Post-Surgery Complications: Managing Atypical Healing of Adenoma Incisions - Surgery

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Adenoma surgical incision wound


I underwent traditional surgery for an adenoma over a month ago, and the doctor mentioned that the sutures would be absorbable and did not need to be removed.
Last week, I noticed redness and swelling around the wound, and yesterday, when I checked the wound and applied pressure, blood and pus suddenly oozed from the wound.
It seems that the wound is not healing properly, and there are now two additional openings.
Even after applying a synthetic skin dressing, pus continues to accumulate.
I am worried that the wound may become necrotic or continue to be inflamed.
Should I consider re-suturing, or will the synthetic skin dressing allow for gradual healing?

Ms. Chen, 30~39 year old female. Ask Date: 2021/04/24

Dr. Tang Yuxiong reply Surgery


Hello Ms.
Chen: Based on your description, we cannot rule out the possibility of wound infection or poor healing.
Please return to the hospital for evaluation and treatment immediately.

Reply Date: 2021/04/24

More Info


Post-surgery complications, particularly in the context of adenoma excision, can be concerning and require careful management. Based on your description, it seems that you are experiencing atypical healing of your surgical incision, which is manifesting as redness, swelling, and discharge of pus. These symptoms suggest that there may be an infection or delayed healing at the surgical site.


Understanding the Healing Process
After surgery, the body goes through several stages of healing. Initially, there is a hemostatic phase where bleeding is controlled, followed by an inflammatory phase where the body responds to injury and potential infection. This is followed by the proliferative phase, where new tissue forms, and finally, the remodeling phase, where the tissue matures and strengthens. In your case, the presence of redness, swelling, and pus indicates that the inflammatory phase may be prolonged, possibly due to infection.


Infection and Complications
Infections can occur post-surgery for various reasons, including:
1. Bacterial Contamination: This can happen during the surgery or post-operative care if the wound is not kept clean.

2. Poor Blood Supply: Areas with inadequate blood flow may heal poorly and become more susceptible to infection.

3. Underlying Health Conditions: Conditions such as diabetes or immunosuppression can hinder healing.


Management of the Wound
Given the symptoms you are experiencing, it is crucial to take the following steps:
1. Consult Your Surgeon: You should contact your surgeon or healthcare provider as soon as possible. They may need to assess the wound to determine the extent of the infection and whether further intervention is necessary.


2. Wound Care: While artificial skin (such as hydrocolloid dressings) can help protect the wound, it is essential to ensure that the wound is clean and dry. If there is ongoing discharge, the dressing may need to be changed frequently, and the area should be monitored for signs of worsening infection.

3. Antibiotics: If an infection is confirmed or suspected, your healthcare provider may prescribe antibiotics to help control the infection.

4. Possible Surgical Intervention: In some cases, if the wound does not improve with conservative management, your surgeon may need to perform a procedure to clean the wound, remove any necrotic tissue, or even re-suture the area if necessary.


Healing Expectations
Regarding your concern about whether the wound will heal on its own with the application of artificial skin, it largely depends on the severity of the infection and the body's healing response. If the infection is mild and the body is responding well, it may heal with appropriate care. However, if there are signs of significant infection or if the wound continues to worsen, surgical intervention may be required.


Conclusion
In summary, it is essential to seek medical attention promptly for your wound. Early intervention can prevent complications such as chronic infection or delayed healing. Your healthcare provider will be able to assess the situation accurately and recommend the best course of action, whether that involves further wound care, antibiotics, or surgical intervention. Remember, proper wound management is crucial for optimal healing and to minimize the risk of complications.

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