Fistula excision surgery
Hello Dr.
Chang,
I underwent a drainage tube removal surgery on January 25th.
I would like to ask about my recovery at home.
On the fourth and fifth days post-surgery, the wound has shown less bleeding, but there is a layer of dark yellow discharge.
When changing the dressing, I tried to clean it with a cotton swab, but it wouldn't come off.
Is this normal? I also experience occasional sharp pain, but it's not severe (I had almost no pain from days 1 to 4 post-surgery).
Qian, 30~39 year old female. Ask Date: 2022/02/01
Dr. Zhang Shuhao reply Surgery
Typically, the yellow substance consists of old ointment and some sloughed tissue.
If it cannot be scraped off, that's okay; continue with warm sitz baths and dressing changes, allowing it to fall off on its own.
During the wound healing process, you may experience some pain and itching.
At your next follow-up appointment, you can discuss with your doctor whether any adjustments to your oral medications are necessary.
Wishing you a speedy recovery.
Reply Date: 2022/02/01
More Info
After undergoing a fistula excision surgery, it is essential to understand the post-operative care and what to expect during the recovery process. Fistula excision is a surgical procedure aimed at removing an abnormal connection between two organs or vessels, often associated with painful symptoms and discomfort. Here’s a comprehensive overview of what you might experience and how to manage your recovery effectively.
Post-Surgery Expectations
1. Wound Healing: It is common for the surgical site to produce some discharge as it heals. The presence of a dark yellow secretion is not unusual and can be a sign of the healing process. This discharge may consist of serum, dead cells, and other fluids that your body produces to protect the wound. However, if the discharge has a foul odor or is accompanied by increased redness, swelling, or fever, it could indicate an infection, and you should contact your healthcare provider immediately.
2. Pain Management: It is normal to experience some pain or discomfort after the surgery, especially as the anesthesia wears off. The fact that you experienced minimal pain in the first few days is a positive sign, indicating that your body is responding well to the surgery. However, occasional sharp pains or cramping sensations can occur as the nerves heal and the tissues adjust. Over-the-counter pain relievers, as recommended by your doctor, can help manage this discomfort.
3. Wound Care: Proper wound care is crucial for preventing infection and promoting healing. When changing the dressing, ensure that you wash your hands thoroughly and use sterile materials. If the discharge is difficult to remove with a cotton swab, avoid excessive force, as this can irritate the wound. Instead, gently clean the area with saline solution or as directed by your healthcare provider. It’s essential to keep the area clean and dry.
4. Activity Level: After surgery, it’s important to limit physical activity to allow your body to heal. Avoid strenuous activities, heavy lifting, or anything that puts pressure on the surgical site for at least a few weeks. Gentle movements and walking can help improve circulation and reduce the risk of complications, but listen to your body and rest when needed.
5. Follow-Up Appointments: Regular follow-up appointments with your surgeon are vital to monitor the healing process. During these visits, your doctor will assess the wound, remove any sutures if necessary, and provide guidance on when you can gradually return to normal activities.
6. Signs of Complications: Be vigilant for signs of complications, such as increased pain, swelling, redness, or discharge that changes in color or odor. Fever or chills may also indicate an infection. If you notice any of these symptoms, contact your healthcare provider promptly.
Conclusion
In summary, while some discharge and mild pain are normal after fistula excision surgery, it is crucial to maintain proper wound care and monitor for any signs of infection or complications. If you have concerns about the healing process or experience any unusual symptoms, do not hesitate to reach out to your healthcare provider for advice. They can provide personalized recommendations based on your specific situation and ensure that your recovery progresses smoothly. Remember, healing takes time, and following your doctor's instructions will help you achieve the best possible outcome.
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