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

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 some 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, including soaking in a basin.
However, when I looked up 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 quite concerned because we believe the wound is large and we expected the doctor to say otherwise.

Xiao Yihuo, 20~29 year old female. Ask Date: 2020/02/10

Dr. Ke Fangxu reply Surgery

The size of the wound is generally not related to the necessity of applying ointment.
It is commonly believed that whether or not to apply ointment is not essential; the key is to keep the wound clean.
Personally, I do not apply ointment in the early postoperative period because I believe 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 water sitz baths after surgery is very important, as this is widely recognized to aid in wound healing.

Reply Date: 2020/02/10

More Info

After undergoing fistula surgery, it is common to have concerns about post-operative care, especially regarding the use of ointments or topical treatments. Based on your description, it seems that your doctor has advised you to focus primarily on keeping the wound clean rather than applying ointments. This approach can be quite standard in post-surgical care for certain types of wounds, including those resulting from fistula surgeries.

Understanding Post-Surgery Care for Fistula Surgery
1. Wound Care: The primary goal after any surgical procedure, including fistula surgery, is to ensure that the wound heals properly. Keeping the area clean is crucial to prevent infection. Your doctor’s recommendation to maintain cleanliness and avoid unnecessary topical treatments is not uncommon. In many cases, excessive application of ointments can trap moisture and bacteria, potentially leading to complications.

2. Ointment Use: While some patients may be prescribed ointments to promote healing or prevent infection, it is not a universal requirement. The decision to use ointments often depends on the type of surgery, the size and location of the wound, and the surgeon's preference based on their clinical experience. If your doctor has indicated that ointment is not necessary and that you should focus on cleanliness, it is likely that they believe your wound can heal effectively without it.

3. Signs of Complications: It is essential to monitor your wound for any signs of infection or complications. These signs may include increased redness, swelling, warmth around the wound, discharge (especially if it is pus-like), or worsening pain. If you notice any of these symptoms, it is crucial to contact your healthcare provider immediately.

4. Follow-Up Care: Regular follow-up appointments are vital after surgery. During these visits, your doctor can assess the healing process and make recommendations based on your specific situation. If you have concerns about the size of the wound or the healing process, do not hesitate to bring these up during your next appointment. It is always better to address concerns early on.

5. Patient Experiences: While it is helpful to learn from the experiences of others who have undergone similar procedures, it is important to remember that each case is unique. What works for one patient may not be suitable for another due to differences in individual health conditions, the nature of the surgery, and the surgeon's techniques.

6. Pain Management: You mentioned that you are currently taking oral pain medication. Managing pain effectively is also an essential part of recovery. If you find that your pain is not well-controlled, discuss this with your doctor, as they may adjust your medication or suggest additional strategies for pain relief.

Conclusion
In summary, while some patients may use ointments post-surgery, your doctor's advice to focus on cleanliness without additional topical treatments is a valid approach. As long as you are vigilant about monitoring your wound and following your doctor's instructions, you should be on the right path to recovery. If you have any lingering concerns or if your wound does not seem to be healing as expected, do not hesitate to reach out to your healthcare provider for further guidance. Remember, your health and peace of mind are paramount, and it is always appropriate to seek clarification on your care.

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