Managing Post-Surgery Wound Care: Tips for Healing and Prevention - Surgery

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The healed skin over the wound has been rubbed off?


After my surgery, during a follow-up appointment, 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 a bit hard, and I had to strain a bit to pass it.
I noticed some bleeding and asked my family to check the wound; they saw that the skin had 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 postoperative care recommendations?

Nǐ hǎ, 30~39 year old female. Ask Date: 2023/12/01

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, consider rinsing or using moist wipes to reduce friction.
Increase fluid intake and dietary fiber to prevent constipation.
If symptoms worsen, it is recommended to return for a follow-up examination of the wound.

Reply Date: 2023/12/01

More Info


Managing post-surgery wound care is crucial for ensuring proper healing and preventing complications. After any surgical procedure, the body requires time and care to recover, and the skin around the surgical site is particularly vulnerable. Here are some tips and recommendations for managing your wound care effectively, especially considering your recent experience with bleeding due to pressure during bowel movements.


Understanding Wound Healing
Wound healing is a complex process that involves several stages: hemostasis, inflammation, proliferation, and remodeling. The skin around surgical wounds can be particularly sensitive and may take longer to heal, especially if it has been compromised by factors such as pressure, friction, or moisture. In your case, the bleeding and the appearance of red, raw skin indicate that the area may have been subjected to excessive strain or friction.


Tips for Effective Wound Care
1. Keep the Area Clean: Gently clean the wound with mild soap and water. Avoid using alcohol or hydrogen peroxide, as these can irritate the skin and delay healing. Pat the area dry with a clean towel.

2. Moisture Management: It’s essential to keep the wound moist but not overly wet. If you are using artificial skin or hydrocolloid dressings, ensure they are applied correctly. These dressings can help maintain a moist environment that promotes healing while protecting the wound from external irritants.

3. Avoid Friction: Since you mentioned that the bleeding occurred due to straining during bowel movements, it’s vital to minimize any additional friction on the wound. You might consider using a cushion or padding around the area to reduce pressure when sitting or moving.

4. Dietary Considerations: To prevent constipation, which can lead to straining, ensure you are consuming a diet rich in fiber, including fruits, vegetables, and whole grains. Staying hydrated is also crucial, as it helps soften stool and promotes regular bowel movements.

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

6. Follow-Up Care: Regular follow-up appointments with your healthcare provider are vital. They can assess the healing process and make any necessary adjustments to your care plan. If the wound appears to be healing slowly or if you have concerns, don’t hesitate to reach out to your doctor.

7. Avoid Self-Medication: While it might be tempting to apply over-the-counter ointments or creams, be cautious. Some products can irritate the skin or interfere with the healing process. Always consult your healthcare provider before applying any new treatments.

8. Rest and Recovery: Allow your body the time it needs to heal. Avoid strenuous activities that could put additional strain on the wound. If you have a job that requires physical labor, discuss with your employer the possibility of modified duties during your recovery period.


Conclusion
In summary, managing post-surgery wound care requires a combination of cleanliness, moisture control, dietary adjustments, and regular monitoring. Given your recent experience with bleeding and the sensitivity of your skin, it’s crucial to take proactive steps to protect the area and promote healing. If you have any concerns or if the wound does not improve, please consult your healthcare provider for further evaluation and guidance. Remember, your health and recovery are the top priorities, and taking these steps can help ensure a smoother healing process.

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