Surgical Sutures Still Produce Pus And Blood?
I had surgery, and the second operation was sewn several stitches in the hole that was torn during the operation. After surgery, antibiotics and pain relievers were only given. And told to soak PK water 2 times a day. Do stitches not need to be given medicine from outside? Is it okay if the seams are wet because they are left open and not bandaged? And still bleeding and pus, does it mean that the pus is not completely cleaned during surgery?
Perianal abscess is an infection of the tissue around the anus that causes inflammation and formation of pus in the subcutaneous tissue. The most common complication is the formation of fistulas (abnormal channels) of the rectum and also the outer skin near the anus. From the fistula, pus and stool can come out.
Anal fistulas can cause the following symptoms:
Skin irritation around the anus (rectal hole) Odorous liquid, pus, blood that comes out continuously from the fistula Discomfort when sitting Pain in redness and lumps around the rectum (abscess) that are painful when pressed or touched Fever Difficulty holding back CHAPTER Hole on the skin around the anus Fistula ani was diagnosed from a physical examination. Management of anal fistula is through surgery, because if left to heal on its own it generally takes a long time and rarely can heal completely (repeatedly). The anus area is a dirty area and many germs as a result will heal the wound longer and the risk of re-infection is high. Ani fistula surgery aims to open the fistula and remove the existing fistula duct, so that the fistula will form scar tissue. This action is usually done if the mouth of the fistula does not touch the anal sphincter muscle (to hold BAB). Besides anal fistula surgery can use seton techniques, advancement flap techniques, endoscopic ablation, etc. depending on the patient's condition.
Ani fistula surgery is at risk for infection so antibiotics are given to drink. Another risk that can arise is fecal incontinence (feces spitting out unknowingly) due to damage to the anal sphincter muscles (if the fistula hits the muscle). Anal fistula can reappear in some patients even after surgery. Postoperative perianal abscess and anal fistula, discharge (not pus) and blood can occur during the first few days, but the amount will decrease. If the pus that comes out smells and has the same color as you did before the operation, it can be caused by a recurrence (recurrence) or a residual fistula. Recurrence of anal fistula can occur if:
There are fistula remnants that are deeper inside Healing wounds is not good - re-infection You are suffering from other diseases such as:
Diverticulitis Crohn's disease Tuberculosis infection Hidradenitis supurativa Post-operative wound care for abscesses and perianal fistulas is generally open wound care. In the wound hole is generally inserted absorbent gauze to absorb pus which is then replaced periodically. PK bathing 2-3 times a day aims to reduce germs around the anus which can slow wound healing and cause re-infection. The pain can be experienced up to the first week after surgery, so usually the doctor will give pain relievers as well. If the patient defecates hard, can be given laxative to soften the stool. Perform post-operative control with a doctor according to a predetermined schedule. Thus the explanation from me, hopefully useful.