Post-surgical infection occurs when the pathogens get increased in the site of the surgical incision, causing infection. These are called surgical site infections (SSIs), and they occur within 30 days of surgery. They are of three types - 1) Superficial incisional SSI occurs in the area where the incision is made. 2) Deep incisional SSI occurs beneath the incision of the muscle or tissue. 3) Organ or space SSI occurs anywhere in the incisional area of the body other than the skin, muscle, or surrounding tissue. They cause fever, tenderness, and delayed healing with pain.
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How can I make the wound due to omphalectomy heal faster?
Query: Hi doctor, I have undergone omphalectomy six months back as I was having endometriosis. The stitch was removed four days later. But I have a raw wound which according to the doctor will heal gradually. I am cleaning the wound using Savlon and dressing the wound and applying T-Bact ointment. But the ... Read Full »
Answer: Hello, Welcome to icliniq.com. As you said the wound is there since last 20 days, it has reached a chronic stage. If it is healing it is well and good, but most of the wound at this stage will either: Develop a biofilm due to chronic infection and resist to heal any further. Or develop sufficien... Read Full »
I have pus draining from my hernia surgery incision. Why?
Query: Hello doctor, I have had seven abdominal surgeries, namely gastric bypass, laparoscopic cholecystectomy, exploratory laparoscopy, panniculectomy, ventral hernia repair, mesh removal from hernia repair with exploratory laparoscopy, and recently open epigastric incisional hernia fix a month back. Imme... Read Full »
Answer: Hi, Welcome to icliniq.com. It is very unfortunate that you had to go through all that. After reviewing the information shared and your pictures (attachment removed to protect patient identity), it appears you are suffering from surgical site infection. Following are the possibilities: Inf... Read Full »
There is a white discharge and pain after my gall bladder surgery. Should I be concerned?
Query: Hi doctor,I underwent gallbladder surgery before 16 days. There is an white discharge and pain in the incised area. Should I be concerned about the infection? Read Full »
Answer: Hi, Welcome to icliniq.com. According to your symptoms, it is cellulitis. 1. Clean the skin with Hydrogen Peroxide. 2. Apply Betadine cream over the affected area. 3. Use a sterile bandage. 4. Eat capsule Clavam (Amoxicillin and Clavulanic acid) 625 mg twice daily for five days. Do follow-ups... Read Full »
Had pilonidal sinus surgery before two months. Why is it bleeding now?
Query: Hi doctor,I am suffering from pilonidal sinus. I have been operated thrice in the last two years and the third operation has been successful. In the other two operations, the doctors left some of the sinus in. My main concern is that, it had been operated and healing well. It was stitched and the do... Read Full »
Answer: Hi, Welcome to icliniq.com. As a matter of fact, the worst thing of pilonidal sinus is that it can be repeated after treatment including surgery. Since you have been operated lately, I would recommend you to go through a cure of antibiotics as a first try. Because, it may be an infection of the wou... Read Full »
Can a person travel with an infected surgical site?
Query: Hello doctor, Two and a half weeks ago, I underwent an exploratory laparotomy that resulted in an appendectomy. Yesterday, I went to see my primary care physician who diagnosed a surgical site infection. I was given Cephalexin three times per day for ten days. My question is about traveling in my cu... Read Full »
Answer: Hi, Welcome to icliniq.com. It would be very difficult for me to recommend anything without a clinical examination. The extent of wound infection would determine whether you could go or not. A mild infection which does not require a daily dressing will not hinder you from going. But if the infecti... Read Full »
My father who is a diabetic,underwent CABG and the wound is taking long time to heal. Please help.
Query: Hello doctor, My father is diabetic and had MI with a heart block. He underwent CABG surgery and sternal debridement before three years. The wound has not healed still now. He is on Meropenem 1000 mg medication, and Colistimethate Sodium is also being used. Please help. Read Full »
Answer: Hello, Welcome to icliniq.com. As your father is diabetic, he has low immunity against infection. Wound healing may take some time. Deep sternal wounds are very common after CABG (Coronary artery bypass grafting). Both antibiotics he is using are very powerful. If they are not effective, then I woul... Read Full »
How long does it take for tissues to grow into the mesh after hernia surgery?
Query: Hi doctor, My questions are related to da Vinci bilateral hernia repair with mesh. How long does it take for the tissues to grow into the mesh ultimately? What is the time window for the rejection of the mesh after the surgery? What is the time window for developing an infection after the surgery... Read Full »
Dr. Kagathara Happy Kumar Devkaranbhai
Answer: Hello,Welcome to icliniq.com.Hernia surgery can be done with two approaches, open surgery or minimal access surgery. The minimal access approach includes either conventional laparoscopic surgery or robotic surgery. Healing allows fibrosis to occur in the surgery area, and the extent of fibrosis is d... Read Full »
Why do my mother's eyes appear red and swollen after undergoing cataract surgery a month ago?
Query: Hi doctor, My mother is 67 years old and underwent cataract surgery a month ago. The surgery went well, and she was on one month of home care. For a month, I administered all the drops as advised by the doctor. I took my mother to the doctor for a check-up one month after cataract surgery. A drop wa... Read Full »
Answer: Hello, Welcome to icliniq.com. I have seen your reports (attachments removed to protect the patient's identity), but unfortunately, the photo of the eyes is too blurry to appreciate. I can only note that the eyes look congested, but I cannot appreciate the blood clot that the doctor has said she h... Read Full »
I had severe pain in my abdomen after surgery for my gallstone pancreatitis. Should I be concerned?
Query: Hi doctor, I had a severe episode of gallstone pancreatitis and had to stay in a hospital for 17 days. They removed my gallbladder laparoscopically, and after only a few hours of surgery, I started feeling severe pain in my abdomen just right above the belly button (only a small area), they did many... Read Full »
Answer: Hi, Welcome to icliniq.com. I hope you are doing good. So I went through the ultrasound images (attachment removed to protect the patient's identity) provided to me and have made the following observations. There is evidence of a hypoechoic (dark area on ultrasound) in periumbilical location (assu... Read Full »
I have recurrent cholesteatoma because my surgeon did not remove the cotton balls after the surgery. Can I remove them from the eustachian orifice?
Query: Hello doctor, Generally, in cholesteatoma surgery, surgeons put a cotton ball in the eustachian orifice area while exploring the middle ear. It is usually taken out before packing the ear. However, in my case, the surgeon did not take the cotton ball out even after the procedure. As a result, I have... Read Full »
Answer: Hello, Welcome to icliniq.com. I agree that a cotton plug is put in while exploring the middle ear, but it will be removed after the procedure. In your case, how did you get to know there is a cotton plug in the eustachian tube? Also, recurrent cholesteatoma might occur due to inadequate clearance d... Read Full »