Post Surgical Infection

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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Why does my patient have persistent pus discharge despite being operated on for a right leg femur fracture?

Query: Hello doctor,I have a query regarding a patient who had a spinal cord injury. He also has an infection in his hip bone and was operated on for a right leg femur fracture a year ago. However, he still has pus discharge from the operated area. He is only taking vitamin supplements.   Read Full »

Dr. Pradeep Arun Kumar. L

Answer: Hello, Welcome to From the attached reports (attachments removed to protect the patient's identity), I can see that surgical intervention will not be possible as the patient is bedridden. The reason for persistent discharge of pus is an infection of the bone.  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 »

Dr. Rajesh Jain

Answer: Hi, Welcome to 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. Send follow-ups dail...  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. Happykumar Kagathara

Answer: Hello, Welcome to 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 fibrosi...  Read Full »

My legs look funny two weeks after Achilles surgery. Am I infected, or is this a cause for concern?

Query: Hi doctor,I had Achilles surgery three weeks ago. I went to the doctor one week out wound looked fine, then two weeks out, it looked funny. I have not done anything, and the doctors did not tell me why it looks this way. Am I infected, or is this a cause for concern? I got put on antibiotics and was...  Read Full »

Dr. Basuki Nath Bhagat

Answer: Hello, Welcome to I have read your query and saw the images (attachment removed to protect patient identity) attached. The first week's picture looks normal. It is dry. In the second week's picture: What is that white thin coating layer? Is that antibiotic cream? The lower...  Read Full »

Do I have to do surgery for the infection caused due to ACL reconstruction surgery?

Query: Hi doctor, I got an ACL reconstruction surgery done two weeks back. There was an infection in the operated site, so they did re-surgery and lavage, three days back. After this, physiotherapy was done for 10 days. So, the pain stopped, but there is still swelling in the knee. Today, the doctor asked ...  Read Full »

Dr. Lokesh

Answer: Hi, Welcome to I have seen the attached reports and photo (attachment removed to protect patient identity). The knee looks to be still infected. Lavage needs to be done till the knee becomes normal and the ESR (erythrocyte sedimentation rate) and CRP (C-reactive protein) values drop ...  Read Full »

Why do I have a burning sensation with pus discharge at the incision site for more than six weeks?

Query: Hello doctor, I went into shock during my tummy tuck surgery, and the reason was unknown. My hemoglobin dropped to 5 g/dL, but it was 14.6 g/dL before the surgery. I was taken to the emergency room and returned home after one week of treatment with four blood transfusions. Still, my incision is not ...  Read Full »

Dr. Kuljyot Bajaj

Answer: Hello,Welcome to you for your query.Most of the wounds heal within three to four weeks. Unfortunately, it has taken longer in your case with a hospitalization.1) When your surgeons re-stitched your wound, was there any fluid collection under your wound?2) When is the next follow-up...  Read Full »

I had bleeding from my mouth after four days of tonsillectomy. Why?

Query: Hi doctor,I just had my tonsils taken out before four days. Today, I took a walk down the mall and started to bleed a lot from my mouth. I rush to the hospital, and the doctor asked me to rest. As soon as I got home, I tasted blood and spat a lot of blood again. What should I do?  Read Full »

Dr. Shyam Kalyan. N

Answer: Hi, Welcome to Bleeding after tonsillectomy is one of the most common complications. What you should do immediately is have some ice creams. This constricts the blood vessels and stops bleeding. Bleeding three or four days post operation is most likely due to infection. Are you under an...  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 »

Dr. Arvind Guru

Answer: Hi, Welcome to 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: Infection a...  Read Full »

My skin around the surgical site looks black and dead. Why?

Query: Hi doctor, I am a 57 year old female. I am 4.3 feet tall. I underwent a leg surgery 11 months back. The surgical wound has been infected three times already with pus discharge. After cleaning the discharge, a small area remains unhealed, and the implants fixed during surgery can be still seen throu...  Read Full »

Dr. Sumit Chawla

Answer: Hello, Welcome to Kindly post the images of the affected leg and the infected wound after the surgery. I will be able to comment only after seeing the photos. Revert with more information to an orthopaedician and traumatologist online -->  Read Full »

Why do I have two red spots at the site of pilonidal surgery?

Query: Hi doctor, Before a year, I did a pilonidal surgery with a cleft lift procedure. Before a week, I got a slight pain in the same region in my lower back and it was a pimple. It was just a small one filled with pus. I used some home remedies by making a paste with baking soda, aloe vera, turmeric, an...  Read Full »

Dr. Lalit Kumar Bansal

Answer: Hi,Welcome to have undergone surgery for pilonidal sinus before a year. Now you have some pimples on the same site. It can occur due to infection. Maintain local hygiene. Shave your hair present in that area. I suggest you take some medicines to have some relief.   Read Full »

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