Post-Surgery Complications: Cellulitis After Trigger Finger Surgery

Q: Post-Surgery Complications: Cellulitis After Trigger Finger Surgery

Hello HuA： There is a possibility of recurrence. <br>It is recommended that if you still feel unwell, you should return to the attending physician for evaluation. <br>Director Peng Hsien-Wen, General Surgery, Nantou Hospital.

Postoperative cellulitis following trigger finger surgery?

Hello doctor, I underwent trigger finger release surgery at the hospital on January 15 using traditional surgical methods, with two sutures.
Post-operative wound care was normal until January 31 when the stitches were removed.
A week later, on February 6, the wound began to show redness and swelling accompanied by pain.
I subsequently received steroid injections at the outpatient clinic, and it wasn't until March 3 that I was admitted for a two-week course of antibiotics.
However, the symptoms recurred, and on March 27, I underwent a general anesthesia debridement surgery with six sutures, and I was discharged on April 4.
After discharge, I continued taking oral antibiotics, but I still experience redness and swelling along with pain.
Is there a possibility of recurrence?

Hua, 20~29 year old female. Ask Date: 2023/04/21

Dr. Peng Xianwen reply Surgery

Hello HuA: There is a possibility of recurrence.
It is recommended that if you still feel unwell, you should return to the attending physician for evaluation.
Director Peng Hsien-Wen, General Surgery, Nantou Hospital.

Reply Date: 2023/04/21

More Info

Post-surgery complications, particularly cellulitis following trigger finger surgery, can be a significant concern for patients. In your case, it appears that you have experienced a series of complications following your surgery on January 15. Initially, your wound care was normal, but after the stitches were removed on January 31, you began to notice redness and swelling, which are common signs of infection. The progression of your symptoms, including the need for corticosteroid treatment and subsequent hospitalization for antibiotic therapy, indicates that your condition has been quite serious.

Cellulitis is a bacterial skin infection that can occur after surgical procedures, especially when the skin barrier is compromised. The risk factors for developing cellulitis include the presence of foreign bodies (like sutures), poor wound care, and underlying health conditions that may impair healing, such as diabetes or immune system disorders. In your case, the recurrence of symptoms even after a course of antibiotics suggests that the infection may not have been fully resolved or that there may be other underlying issues contributing to the persistent inflammation.

The fact that you underwent a second surgical procedure for debridement and re-suturing indicates that your healthcare team is taking your condition seriously. However, the ongoing redness and pain you are experiencing post-discharge are concerning. It is essential to follow up with your healthcare provider, as they can assess the wound for any signs of persistent infection or complications such as abscess formation.
In terms of prevention and management of cellulitis after surgery, here are some key points to consider:
1. Wound Care: Proper wound care is crucial. Keep the surgical site clean and dry, and follow your surgeon's instructions regarding dressing changes and bathing.

2. Monitoring Symptoms: Be vigilant about monitoring for signs of infection, including increased redness, swelling, warmth, pain, or discharge from the wound. If you notice any of these symptoms, contact your healthcare provider immediately.

3. Antibiotic Therapy: If prescribed antibiotics, it is vital to complete the entire course, even if symptoms improve. This helps ensure that the infection is fully eradicated.

4. Follow-Up Appointments: Regular follow-up appointments with your surgeon or healthcare provider are essential for monitoring healing and addressing any complications early.

5. Lifestyle Factors: Maintaining a healthy lifestyle, including proper nutrition and managing any underlying health conditions, can support your immune system and promote healing.

6. Physical Therapy: If you experience limitations in movement or function due to the surgery or complications, consider engaging in physical therapy to aid recovery and regain strength and mobility.

In conclusion, while there is a possibility of recurrence of cellulitis, especially given your history, proactive management and close communication with your healthcare provider can significantly mitigate risks. If you continue to experience symptoms, do not hesitate to seek medical attention. Your health and recovery are of utmost importance, and timely intervention can prevent further complications.

Similar Q&A

Post-Surgery Pain in Finger: Causes and Concerns After Incision and Drainage

On January 1st, due to paronychia, it developed into cellulitis. An incision was made on the left side of the index finger to drain the pus, and the recovery has been good since the surgery. However, sometimes when I exert myself or stretch, I experience a sharp pain at the first...

Dr. Li Zhonghuai reply Surgery
Hello! When making an incision on the left side of the index finger to drain pus, how large and deep should the incision be? There is a sharp pain at the first joint on the dorsal side of the index finger. Generally, even after the wound has healed, it can take more than three mo...

Post-Surgery Swelling and Concerns After Trigger Finger Surgery

Hello Doctor: I underwent outpatient trigger thumb surgery on August 25. After the doctor administered anesthesia, he used a needle for a few seconds and bent my thumb backward, saying it was okay and that I didn't need a follow-up appointment. He prescribed pain medication ...

Dr. Zhan Xian reply Orthopedics
It is recommended to return for a follow-up appointment with the attending (surgical) physician for evaluation, and to also inquire about rehabilitation-related questions. Thank you.

Understanding Cellulitis: Symptoms, Treatment, and Complications

Hello doctor, I would like to ask about a cat bite on the back of my hand, specifically on the middle finger. After seeking medical attention, I was diagnosed with cellulitis. Currently, there is a small hole in the center of the wound that is producing yellowish-green exudate. I...

Dr. Xu Kaixi reply Surgery
Based on your description and the provided images, the cellulitis caused by the wound infection has improved, and it does not appear to be a deep tissue infection. Since the wound is located at the proximal interphalangeal joint of the middle finger, it may affect the mobility of...

Post-Surgery Concerns: Managing Complications After Humerus Surgery

Hello Doctor, I recently had surgery, and it has been six days since the operation. 1. The back of my hand is still swollen. 2. I cannot close my index and middle fingers when they are straightened, resembling a "peace" sign. 3. The area from my ring finger to my little...

Dr. Shi Guozheng reply Orthopedics
Swelling typically subsides gradually about two to four weeks after surgery. If the fingers cannot close, it may be due to swelling or nerve compression or tension. Rehabilitation usually leads to gradual improvement; however, if recovery does not occur, further interventions may...