Post-Surgery Concerns: Healing After Anal Fistula Surgery

Postoperative conditions following anal fistula surgery!

Hello Dr.
Ke: I underwent surgery for an anal fistula in March of this year.
Since the surgery, I have maintained a regular bowel habit, and there has been no discharge since the wound healed.
However, when I touch the healed area, it feels uneven compared to the surrounding skin, with some areas slightly raised.
Is this a normal phenomenon? Thank you, doctor.

Ahao, 20~29 year old female. Ask Date: 2015/07/30

Dr. Ke Fangxu reply Surgery

It is normal for significant scar tissue to remain after anal fistula surgery, which is actually the purpose of the procedure.
The goal is to replace the fistula tract with scar tissue.
As long as there is no pain, fever, or purulent discharge, there is no cause for concern.
The scar tissue will gradually become smoother over time.

Reply Date: 2015/07/30

More Info

After undergoing anal fistula surgery, it is common to have concerns about the healing process and the appearance of the surgical site. Your experience of maintaining regular bowel habits and the absence of discharge post-surgery are positive indicators of healing. However, the irregular texture you describe—where the healed area feels slightly raised or uneven—can be a normal part of the healing process.

When tissue heals, especially after surgery, it often undergoes changes that can affect its texture and appearance. The body forms scar tissue as part of the healing process, which may not match the surrounding skin in terms of smoothness or color. This is particularly true in areas like the anal region, where the skin is sensitive and the underlying structures are complex. The raised areas you feel could be due to the formation of scar tissue, which is a natural response to surgery.
In general, the healing of anal fistulas can vary significantly from person to person. Factors such as the extent of the surgery, individual healing responses, and pre-existing conditions can all influence the final outcome. It is also important to note that while some irregularities in the skin texture are normal, any new symptoms such as increased pain, swelling, or discharge should be evaluated by your healthcare provider.

If you are concerned about the appearance of the healed area or if you experience any discomfort, it is advisable to follow up with your surgeon or a healthcare professional specializing in colorectal surgery. They can assess the site and determine if what you are experiencing is within the normal range of post-operative healing or if further intervention is necessary.

In summary, while the irregular texture you are feeling may be a normal part of the healing process, it is always best to consult with your physician for personalized advice and reassurance. They can provide you with the most accurate information based on your specific situation and help address any concerns you may have about your recovery.

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