Granulation tissue after hemorrhoid surgery?
Hello: Six weeks after surgery, the granulation tissue suddenly became inflamed, congested, swollen, and painful.
During the doctor's visit, the pus was drained, which provided significant relief and reduced the size somewhat.
However, after another two weeks, the granulation tissue still appears red and has not completely resolved, with minimal changes and some discharge.
The doctor mentioned that surgical removal might be necessary.
Can you tell me if this granulation tissue will eventually resolve? If I am not concerned about the appearance, can I choose not to have it removed? Thank you!
Hunter, 40~49 year old female. Ask Date: 2012/11/24
Dr. Ke Fangxu reply Surgery
After hemorrhoid surgery, it is possible for granulation tissue to form due to uneven suturing of the wound.
If there is inflammation, swelling, and pus, this may indicate a wound infection.
It is generally recommended to undergo a repeat surgery to prevent the development of an anal fistula.
However, if surgery is not desired, one can initially try antibiotic treatment.
If the symptoms do not recur, monitoring for a period may be an option.
If there is no improvement after antibiotic treatment or if inflammation recurs, surgical intervention is more likely to provide a definitive cure.
Reply Date: 2012/11/24
More Info
Managing post-surgery granulation tissue can be a complex issue, especially when complications such as inflammation, swelling, and pain arise. Granulation tissue is a normal part of the healing process, consisting of new connective tissue and blood vessels that form on the surface of a wound. However, when it becomes excessively inflamed or infected, it can lead to discomfort and further complications.
Understanding Granulation Tissue:
Granulation tissue typically appears red and bumpy, and it is a sign that the body is healing. However, if it becomes overly vascularized or inflamed, it can lead to symptoms such as swelling, tenderness, and discharge. In your case, it seems that the granulation tissue has not only persisted but has also become symptomatic, leading to concerns about infection or other complications.
Will the Granulation Tissue Resolve?
In many cases, granulation tissue can resolve on its own, especially if the underlying cause of inflammation is addressed. Factors such as infection, foreign bodies, or excessive tension on the wound can contribute to prolonged granulation tissue formation. If the tissue is not responding to conservative management, such as cleaning and monitoring, surgical intervention may be necessary to remove the excess tissue and promote proper healing.
Surgical Intervention:
If your physician has suggested surgical removal, it is likely because they believe that the granulation tissue is not only symptomatic but may also impede the healing process. Surgical excision can help to remove the problematic tissue and allow for a more favorable healing environment. While you mentioned that you are not concerned about the appearance, it is essential to consider that unresolved granulation tissue can lead to chronic issues, including infection or delayed healing.
Conservative Management Options:
If you prefer to avoid surgery and are not concerned about the appearance, you might consider discussing alternative management strategies with your physician. These could include:
1. Topical Treatments: Certain topical medications or dressings can help manage inflammation and promote healing.
2. Regular Monitoring: Keeping a close eye on the granulation tissue for any changes in size, color, or discharge can help you catch any potential complications early.
3. Wound Care: Maintaining proper hygiene and care of the area can prevent infection and promote healing.
When to Seek Further Help:
It is crucial to communicate with your healthcare provider about any changes in symptoms, such as increased pain, swelling, or discharge. If the granulation tissue continues to be problematic despite conservative measures, surgical intervention may be the best option to ensure complete healing.
In conclusion, while granulation tissue is a natural part of the healing process, persistent inflammation and symptoms may warrant further evaluation and potential surgical intervention. It is essential to work closely with your healthcare provider to determine the best course of action based on your specific situation and overall health.
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