Post-Surgery Care: Managing Discharge and Wound Healing After Fistula Surgery

Post-fistula surgery

Hello, doctor.
I had surgery on the 14th of last month, but there is still some discharge from the wound.
During my follow-up appointment on the 16th, the doctor applied medication, which seemed to involve inserting a thin metal tube into my wound.
In the past few days, the discharge from the wound has been mixed with some black, paste-like substance, and the area around my anus appears to be slightly stained black, likely due to the black ointment.
Is this normal? Should I soak the wound daily until there is no discharge?

Mr. Lin, 20~29 year old female. Ask Date: 2021/09/17

Dr. Ke Fangxu reply Surgery

1.
Since the names of the ointment ingredients are unknown, it is difficult to determine if it is normal; however, if there is no redness, swelling, heat, or pain, it can be monitored further.

2.
Yes, it is generally recommended to soak the area until the wound has healed completely.

Reply Date: 2021/09/17

More Info

Post-surgery care, especially after a fistula surgery, is crucial for ensuring proper healing and minimizing complications. It’s understandable to have concerns regarding discharge and wound healing, particularly when experiencing unusual symptoms. Let’s address your questions based on the information provided and general medical knowledge.

1. Discharge and Black Ointment: It’s not uncommon for surgical wounds, especially those related to fistula surgeries, to have some discharge. The presence of black, viscous material could be due to the medication applied to the wound. Many topical treatments used in wound care can appear dark or black, particularly if they contain ingredients like activated charcoal or certain antiseptics. If your doctor applied a black ointment, this could explain the discoloration around the wound. However, if you notice an increase in pain, a foul odor, or if the discharge changes to a yellow or green color, these could be signs of infection, and you should contact your healthcare provider immediately.

2. Daily Soaking: Soaking the wound is an essential part of post-operative care for fistula surgery. The general recommendation is to soak the area in warm water at least once a day, but it can be done more frequently if needed, especially after bowel movements. The goal of soaking is to keep the area clean, reduce irritation, and promote healing. You should continue soaking until the discharge decreases significantly and the wound appears to be healing properly. It’s important to gently pat the area dry after soaking and to avoid any harsh rubbing, which could irritate the wound.

3. Managing Discharge: The presence of some discharge is normal in the early stages of healing, particularly in open wounds like those from fistula surgery. As healing progresses, the amount of discharge should gradually decrease. If you find that the discharge is persistent or increasing, it’s advisable to consult your doctor. They may want to evaluate the wound to ensure that it is healing properly and that there are no signs of infection or other complications.

4. Wound Care: In addition to soaking, it’s important to follow any specific wound care instructions provided by your healthcare provider. This may include changing dressings regularly, applying prescribed ointments, and monitoring for any signs of infection. Keeping the area clean and dry is essential for preventing complications.

5. Signs of Complications: Be vigilant for signs that may indicate complications, such as increased redness, swelling, warmth around the wound, persistent or worsening pain, or any unusual discharge. If you experience any of these symptoms, it’s crucial to seek medical attention promptly.

6. Follow-Up Appointments: Regular follow-up appointments with your healthcare provider are vital for monitoring your recovery. During these visits, your doctor can assess the healing process, make any necessary adjustments to your treatment plan, and address any concerns you may have.

In summary, while some discharge and the presence of a black ointment can be normal post-fistula surgery, it’s essential to monitor your symptoms closely. Continue with your soaking regimen, keep the area clean, and don’t hesitate to reach out to your healthcare provider if you have any concerns or if your symptoms change. Proper post-operative care is key to a successful recovery, and your proactive approach will help ensure the best possible outcome.

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