What should be done if granulation tissue grows too quickly after minimally invasive surgery for perianal abscess?

Jul 15, 2024 Source: Cainiu Health
Disease description:

I had a minimally invasive surgery for perianal abscess some time ago, and it has been 10 days now. Recently, I noticed that the granulation tissue at the wound site is growing too quickly. What should I do about excessive granulation tissue growth after minimally invasive surgery for perianal abscess?

Doctor's answer (1)
Dr. Li Jingxiang
After undergoing minimally invasive surgery for perianal abscess, if granulation tissue grows too quickly, the following measures may be necessary: 1. Regular observation and follow-up: Postoperatively, closely monitor the growth of granulation tissue and attend regular follow-up appointments as directed by your physician to track any changes in condition. 2. Granulation tissue trimming: If the granulation tissue grows excessively high, interfering with wound healing or causing pseudoepithelialization, it should be trimmed by a qualified physician. This procedure generally does not cause pain, as there are few nerves within the granulation tissue. 3. Infection control: Excessive granulation tissue growth may sometimes be associated with infection. Therefore, maintaining cleanliness and dryness at the surgical site is important to prevent infection. If signs of infection occur, seek medical attention promptly and treat with antibiotics or other medications as needed. 4. Lifestyle modifications: Patients should maintain a balanced diet and consume nutrition-rich foods, avoiding spicy or irritating foods. Additionally, maintaining regular sleep patterns and engaging in appropriate physical activity can help promote wound healing. 5. Physical therapy: Under a physician's guidance, physical therapies such as red light treatment may be used to create a dry environment at the wound site and promote healing. Patients should follow medical advice and actively cooperate with treatment.