A fistula, or as this internal canal in the human body is also called, fistula, is represented by a canal that connects the human genitals with external environment.
A fistula can also be a channel that connects a cavity or surface of the body to a tumor developing inside.
Externally, the fistula looks like the simplest canal, which is covered with a layer of epithelium - the upper layer of the skin.
By type, fistulas can be distinguished, as a result of certain pathological processes in the body, or as a consequence surgical intervention. This is the second type we will talk about. Just such a fistula can occur when the contents of the genital organ are diverted.
What is a postoperative fistula?
Let’s say right away that the fistula that forms in the patient’s body after surgical intervention can be considered a classic complication after surgery. Note that the reasons that lead to the formation of a fistula are:
- Suppuration in the area of operation.
- Eventration.
- Infiltration in the area of surgical sutures.
In any case, the underlying possibility is that the suture tissue remains contaminated after the operation. By suture we mean ligatures, or ligature threads. Pathogenic microorganisms remain on them, which lead to the formation of compaction, granulomas.
Granuloma, in turn, consists of a ligature thread and cells with fibrous tissue. Macrophages and collagen fibers may also be present here, which then, after all sutures have completely healed, can lead to the formation of scars.
At the same time, we especially note that the fistula does not have to be clearly pronounced and cause inconvenience or painful sensations. Small fistulas are also diagnosed, which do not manifest themselves at all and the patient does not even feel them.
And yet, most often it can be stated that fistulas are formed after the use of a special silk thread.
Symptoms of postoperative fistula
If the fistula is large in size, then its development always takes place against the background of pronounced manifestations and symptoms. Let's define the main ones:
- Around the sutured wound begins inflammatory process. Small tubercles are formed, mushroom-shaped granulations that are hot to the touch.
- The inflammatory process does not affect the entire postoperative suture, but only a part.
- From the wound, the area affected by inflammation, pus begins to be released. Sometimes it can be represented by a small amount, but in the overwhelming majority of cases, a lot of pus is released.
- The place where the stitches are placed begins to change color and turns red.
- Swelling and the first signs begin to appear in the area of fistula formation pain syndrome, which may intensify.
- An increase in body temperature up to 39 degrees can be diagnosed.
Fistula and its consequences
If fistula long time does not go away, then its main consequence may be suppuration of the ligature thread, which develops into an abscess.
It is worth noting here that ligature fistulas can repeatedly cause infection of the postoperative suture. In addition, there is a possibility of intoxication of the entire body, which can lead to disability.
Important! Frequent discharge of pus from the opening of the fistula can lead to the onset of dermatitis, which can develop into a chronic condition.
Interestingly, the occurrence of a fistula does not necessarily occur in short time after surgery, its development can often be diagnosed several months after a successful surgical intervention.
Treatment of postoperative fistula
In principle, the ligature thread can independently come out along with the pus, after the suppuration reaches a critical point, so to speak. However, this happens in rare cases, and simply observing the development of a fistula without turning to doctors for help would be a completely wrong move.
You just need to immediately consult a doctor at the first symptoms. Moreover, treating a fistula on your own, and even at home, is extremely dangerous and contraindicated.
First of all, the treatment consists of removing the festering ligature thread again surgically. Afterwards a course of antibiotics and anti-inflammatory drugs is prescribed.
Be sure to add a dose to the course of treatment, which is designed to help restore immunity and maintain it at the desired level.
As for wound healing after removal of the festering thread, sanitation is used here, which is carried out by washing with a solution of furatsilin. You can also use hydrogen peroxide. Both of these remedies not only perfectly disinfect the surface of the wound, but also remove the pus that is released.
Along with the removal of the suppurating ligature, cauterization and scraping of granulations, which appear in excess during inflammation of the fistula, can be carried out.
In addition to these measures, there is a more gentle method of treating postoperative fistula, which involves the use of ultrasound.
When several channels are formed at once, the doctor decides to perform surgical excision of the scar, and the tissue is completely removed along with the ligature thread, and a new suture is applied to the operation site. Let us remember that we previously wrote about.
Almost every surgical intervention ends with closing the wound by placing surgical sutures on it, the only exceptions being operations performed on purulent wounds, in which, on the contrary, it is necessary to create conditions for the unhindered outflow of the purulent contents of the wound and reduce inflammation around the wound.
Surgical sutures are of both natural and synthetic origin. At the same time, they are divided into those that are absorbed in the body after some time and those that are not absorbed.
There are cases when a pronounced serous inflammatory process appears at the site of sutures, which subsequently begins to secrete pus. This behavior is a reliable sign that after the operation a fistula has formed and the process of its rejection has begun. It is worth noting that the appearance of a fistula is an abnormal reaction of the body, so additional treatment is required.
Causes of ligature fistula after surgery
Rejection by the body due to an allergy to the material from which the surgical thread is made.
Infection attached to the postoperative wound (failure to keep the wound clean, insufficient antisepsis during the operation).
In addition, the following factors may influence the appearance of a ligature fistula after surgery:
Metabolic disorders in the body (metabolic syndrome, obesity, diabetes).
Lack of minerals and vitamins.
Availability oncological diseases, which deplete the body (protein depletion).
Localization and type of surgical intervention (ligature fistula after performing caesarean section or fistula after surgery for paraproctitis).
A hospital infection that occurs in all hospitals and is represented by saprophytic microorganisms (streptococcus, staphylococcus), which are normally present on the skin of a healthy person.
The presence in the body of a specific chronic infection(syphilis, tuberculosis).
High immune reactivity of the body (young people full of energy).
General condition and age of the patient.
It is worth noting that ligature fistulas:
Appear in any part of the body and in any layers surgical wound(internal organ, muscle, fascia, skin).
Do not depend on time (can occur in a year, month, week).
They occur regardless of the material from which the surgical thread is made.
Have different clinical manifestations(rejection of sutures with suppuration of the wound and without its healing or rejection with subsequent healing).
Manifestations
In the first days, compaction, slight swelling, pain, redness, and an increase in local temperature appear in the projection of the wound.
After a week, a characteristic serous fluid begins to emerge from under the surgical sutures, and especially when pressing on them, which is subsequently replaced by pus.
At the same time there is an increase general temperature, which increases to subfebrile levels.
Sometimes the ligature fistula closes on its own, but after a while it opens again.
Complete cure is possible only after surgery, which is aimed at eliminating the causes of inflammation.
Complications arising from ligature fistula
An abscess is a cavity filled with pus.
Cellulitis is the spread of purulent formations under the skin through fatty tissue.
Eventration - due to purulent melting through the surgical wound, prolapse of internal organs may occur.
Sepsis is a breakthrough of purulent contents into the cavity of the skull, chest, and abdomen.
Toxic-resorbative fever is a severe form of the body’s temperature reaction to the presence of a purulent focus in it.
Diagnostics
You can identify a ligature fistula by visiting the dressing room during a clinical examination postoperative wound. Also, if you suspect the development of a ligature fistula, you should undergo ultrasonography wounds for the presence of an abscess or purulent leaks.
If diagnosis is difficult due to the deep location of the ligature fistula, fistulography can be used. The essence of this method is to introduce into the fistula tract contrast agent, after which it is executed radiographic examination. The image will clearly show the location of the fistula tract.
Treatment
Before proceeding with the treatment of ligature fistula, it should be noted that without surgical removal the focus of inflammation and its consequences cannot be cured, and the prolonged existence of a fistula will only aggravate the course of the disease. If there is a ligature fistula, it is necessary complex treatment pathologies with mandatory use:
the enzymes chymotrypsin and trypsin, which dissolve necrotic tissue;
antibiotics having wide range actions – ampicillin, levofloxacin, norfloxacin, ceftriaxone;
antiseptics local action. Fine powders - gentaxan, baneocin, tyrosur. Water-soluble ointments - levosin, trimistin, levomekol.
Such enzymes and antiseptics are introduced directly into the fistula tract itself, as well as into the tissues surrounding it, given that the activity of such drugs and substances lasts no more than 4 hours, they are administered several times a day.
At copious discharge from a fistula of purulent masses, it is strictly forbidden to use fatty ointments (synthomycin, Vishnevsky), since they clog the fistula canal and disrupt the process of outflow of pus.
In the inflammation phase, active use of physiotherapeutic procedures (UHF therapy, wound quartz treatment) is allowed. Such procedures help improve microcirculation of lymph and blood, reducing the spread of infection and swelling, and also have a detrimental effect on pathological microorganisms in the wound. The use of such measures makes it possible to achieve stable remission, but does not guarantee complete recovery.
If a fistula does not close, getting rid of it can only be guaranteed through surgery. This treatment option for a ligature fistula is a generally accepted standard, because eliminating the cause of constant suppuration can only be achieved with surgical treatment postoperative wound with a complication that arose in it.
Sequence of actions during surgery to eliminate a ligature fistula
triple treatment of the surgical area with antiseptics (usually alcohol solution iodine);
introduction of anesthetic substances into the projection of the surgical wound and under the wound (0.5-5% novocaine solution, 2% lidocaine solution);
injection of dye (hydrogen peroxide and brilliant green) into the fistula tract to speed up the search;
cutting the wound and complete removal suture material;
detection of the cause of fistula formation and its removal together with surrounding tissues;
stopping bleeding using a 3% solution of hydrogen peroxide or an electrocoagulator; suturing the vessel is unacceptable, as this may cause a new fistula;
washing the wound with an antiseptic after stopping the bleeding. The most commonly used antiseptics are decasan, 70% alcohol, and chlorhexidine. After this, the wound is closed with a secondary suture, while organizing active drainage of the area.
The postoperative period involves periodic washing of the drainage and dressing. With absence purulent discharge the drainage system is removed. For multiple purulent leaks and phlegmon, the patient is prescribed:
ointments that stimulate the healing process (troxevasin, methyluracil);
anti-inflammatory drugs (NSAIDs - nimesil, diclofenac, dicloberl);
antibiotics;
You can also simultaneously use phytotherapeutic preparations that are rich in vitamin E (aloe, sea buckthorn oil).
It is worth noting that the most effective for ligature fistula is the classical operation, which involves a wide dissection to perform an adequate revision. Any minimally invasive methods (using ultrasound) for such pathology are of low effectiveness.
It is important to remember that self-medication when a ligature fistula forms on a postoperative scar is unacceptable, since in the end, surgical intervention will still be required to treat the fistula, but this will waste time, which may be enough for the development of complications that are life-threatening.
Prevention after surgery and prognosis
Preventing the appearance of a ligature fistula is, in principle, impossible, because infection can penetrate the suture even under the most aseptic conditions, and it is generally impossible to prevent a rejection reaction.
In most cases, treatment of a ligature fistula with surgery is quite effective, but there are cases when the patient’s body constantly rejects any type of surgical sutures, even after large quantity repeated operations.
Any self-treatment ligature fistula has an unfavorable prognosis.
The appearance of a fistula on the body of a person who has recently undergone surgery is a kind of complication of the process of restoring damaged epithelial tissues, when the regeneration of their cells does not occur or occurs at a slow pace. Many factors influence such a pathological state of the operated area of the body, but in most cases it is the entry of infectious microorganisms into the wound that provoke a purulent-inflammatory process, as well as severely weakened the immune system patient.
Postoperative fistula- this is a through channel that is hollow inside and connects organs located in the peritoneum with environment. Based on its etiology and symptoms, the pathology is considered extremely dangerous, as it prevents stable wound healing. This increases the likelihood that internal organs microbes, viruses and fungal infections, capable of causing many secondary diseases of varying severity. After the operation, its formation is associated with the lack of normal dynamics of healing of the strip suture.
The very nature of fistula formation is such that it is formed in the process acute phase inflammation, when purulent masses accumulated in the subcutaneous layer break through the epithelium, in a natural way drain and come out, creating a hole in abdominal cavity or on any other part of the body. Most often in medical practice There are fistulous lesions of the abdominal cavity and lower limbs. This is due to the physiological and anatomical structure human body.
Reasons for education
IN modern surgery It is generally accepted that prolonged non-healing of the wound surface formed after surgery is a complication that requires medication, and sometimes even surgical treatment. For it to be effective, it is extremely important to establish the factor contributing to the development pathological condition seam Highlight following reasons occurrence of postoperative fistulas various localizations and severity:
- improper care behind the wound, its absence antiseptic treatment solutions specially designed for this (Chlorhexidine, Miramistin, Hydrogen Peroxide, Iodocerin), rare replacement dressing material;
- entry of pathogenic microflora directly at the time of the operation, if surgical instruments and threads that have undergone insufficient sterilization are used, or infection occurs during the rehabilitation process;
- low-quality suture threads were used, which led to a negative reaction of the body and their rejection began with extensive inflammation and the formation of purulent masses;
- reduced immune status patient when the cells responsible for suppressing the activity of pathogenic microflora are not able to cope with the task assigned to them functional responsibility and the entry of even non-dangerous strains of microorganisms into the wound leads to purulent damage to the epithelium with the formation of a hollow drainage channel (fistula);
- excess body weight, when a thick layer of adipose tissue excludes normal regeneration of epithelial cells (the cut area of the body simply physically cannot heal, since the fat exerts constant static pressure on the wound);
- old age the patient (patients who are already 80 years of age and older have a very poor tolerance not only to the surgical intervention itself, but also to the period of recovery of the body, because the cells responsible for the formation of fibrous tissue, from which the suture scar is formed, divide at too slow a pace);
- medical negligence and leaving surgical instruments in the abdominal cavity (such cases periodically occur in various countries world, and their occurrence is associated with insufficient attentiveness medical personnel immediately at the time of the operation).
By eliminating these in a timely manner causal factors it is possible to ensure stable recovery of the human body in postoperative period, and also avoid the development of inflammatory processes.
How to treat a fistula after surgery?
Appearance postoperative channel, through which purulent contents flow out, is not a death sentence for the patient. The main thing is to start treatment of the pathology in a timely manner so that the fistula does not cause the occurrence of concomitant diseases infectious nature of origin. To do this, the patient is prescribed to undergo the following therapeutic measures.
Antibiotics
Washing the seam
The entire strip wound and the resulting fistula are subjected to daily cleansing with antiseptic solutions. Most often attributed to Hydrogen Peroxide with a concentration of 3%, Chlorhexidine, Miramistin, Iodocerin, manganese water. The procedure is performed 2-3 times a day to cleanse the tissues of purulent secretions and microbes.
Surgical debridement
Quite often, a fistula forms a scar consisting of fibrous tissue that is unable to grow together. This results in a hole that is no longer capable of healing on its own. To eliminate this pathology, the surgeon cuts off the edges of the fistula in order to start new process regeneration of exposed tissues.
Before surgery, antibiotics are used to ensure complete elimination of infectious inflammation. Otherwise, the operation will only lead to an expansion of the diameter of the fistula. Described complex treatment non-healing wound, ensures gradual healing of the inflamed wound with relief of the drainage channel.
Postoperative is quite a common complication, which can be formed by various reasons. As a rule, a fistula forms after surgery on tubular organs or when abdominal operations. This purulent canal may not heal for a long time and lead to damage to the body in different places, and sometimes even to the formation malignant tumors. It is evidence that a serious inflammatory process is occurring in the body.
A fistula on the leg after surgery usually develops due to eventration, suppuration of surgical scars, if the suture material becomes dirty and infected pathogenic microorganisms. A compaction (granuloma) is formed around the fistula, which consists of a ligature thread and cells with fibrous tissue, macrophages, collagen fibers, etc.
Most often, fistulas are formed due to the use of silk threads.
The cause can be any operation: a broken leg, muscle injury, etc.
A fistula may not form immediately, but several months or even several years after surgery. Usually develops in conditions of reduced immunity.
Symptoms
With the development of a fistula, the symptoms appear very clearly and pronounced. To the most obvious signs include:
- compactions and hot tubercles (granulations) form around the infected suture;
- the scar becomes very inflamed;
- pus is released from the wound in small or large quantities;
- this place is much redder than the surrounding tissue;
- swelling forms in this place;
- pain in the affected area of the leg;
- body temperature rises to 39 0 C.
Why are fistulas dangerous?
If the suppuration does not go away for a long time and reaches large sizes, an abscess may begin. In this case, general intoxication of the body may occur, which can lead to any consequences, including disability.
Also, you should not start the process so that it does not become chronic.
Constant discharge of pus can lead to the development of dermatitis.
Treatment
Treatment of a fistula on the leg after surgery may not be necessary if the ligature thread comes out on its own. But you should not hope for this, and if a fistula forms, you should immediately seek help from a doctor.
Most often, treatment consists of removing the festering ligature thread, after which a course of anti-inflammatory therapy and antibiotics is administered. You also need to take vitamins and medications to boost your immunity. In order for the wound to heal faster, it is washed with a solution of furatsilin or hydrogen peroxide to ensure disinfection.
In addition to removal, the wound is cauterized and all purulent granulations are carefully scraped out.
Ultrasound treatment of fistulas is also practiced. This is a more modern and gentle method.
If several fistulas form, the wound is opened, washed and new sutures are applied.
Prevention
Prevention should be carried out by the surgeon during surgery. He must comply with all safety measures to ensure sterile conditions for the operation. Suture material must be clean and sterile, and the wound must be washed.
New modern self-absorbable threads, for example, Dexon or Vicryl, are also good in this regard.
How is a fistula that appears after surgery treated? We will introduce you to the most effective methods treatment of ligature fistulas, and also tell you why they appear.
Any, even the simplest, surgical intervention on the human body, as a rule, requires quite a lot of time for wounds to heal. Absolutely all operations end with sutures, which should contribute to a faster and better recovery of the patient.
But sometimes, precisely in the place where the open wound was sutured, a strong inflammatory process begins, which is characterized by redness of the skin and the formation of pus. All this indicates that the person has begun to have quite serious complication, requiring immediate and high-quality treatment.
If you do not start fighting the fistula as quickly as possible, then it is likely that the patient may require another surgical intervention.
What is a fistula after surgery, what does it look like?
A fistula has formed in the middle of the seam- Fistula- this is a hollow channel inside human body, which connects human organs with the external environment. The fistula can also connect internal cavity with benign or malignant formation. As a rule, this tube is lined with epithelium and is a channel through which pus formed inside the body after surgery is released.
- Outwardly it looks like an ordinary deep wound, around which the skin became inflamed. A fistula can appear on almost any part of the body, and not necessarily in the place where the incision was made. There are cases when the inflammatory process occurs inside the body for a long time and a person learns that something is wrong with him only when a characteristic hole appears on his body, releasing purulent masses
- But not only pus can be released from the fistula; if the problem has not been dealt with for a long time, and it has affected the internal organs, then feces, urine and bile can be released from the canal that has formed
Fistula in the coccyx area In addition, doctors distinguish several other types of postoperative fistulas:
- Full. Has two outputs at once, which contributes to more quick withdrawal inflammatory process and healing
- Incomplete. It has only one exit, which is usually located inside the abdominal cavity. This contributes to the intensive proliferation of pathogenic microflora and increased inflammatory processes
- Lip-shaped. In this case, the fistula fuses with the dermatological tissue and muscle tissue. It can only be removed surgically
- Granulating. This type of fistula is characterized by the formation of granulation tissue, hyperemia and quite severe swelling
- Tubular. A fully formed duct that secretes pus, mucus and feces
Ligature fistula of postoperative scar after childbirth, cesarean section, appendicitis: signs, causes
Ligature fistula - Ligature- these are special medical threads that doctors use for layer-by-layer stitching of tissues damaged during surgery. Usually before using them open wound carefully processed disinfectants and only after this they proceed to suturing
- But sometimes such actions are not enough and pathogenic bacteria enter the body along with the thread, causing severe suppuration and the formation of a ligature postoperative fistula. As a rule, it opens after a few days and the material that was used to stitch the wound comes out along with pus.
- Most often, this problem is caused by silk threads, so Lately doctors began to use a material that dissolves on its own after a minimum period of time and does not require the removal of sutures or additional processing
The main reason the development of a postoperative fistula is an infection The main reasons for the appearance of a fistula after surgery:
- Orgasm perceives the material that was used to stitch the wound as a foreign body and begins to reject it
- The wound itself, as well as the ligature, becomes infected
- Untimely and poor-quality processing of the postoperative suture
- The patient is too old
- Excess weight
- Reduced immunity
Signs of a fistula:
- Around the cut in skin a seal appears, which begins to hurt noticeably when pressed. In some cases, pronounced tubercles appear that secrete infiltrate
- Redness will be clearly visible near the infected scar. Moreover, it will look brightest as the ligature is applied
- The temperature may rise very sharply. And since the inflammatory process in the body will intensify all the time, it will go astray until normal indicators will not
- Severe suppuration appears, which improper treatment turns into a weeping quite large size
- The fistula opening may heal for a while and then become inflamed with renewed vigor.
Consequences that cause fistulas
Postoperative fistula can provoke the development of sepsis Postoperative fistula itself is not life-threatening. But if the patient lets everything take its course, then the pathogenic bacteria that are inside the fistula opening will begin to infect healthy organs and tissues, and this will provoke the appearance of quite serious diseases.
In addition, the body may refuse to respond correctly to curative therapy, which in turn can also cause quite serious complications.
The most common complications in the treatment of fistula after surgery:
- Abscess. Purulent masses fill the entire internal cavity of the fistula opening
- Phlegmon. In this case, the pus, in addition to tissues, also begins to affect fatty tissue.
- Sepsis. A fistula opening occurs inside the human body. The pus ends up on the patient’s internal organs.
- Fever,provoked by a purulent mass. Temperatures can rise to maximum levels. In this case, a person may lose consciousness and have difficulty oriented in space.
Purulent fistula on a surgical suture - treatment
Treatment of purulent fistula - As you probably already understood, a purulent fistula is not a death sentence even if proper treatment almost always responds quite well to treatment. But still, in most cases, surgery is usually required for a favorable outcome.
- If the doctor decides to delay the intervention, the patient will be prescribed conservative treatment. But it should also be carried out under the strict supervision of a specialist and preferably in a hospital setting. Typically, such treatment is aimed at eliminating pathogenic microflora that provokes inflammation
- If the therapy is chosen correctly, the fistula opening will heal quite quickly and the patient will be able to return to work. normal life. To treat an inflamed area of skin, drugs that have antiseptic, antibacterial and bactericidal effects are usually used
- In addition, the patient must be prescribed antibiotics and vitamins that help maintain normal level the body's defenses. But I would like to immediately say that conservative treatment does not provide a 100% guarantee that the fistula will not reopen. Therefore, most doctors suggest not to suffer and immediately perform surgery to remove the purulent focus
Only surgical intervention can help completely get rid of the fistula. - After washing the wound, drainage is usually installed in it. In the postoperative period, the drainage is washed daily and sterile dressings are changed. If after a few days the amount of purulent masses does not begin to decrease, then the patient is additionally prescribed anti-inflammatory drugs, antibiotics and vitamin E
- In addition, bandages and ointments can be used to stimulate the healing process. In this case, for example, troxevasin ointment may be prescribed. As soon as the purulent ceases to be released, the drainage is removed from the wound and then the patient can only make sure that no infection gets into it and periodically change the bandage
Folk remedies for the treatment of fistula Treat ligature postoperative fistulas in a trailer folk ways acceptable. Some of the methods described below remove inflammation quite well and reduce the amount of pus.
But still, if you decide to get rid of the problem in this way, then before starting treatment, be sure to consult with a specialist. After all, if you have neglected your condition very much, then it is likely that you will only aggravate the course of the disease.
So:
- Take olive oil and strong vodka and equal parts and mix until smooth. Wipe the inflamed area of skin with the resulting mixture 3-4 times a day. To enhance therapeutic effect you can immediately apply previously scalded with boiling water cabbage leaf. This way you will not only kill pathogenic microflora, but also contribute to more quick withdrawal pus
- To prepare the next miracle remedy, you will need mumiyo and aloe juice. The mummy should be soaked in boiled water, and when it turns it dark brown, add aloe juice to it. You will need to moisten a sterile bandage in this solution and apply it to the sore spot.
St. John's wort decoction for the treatment of fistulas - If you need to draw out pus as quickly as possible, then use the familiar herb St. John's wort for this. In this case, you can use both the decoction and the leaves. First, tear off the St. John's wort leaves, fill them with water, and then simmer over low heat for 10-15 minutes. When the broth has cooled a little, soak a bandage in it and place the leaves on it in one layer. Fix this bandage on the fistula and leave it there for 4 hours. After this time, the bandage must be removed and treated sore spot hydrogen peroxide, and then apply fresh
- A decoction of celandine will help you fight fistula from the inside. If you prepare a decoction from this plant and take it regularly for a month, the substances that it contains will kill the infection located in the fistula opening and help relieve inflammation. But since this decoction thickens the blood very much, it will be better if the dosage is determined by a doctor
- You can try to get rid of a fistula with regular black bread. Take the pulp and lightly sprinkle it with water. When upper layer softens a little, apply the bread to the sore spot and secure with a sterile bandage. Conduct this procedure need once a day. Before each znamenny bread, be sure to treat the wound with hydrogen peroxide. If you do everything correctly, then approximately on the third day you will see that the fistula is completely cleared of pus and begins to heal
Ointment for the treatment of postoperative fistula
Ointment with calendula for healing fistulas Home-made ointments have also proven themselves quite well. They eliminate the cause of the infection quite well and contribute to a faster restoration of the dermatological integument. But even in this case, it is extremely important to be very careful when applying the ointment, as well as pre-treatment wounds.
You need to protect yourself from re-infection of the fistula opening. After all, if you apply unsterile dressings and use a product of questionable quality, you are unlikely to improve your condition.
The most popular ointments:
- At home, you can also use an ointment that will have anti-inflammatory and healing properties. To prepare it, you will need pine resin, natural honey, butter, aloe pulp and medical tar. All ingredients are mixed in equal parts and brought to homogeneity in a water bath. The resulting product should be applied to previously disinfected areas of the skin.
- One more effective means considered an ointment made from fresh calendula flowers. They need to be tightly folded into a half liter jar and filled with melted pork fat or butter. Leave the product in a dark place to brew for 10-12 hours. Then transfer it to a clay pot and simmer for 48 hours in the oven at 70 degrees. After the ointment has cooled, transfer it to a container with an airtight lid and store in a cool, dark place. You can simply lubricate the fistula opening with the resulting product or make medicinal dressings from it.
As mentioned a little above, the most The best way to get rid of a postoperative fistula - carry out its complete excision. Although this procedure is quite painful and has a fairly large recovery period, it is she who will protect you from the development of complications such as sepsis and phlegmon.
Stages of the operation:
- At first antiseptics the fistula opening and all the skin around it are treated
- Anesthetic substances are then injected into the wound area
- At the next stage, the wound is carefully dissected and all pus and remnants of the ligature are removed from it.
- After this, everything is washed well, drainage is installed and closed with a secondary suture.
- In this case, the vessels are not sutured, as this can lead to the formation of another fistula
After surgery, the affected area of skin will require special care. The wound will definitely need to be treated with disinfecting solutions (for example, furatsilin) and ensure that it is clean and dry at all times. If, even after surgery, excessive granulation is noticeable at the site of the fistula, it must be cauterized immediately.
Video: Ligature fistula of the perineum
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