Postoperative care related to anal fistula surgery?
Hello, Doctor.
I had surgery on May 26, and it has been three weeks since my anal fistula surgery.
Today, June 17, marks the 22nd day post-operation.
After the wound healed, I noticed a small granulation tissue, which causes slight pain when pressed.
During my follow-up appointment today, the doctor examined me and used scissors to cut it open.
I would like to ask if this indicates that the internal wound has not yet healed and needs to heal from the inside out.
Secondly, the doctor instructed me to start wearing gloves and applying petroleum jelly to the wound every day starting tomorrow.
What is the purpose of this?
Thirdly, should I just press on it gently, or is there a specific technique I should follow? The doctor briefly mentioned it but did not explain the purpose.
I genuinely feel exhausted and am afraid of undergoing another surgery...
I want to ensure proper recovery after the procedure, so I can only seek help online.
Kevin, 30~39 year old female. Ask Date: 2020/06/17
Dr. Ke Fangxu reply Surgery
1.
I believe the wound healing process is too rapid, so the outer layer is incised to prevent the recurrence of a fistula.
2.
This is also to prevent the epidermal wound from healing too quickly, hoping to allow the underlying wound to granulate before the epidermal wound heals.
3.
I rarely let patients do this on their own; it might be better to consult the operating surgeon on the best approach.
Reply Date: 2020/06/17
More Info
Post-surgery care for anal fistula can be quite challenging, especially in the weeks following the procedure. It’s essential to understand the healing process and the recommended care to ensure optimal recovery. Here are some insights and tips based on your concerns.
Understanding the Healing Process
1. Formation of Granulation Tissue: After surgery, it is common for granulation tissue to form at the site of the incision. This tissue is part of the body’s natural healing process, but it can sometimes be sensitive or painful. The presence of granulation tissue indicates that the body is working to heal the wound, but it can also mean that the internal healing process is still ongoing. If your doctor used scissors to trim this tissue, it may have been to promote better healing or to remove any excess tissue that could hinder recovery.
2. Pain and Discomfort: Experiencing pain, especially when pressure is applied to the area, is not unusual during the healing process. This discomfort can be attributed to the sensitivity of the healing tissue. If the pain persists or worsens, it’s crucial to communicate this with your healthcare provider.
Daily Care Instructions
1. Application of Vaseline: Your doctor’s recommendation to apply Vaseline (petroleum jelly) with gloves is likely aimed at keeping the area moist and preventing the formation of scabs, which can be painful and may impede healing. Moist environments can promote faster healing and reduce discomfort. When applying the Vaseline, ensure that your hands are clean, and use a gentle touch to avoid causing additional pain.
2. Technique for Application: When applying the Vaseline, it’s important to do so gently. You can use your fingertip to apply a thin layer of Vaseline to the wound. There’s no need to apply excessive pressure; a light touch is sufficient. The goal is to keep the area lubricated without causing further irritation.
Additional Considerations
1. Monitoring for Infection: Keep an eye on the wound for any signs of infection, such as increased redness, swelling, warmth, or discharge that has a foul odor. If you notice any of these symptoms, contact your healthcare provider immediately.
2. Diet and Hydration: Maintaining a diet high in fiber and staying well-hydrated can help prevent constipation, which is crucial for avoiding strain during bowel movements. Straining can lead to increased pain and may disrupt the healing process.
3. Follow-Up Appointments: Regular follow-up appointments with your healthcare provider are essential. They will monitor your healing progress and make any necessary adjustments to your care plan. If you have concerns or questions about your recovery, don’t hesitate to bring them up during these visits.
4. Emotional Well-being: It’s understandable to feel overwhelmed or anxious about the healing process, especially after surgery. Consider discussing your feelings with your healthcare provider, who may be able to offer resources or support to help you cope with the emotional aspects of recovery.
Conclusion
In summary, post-surgery care for an anal fistula involves understanding the healing process, following your doctor’s instructions for care, and monitoring for any complications. Applying Vaseline gently and maintaining a healthy diet can significantly aid in your recovery. If you have any concerns or experience unusual symptoms, always reach out to your healthcare provider for guidance. Remember, healing takes time, and it’s important to be patient with your body as it recovers.
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