Post-Surgery Concerns After Fistula Procedure: What to Expect - Surgery

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Postoperative issues following fistula surgery?


Hello doctor, I had a fistula surgery on June 15th.
Is it normal for it to keep draining fluid? The doctor said I could just wipe it with a wet tissue; is that okay? Does the wound need to be treated with ointment? The doctor told me that I don't need to apply any medication and that it will heal on its own.

Nín hǎo, 30~39 year old female. Ask Date: 2021/06/24

Dr. Ke Fangxu reply Surgery


It is normal to have discharge after fistula surgery, which may sometimes last for up to a month.
Using feminine pads can be more convenient during this time.
Once the surgical wound heals, the discharge will subside.
Generally, it is not recommended to apply ointments to the wound to avoid blocking the discharge and causing infection.
Taking warm water sitz baths can be beneficial.

Reply Date: 2021/06/24

More Info


After undergoing a fistula procedure, it is common to have concerns about the healing process and what to expect in terms of post-operative care. Here’s a comprehensive overview of what you might experience and how to manage your recovery effectively.


Normal Post-Surgery Expectations
1. Fluid Drainage: It is normal to experience some drainage from the surgical site after a fistula procedure. This fluid can be a mix of blood, serum, and other bodily fluids as your body works to heal. The amount and color of the drainage can vary, but if it is clear to light yellow, it is generally a sign of normal healing. However, if you notice any foul odor, increased redness, or a significant change in the color of the fluid (such as dark red or green), you should contact your healthcare provider as these could be signs of infection.

2. Wound Care: Your doctor has advised you to use a wet wipe to clean the area, which is a common practice. It is important to keep the area clean to prevent infection. Gently wiping the area with a moist cloth or wet wipe can help remove any discharge without irritating the wound.
3. Use of Ointments: Your doctor mentioned that you do not need to apply ointments and that the wound should heal on its own. This is often the case with fistula surgeries, as many surgeons prefer to allow the wound to breathe and heal naturally. However, if you feel discomfort or if the area appears dry and irritated, you might want to discuss with your doctor the possibility of using a non-irritating barrier cream or ointment.


Signs of Complications
While some drainage is normal, it’s essential to monitor for signs of complications:
- Infection: Look out for increased redness, swelling, warmth, or pus at the site. Fever can also be a sign of infection.

- Excessive Bleeding: If you notice significant bleeding that does not stop with gentle pressure, seek medical attention.

- Severe Pain: While some discomfort is expected, severe pain that worsens over time may indicate a problem.


Follow-Up Care
1. Regular Check-Ups: Make sure to attend all scheduled follow-up appointments with your healthcare provider. They will assess the healing process and determine if any additional treatments are necessary.

2. Hygiene: Maintain good hygiene around the surgical site. Avoid soaking in baths or swimming pools until your doctor gives you the go-ahead, as these can introduce bacteria to the wound.

3. Diet and Hydration: Staying hydrated and maintaining a balanced diet can support your healing process. Foods rich in vitamins C and E, zinc, and protein can be particularly beneficial for wound healing.

4. Activity Level: Follow your doctor’s advice regarding physical activity. It’s usually recommended to avoid strenuous activities that could stress the surgical site until you receive clearance.


Conclusion
In summary, experiencing some fluid drainage after a fistula procedure is normal, and your current care instructions seem appropriate. Keeping the area clean and monitoring for any signs of complications are crucial steps in your recovery. If you have any concerns or if your symptoms change, do not hesitate to reach out to your healthcare provider for guidance. Your health and comfort during the healing process are paramount, and your medical team is there to support you.

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