Post-Surgery Concerns: Wound Healing After Cyst Removal

Surgical wound issues?

Hello Doctor, I am patient #205002 who inquired earlier.
I haven't had time to go to the hospital recently, and since the issue just occurred, I am reaching out to you.
After my cyst removal surgery on January 10, the doctor advised me to apply breathable tape after the stitches were removed.
However, since my menstrual period started a few days ago, I did not apply the tape.
Today, after my period ended, I noticed that the surgical site appears red (the area where the stitches were tied and the tissue was pushed out is red) and it is also itchy.
When I touch it, I can feel some hardness beneath the skin, but it does not hurt when pressed.
I would like to ask if the redness is normal? Is the hardness a sign that it was not completely cleaned out? Since there was pus in that area during the surgery, if someone tends to develop cysts frequently, does that mean they are also likely to recur? I mentioned to the doctor that I frequently develop cysts, and the doctor responded that I would continue to have them (crying).
Thank you, Doctor.

Ting, 40~49 year old female. Ask Date: 2024/03/02

Dr. Zhang Shuhao reply Surgery

It is normal for the scar tissue of a healing wound to appear slightly red and itchy.
However, it is important to monitor for signs of inflammation such as redness, swelling, heat, and pain.
Generally, efforts are made to keep the area clean.
If there is significant inflammation initially, there may be some hard lumps around the area, but if there is gradual improvement, it can be observed further.
It is still recommended to visit the outpatient clinic to check the healing progress of the wound when possible.

Reply Date: 2024/03/02

More Info

After undergoing surgery for a sebaceous cyst, it is common to have concerns regarding wound healing and the potential for recurrence. Your experience of noticing redness and hardness at the surgical site, along with itching, raises valid questions about the healing process and what to expect moving forward.

First, it is important to understand that post-surgical redness can be a normal part of the healing process. When the skin is cut during surgery, it goes through several stages of healing, which can include inflammation, tissue formation, and remodeling. Redness is often a sign of increased blood flow to the area, which is necessary for healing. This increased blood flow brings essential nutrients and immune cells to the site, helping to prevent infection and promote recovery.

The presence of hardness beneath the skin can also be typical after surgery. This hardness may be due to scar tissue formation, which is a natural part of the healing process. Scar tissue can feel different from normal tissue and may be firmer or thicker. Over time, this scar tissue usually becomes less prominent and more flexible as the healing progresses. However, if the hardness persists or increases, it may warrant further evaluation by your healthcare provider.

Itching is another common symptom following surgery. It can be caused by the healing process itself, as new skin cells are generated and nerves regenerate. While it can be uncomfortable, itching is generally not a cause for concern unless it is accompanied by other symptoms such as increased pain, swelling, or discharge, which could indicate an infection.

Regarding your concern about the presence of pus during the initial surgery, it is crucial to ensure that the cyst was completely excised. If any cystic material remains, there is a higher likelihood of recurrence. Your doctor’s comment about the potential for future cysts is based on the understanding that some individuals are predisposed to developing sebaceous cysts. If you have a history of recurrent cysts, it may be beneficial to discuss preventive measures or alternative treatments with your healthcare provider.

In terms of wound care, it is essential to follow your doctor's instructions regarding the use of breathable adhesive bandages. Keeping the area clean and protected can help reduce the risk of infection and promote optimal healing. If you notice any signs of infection, such as increased redness, swelling, warmth, or discharge, it is important to contact your healthcare provider promptly.

As for the timeline for healing, while many surgical wounds can take several weeks to heal completely, individual recovery times can vary based on factors such as the size of the incision, your overall health, and adherence to post-operative care instructions. It is generally advisable to monitor the site for any changes and to keep follow-up appointments with your surgeon to assess healing progress.

In summary, the redness and hardness you are experiencing may be normal signs of healing, but it is essential to remain vigilant for any signs of complications. If you have ongoing concerns or if the symptoms worsen, do not hesitate to reach out to your healthcare provider for further evaluation and guidance. They can provide personalized advice based on your specific situation and medical history.

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