Is it necessary to change the gauze in the wound every day after surgery for an anal fistula?

Dec 27, 2024 Source: Cainiu Health

Dr. Li Jingxiang

Introduction

The gauze packed in the wound after fistula surgery needs to be changed daily. The primary purposes of packing the wound with gauze after fistula surgery are to apply pressure to stop bleeding, drain secretions, and prevent false healing. There will be exudate from the wound after surgery, including blood and tissue fluid. If the gauze is not changed in a timely manner, accumulation of exudate may lead to local infection, impair wound healing, and even potentially cause the formation of a new anal fistula.

Generally, the gauze packed in the wound after anal fistula surgery needs to be changed daily. The specific analysis is as follows:

The primary purposes of packing gauze into the wound after anal fistula surgery include applying pressure to stop bleeding, draining secretions, and preventing false healing. There will be exudate, including blood and tissue fluid, from the surgical wound post-operation. If the gauze is not replaced in a timely manner, the accumulation of exudate may lead to local infection, affect wound healing, and even possibly cause the formation of a new anal fistula. Additionally, as the wound heals, some necrotic tissue may remain on the gauze. Daily gauze changes help maintain wound cleanliness, create a favorable environment for healing, and facilitate the doctor's observation of the wound condition to identify and address any issues promptly.

It is also important to maintain local cleanliness around the anus. After bowel movements, use warm water sitz baths or rinses to keep the perianal skin clean and reduce bacterial growth, thereby lowering the risk of anal fistula recurrence. At the same time, adjust your diet by consuming more fiber-rich foods such as fresh vegetables, fruits, and whole grains. Avoid eating spicy or irritating foods and drinking alcohol, maintain regular bowel movements, and prevent constipation.

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Is it normal for the wound to itch after surgery for anal fistula?

In general, it is normal for the wound to itch after surgery for anal fistula. After the surgery, as the wound gradually heals, a series of normal physiological changes occur, including itching at the wound site. This is primarily due to the continuous growth of new granulation tissue and the gradual repair and development of nerve endings, which may cause a sensation of itching.

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How to clean the wound after anal fistula surgery

Under normal circumstances, methods for cleaning wounds after anal fistula surgery include warm water sitz baths, disinfection with iodophor, potassium permanganate solution cleansing, sulfur soap cleansing, and using sterile normal saline. Patients who have undergone anal fistula surgery should also check the wound daily for signs of infection such as redness, swelling, discharge, or unusual odor. If any abnormalities occur, immediate medical attention is required.

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What are the methods for anal fistula surgery?

Under normal circumstances, anal fistula is a common anorectal disease. Common surgical treatments for anal fistula include fistulotomy, fistulectomy, seton placement, intestinal flap procedure, and laser therapy. If discomfort symptoms occur, it is recommended to seek timely medical attention at a hospital and undergo standardized treatment under a physician's guidance. After surgery, it is also important to rest adequately, maintain anal hygiene, and avoid strenuous physical activity.

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Can I eat perilla after surgery for anal fistula?

The postoperative recovery from anal fistula is proceeding well, with normal gastrointestinal function and no discomfort such as abdominal pain or diarrhea. The patient has transitioned to a normal diet and may consume perilla in moderation. Perilla has a warm nature and pungent taste, and functions to regulate qi and harmonize the stomach. It can promote gastrointestinal motility and alleviate possible postoperative digestive disorders, such as indigestion and poor appetite. Adding a small amount of perilla leaves or stems during cooking can also enhance flavor.