Post-Surgery Wound Complications: Managing Infection and Healing

Q: Post-Surgery Wound Complications: Managing Infection and Healing

User Xiaoyu： 1. <br>Bacitracin Neomycin ointment is a compound antibiotic ointment used for its anti-inflammatory properties and to prevent wound infections. <br>2. <br>As for why the wound is not healing, it is advisable to consult your physician to understand the underlying rea

Postoperative wound dehiscence?

Hello: I had a lump in my breast and just underwent a biopsy.
A week after returning home, the wound became infected, and I had to be hospitalized for another week.
During that time, I received daily antibiotic injections, wound dressings, and drainage of blood and fluid from the wound.
Eventually, the wound healed enough for me to be discharged.
The doctor prescribed Bacitracin Neomycin Ointment for daily application.
Upon my follow-up visit, the wound had completely healed, and the doctor said it was fine to get the area wet and to return to work.
However, on the first day back at work, I noticed that the wound had reopened after returning home, even though it had previously closed up.
I applied Bacitracin Neomycin Ointment and used a hydrocolloid dressing, but the wound still shows no improvement.
Now, a small piece of tissue is protruding from the wound (which is about 5-6 cm), and it won't close.
Occasionally, there is a small amount of white pus.
What should I do?

Lu Xiaoyu, 20~29 year old female. Ask Date: 2007/06/26

Dr. Shou Weijin reply Pharmacology

User Xiaoyu: 1.
Bacitracin Neomycin ointment is a compound antibiotic ointment used for its anti-inflammatory properties and to prevent wound infections.
2.
As for why the wound is not healing, it is advisable to consult your physician to understand the underlying reasons (your doctor is more familiar with your condition).
3.
Your situation seems to fall under the category of breast surgery cases; I wonder if you have consulted a breast surgeon? (Please seek medical attention at the hospital as soon as possible.)

Reply Date: 2007/06/26

More Info

Post-surgery wound complications, particularly infections, can be a significant concern for patients recovering from surgical procedures. In your case, it appears that after undergoing a biopsy for a breast lump, you experienced a wound infection that required hospitalization and treatment with antibiotics. While it is encouraging that your wound initially healed and you were cleared to return to work, the subsequent reopening of the wound and the presence of discharge indicate that further complications may be at play.

Infections can occur for several reasons, including the presence of bacteria at the surgical site, inadequate wound care, or underlying health conditions that may impair healing. The use of Bacitracin Neomycin Ointment is a common practice to prevent infection and promote healing, but it is essential to ensure that the wound is kept clean and dry, especially after it has initially healed.

The reopening of your wound could be attributed to several factors:
1. Mechanical Stress: Returning to work may have subjected the wound to physical stress, leading to its reopening. Activities that involve lifting, bending, or excessive movement can strain the healing tissue.

2. Infection: The presence of white discharge and the inability of the wound to close completely may suggest a persistent infection. Even if the wound appeared to heal, bacteria could still be present, causing inflammation and preventing proper closure.

3. Wound Healing Factors: Individual factors such as age, nutritional status, and underlying medical conditions (like diabetes) can significantly affect wound healing. If your immune system is compromised or if you have other health issues, healing may be slower and more complicated.

Given the current state of your wound, here are some steps you should consider:
1. Consult Your Surgeon: It is crucial to return to your healthcare provider for a thorough evaluation of the wound. They may need to assess for signs of infection, such as increased redness, swelling, or discharge, and may recommend further interventions, such as drainage or additional antibiotics.

2. Wound Care: Continue to follow your doctor's instructions regarding wound care. If the wound is open, it may need to be kept moist with appropriate dressings to promote healing. Avoid using ointments or creams unless directed by your healthcare provider.

3. Avoid Irritation: Protect the wound from friction and irritation. If your job involves physical activity, consider discussing with your employer about modifying your duties until the wound has healed completely.

4. Monitor for Signs of Infection: Keep an eye out for symptoms such as increased pain, swelling, redness, or fever. If you notice any of these signs, seek medical attention promptly.

5. Follow-Up Appointments: Regular follow-ups with your healthcare provider are essential to monitor the healing process and make any necessary adjustments to your treatment plan.

In summary, while it is not uncommon for surgical wounds to experience complications, prompt attention and appropriate care can help manage these issues effectively. Your healthcare provider is your best resource for navigating these challenges and ensuring a successful recovery.

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