Wound Healing After Cyst Removal Surgery - Surgery

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Wound healing issues after sebaceous cyst surgery?


Hello Doctor, I had a sebaceous cyst excision surgery at the beginning of the month, and I had my stitches removed two weeks post-surgery.
It has been a week since the stitches were removed, and during the wound care process, there has been some serous drainage, but no signs of infection.
Although the wound is now showing less drainage, it still presents a deep indentation (the area around the excision has developed pink granulation tissue, but the site of the cyst removal remains a depression).
Does this situation indicate that the wound has not yet healed? Should I wait for the pink granulation tissue to fill in the indentation for it to be considered healed? Is this waiting period for healing normal? Thank you for your response, Doctor.

JY, 30~39 year old female. Ask Date: 2020/11/25

Dr. Li Zhonghuai reply Surgery


Hello! If the wound is healing poorly, wait for the granulation tissue to develop, and the skin will grow over it.
You may ask your physician if there are any moisturizing gel dressings available to help promote faster granulation tissue formation.
Take care! Changhua Hospital cares about you!

Reply Date: 2020/11/25

More Info


After undergoing cyst removal surgery, it is common to have concerns about the healing process of the wound. Based on your description, it seems that you are experiencing a typical healing scenario, but let's break down the aspects of wound healing and what you can expect moving forward.


Understanding Wound Healing
Wound healing is a complex biological process that involves several stages: hemostasis, inflammation, proliferation, and remodeling. After surgery, the body initiates these processes to repair the damaged tissue.
1. Hemostasis: This is the immediate response to injury, where blood vessels constrict to reduce blood loss, and platelets aggregate to form a clot.


2. Inflammation: This phase occurs shortly after injury and lasts for a few days. It involves the recruitment of immune cells to the site of injury to prevent infection and clear debris.

3. Proliferation: During this phase, which can last from a few days to several weeks, new tissue (granulation tissue) forms. This is where you might notice the pink tissue around your wound, which indicates that new blood vessels and collagen are being laid down.

4. Remodeling: This final phase can last for months to years, where the new tissue matures and strengthens. Scarring may occur during this phase.


Your Current Situation
From your description, it sounds like you are in the proliferation phase of healing. The presence of a deep indentation at the site of the cyst removal suggests that the tissue is still in the process of regenerating. The pink tissue you see is a good sign, as it indicates that granulation tissue is forming, which is essential for filling in the wound.


Is the Wound Healing Properly?
1. Depth of the Wound: A deep indentation can be concerning, but it is not uncommon after cyst removal, especially if the cyst was large or if the surrounding tissue was affected. The fact that you are not experiencing any signs of infection (such as increased redness, warmth, swelling, or discharge) is a positive indicator.

2. Fluid Drainage: The presence of some tissue fluid (serous drainage) is normal in the early stages of healing. As the wound continues to heal, this should decrease.

3. Healing Timeline: It is essential to understand that healing times can vary significantly based on several factors, including the size of the wound, your overall health, and how well you care for the wound. It is not unusual for a wound to take several weeks to months to heal completely, especially if it is deep.


What to Expect Next
- Continued Observation: Keep monitoring the wound for any changes. If you notice increased pain, swelling, or signs of infection, you should contact your healthcare provider.

- Waiting for Closure: Yes, you will need to wait until the granulation tissue fills in the indentation. This process can take time, and patience is crucial. The pink tissue will gradually migrate to cover the wound.

- Follow-Up Care: Ensure you follow any post-operative care instructions provided by your surgeon. Keeping the area clean and protected is vital for optimal healing.

- Consultation: If you have concerns about the healing process or if the wound does not appear to be improving after a reasonable time, consider scheduling a follow-up appointment with your healthcare provider. They can assess the wound and determine if any additional interventions are necessary.


Conclusion
In summary, the healing process after cyst removal can vary, and the presence of a deep indentation with surrounding pink tissue is a normal part of healing. Continue to care for your wound as instructed, and monitor for any signs of complications. With time, the wound should heal, and the indentation should fill in as the tissue regenerates. If you have any further concerns, do not hesitate to reach out to your healthcare provider for personalized advice.

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