Post-Surgery Wound Care for Trigger Finger: Is It Done Right?

Postoperative wound care for trigger finger?

After undergoing trigger finger surgery performed by an orthopedic surgeon, I was instructed to clean the wound with povidone-iodine and saline, and then cover it with a gauze bandage.
No anti-inflammatory ointments were prescribed (the physician stated that orthopedic surgeons do not apply ointments to surgical wounds).
Is the physician's management of the postoperative wound correct?

Jian Zhiming, 60~69 year old female. Ask Date: 2023/09/27

Dr. Zhan Xian reply Orthopedics

If you have any concerns, you may consult another orthopedic physician for evaluation.
Thank you.

Reply Date: 2023/09/27

More Info

Post-surgery wound care is a crucial aspect of recovery, especially after a procedure like trigger finger surgery. The approach taken by your orthopedic surgeon, which involves cleaning the wound with iodine and saline solution and covering it with gauze, is generally considered appropriate. However, there are several factors to consider regarding wound care and healing.

Firstly, the use of iodine and saline for cleaning the wound is a standard practice. Iodine is an antiseptic that helps to reduce the risk of infection, while saline is gentle on the tissue and helps to keep the wound moist, which can promote healing. Covering the wound with gauze is also important to protect it from external contaminants and to absorb any drainage that may occur.

The absence of topical anti-inflammatory ointments or creams is a point of discussion among medical professionals. Some surgeons prefer not to use topical medications after surgery, believing that the natural healing process should not be interfered with by additional substances. This approach can vary based on the surgeon's philosophy, the specific procedure performed, and the individual patient's needs. In many cases, the body is capable of healing itself without the need for topical treatments, especially if the wound is kept clean and dry.

It is essential to monitor the wound for signs of infection, which can include increased redness, swelling, warmth, or discharge. If you notice any of these symptoms, it is crucial to contact your healthcare provider immediately. Additionally, keeping the wound dry and clean is vital. If the gauze becomes wet or soiled, it should be changed promptly to prevent bacterial growth.

Regarding pain management, it is common for patients to experience some discomfort after surgery. Your surgeon may have provided you with pain relief options, but if you find that your pain is not manageable, you should reach out to them for advice on appropriate pain management strategies.

As for the recovery process, following your surgeon's instructions is paramount. This includes any recommendations for physical therapy or exercises to regain mobility in your finger. Trigger finger surgery often requires a rehabilitation period to restore full function, and adhering to a prescribed rehabilitation plan can significantly impact your recovery outcome.

In summary, the care instructions provided by your orthopedic surgeon appear to be in line with standard practices for post-surgical wound management. However, it is always advisable to communicate openly with your healthcare provider about any concerns or questions you may have regarding your recovery. If you feel uncertain about the care you are receiving or if your wound does not seem to be healing properly, seeking a second opinion or further evaluation from another medical professional can provide additional reassurance and guidance.

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