Is It Normal for Redness and Swelling to Spread After Surgery for Cellulitis?

Is it normal for redness and swelling to spread the day after surgery for cellulitis?

Three days ago, I developed a pimple under my armpit, which then became red and swollen, extending to my arm.
Yesterday, I went to the hospital for an examination and was diagnosed with cellulitis.
The doctor performed a localized anesthesia and drained the pus.
I have been taking antibiotics, but today the redness and swelling have spread, and it feels warm.
It is not very painful when I press on it.
Is this symptom normal?

Xiao Jie, 20~29 year old female. Ask Date: 2021/09/06

Dr. Peng Xianwen reply Surgery

If there is no improvement after taking medication, it is recommended to visit a hospital for a physician to examine the injured area, as incision and drainage or other interventions may be necessary.
Director Peng Hsien-Wen, Department of Surgery, Nantou Hospital.

Reply Date: 2021/09/06

More Info

After surgery for cellulitis, it is not uncommon to experience some degree of redness and swelling around the surgical site. However, if you notice that the redness and swelling are spreading beyond the immediate area of the incision, this could be a sign of a complication that requires further evaluation.

Cellulitis is a bacterial skin infection that can cause redness, swelling, warmth, and pain in the affected area. When treated, especially with surgical intervention to drain any abscesses, one would expect some improvement in symptoms. The fact that you are experiencing spreading redness and swelling after your surgery raises concerns about the possibility of ongoing infection or inadequate drainage of the infected area.

In the context of your situation, the following points are important to consider:
1. Post-Surgical Expectations: After surgery for cellulitis, it is normal for the area to be red and swollen initially as part of the healing process. However, this should gradually improve. If the redness and swelling are increasing or spreading, it is a cause for concern.

2. Signs of Infection: The spreading of redness, warmth, and swelling can indicate that the infection is not fully resolved. While some discomfort and localized swelling can be expected, systemic signs such as fever, chills, or increased pain should prompt immediate medical attention.

3. Antibiotic Efficacy: You mentioned that you are on antibiotics. It is crucial to ensure that the antibiotic prescribed is appropriate for the type of bacteria causing the cellulitis. If you do not see improvement within 48 to 72 hours of starting antibiotics, or if symptoms worsen, you should contact your healthcare provider.

4. Follow-Up Care: It is essential to have follow-up appointments with your healthcare provider to monitor the healing process. They may need to assess the surgical site for any signs of abscess formation or other complications that may require additional treatment, such as further drainage or a change in antibiotic therapy.

5. Self-Care Measures: In the meantime, keep the area clean and dry, and follow any specific care instructions provided by your healthcare team. Avoid any activities that could irritate the area or lead to further injury.

In summary, while some redness and swelling can be expected after surgery for cellulitis, the spreading of these symptoms is not normal and should be evaluated by a healthcare professional. It is crucial to seek medical advice promptly to ensure appropriate management and prevent potential complications.

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