out for further advice. Your health and well-being are the top priority, and open communication with your medical team is key to a successful recovery.

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