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.
Similar Q&A
Managing Non-Healing Wounds and Colon Cancer Complications
Hello, my mother underwent laparoscopic surgery (Da Vinci) for stage III colon cancer two years ago, followed by radiation and chemotherapy. She has been regularly monitored at the hospital, and doctors have stated that there is no evidence of metastasis. Two months ago, she was ...
Dr. Huang Zhihui reply Surgery
Without observing the condition, it is not possible to determine the cause.[Read More] Managing Non-Healing Wounds and Colon Cancer Complications
Post-Surgery Complications: Understanding Colorectal Tumor Surgery Risks
Hello Dr. Ke: My mother, who is 80 years old, recently underwent surgery for a colon tumor at a hospital. Two days after the stitches were removed, her colon protruded from the surgical site while she was preparing to use the restroom. The attending physician explained that this ...
Dr. Ke Fangxu reply Surgery
Hello: In response to your question, based on your description, your mother likely underwent an abdominal surgery to remove a colon tumor, rather than a procedure performed through the anus or laparoscopically. In elderly patients, abdominal surgeries can sometimes lead to poor w...[Read More] Post-Surgery Complications: Understanding Colorectal Tumor Surgery Risks
Post-Surgery Concerns After Anal Fistula Procedure: Your Questions Answered
Hello Doctor, I apologize for bothering you multiple times. I underwent a fistula micro-surgery in January, and it has been about four months since then. I would like to ask the following questions: 1. I still experience some pain at the surgical site after prolonged sitting. I...
Dr. Zhang Shuhao reply Surgery
1. The size of the surgical wound for a fistula may take several months to heal completely. A qualified colorectal surgeon's assessment of the fistula's condition is generally reliable. If a more skilled surgeon believes the surgery has failed, it is advisable to consul...[Read More] Post-Surgery Concerns After Anal Fistula Procedure: Your Questions Answered
Post-Colon Cancer Complications: Adhesions and Bowel Incontinence Solutions
Hello, Doctor. My father was diagnosed with stage II colon cancer four years ago. He initially underwent chemotherapy to shrink the tumor before having surgery to preserve his anus, which unfortunately resulted in fecal incontinence. However, subsequent tests showed no issues. Re...
Dr. Lai Yicheng reply Oncology
Hello, Sir: Question 1: Regarding new technologies, it would be better to consult a surgeon for more clarity. Question 2: Postoperative adhesions are often caused by previous abdominal surgeries, pelvic inflammatory disease due to infections, or even as a result of chemotherapy...[Read More] Post-Colon Cancer Complications: Adhesions and Bowel Incontinence Solutions
Related FAQ
(Surgery)
Post-Appendectomy(Surgery)
Postoperative Care(Surgery)
Post-Fistula Surgery(Surgery)
Wound Healing(Surgery)
Post-Inguinal Hernia Surgery(Surgery)
Scar(Surgery)
Infection Concerns(Surgery)
Post-Anesthesia Complications(Anesthesiology)
Sutured Wound(Surgery)