Treatment of fistula with folk remedies - Healthy lifestyle recipes. What is a fistula after surgery, what does it look like? Ligature fistula of a postoperative scar, fistula on a suture after childbirth, cesarean section, appendicitis: signs, causes, treatment, excision Treatment of a fistula on a suture after surgery

A fistula is a pathological channel that connects a hollow organ and the external environment or two hollow organs. Most often appearsfistula after surgery. Treatment of this formation is quite long and painful. That is why the patient must strictly adhere to the doctor’s instructions.

A fistula is a hollow neoplasm that in appearance resembles a deep wound. In accordance with the characteristics of the development of neoplasms, they can be:

• Lip-shaped. In this case, fusion of fistulas and skin, as well as muscle tissue, is observed. Removal of fistulas is carried out using a surgical method.
• Full. It is characterized by the presence of two outputs, which provides the opportunity to combat the inflammatory process as effectively as possible.
• Tubular. It is a fully formed canal from which there is a constant release of feces, pus and mucus.
• Incomplete. The neoplasm is characterized by one exit, the location of which is the abdominal cavity. With this type of fistula, pathogenic microflora multiplies and inflammation worsens.
• Granulating. With this type of fistula, granulation tissue is formed. With this pathological process, swelling and hyperemia are quite often observed.

About, what is a fistula after surgeryonly the doctor knows. After carrying out the appropriate diagnostics, the specialist will be able to determine the type of formation, which will have a positive effect on the treatment process.

Reasons for appearance

Postoperative fistulascan develop for a variety of reasons. Most often, pathology is observed against the background of an infectious process that enters the human body through sutures and wounds. After surgery, the human body can reject the thread, which is explained by intolerance to its components. Against this background appearspostoperative fistula. The development of neoplasms can be diagnosed in the presence of other provoking factors, which include:

• High immune reactivity of the body;
• Elderly age;
• Chronic specific infection;
• Hospital infection;
• Oncological diseases.

If the human body receives vitamins and minerals in insufficient quantities, this leads to the formation of fistulas. Postoperative fistula, treatmentwhich is very long-lasting, appears when there is a metabolic disorder - diabetes, metabolic syndrome, obesity.

Before, how to treat a fistula after surgery, it is necessary to determine the cause of its occurrence. Therapy for pathology should be aimed at eliminating it.

Symptoms

Fistulas after surgerycharacterized by the presence of certain characteristics. Initially, a thickening appears on the skin around the size. When it is palpated, pain is observed. In some patients, the appearance of pronounced tubercles is diagnosed, which secretes the infiltrate. At the site of infection of the scar, redness of the skin may be observed.

The pathological process is often accompanied by a sharp increase in body temperature. This is explained by the inflammatory process in the human body. It is impossible to bring the temperature down to normal. Fistulas are accompanied by a purulent process. If the pathology is not treated in a timely manner, the size of the abscess increases significantly. Patients experience tightening of the fistula opening for a certain period. After this, inflammation develops.

Fistulas are characterized by the presence of certain signs. If they appear, patients are advised to immediately consult a doctor. Timely treatment of the disease will eliminate the possibility of side effects.

Features of therapy

Treatment of fistula after surgeryin most cases requires surgical intervention. Initially, the surgical field is treated with special antiseptic solutions, which will eliminate the possibility of infection. Surgery requires the use of local therapy. In order for the surgeon to find the course of the fistula as quickly as possible, a dye solution is injected into it.

The surgeon uses a scalpel to remove the fistula. All other actions of specialists are aimed at stopping bleeding. After this, it is recommended to wash the wound with an antiseptic solution. Postoperative sutures are applied to the wound. In this case, it is recommended to use active drainage.

Drug therapy

Treatment of postoperative fistulas requires the use of not only surgery, but also appropriate medications. In most cases, patients are prescribed antibiotics and anti-inflammatory drugs:

• Diclofenac;
• Nimesila;
• Dicloberla.

In order to speed up the wound healing process, the use of Troxevasin or Methyluracil ointment is recommended. It is also recommended to use drugs that are of plant origin - aloe, sea buckthorn oil, etc.

That, How long does it take for a fistula to heal after surgery?, directly depends on the characteristics of the rehabilitation period. Patients are recommended to carry out daily hygiene procedures in the area of ​​the operation. The patient is recommended to disinfect the sutures daily using special preparations. The patient's diet should be rich in fiber, which will eliminate the possibility of constipation. In the postoperative period, it is recommended to avoid heavy physical activity. Long-term work in a sedentary position must be avoided for three months.

How it appears fistula after surgery, what is it?only the doctor knows. That is why, if tumors occur, it is necessary to seek help from a doctor who will determine the type of formation and prescribe rational therapy.

Fistula after cesarean section is one of the most common problems, which is directly related to the operation and is dangerous because it provokes the entry of various pathological microorganisms into the female body, which stimulate the development of infectious processes.

After any operation, special sutures are applied to promote rapid healing. Doctors process the incision to stop the bleeding in time and prevent massive blood loss. The material of all seams is ligature. It does not cause women any further complications.

Have you already seen a doctor?

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Before stitching a cut, experienced specialists carefully treat it to prevent bacteria from getting inside. If you do not do this, inflammatory processes will develop, which will provoke the appearance of a fistula. Any penetration into the suture material causes the formation of pus. It subsequently flows out, the passage is called a fistula. The fluid can make its way into one hole or into several, so many ligature fistulas can appear simultaneously.

Photos of fistulas after cesarean

The complication develops within 4 days after a cesarean section, up to several months. When the inflammatory processes pass, the fistulas close for a while, but recovery will not occur until doctors eliminate the source of suppuration.

Definition of fistula

A fistula is an opening in the form of a passage connecting certain openings in the body, organ systems with each other or with the environment. It looks like a narrow slit, which is lined with fabric. Fistulas are formed as a result of suturing after operations, as well as due to inflammatory processes occurring inside the human body.

Purulent fluid is formed due to the cessation of inflammatory processes. The hole through which this fluid flows out then heals completely. But if the infection is not completely suppressed, this canal does not heal and a purulent fistula is formed. Fistulas often form, which directly proves the development of pathological microorganisms inside a person. Any neoplasm is nothing more than the body’s reaction to the development and reproduction of these pathogens. If fistulas are detected, you should immediately seek the help of experienced specialists to carry out the necessary diagnostic measures and recommend how to properly treat this disease.

Important! Self-medication is not recommended, it can harm your health.

Causes of ligature fistula

A ligature fistula forms after a cesarean section for a number of reasons. These are often:

• infections entering the body through sutures;
• insufficient treatment of the cut;
• violation of antiseptic rules during surgical procedures;
• the appearance of allergic reactions to special materials used to stitch the wound;
• age limits;
• general condition of the woman;
• immunity;
• presence of chronic diseases;
• the formation of inflammatory processes associated with seasonal diseases;
• bad equipment;
• consequences after cancer;
• lack of useful minerals in the body;
• presence of diabetes mellitus;
• excess weight;
• metabolic disorder syndrome;
• inflammation in the oral cavity.

Fistulas often appear due to postoperative scars. Unsanitary conditions, enormous physical activity, stressful situations, the use of expired patches and bandages, poor diet and bad habits also have a beneficial effect on the development of purulent fistulas. If treated immediately, further complications may develop that will affect the woman's health and performance.

Symptoms of fistula after cesarean section

Signs of a fistula on the suture after cesarean section are the following:

• in the first days there is a sharp thickening of the suture area and its redness. Doctors may observe slight swelling and a slight increase in body temperature;
• after 7 days, liquid emerges from the sutures with strong pressure and palpation, and subsequently a purulent compound;
• on the 10th day a febrile state appears, body temperature increases to 38°;
• fistula canals become clogged on their own, but when inflammatory processes occur, they open again;
• the appearance of a hole in the skin;
• hot area around the seam.

Fistula openings are always accompanied by the appearance of a slight temperature. At the earliest stages this rise is insignificant, but This condition cannot be ignored; it is better to consult a doctor immediately to start treatment on time. It is very difficult not to notice a fistula, all symptoms quickly appear, and recognizing a neoplasm is quite simple. Typically, after a caesarean section, the doctor often examines the patient and observes how the stitches are healing, so he will very quickly detect infection and the development of inflammatory foci.

Treatment of ligature fistula

Before starting treatment, every woman should understand that getting rid of a ligature fistula can only be done through surgery. Prolonged delay in treatment can lead to a number of complications. Treatment includes taking the following medications:

1. Antiseptic agents with local anesthetic effect.
2. ampicillin group.
3. Enzymes that can quickly dissolve dead cells.

These medications need to be introduced into the fistula canal and peripheral places at certain intervals, because their effect lasts for 5 hours.

It is important to know that if there is a strong discharge of purulent fluid from the fistula, it is forbidden to treat the incision with greasy ointments, because they clog the passage of the canal, which contributes to the further spread of infection.

If the inflammatory process is severe, you can resort to other treatment methods - physiotherapeutic procedures. Experienced specialists recommend quartz wound. The procedure helps reduce swelling and improve the patient's condition. But such measures can only stop the development of the disease, cure it completely - in no case. Only with the help of surgical intervention can you get rid of the cause of constant suppuration. This disease cannot be treated at home.

Attention! Before taking any medications, consult your doctor!

Preventive actions

Doctors cannot guarantee 100% safety during and after surgery. Many infections penetrate inside quickly and deftly, so there are no exact preventive measures. But experts advise adhering to the following rules:

• you need to stop using thick silk threads to stitch the incision;
• after a cesarean section, use only synthetic threads;
• strictly follow aseptic measures;
• For speedy healing, take medications prescribed by your doctor.

To prevent the appearance of a fistula, you should properly care for the sutures, do dressings on time, take medications, lead a healthy lifestyle and eat right. Any deviations from the norm can provoke the development of pathology, even the appearance of diseases that are in no way related to gynecology and the urinary system: problems with the heart vessels, the gastrointestinal tract system and mucous membranes.

What do doctors think?

No doctor can fully guarantee that the operation will not lead to adverse consequences. Ligature fistulas appear due to the penetration of infectious microorganisms into the incision. Experts recommend immediately combating the pathology, because it can provoke the development of further complications and lead to sepsis. Therefore, you should definitely consult a doctor if you have fistulas after a caesarean section. It is very easy to detect; doctors advise paying attention if a seal appears around the wound and infiltrate.

All seals become hot, because this is due to the infection process. Redness will always be visible near the scar, at first small, then huge. During surgical interventions, the wound often festers and all its contents come out. It is also necessary to monitor the fact that these processes can provoke the appearance of swelling of peripheral tissues. Experts recommend not remaining silent about the development of fistulas, because they require immediate treatment. Surgeons may decide to operate again to completely cure the woman. To do this, they will use only thin surgical threads made of synthetics.

Conclusion

Fistula after cesarean section requires mandatory treatment. The patient is obliged to contact a specialist in a timely manner so that he can prescribe a number of necessary examinations and tests. Only an experienced specialist can prescribe treatment; all preventive and diagnostic measures are carried out only in a hospital. Treatment can be conservative or surgical. Most often, fistulas are removed surgically, after which the woman is prescribed antibiotics. The wound always requires special careful care. For this purpose, formulations are purchased; they help cleanse the wound of purulent fluid and avoid subsequent infection. Doctors recommend the use of hydrogen peroxide and furatsilin.

Conservative therapy helps when the process of fistula development has just begun. Doctors are trying to remove dead tissue around the inflammatory focus and completely wash out the pus. Often those threads that come out and provoke the growth of fistulas are removed. After getting rid of pathology The patient is prescribed a course of antibiotic therapy and complex vitamins.

To avoid ligature fistula, it is important to properly lubricate the wound, both before and after suturing. Doctors are required to work only with sterile materials. When the first signs of pathology appear, they must provide timely medical assistance. In most cases, the outcome of the disease is favorable.

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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 a severely weakened immune system of the patient.

A postoperative fistula is a through channel that is hollow inside and connects organs located in the peritoneum with the environment. Based on its etiology and symptoms, the pathology is considered extremely dangerous, as it prevents stable wound healing. This increases the likelihood that microbes, viruses and fungal infections will penetrate the internal organs, which can cause 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 the formation of a fistula is such that it is formed during the acute phase of inflammation, when purulent masses accumulated in the subcutaneous layer break through the epithelium, naturally drain and come out, creating a hole in the abdominal cavity or on any other part of the body. The most common fistula lesions in the abdominal cavity and lower extremities occur in medical practice. This is due to the physiological and anatomical structure of the 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 of the pathological condition of the suture. The following causes of postoperative fistulas of varying localization and severity are identified:

• improper care of the wound, lack of antiseptic treatment with solutions specially designed for this (Chlorhexidine, Miramistin, Hydrogen Peroxide, Iodocerin), rare replacement of 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 of the patient, when the cells responsible for suppressing the activity of pathogenic microflora are not able to cope with the functional responsibility assigned to them and even non-dangerous strains of microorganisms enter the wound, leading to purulent damage to the epithelium with the formation of a hollow drainage canal (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);
• senile age of the patient (patients who are already 80 years of age and older tolerate very poorly not only the surgical intervention itself, but also 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 different countries of the world, and their occurrence is associated with insufficient care of medical personnel directly at the time of the operation).

By promptly eliminating these causative factors, it is possible to ensure stable recovery of the human body in the postoperative period, as well as to avoid the development of inflammatory processes.

How to treat a fistula after surgery?

The appearance of a postoperative channel through which purulent contents flow 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 of an infectious nature. To do this, the patient is prescribed the following treatment 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 a new process of regeneration of exposed tissues.

Before surgery, antibiotics are used to ensure complete elimination of the infectious inflammation. Otherwise, the operation will only lead to an expansion of the diameter of the fistula. The described complex treatment of a non-healing wound ensures gradual healing of the inflamed wound with relief of the drainage channel.

Postoperative complication is a fairly common complication that can occur for various reasons. As a rule, a fistula forms after surgery on tubular organs or during 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 of 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 contaminated and infected with 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. 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 a large size, 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. The 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 of treating 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 developed a rather serious complication that requires 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?

• Fistula- is a hollow channel inside the human body that connects human organs with the external environment. Also, a fistula can connect an internal cavity with a 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 has become 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:

1. Full. It has two exits at once, which contributes to faster relief of the inflammatory process and healing
2. Incomplete. 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
3. Lip-shaped. In this case, the fistula fuses with the dermatological tissue and muscle tissue. It can only be removed surgically
4. Granulating. This type of fistula is characterized by the formation of granulation tissue, hyperemia and quite severe swelling
5. 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, the open wound is thoroughly treated with disinfectants and only after this proceed to suturing

• But sometimes such actions are not enough and pathogenic bacteria enter the body along with the thread, provoking 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 recently doctors have begun 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 for the development of postoperative fistula is 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:

• A seal appears around the cut in the skin, 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 not go astray to normal levels

• Severe suppuration appears, which, if not treated correctly, 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 medical 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 and, with 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 fairly quickly and the patient will be able to return to 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, which help maintain the body’s defenses at a normal level. 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

It is permissible to treat postoperative ligature fistulas in a trailer. 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 equal parts olive oil and strong vodka and mix until smooth. Wipe the inflamed area of ​​skin with the resulting mixture 3-4 times a day. To enhance the therapeutic effect, you can immediately apply a cabbage leaf previously scalded with boiling water. This way you will not only kill pathogenic microflora, but also contribute to a faster discharge of 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, the sore spot treated with hydrogen peroxide, and then a fresh one applied.

• 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 strongly, 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 the top layer softens a little, apply the bread to the sore spot and secure with a sterile bandage. This procedure must be carried out 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 of the wound.

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.

• Another effective remedy is 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 best way to get rid of a postoperative fistula is to completely excise it. Although this procedure is quite painful and has a fairly long recovery period, it will protect you from the development of complications such as sepsis and phlegmon.

Stages of the operation:

1. First, the fistula opening and all the skin around it are treated with antiseptic agents.
2. Anesthetic substances are then injected into the wound area
3. At the next stage, the wound is carefully dissected and all pus and remnants of the ligature are removed from it.
4. After this, everything is washed well, drainage is installed and closed with a secondary suture.
5. 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

A prospective study found that more 62,000 surgical wounds are infected. The degree of wound infection varies markedly depending on the degree of contamination of the surgical field. The risk of wound infection in sterile surgical conditions (there is no infection in the operating room, there are no violations in aseptic procedures, the internal organ is not opened) is less than 2%, whereas in non-sterile conditions it is 40% or more.

Before surgery, the skin surface is treated with hexachlorophene to prevention of infection of surgical wounds, but at the same time, shaving hair at the surgical site increases the risk of infection. Treatment of the surgical field 5 minutes before surgery was as effective as 10 minutes before surgery. The risk of wound infection increased with prolonged hospital stay, as well as with prolonged surgery.

In addition, concomitant appendectomy increases the risk of wound infection in patients after performing “clean” operations. It has been found that the likelihood of wound infections can be reduced by shortening the preoperative hospital stay, treating the surgical site with hexachlorophene, reducing the area of ​​hair shaving, good surgical technique, reducing operative time as much as possible, placing drains outside the surgical wound, and educating surgeons regarding the frequency wound infection. Compliance with these rules led to a sharp decrease in the frequency of wound infections - from 2.5 to 0.6% over 8 years.

Although wound infection with most gynecological operations below 5%, which reflects the “purity” of most of them, the risk of wound infection in patients with malignant neoplasms of the genital organs is higher.

Symptoms of wound infection often present postoperatively, usually after 4 days, and include fever, erythema, tenderness, induration, and purulent discharge from the wound. The cause of wound infections detected on days 1-3 is usually streptococcal and clostridial infections. Treatment of wound infections is usually mechanical: opening the infected wound area above the fascia, cleaning the edges of the wound, if necessary.

Maintaining surgical wound includes sanitation and changing the gauze bandage 2 or 3 times a day, which promotes the growth of granulation tissue at the site of the defect after secondary surgery with gradual scarring. The use of a special vaccine for large wounds speeds up healing and reduces the number of dressings. Cleanliness and granulation of the wound often helps reduce the time required for complete secondary healing.

Delayed method healing of the primary wound can be used to reduce the likelihood of injury. Briefly about this method: before the surgical procedure begins, the surgical wound is left open above the fascia. A vertical interrupted suture is applied through the skin and subcutaneous tissue, 3 cm away from the edge, without connecting the edges of the wound. Immediately after surgery, the wound is monitored until the wound begins to granulate well.

The seam can then be joined nearby skin edges sewn or fastened. Using delayed primary wound healing has been shown to reduce the overall rate of wound infection from 23% to 2.1% in high-risk patients.

Stump infection vagina after hysterectomy it is characterized by erythema, induration and tenderness of the stump. Sometimes there is purulent discharge from the upper part of the vagina. Parametritis is often limited and does not require treatment. Fever, leukocytosis and pain in the pelvic cavity can be associated with severe inflammation of the loose tissue of the vaginal stump, which often extends to the parametrium. In such cases, therapy with broad-spectrum antibiotics against gram-negative, gram-positive and anaerobic microorganisms is indicated.

If in a cult vagina there is extensive suppuration or fluctuating masses are noticed in it, it should be carefully examined, opened with a blunt instrument and left open for drainage.

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