Dealing with Solidified Ointment in Wounds: A Guide for Patients

The ointment has solidified in the wound?

I have a deep scratch on my face from a cat that happened two days ago.
I visited a plastic surgery clinic in a Chinese hospital and applied the ointment prescribed by the doctor.
The wound is not sutured and has an opening, causing the ointment to get trapped inside the wound.
When I tried to clean it during a dressing change, I found that the ointment had solidified.
I attempted to use tweezers to remove it, but it seemed to be stuck to the tissue, and I am hesitant to pull it out forcefully.
I am also concerned that the ointment might be preventing proper healing.
I would like to ask the doctor how to handle this situation.
Will the ointment be absorbed by the wound?

Jiang, 20~29 year old female. Ask Date: 2023/01/31

Dr. Lü Mingchuan reply Plastic Surgery

You can visit the outpatient clinic for a doctor's evaluation.

Reply Date: 2023/01/31

More Info

When dealing with a wound that has solidified ointment trapped within it, especially after an injury like a deep scratch from a cat, it is essential to approach the situation with care to promote healing and prevent infection. Here’s a comprehensive guide on how to manage this issue effectively.

Understanding the Situation
First, it's important to recognize that ointments are designed to create a barrier and promote healing, but they can also become problematic if they solidify within a wound. This can happen due to exposure to air, moisture, or the natural healing process of the body. The concern here is twofold: the potential for infection and the impediment to proper healing if the ointment is not removed.

Steps to Take
1. Do Not Force Removal: If the ointment is solidified and adheres to the wound, do not attempt to forcibly pull it out. This can cause further damage to the tissue and increase the risk of infection.

2. Soften the Ointment: To facilitate the removal of the solidified ointment, you can try to soften it. This can be done by applying a warm, damp cloth to the area for several minutes. The warmth and moisture can help loosen the ointment without causing trauma to the wound.

3. Gentle Cleansing: After softening, use a sterile saline solution or mild soap and water to gently cleanse the area. You can use a cotton swab or a soft cloth to dab around the wound, being careful not to disturb the healing tissue too much.

4. Use of Tweezers: If the ointment remains stuck, you can use sterile tweezers to gently lift the edges of the ointment. Be very cautious to avoid pulling on the tissue. If it does not come away easily, it is best to leave it alone.

5. Consult a Healthcare Professional: If the ointment does not come out easily or if you notice any signs of infection (such as increased redness, swelling, warmth, or discharge), it is crucial to seek medical attention. A healthcare professional can safely remove the ointment and assess the wound for any complications.

6. Monitor for Infection: Keep an eye on the wound for any signs of infection. If you notice any unusual changes, such as increased pain, swelling, or pus, contact your healthcare provider immediately.

7. Follow-Up Care: After the ointment is removed, continue to care for the wound as directed by your physician. This may include applying a fresh layer of ointment or a new dressing. Ensure that the area remains clean and dry to promote healing.

Will the Ointment Be Absorbed?
In general, ointments are not designed to be absorbed by the body in the way that medications are. Instead, they work topically to create a barrier and provide moisture to the wound. If the ointment is trapped within the wound, it may not be absorbed effectively, and it could potentially hinder the healing process if not addressed.

Conclusion
In summary, dealing with solidified ointment in a wound requires a gentle and cautious approach. Softening the ointment, cleaning the area, and seeking professional help if necessary are key steps in ensuring proper healing. Always prioritize cleanliness and monitor for signs of infection, and do not hesitate to reach out to a healthcare provider for guidance. Your health and safety are paramount, and professional advice is invaluable in managing wound care effectively.

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