wound is not healing after surgery?
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A non-healing surgical wound can occur after surgery when a wound caused by an incision doesn't heal as expected. This is usually caused by infection – a rare but serious complication. Causes of poor wound-healing depend on the type and location of the procedure, health condition and other factors.
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Primary Intention Wound Healing Process Primary wound healing occurs when the tissue surfaces are closed by stitches, staples, skin glue, or steri-strips. A surgical incision that is closed by stitches is a good example.
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Then, normal blood circulation can resume and wound healing can occur. As you can see, it's important to understand the five reasons why a wound won't heal: poor circulation, infection, edema, insufficient nutrition, and repetitive trauma to the wound.
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Most skin wounds heal within 10 days. But even with proper treatment, a wound infection may occur.
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When can I have a bath or shower after surgery? After 48 hours, surgical wounds can get wet without increasing the risk of infection. After this time, you can get your stitches wet briefly with a light spray (such as in the shower), but they should not be soaked (for example, in the bath).
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Antibiotics are used to treat most wound infections. Sometimes, you also may need surgery to treat the infection. You may be started on antibiotics to treat the surgical wound infection. The length of time you will need to take the antibiotics varies, but will typically be for at least 1 week.
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Wound dehiscence is where a wound fails to heal, often re-opening a few days after surgery (most common in abdominal surgery). It can be divided into two clinical entities: Superficial dehiscence – the skin wound alone fails, with the rectus sheath remaining intact.
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Most skin wounds heal within 10 days. But even with proper treatment, a wound infection may occur. Check the wound daily for signs of infection listed below. Stitches should be removed from the face within 5 days.
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Bleeding. Bleeding during and after surgery is normal. In rare cases, a person may lose too much blood during the procedure and need a transfusion. Sometimes, after surgery, blood can pool under the skin and cause swelling.
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Like redness, swelling is normal at the beginning stages of wound healing. However, swelling should be continually decreasing. Persistent swelling could be a further sign of infection or other complications.
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The incision will heal in time, from inside out. People who have diabetes are at risk of wound care problems. This means wounds heal more slowly and require more care. If your incision is red, this may be a sign of infection.
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Fluid may drain from the cuts (incisions) for several days. The fluid will be bloody at first, but will turn clear in a few days. The area will probably be bruised and swollen for at least 10 to 14 days. You will be able to return to your normal activities as soon as you feel comfortable.
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A skin wound that doesn't heal, heals slowly or heals but tends to recur is known as a chronic wound. Some of the many causes of chronic (ongoing) skin wounds can include trauma, burns, skin cancers, infection or underlying medical conditions such as diabetes. Wounds that take a long time to heal need special care.
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The bottom line. Minor cuts and scrapes can usually be treated at home. If you have a wound treated professionally or undergo surgery, talk with your doctor about how to care for your wound and what to do if you notice any unusual drainage. Serous and serosanguinous drainage are normal for the first two or three days.
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These will fall off after about 10 days. You can wash your body, but please make sure you keep your wounds completely dry for the first 48 hours after your surgery. If possible, avoid having a bath or swimming within the first week, as soaking your wounds in water increases the likelihood of infection.
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It is normal for the knee to bleed and swell slightly following surgery – if blood soaks on to the ACE bandage, do not become alarmed – re-inforce with additional dressing. Leave the post-surgical dressing in place until your first post-operative appointment--typically 3 days or so after the surgery.
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A minor wound like a cut will usually heal to leave a red, raised line, which will gradually get paler and flatter over time. This process can take up to two years. The scar won't disappear completely and you'll be left with a visible mark or line. Fine-line scars are common following a wound or after surgery.