Post-Fibroadenoma Surgery: Managing Wound Concerns and Next Steps

Postoperative care for a fibroepithelial tumor?

Hello, Dr.
Lee.
I had a fibrous tumor surgery two months ago, and last week I noticed pus at the wound site.
After squeezing out the pus, I returned for a follow-up the next day.
The doctor mentioned it was a reaction to the sutures, and the surface of the wound appeared fine without redness or swelling.
The doctor also asked if I had squeezed out the sutures.
I was advised to apply a non-adhesive dressing and to keep it dry for a week.
Now, a week has passed, and I removed the dressing.
There is dried pus around the wound, but there is no redness or pain.
I'm hesitant to forcibly remove the dried pus, and I'm unsure if the sutures have been expelled.
Should I schedule another follow-up? If the sutures haven't been expelled, will my wound continue to produce pus and not heal?

Lynn, 30~39 year old female. Ask Date: 2024/01/19

Dr. Li Zhonghuai reply Surgery

Hello! If you are allergic to absorbable sutures, it is best to remove the suture ends, although it may not be necessary for every stitch.
Just remove the suture ends from the infected area.
It is advisable to return for a follow-up consultation.
Take care! Changhua Hospital cares about you!

Reply Date: 2024/01/19

More Info

After undergoing fibroadenoma surgery, it's understandable to have concerns about wound healing, especially when you notice signs of pus or other unusual symptoms. Based on your description, it seems that you have been proactive in managing your wound care, which is crucial for a smooth recovery.
Firstly, it's important to recognize that the presence of pus can indicate an infection or a reaction to the sutures used during the surgery. In your case, your doctor mentioned that the pus was likely a reaction to the suture material, which is not uncommon. The fact that there is no redness, swelling, or pain around the wound is a positive sign, suggesting that the infection may be localized and not spreading.

Regarding your question about whether you should return for a follow-up appointment, it is generally advisable to consult your physician if you have any lingering concerns, especially if you are unsure about the status of the sutures. If the suture material has not been expelled and is causing ongoing irritation, it could potentially lead to further complications, including chronic infection or delayed healing. Your doctor may want to assess the wound to ensure that it is healing properly and that there are no underlying issues that need to be addressed.

In terms of wound care, it’s crucial to keep the area clean and dry. If you notice any new symptoms such as increased redness, swelling, or pain, or if the pus returns, you should definitely seek medical attention. It’s also important to avoid picking at or forcibly removing any dried pus, as this could disrupt the healing process and introduce bacteria into the wound.

As for the sutures, if they are absorbable, they will typically dissolve on their own, but if they are non-absorbable, they may need to be removed by your healthcare provider. If you suspect that a suture has not been expelled, your doctor can evaluate the wound and determine the best course of action.

In summary, while your wound appears to be healing well without significant signs of infection, it is always better to err on the side of caution. If you have any doubts about the healing process or the status of the sutures, a follow-up visit is warranted. Your healthcare provider can provide reassurance, check for any complications, and ensure that your recovery continues smoothly. Remember, effective communication with your healthcare team is key to a successful recovery.

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