The anorectal department is a surgical department. Most patients are treated with surgery. The recovery of postoperative wounds is one of the keys to disease recovery. But why do some people recover quickly, while some people heal their wounds very slowly?
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Normal healing time after anorectal surgery
Under normal circumstances, after hemorrhoid surgery, it usually takes 7 to 10 days for the affected area to begin to grow flesh, and it takes about 30 days to heal. Different human constitutions also vary.
The recovery time after the operation depends on the patient's physique. The thread is hooked up during the operation. Generally, the thread will break by itself within 1 to 2 weeks, and then the dressing will be changed to promote wound healing. Usually, the symptoms will get better in about a month. A few people hang up the line for two weeks and can only be removed by a doctor, which may prolong the recovery time.
It can be divided into high anal fistula, low anal fistula and complex anal fistula. The low anal fistula usually takes about 30 days to heal after surgery; while for high complex anal fistula, the general repair time takes about 50 days. During the recovery period, if the patient is allergic to certain drugs and develops symptoms such as eczema, the healing of the wound will be delayed.
Depending on the patient's own condition and the size of the abscess cavity, the recovery time varies. Small abscesses may take one to two weeks to heal, while large abscesses may take two to four weeks to heal. Generally speaking, the wound of perianal abscess does not heal for more than one month after operation, which is considered to be poor healing.
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Don't let the postoperative recovery slow down
Although everyone knows the normal healing time, why still a considerable number of patients cannot recover in time? Look at the following factors, which also allow us to get better guidance after surgery.
The older the age, the slower the wound healing. This is related to the systemic factors of the elderly
The lack of protein, vitamins, and trace elements can not provide the nutrients needed for tissue regeneration and will delay wound healing. Trace elements related to wound healing include copper and zinc, and vitamins include vitamin A, vitamin C, and vitamin E. These substances are generally not deficient in normal human bodies.
However, the need for wound healing is much greater than usual, and the patient’s poor appetite and less food will also cause demand. It is very important to strengthen nutritional support after surgery. Especially patients who can eat should eat a digestible high-protein and high-calorie diet.
When the wound is infected, there are many exudates, which will open the healing wound or the sutured wound, or cause the infection to spread and aggravate the injury.
▌Local blood circulation
On the one hand, local blood circulation ensures the oxygen and nutrients needed for tissue regeneration, on the other hand, it also plays an important role in the absorption of necrotic substances and the control of local infections. Therefore, proper activities are needed to promote blood circulation after surgery.
Diabetes patients have more sugar in their blood and vascular disease, which will affect wound healing. Before and after surgery, blood sugar control will directly affect the degree of wound recovery.
The combination of carbon monoxide and hemoglobin in the blood circulation of smokers reduces the ability to transport oxygen. Nicotine will constrict peripheral blood vessels and affect wound healing.
Psychological stress affects the function of the neuroendocrine immune system and slows down wound healing.
Complications such as thrombosis, pneumonia, peritonitis, postoperative intestinal obstruction, etc., have a direct impact on wound healing.
Immunosuppressants, cytostatics, and hormone anticoagulants have a direct negative impact on wounds, inhibit cell proliferation and affect tissue repair.