Post-Operative Concerns After Tendon Tumor Surgery: What to Know

Postoperative issues related to tendon tumors?

Hello, Doctor: I had a recurrence of a tendon cyst in my right wrist and underwent a second surgery on July 24.
During my follow-up appointment on the 27th, the wound appeared clean, and I was scheduled to return on August 3 for suture removal.
However, on the 28th, I noticed some bleeding.
After cleaning the wound myself, it continued to ooze intermittently, and I experienced sharp pain at the site.
Therefore, I returned early on the 29th to consult my attending physician, who informed me that the bleeding is a normal occurrence due to the depth of the wound.
I would like to ask if, since I am still experiencing ongoing oozing, I need to change the dressing on the wound?

Yongren, 40~49 year old female. Ask Date: 2020/07/29

Dr. Zhan Xian reply Orthopedics

Hello, for general wounds with oozing blood, you can change the gauze.
When changing the dressing, it is important to pay attention to the disinfection method to avoid contaminating the wound.
Your wound may be more specific, so it is advisable to consult your attending physician first.

Reply Date: 2020/07/29

More Info

After tendon tumor surgery, it's essential to monitor the surgical site closely for any signs of complications, such as excessive bleeding, infection, or abnormal pain. Based on your description, it seems that you are experiencing some post-operative bleeding and pain, which can be concerning. Here’s a detailed breakdown of your situation and what you should consider moving forward.

1. Understanding Post-Operative Bleeding: It's not uncommon for surgical sites, especially those that are deeper, to experience some bleeding after surgery. This can be due to various factors, including the depth of the incision, the type of tissue involved, and the healing process. However, if the bleeding is persistent or increasing, it may warrant further evaluation.
2. When to Change Dressings: If you are experiencing continuous bleeding or oozing from the wound, it is advisable to change the dressing. Keeping the wound clean and dry is crucial to prevent infection. When changing the dressing, ensure that you use sterile materials and follow any specific instructions provided by your healthcare provider. If the bleeding does not stop after changing the dressing, or if it worsens, you should seek medical attention promptly.

3. Pain Management: The pain you are experiencing, described as "sharp" or "throbbing," can be a normal part of the healing process, especially if the surgery involved manipulation of tendons or surrounding tissues. However, if the pain is severe or worsening, it could indicate complications such as infection or hematoma formation. Over-the-counter pain relievers may help, but consult your physician for recommendations tailored to your situation.

4. Signs of Infection: Be vigilant for signs of infection, which may include increased redness, swelling, warmth around the wound, or discharge that is yellow or green. Fever may also be a sign of infection. If you notice any of these symptoms, contact your healthcare provider immediately.

5. Follow-Up Appointments: It's crucial to attend all scheduled follow-up appointments with your surgeon. These visits allow your doctor to assess the healing process and address any concerns you may have. If you feel that your symptoms are not improving or are worsening, do not hesitate to reach out to your healthcare provider before your next scheduled appointment.

6. Activity Restrictions: After tendon surgery, it’s important to follow any activity restrictions provided by your surgeon. This may include avoiding heavy lifting, repetitive motions, or putting weight on the affected hand until you receive clearance. Engaging in activities too soon can jeopardize the healing process and lead to complications.

7. Long-Term Care: Once the initial healing phase is over, physical therapy may be recommended to restore function and strength to the affected area. This is particularly important after tendon surgery, as rehabilitation can significantly impact your recovery and overall function.

In summary, while some bleeding and pain can be expected after tendon tumor surgery, persistent symptoms should not be ignored. Changing the dressing regularly, monitoring for signs of infection, managing pain effectively, and adhering to follow-up appointments are all critical components of your post-operative care. If you have any doubts or concerns, always err on the side of caution and consult your healthcare provider for personalized advice. Your recovery is important, and proactive management can help ensure the best possible outcome.

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