Post-anal fistula surgery
Hello Doctor, I underwent my first fistula surgery on April 13 of this year.
After three months, the wound has not fully healed.
I consulted two other doctors who both told me that it is normal for this to happen and that it might be a recurrence.
Therefore, I returned to the original doctor who treated me, and he informed me that there is excessive granulation tissue inside, not a recurrence.
My second surgery was on August 9, and the wound photo can be found at this link: https://upload.cc/i1/2021/08/31/vUWOdZ.jpeg.
The second surgery was outpatient, and during my first follow-up visit, the doctor mentioned that my poor wound healing is related to my constitution and that it was just a debridement procedure.
Today's photo can be found at this link: https://upload.cc/i1/2021/08/31/FT2G6i.jpeg.
After three weeks, I noticed some granulation tissue forming.
I would like to ask the doctor if the appearance of my wound after the second debridement surgery is normal for healing at this stage.
I have tried looking in the mirror and can see two openings, but when I look normally, I cannot see the openings marked by the red circles.
Additionally, will the anus heal to its original state after a fistula incision and drainage procedure like mine? I apologize for the lengthy questions and multiple concerns; I have been under significant psychological stress over the past few months and have been contemplating whether to switch doctors.
I would appreciate your opinion, thank you.
Xiao Wei, 20~29 year old female. Ask Date: 2021/09/01
Dr. Yu Mingchang reply Surgery
Hello: Change to a different doctor for a reevaluation.
Reply Date: 2021/09/01
More Info
Post-surgery recovery from anal fistula treatment can be a complex and often frustrating process, as you've experienced. It's important to understand that healing times can vary significantly from person to person, and several factors can influence recovery, including the type of surgery performed, the extent of the fistula, individual health conditions, and the body's natural healing response.
From your description, it seems you underwent your first fistula surgery on April 13, and after three months, you were still experiencing issues with healing. It's not uncommon for patients to feel anxious during this period, especially when they seek opinions from multiple doctors. The fact that you were told by some doctors that your situation was normal while others suggested a possible recurrence of the fistula can add to the confusion.
The second surgery you had on August 9 was a debridement procedure, which is often performed to remove any unhealthy tissue and promote better healing. The presence of granulation tissue, which is what your first doctor mentioned, is a normal part of the healing process. Granulation tissue is a sign that the body is trying to heal the wound, but excessive granulation can sometimes lead to complications, including delayed healing or discomfort.
Regarding your concern about the appearance of the wound and whether it will return to its original state, it's important to note that surgical sites can change in appearance as they heal. Scarring is a natural part of the healing process, and while the goal is to achieve a functional and aesthetically pleasing result, some changes in the skin's texture or color may occur. The two openings you mentioned may be a result of the surgical procedure, and it's essential to monitor them for any signs of infection or unusual discharge.
In terms of recovery time, while some patients may heal within a few weeks, others may take several months. It's crucial to follow your surgeon's post-operative care instructions, which may include keeping the area clean, using prescribed medications, and attending follow-up appointments. If you notice any signs of infection, such as increased redness, swelling, or discharge, it's essential to contact your healthcare provider immediately.
As for your psychological well-being, it's understandable to feel stressed and anxious during this recovery period. Consider discussing your feelings with your healthcare provider, who may be able to offer support or refer you to a mental health professional if needed. Additionally, if you are feeling uncertain about your current treatment plan or the progress of your recovery, seeking a second opinion from another qualified surgeon can provide you with more clarity and reassurance.
In summary, while your recovery may feel slow and frustrating, it's essential to remain patient and proactive in your care. Monitor your symptoms, maintain open communication with your healthcare providers, and don't hesitate to seek additional support if needed. Healing from anal fistula surgery can be a journey, but with the right care and support, you can achieve a positive outcome.
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