Post-Surgery Skin Issues: Managing Wound Healing and Care Tips

The healed skin over the wound has been scraped off?

After my surgery, during a follow-up visit, the doctor mentioned that the skin around my wound was healing slowly and appeared thin.
It eventually healed, but in the past few days, due to constipation, my stool has been somewhat hard, and I had to strain a bit during bowel movements.
I noticed some bleeding and my family observed that the skin around the wound has been slightly abraded, revealing some red tissue, similar to a scraped area.
I would like to know if there are similar cases and what are some better post-operative care practices?

Nǐ hǎ, 30~39 year old female. Ask Date: 2023/11/25

Dr. Zhang Shuhao reply Surgery

Recently healed wounds have a more fragile epidermis and can easily bleed due to friction.
It is advisable to avoid ointments containing steroids.
After using the restroom, switch to rinsing or using moist wipes to reduce friction.
If symptoms worsen, it is recommended to return for a follow-up examination of the wound.

Reply Date: 2023/11/25

More Info

Post-surgery skin issues can be quite common, especially when it comes to managing wound healing and ensuring proper care. After surgery, the skin and underlying tissues undergo a healing process that can be affected by various factors, including the type of surgery, the location of the incision, and individual patient factors such as nutrition and hydration.
In your case, it sounds like you experienced some complications due to constipation, which led to straining during bowel movements. This can indeed put pressure on healing wounds, especially if they are located in areas that are subject to friction or movement. The fact that you noticed some bleeding and a raw appearance at the site indicates that the skin may have been compromised, which is not uncommon in post-operative care.

Here are some tips for managing wound care and promoting healing after surgery:
1. Gentle Cleaning: It’s crucial to keep the wound clean to prevent infection. Use mild soap and water to gently clean the area around the incision. Avoid scrubbing, as this can irritate the skin further.

2. Moisture Management: Keeping the wound moist can promote better healing. Consider using a hydrogel or a specialized wound dressing that maintains moisture without being overly wet. This can help prevent scabs from forming too quickly, which can lead to cracking and further injury.

3. Avoiding Strain: As you’ve experienced, straining during bowel movements can exacerbate wound issues. To prevent this, ensure you are consuming enough fiber and fluids to maintain regular bowel movements. If necessary, consider using stool softeners or laxatives as recommended by your healthcare provider.

4. Protecting the Wound: If the area is prone to friction or pressure (for example, if it’s near a joint), consider using a protective dressing or barrier. This can help shield the wound from irritation caused by clothing or movement.

5. Monitoring for Infection: Keep an eye on the wound for signs of infection, such as increased redness, swelling, warmth, or discharge. If you notice any of these symptoms, it’s important to contact your healthcare provider promptly.

6. Follow-Up Care: Regular follow-up appointments with your healthcare provider are essential. They can assess the healing process and provide tailored advice based on your specific situation. If the wound is not healing properly, they may recommend additional treatments or interventions.

7. Avoiding Irritating Products: As mentioned in previous responses, avoid using harsh or irritating products on the healing skin, such as alpha hydroxy acids or retinoids, as these can disrupt the healing process and lead to further irritation.

8. Emotional Support: Dealing with post-surgical complications can be stressful. It’s important to seek support from friends, family, or mental health professionals if you’re feeling overwhelmed.

In summary, managing post-surgery skin issues requires a combination of gentle care, moisture management, and attention to dietary habits to prevent complications like constipation. Always consult with your healthcare provider for personalized advice and treatment options tailored to your specific needs. Healing takes time, and being proactive about your care can lead to better outcomes.

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