Post-Surgery Wound Care: Dealing with Odor and Complications

Postoperative wound care issues?

Hello, I recently had surgery to remove a cyst from my armpit.
After the surgery, I applied a waterproof bandage, but after two days, it was too tight and caused blisters, so I had to remove it.
After taking off the outer gauze, there was a very strong odor from the wound.
However, since I can't get it wet, I have to endure it.
I applied antibiotic ointment and covered it with breathable tape and gauze, but the smell is quite strong.
Should I wait until the stitches are removed, or can I go to the hospital for treatment?

Sandy, 20~29 year old female. Ask Date: 2016/03/10

Dr. Li Zhonghuai reply Surgery

Hello! If there is a foul odor, the biggest concern is a wound infection.
It is advisable to return to the outpatient clinic for treatment as soon as possible, and still avoid contact with tap water.
Changhua Hospital cares about you!

Reply Date: 2016/03/10

More Info

Post-surgery wound care is crucial for ensuring proper healing and preventing complications. In your case, after undergoing a cyst removal surgery under the armpit, it seems that you are experiencing some issues with odor and discomfort due to the tight waterproof dressing and subsequent blistering. Here are some steps and recommendations to help you manage the situation effectively.

Immediate Steps for Wound Care
1. Assess the Wound: First, it's important to examine the wound for any signs of infection. Look for increased redness, swelling, warmth, or discharge that is yellow or green, which could indicate an infection. If you notice any of these symptoms, it is advisable to seek medical attention promptly.

2. Clean the Area: Since you mentioned that you cannot get the area wet, you can use a saline solution or a wound cleanser recommended by your healthcare provider to gently clean the area around the wound. Avoid using alcohol or hydrogen peroxide, as these can irritate the tissue and delay healing.

3. Antibiotic Ointment: Applying an antibiotic ointment, as you mentioned, is a good step to prevent infection. Make sure to apply a thin layer and avoid over-saturating the wound, as this can trap moisture and lead to further complications.

4. Dressing Change: After cleaning and applying the ointment, cover the wound with a breathable adhesive bandage or gauze. Ensure that the dressing is not too tight, as this can impede circulation and cause further irritation. Change the dressing daily or whenever it becomes wet or soiled.

5. Odor Management: The odor you are experiencing could be due to trapped moisture or bacteria. Keeping the wound clean and dry is essential. If the odor persists despite proper care, it may be a sign of infection, and you should consult your healthcare provider.

When to Seek Medical Attention
If the odor is accompanied by any of the following symptoms, it is crucial to seek medical attention:
- Increased pain or tenderness around the wound
- Fever or chills
- Pus or unusual discharge from the wound
- Persistent swelling or redness
Even if you do not have these symptoms, if you feel uncomfortable or uncertain about the wound's condition, it is always better to err on the side of caution and consult your healthcare provider. They can assess the wound and determine if any further treatment is necessary, such as drainage of any accumulated fluid or a change in your antibiotic regimen.

Long-term Care and Prevention
1. Follow-Up Appointments: Ensure you attend all follow-up appointments with your surgeon or healthcare provider. They will monitor the healing process and address any concerns you may have.

2. Avoid Tight Dressings: In the future, when using dressings, ensure they are not too tight. If you experience discomfort, it is essential to adjust them accordingly.

3. Hygiene Practices: Maintain good hygiene practices around the wound area. Wash your hands before and after touching the wound or changing dressings to minimize the risk of infection.

4. Nutrition and Hydration: Support your healing process by maintaining a balanced diet rich in vitamins and minerals, particularly vitamin C and zinc, which are important for wound healing. Staying hydrated is also crucial.

5. Monitor for Changes: Keep an eye on the wound for any changes in appearance or smell. Early detection of complications can significantly improve outcomes.

In conclusion, while it is understandable to feel concerned about odor and discomfort after surgery, following proper wound care protocols and seeking medical advice when necessary can help ensure a smooth recovery. If in doubt, don’t hesitate to reach out to your healthcare provider for guidance. Your health and well-being should always come first.

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