Post-Surgery Concerns After Salivary Gland Surgery: Healing and Activity Guidelines - Surgery

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Postoperative Issues Following Salivary Gland Surgery


Hello, doctor.
I underwent a thymectomy at Mackay Memorial Hospital on August 10.
During my follow-up visit, both incision sites were healing well, so the stitches were removed.
However, about a week post-surgery, the area below the right incision (inner side of the arm) developed a skin breakdown for unknown reasons.
After a follow-up, the doctor advised me to continue dressing changes and monitor the situation.
A week later, the wound still showed no improvement, so I decided to consult a dermatologist regarding the management of the skin ulcer.
I would like to ask the doctor, since the wound has now been 20 days (approximately 3 weeks), and the doctor indicated that the healing of both surgical sites was good during the follow-up, will normal activities that cause sweating have any impact? When can I resume normal exercise? (I am mainly concerned about the risk of secondary infection or the possibility of the skin breakdown area becoming necrotic and leading to pus formation.) Is it also appropriate to consult a dermatologist for confirmation on this issue? (Currently, I am no longer seeing a doctor at Mackay, so I cannot get a response to my questions.) Thank you.

Miss An, 10~19 year old female. Ask Date: 2023/08/29

Dr. Peng Xianwen reply Surgery


Hello Ms.
An: We are currently in the wound care stage.
Regardless of the condition of the wound, sweating can have an impact, but it cannot be completely avoided.
Dr.
Peng Hsien-Wen, Department of Surgery, Nantou Hospital.

Reply Date: 2023/08/29

More Info


After undergoing salivary gland surgery, it is essential to follow specific guidelines for healing and activity to ensure a smooth recovery and minimize complications. Given your concerns regarding the healing of your surgical wounds, especially the right side where you experienced skin breakdown, it is crucial to approach your recovery with care.


Healing Process and Wound Care
1. Wound Observation: Since you mentioned that the right side of your wound has not healed as expected and has shown signs of skin breakdown, it is vital to continue monitoring the area closely. If the wound has not improved after three weeks, it is advisable to consult a healthcare professional, such as a dermatologist, who can provide specialized care for skin issues. They can assess the wound for any signs of infection or other complications and recommend appropriate treatments.

2. Hygiene Practices: Maintain good hygiene around the surgical site. Clean the area gently with mild soap and water, and avoid any harsh chemicals or scrubs that could irritate the skin. If your doctor has prescribed any topical treatments or dressings, ensure you follow those instructions meticulously.

3. Moisture Management: Keeping the wound moist can promote healing, but it is also essential to prevent excessive moisture that could lead to maceration. Use appropriate dressings that allow for moisture control while protecting the wound.


Activity Guidelines
1. Sweating and Activity: Engaging in activities that cause sweating can potentially irritate the healing wounds. It is generally advisable to avoid strenuous activities, heavy lifting, or exercises that may cause excessive sweating until the wounds are fully healed. If you do choose to engage in light activities, ensure that you monitor the wounds for any signs of irritation or increased redness.

2. Gradual Return to Exercise: Depending on your overall health and the extent of your surgery, you may be able to resume light activities after a few weeks. However, it is crucial to listen to your body and avoid any movements that cause pain or discomfort. Low-impact activities, such as walking or gentle stretching, can be beneficial, but consult your surgeon or healthcare provider for personalized recommendations.

3. Signs of Complications: Be vigilant for any signs of complications, such as increased redness, swelling, discharge, or fever. If you notice any of these symptoms, seek medical attention promptly, as they could indicate an infection or other issues requiring intervention.


Follow-Up Care
1. Consulting Specialists: Since you have already consulted a dermatologist regarding your skin concerns, it is wise to continue that dialogue. They can provide insights into the healing process and any additional care you may need. If you have specific concerns about the surgical site, it may also be beneficial to return to your surgeon for a follow-up appointment.

2. Long-Term Care: After the initial healing phase, consider discussing with your healthcare provider about long-term care strategies for the surgical area, including scar management and any necessary lifestyle adjustments to promote overall health.

In summary, while it is understandable to be concerned about your healing process and the potential for complications, following proper wound care, being mindful of your activity levels, and seeking appropriate medical advice will significantly aid in your recovery. Always prioritize communication with your healthcare providers to ensure you receive the best possible care tailored to your specific situation.

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