[Post-Surgical Issues] Poor Wound Healing After Groin Surgery
Hello, doctor.
Two weeks ago, I had surgery to remove an abscess in my groin due to recurrent inflammation and infection, and I had several stitches.
This afternoon, I went for a follow-up appointment, and the doctor indicated that the wound has not healed, but the stitches were no longer effective, so they were removed to allow the wound to heal on its own, with a follow-up appointment scheduled for next week.
This evening, when I changed the dressing, I noticed that the wound in my groin is very open on both sides and has not healed.
Compared to when the stitches were in place, the opening is much larger, large enough to fit the tip of a cotton swab inside.
However, upon examining the gauze, there was only slight oozing of blood, and the wound is painful to touch, but it does not appear red, swollen, or have any abnormal discharge.
Given this situation, should I be concerned, or is it acceptable to wait until my follow-up appointment next week? Or should I return to the doctor for an evaluation sooner? Thank you!
Yangcong, 30~39 year old female. Ask Date: 2022/11/02
Dr. Chen Bingze reply Surgery
Hello, removing the sutures and allowing the wound to be open for dressing changes sounds fine.
You can return for a follow-up appointment next week.
Reply Date: 2022/11/02
More Info
It sounds like you're experiencing some concerning symptoms following your surgery for a groin abscess. Post-surgical wound healing can sometimes be complicated, and it’s important to monitor the situation closely. Based on your description, here are some insights and recommendations regarding your condition.
Firstly, it’s not uncommon for surgical wounds, especially in areas like the groin, to have delayed healing. Factors such as the presence of infection, the type of surgery performed, and individual patient factors (like age, overall health, and nutritional status) can all influence the healing process. In your case, since the incision has not healed properly and appears to be gaping, it’s essential to consider a few key points.
1. Wound Assessment: The fact that you mentioned the wound is not red, swollen, or producing abnormal discharge is a positive sign. However, the pain you experience upon touching the wound and the significant gap in the incision are concerning. A wound that is not healing properly may indicate that the tissue is not adequately coming together, which can be due to several reasons, including tension on the wound edges, infection, or inadequate blood supply to the area.
2. Infection Risk: While you noted only slight bleeding and no signs of infection, it’s crucial to remain vigilant. Signs of infection can sometimes develop later, and the presence of pain can be an early indicator. If you notice increasing redness, warmth, swelling, or any foul-smelling discharge, you should seek medical attention immediately.
3. Follow-Up Care: Since your doctor has already advised you to return for a follow-up, it’s wise to adhere to that plan. However, if you feel that the wound is worsening or if you have any new symptoms (like fever or increased pain), it would be prudent to contact your healthcare provider sooner. They may want to reassess the wound and determine if further intervention is necessary, such as additional sutures, wound care, or even imaging studies to rule out underlying issues.
4. Self-Care Measures: In the meantime, continue to keep the wound clean and dry. Follow any wound care instructions provided by your healthcare team, and avoid any activities that could stress the wound, such as heavy lifting or strenuous exercise. If you have been prescribed antibiotics or any other medications, ensure you take them as directed.
5. Nutrition and Healing: Adequate nutrition plays a vital role in wound healing. Ensure you are consuming a balanced diet rich in vitamins and minerals, particularly protein, vitamin C, and zinc, which are essential for tissue repair.
In conclusion, while it’s good that there are no immediate signs of infection, the fact that your wound is not healing properly warrants close monitoring. If you have any doubts or if your symptoms change, do not hesitate to seek medical advice sooner than your scheduled follow-up. Your health and recovery are paramount, and it’s always better to err on the side of caution when it comes to post-surgical care.
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