How to change the dressing after perianal abscess surgery

Dressing changes after perianal abscess surgery are a key part of the recovery process, used to prevent infection and speed up wound healing. Specific dressing change methods include standardized cleaning, changing dressings, and close observation of the wound. If the patient feels persistent pain, increased secretions, or odor in the wound, he or she should seek medical attention in time. The following are the specific steps and precautions for dressing changes.

1. Dressing change process and specific methods

After perianal abscess surgery, dressing changes need to be performed under the guidance of a doctor, and it is generally recommended to do so 1-2 times a day. The specific process is as follows:

-Wound cleaning: Use warm water or saline to remove secretions from the wound surface. You can use a medical cotton swab to gently wipe it, but avoid using ordinary wet wipes or detergents containing irritating ingredients to prevent wound infection.

-Disinfection: After cleaning the wound, disinfect the surrounding skin with iodine or other disinfectants recommended by the doctor, including an area of ​​2-3 cm around the wound.

-Filling and dressing: If there is a residual cavity deep in the wound, it is necessary to fill it with wet sterile gauze according to the doctor's requirements to maintain local drainage and prevent infection. If the doctor recommends the use of medicated dressings (such as silver sulfadiazine dressings or modern biological dressings), please follow the instructions.

- Bandaging and fixation: Cover the wound with a sterile dressing and secure it with tape or a bandage. Make sure the bandage is tight enough to avoid affecting blood circulation.

If the patient experiences obvious pain or has difficulty in changing the dressing, he or she can go to the hospital for professional dressing services.

2. Precautions and possible abnormal situations

When changing the dressing after surgery, you should pay attention to the following issues to ensure good wound healing:

-Keep the area clean: Pay attention to personal hygiene, especially around the anus. Avoid using public toilets for a period of time after surgery to avoid bacterial infection.

-Observe the wound condition: When changing the dressing every day, pay attention to whether the wound is red, swollen, pus, odor, etc. If there is any abnormality, contact the doctor in time. If regular dressing changes cannot reduce symptoms, it may be necessary to adjust the medication or treatment plan.

-Moderate activity: Moderate activity after surgery can promote blood circulation, but you should avoid sitting or standing for long periods of time to avoid increasing perianal pressure and affecting wound recovery.

-Diet adjustment: After surgery, the diet should be light, with more fiber-rich vegetables and fruits (such as bananas and apples) and easily digestible foods (such as millet porridge and steamed eggs). Avoid irritating foods (such as chili peppers and alcohol) to reduce perianal irritation.

If the patient experiences severe conditions such as fever, severe pain, or recurrence of the lump after surgery, immediate medical treatment is also required.

3. How to promote postoperative healing

While following the dressing change operation specifications, you can also promote recovery in the following ways:

- Medication-assisted treatment: Take analgesics, oral antibiotics, or use topical medications (such as hemorrhoid cream) to relieve local discomfort as recommended by your doctor.

-Warm water sitz bath: Take a warm water sitz bath 1-2 times a day to effectively promote blood circulation and relieve pain. The warm water should be kept at around 40℃ and the time should not be too long, 10-15 minutes each time is more appropriate.

-Choose breathable clothing: Wear loose, cotton underwear to reduce friction on the wound and keep the affected area dry and breathable, helping the applied dressing to be effective longer.

Postoperative care for perianal abscess is related to the effectiveness of rehabilitation, and dressing changes should be carried out strictly according to the doctor's instructions. If the operation is difficult or the pain is too uncomfortable, please go to the hospital for a follow-up visit and dressing change in time to avoid changing the treatment method at will. During the postoperative rehabilitation process, listen to the doctor's advice, maintain a positive attitude, and pay attention to personal hygiene and healthy diet. It is both a respect for the body and an important guarantee for restoring health. Do not neglect the details of dressing changes, prolong the healing process or cause other complications. Health is hard-won and must be cherished.