Complications of wound healing | Healing of a coccyx fistula

Complications of wound healing

If the surgeon decides to use suture surgery, the recovery rate is usually 80%. However, with this closed treatment, the wound may become inflamed and need to be reopened. A partial opening is recommended.

The re-opening of the wound extends the healing time again. Another complication can be post-operative bleeding, in which case haemostatic therapies must be carried out. However, very severe post-operative bleeding occurs very rarely. Other already mentioned complications of wound healing are wound infections or a recurring coccyx fistula. Adequate follow-up treatment is also essential for healing

Aftercare

Hygienic treatment of the surgical wound is essential for good healing. In addition, the avoidance of alcohol and nicotine is recommended for good wound healing. During postoperative treatment, it is advisable to shower the wound to ensure good healing.

This showering out should take place several times a day, especially after bowel movements. Then the wound should be allowed to dry for 10 minutes, a fresh tamponade should be inserted and the wound covered again. The positive effect of showering out comes from the stimulation of the granulation of the wound fluid by showering out.

Sitting baths also have a positive effect on healing. Sitting baths can also be used daily. There are also special medical baths with potassium permanganate or sea salt baths.

The effect of the baths is due to their antibacterial effect. An additive with camomile extract can also have an anti-inflammatory effect. Another method of accelerating healing are wound healing ointments, but this is somewhat controversial.

There are different ointments with Betaisodona which can be applied to the tamponades. There are also wound rinsing solutions with hydrogen peroxide solutions with a concentration of 3%. The exposure time is 5 minutes after rinsing.

The solutions have a good antibacterial effect and protect against infections. There are also preventive measures that can be used before the operation to improve wound healing after the operation. This includes the possibility of performing a treatment for permanent hair removal.

There are IPL or laser techniques for this. Here, treatment is carried out using laser or xenon light. This leads to a sclerotherapy of growing hairs.

This treatment must be carried out several times before the operation for good effectiveness. This pre-treatment reduces the irritation of the hair in the surgical wound and counteracts a possible risk of recurrence and the development of new fistulas.