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 it is in the place where the open wound was sutured that a strong inflammatory process, 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 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 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 long time occurs inside the body 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 struck internal organs, then feces, urine and bile can be released from the formed canal

Fistula in the coccyx area

In addition, doctors distinguish several other types of postoperative fistulas:

1. Full. Has two outputs at once, which contributes to more quick withdrawal inflammatory process and healing
2. Incomplete. Has only one exit, which is usually inside 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 integument and muscle tissue. It can only be removed surgically
4. Granulating. This type of fistula is characterized by the formation granulation tissue, hyperemia and quite severe edema
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 surgical intervention. 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 they enter the body along with the thread. pathogenic bacteria, provoking severe suppuration and the formation of 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 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 foreign body and starts to reject him
• 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 pretty wet large sizes

• 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 tissue, 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. The fistula opening inside occurs 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 death sentence and at 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 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. So you will not only kill pathogenic microflora, and also contribute to faster discharge of pus

• To prepare the next miracle remedy, you will need mumiyo and aloe juice. The mummy must be soaked in boiled water, and when it turns it dark brown color, 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 the top layer softens a little, apply the bread to the sore spot and fix it 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

Ointments have also proven themselves quite well home production. They eliminate the cause of infection quite well and promote more rapid recovery dermatological covers. 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.

• One more effective means considered an ointment made from fresh calendula flowers. They need to be stacked tightly on the floor liter jar and pour 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:

1. At first antiseptics the fistula opening and all the skin around it are treated
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. Even if after surgical intervention If excessive granulation is noticeable at the site of the fistula, it must be cauterized immediately.

Video: Ligature fistula of the perineum

Fistula after surgery: treatment and consequences

A fistula is a canal that connects deeply located tissues, organs, body cavities with the surface of the body.

Causes

Fistulas can be acquired or congenital. There are many reasons, but there are the most common causes of fistula formation. One of the causes of acquired fistulas is fistulas that occur after operations. Postoperative intestinal fistulas occur most often. An intestinal fistula is a connection between the intestinal cavity and the surface of the body or internal organ. There are two main categories of causes of postoperative fistulas:

1. At the beginning of the operation, there is a purulent-inflammatory process in the abdominal cavity.

2. Technical and tactical errors made during the operation. Poor management of the postoperative period.

In the first case, intestinal fistulas are formed after opening and draining (a tube is installed in the area of ​​the abdominal abscess, through which the purulent discharge of the wound comes out) of abscesses (ulcers) of the abdominal cavity due to inoperable disintegrating malignant tumors, gangrenous forms acute appendicitis. After surgical removal purulent focus, inflammation spreads to the surrounding tissues (intestines), as a result of which a defect is formed in the intestinal wall and the intestinal contents leak into the wound. This is how a fistula is formed.

Errors

Errors of a technical nature include the wrong choice of anesthesia, access or small incision, which create difficulties for a high-quality inspection of the abdominal cavity (cleansing the abdominal cavity of pus, sources of inflammation). Also technical errors are rough surgical technique, long stay drainages (rubber tubes for removing pus) made of hard rubber in the abdominal cavity, which leads to the development of bedsores of the intestinal wall.

Treatment

Treatment of external fistulas is a complex task. It includes both surgical and conservative treatment. General principles treatments consist of three factors: 1. local treatment. 2. general treatment. 3. Surgical treatment.

Local treatment:

1. Treatment purulent wound(ointment dressings, dressings with antiseptics, etc.)

2. Protection skin surface from the digestive effect of the intestinal contents of the fistula (pastes, ointments, powders that prevent contact of intestinal contents with the skin, colostomy bags for collecting intestinal discharge).

General treatment:

1. Treatment of inflammation in the abdominal cavity.

2. Balanced diet (protein diet), parenteral nutrition(nutrient solutions through a vein).

3. Reduction of intoxication phenomena.

4. Increasing the body's defenses (vitamins, polyoxidonium).

Surgical treatment is used for long-term non-healing fistulas, for formed (lip-shaped) fistulas of the thick and small intestine, because such fistulas do not heal.

The essence of the operation is to completely remove the epithelial cover of the fistula. Sometimes they resort to resection of part of a hollow organ.

If the fistula is not treated, the patient develops severe dermatitis of areas of the skin in contact with intestinal discharge. Severe intoxication develops when purulent process reaches large sizes. Patients progressively lose weight, since intestinal contents containing the products of food digestion, amino acids, carbohydrates, etc. are lost through the fistula.

Fistula on the gum of a child

A fistula is a pathological channel connecting tissues, cavities and organs with outer surface bodies.

A fistula on the gums of a child usually occurs due to inflammation in the area of ​​the apex of the root of a tooth.

Ligature fistula after cesarean section

IN clinical practice ligature fistula is a complication of postoperative scars. It is formed as a result of inflammation and suppuration of non-absorbable ligatures with which the postoperative wound was sutured.

Rectal fistula: treatment at home

An intestinal fistula is an opening isolated from the abdominal cavity. Through such an opening the intestine can communicate with environment as well as with another hollow organ. A rectal fistula can open in reproductive system(this is the vagina, uterus), as well as in urinary system(This bladder and urethra or urethra), and into the perineal area.

Fistula on the leg: causes and treatment

A fistula is an artificial canal formed as a result of an inflammatory-purulent process. In other words, a fistula is a tubular path through which accumulated in the soft or bone tissue pus comes out, emptying the abscess or cellulitis. On lower limbs When such a pathology appears, you should sound the alarm and quickly contact a surgeon or traumatologist.

Liver drainage: necessity, technique and consequences

Liver drainage is a procedure for removing pus that has accumulated in the liver parenchyma due to an abscess (an abscess is a cavity in an organ filled with pus). Liver drainage is also carried out when pus accumulates in gallbladder and perihepatic tissue.

Any surgical intervention is a serious test for a person, requiring time and effort. full recovery. That is why it is very important that there are no complications after the operation. Unfortunately, fistulas often occur in operated patients. What are they and how to deal with them?

Description

A fistula (also called “fistula”) is quite easy to recognize: it is actually a hole in the skin, followed by a narrow channel.

A fistula may appear as a result of any pathological process in the body, but most often it occurs after surgery. Fistula is a common complication after surgery (up to 5% of cases); it can occur either a few days after surgery or after several months.

• The principle of cleanliness and sterility during surgery.
• Before the operation, it is mandatory to check the processing of instruments and the suture material used (integrity of packaging, expiration date).
• Thoroughly wash the wound before suturing.
• Use of high-quality self-absorbable suture materials.
• After the operation, the surgeon and another medical staff must also take all measures aimed at preventing postoperative complications, including the appearance of fistulas: regular inspection patient, dressings, treatment and sanitation of the suture.
• In addition, the doctor should always inform the patient about possible postoperative complications, their symptoms, the need and importance of timely seeking help.

Taking measures to prevent complications after surgical interventions, including fistulas, significantly reduces the risk of their occurrence.

While watching the video you will learn about what a fistula is.

Fistula is an unpleasant complication after surgery. His appearance requires immediate appeal to the doctor. A fistula indicates an inflammatory process in the body, suppuration of the suture material. Treatment of postoperative fistula consists of removing the purulent area and affected tissue.

The majority of surgical interventions end with the application of a ligature, at the site of which in some cases a ligature fistula of the postoperative scar appears. It is with the help of ligatures that they connect damaged tissue by layers. Naturally, operations are carried out under sterile conditions, and the wound is disinfected before suturing with a special solution. But it is not always possible to completely remove bacteria from the wound; it is in this case that the risk of suppuration of the ligature suture increases, and, as a result, a ligature fistula is formed.

Where does a ligature fistula come from?

A compaction occurs near the thread that tightens the edges of the wound; this formation is called “granuloma of the postoperative scar.” Penetrates into the formed compaction suture material, fibroblasts and microphages, while the ligature itself is not covered with a fibrous film. When such an abscess is opened, a fistula is formed; in most situations there is only one, but their number can vary significantly depending on the location of the suture.

Often such a complication appears within a few days after surgery, in such a case the surgeon will easily detect the formation of a ligature fistula during a daily examination. The formation is opened 2-3 days after the start of suppuration, and discharge in the form of pus oozes through the break.

Important! Suppuration most often occurs when the incision is sutured with silk thread. It cannot be said that this is an unambiguous statement, because at this stage surgeons apply self-absorbing sutures, but fistula has not become a rare manifestation.

Treatment is prescribed based on the cause that caused this process.

Reasons for the appearance of ligature fistulas after operations

Surgical intervention - emergency measure to save a person's life, but this is serious stress. After the operation, the patient has a recovery period, during which symptoms may occur. various complications, one of which is a ligature fistula. A number of factors that provoke its formation should be listed:

1. Infections that entered the wound during surgery. This occurs when the equipment is not sterile enough and the ligature becomes infected with the contents of the wound.
2. Allergic reactions to suture material. They are rare, but they can also cause postoperative infiltrates. Often, the phenomenon is accompanied by an abscess.
3. The patient's age and physical state are a predisposing factor. Such inflammatory processes occur more often in older patients age group, and often occur with complications.
4. Chronic infections in the human body.
5. Saprophytic microorganisms that are constantly present on the patient’s body (staphylococci, streptococci).
6. Protein depletion of the patient’s body due to long-term illnesses.
7. Metabolic disorders.

The rate of development of a ligature fistula is influenced to a greater or lesser extent by all of the listed predisposing factors.

It is worth noting that ligature fistulas occur in different layers of tissue, depending on where the inflammatory process occurs. The time of their appearance can vary from several days to several years after the operation. The consequences for the patient can be tragic; the formation of infiltrate must be removed from the affected cavity immediately, otherwise an abscess occurs, which can take the patient’s life. Timely treatment absolutely necessary.

Symptoms of formation and treatment

The risk of fistula formation after surgery is always present. The patient should pay attention to the fact that a fistula can form after a certain time after surgery. In such a case, you should contact a surgeon to perform certain manipulations.

It is not difficult to detect the formation of a ligature fistula in a timely manner; it is necessary to pay attention to the preceding symptoms:

• redness in the suture area;
• discomfort, pain at the suture site, itching and burning often occur;
• significant increase in body temperature;
• pus under the skin.

An increase in body temperature signals a significant inflammatory process in the body, and accumulated pus under the skin indicates the onset of a ligature abscess. Danger similar condition is the possibility of re-spread of infection.

Diagnostics this process not complicated, in most cases the patient complains of pain at the suture site to the surgeon. Depending on the clinical manifestations, are carried out necessary examinations, and treatment is prescribed. Treatment of ligature fistulas differs depending on the severity and location of the ligature.

It is not always possible to choose a gentle method of treating this complication. In some situations, surgery is required. The fistula tracts are examined, the contents are scraped out using a special spoon, and purulent ligatures are removed.

Interesting! When re-suturing, only self-absorbable synthetic threads are used.

Other complications after surgery and prognosis for recovery

Infiltration is the accumulation of lymph or blood particles inside tissues or any organ. It is a kind of seal. By nature it can be tumoral and inflammatory.

The tumor infiltrate is an oncological formation.
Infiltration occurs quite often after any operations, regardless of their complexity and location. Treatment for initial stage does not cause any difficulties. Late diagnosis is fraught with rupture of the abscess and sepsis.

Inflammatory infiltrate is the most common form of such pathologies. It can resolve on its own within 1-2 months, and then turn into a scar or develop into an abscess. An infiltrate at the site of a postoperative scar may form a couple of years after healing.

Caesarean section is a fairly common operation that helps a woman become a mother. But endometriosis of the postoperative scar often occurs. This complication occurs due to the fact that the cells of the inner layer enter the scar junction. Such formation occurs quite often; surgeons and gynecologists treat this problem.

Sometimes a seroma forms after surgical procedures. It is an accumulation of fluid from injured lymphatic and venous capillaries. This manifestation most often occurs in people who are obese. Seroma mainly forms after plastic surgery in women in the area of ​​the mammary glands, abdomen and thighs. It is much easier to prevent seroma than to cure it; it is enough to properly treat the suture site.

The treatment of seroma is not given due attention; many surgeons claim that it resolves on its own within 4-20 days. Indeed, in most cases this is true, and the liquid is not dangerous to humans. But it is worth considering that in some cases seroma is a dangerous manifestation that causes irreversible consequences. To get rid of seroma, drainage is used. Vacuum aspiration is also used to treat seromas.

Oleogranuloma of the mammary gland often occurs in women as a consequence surgical operations, for example, installing breast implants. Oleogranuloma develops due to contact of breast tissue with foreign bodies. Painful ulcers and cracks appear on the surface of the mammary gland. Timely consultation with a doctor and complex treatment will help prevent the development of complications.

Important! During the development of oleogranuloma, breast tissue cells die. In their place, cysts and other malignant neoplasms form.

Lipogranuloma is benign formations in the chest. Such formations often occur as a result of trauma, excessive compression and other mechanical effects.

Any surgical intervention is a risky undertaking; attention should be paid to the condition of the sutures and general health in the postoperative period.

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

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 it is in the place where the open wound was sutured that 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?

A fistula is a hollow channel inside the human body that connects human organs to 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 is 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.

In addition, doctors distinguish several more types of postoperative fistulas: 1 Complete. It has two outlets at once, which contributes to faster relief of the inflammatory process and healing.2 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.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 canal that secretes pus, mucus and feces. Ligature fistula of postoperative scar after childbirth, cesarean section, appendicitis: signs, causes.

A ligature is a special medical thread that doctors use to stitch layer-by-layer tissue damaged during surgery. Usually, before using them, the open wound is thoroughly treated with disinfectants and only then 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 up after a few days and, along with the pus, the material that was used to stitch the wound comes out of it. Most often, this problem is caused by silk threads, so doctors have recently begun to use a material that dissolves itself after a minimum period of time and does not require removal of sutures and additional processing.

The main reasons for the appearance of a fistula after surgery: Orgasm perceives the material that was used to suture 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 treatment 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 release an infiltrate. Redness will be clearly noticeable 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 hole of quite large size. The fistula opening can heal for a while, and then become inflamed with renewed vigor .Consequences that cause fistulas.

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 treatment therapy, which in turn also can cause quite serious complications. The most common complications in the treatment of a 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. In this case, pus enters the internal organs of the patient. Fever provoked by a purulent mass. Temperature readings 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.

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, for a favorable outcome, surgery is usually required. 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 the 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 normal life. To treat an inflamed area of ​​skin, drugs that have antiseptic, antibacterial and bactericidal effects are usually used. In addition, the patient is necessarily 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.

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 with ointments can be used that will 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.

In a trailer, it is permissible to treat ligature postoperative fistulas using traditional methods. 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, be sure to consult a specialist before starting treatment. 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 the 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.

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 the 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 the 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.

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 in 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 must 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. Excision of postoperative fistula.

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: First, the fistula opening and all the skin around it are treated with antiseptic agents. Then anesthetic substances are 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 the operation, the affected person the skin area 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.