Post-Surgery Recovery: Do I Need Ointment After Fistula Surgery?

Postoperative recovery after fistula surgery?

Hello, I had a fistula surgery a week ago, and the nursing staff at the hospital 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 required during the treatment process, and the initial ointment was provided by the hospital, not prescribed by him.
The only oral medication I received was pain relievers, and he mentioned that I just need to keep the wound clean.
He said that soaking in a basin is fine and that I don't need to do anything else.
However, when I researched other people's experiences, many mentioned using ointment.
I'm unsure if it's normal not to use ointment and if this could lead to the wound worsening.
My family and I are concerned because we believe the wound is quite large, and the doctor's advice has made us anxious.

Xiao Yihuo, 20~29 year old female. Ask Date: 2020/02/08

Dr. Ke Fangxu reply Surgery

The size of the wound is generally not related to whether or not to apply ointment.
It is commonly believed that the key is to keep the wound clean rather than the application of ointment.
Personally, I do not apply ointment in the early stages after surgery 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: 2020/02/08

More Info

After undergoing fistula surgery, it's understandable to have concerns about post-operative care, especially regarding the use of ointments and the healing process. Based on the information provided, it seems that your doctor has advised you to focus on keeping the wound clean rather than applying ointments. This approach is not uncommon, as many surgeons prioritize wound cleanliness over the application of topical medications, especially in the early stages of healing.

Understanding Post-Surgery Care for Fistula Surgery
1. Wound Care: The primary goal after any surgical procedure, including fistula surgery, is to promote healing and prevent infection. Keeping the wound clean is crucial. This typically involves gently washing the area with mild soap and water, patting it dry, and avoiding any harsh chemicals or irritants. If your doctor has emphasized cleanliness, it's likely they believe that the wound can heal effectively without the need for additional ointments.

2. Use of Ointments: While some patients may benefit from topical ointments to promote healing or reduce scarring, not all surgical wounds require them. The decision to use ointments often depends on the type of surgery, the size and location of the wound, and the surgeon's preference. In your case, if the doctor has indicated that ointments are not necessary, it may be because they believe the wound is healing well without them.

3. Signs of Infection: It's essential to monitor the surgical site for any signs of infection, such as increased redness, swelling, warmth, or discharge. If you notice any of these symptoms, or if the pain worsens, you should contact your healthcare provider immediately. Infection can complicate recovery and may require additional treatment.

4. Pain Management: You mentioned that you were prescribed pain medication. It's important to manage pain effectively, as uncontrolled pain can hinder your recovery. Follow your doctor's instructions regarding pain management and do not hesitate to reach out if you feel your pain is not adequately controlled.

5. Follow-Up Appointments: Regular follow-up appointments are crucial for monitoring your recovery. If you have concerns about the healing process or the size of the wound, don't hesitate to bring these up during your next visit. Your healthcare provider can assess the wound and provide guidance tailored to your specific situation.

6. Patient Experiences: While it's natural to seek out others' experiences online, it's important to remember that each patient's situation is unique. What works for one person may not be applicable to another, especially considering variations in surgical techniques, individual healing responses, and specific medical histories.

7. When to Seek Further Advice: If you continue to feel uncertain about your recovery or if you have specific concerns about the size of the wound or the healing process, consider reaching out to your healthcare provider for clarification. They can provide reassurance and adjust your care plan if necessary.

In summary, while it may seem concerning that you are not using ointments after your fistula surgery, your doctor's advice to focus on cleanliness is a common practice. As long as you are vigilant about monitoring for signs of infection and following your doctor's instructions, you should be on the right path to recovery. Always feel empowered to ask questions and voice your concerns with your healthcare provider to ensure you feel comfortable with your recovery process.

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