If you know that all kinds of fistulas are divided into congenital, acquired, and created artificially, the ligature fistula of the postoperative cicatrix will belong to the latter category. Therefore, it can occur anywhere, if there was an operative intervention, after which inflammation developed from the suture surgical material - ligature. And there is absolutely no difference what kind of thread was used (synthetic, natural, absorbable or not). Sometimes the cause of fistula is the negligence of medical personnel, but it happens that the body itself rejects the alien material.
Conservative treatment of ligature fistula of postoperative scar
As a rule, the begun pathological process makes itself felt even before the patient is discharged home. Unfortunately, not everyone is attentive to his condition after the operation and certainly aspires to be discharged from the hospital rooms more quickly. After all the worries about the upcoming surgical procedures, a slight reddening in the seam area seems such a trifle. However, only with the first signs of fistula development and the initial stage of suppuration, it is possible for his conservative treatment.
An experienced surgeon will himself determine that the healing process of the seam has deviations and takes timely measures. First, the place of inflammation is carefully inspected, the dead tissues are removed, so that wound healing can proceed more quickly. This is done in several receptions with a constant treatment of the seam with a solution of antiseptics. Secondly, threads are removed in parallel, the endings of which appeared on the surface.
It is prescribed medication:
- antibiotics ( Ampicillin , Ceftriaxone, Norfloxacin, Levofloxacin);
- local antiseptics in the form of powders and water-soluble ointments (Levomikol, Trimistin);
- enzymes that dissolve dead cells.
Popular ointments Vishnevsky and on the basis of synthomycin are contraindicated because of their oily basis.
Operative excision of ligature fistula
Much worse if the fistula is on internal organs. Or outside, but the inflammation went too far. In this case, there are two ways out of radical measures:
- removal of suture material without dissection of the fistula through its hollow channel;
- complete excision of the fistula in order to remove ligature and wash the wound from suppuration.
The ligature fistula, treated either conservatively or surgically, is exposed to quartz or ultrasound in a medical institution. Ultrasonic inspection makes sure that all threads are removed without residue.
Treatment of ligature fistula in the home
Nontraditional methods of treatment of various kinds of fistulas are very many, but it is not necessary to rely that it will be possible to quickly cope with the inflammation from the ligation remains, if they are not previously removed by dissecting the site of suppuration. If you miss the time, trying to fight improvised means at home, the process can worsen until the sepsis. When the focus of inflammation is correctly removed in the hospital, the doctor will probably give advice to him, what simple procedures can be done at home to speed up wound closure.
For example:
- On the ligature fistula, a salt bandage is applied as an antiseptic as a prophylaxis for re-inflammation, even if it was not possible to remove all the strands from the dissection. The concentration of salt solution is made at the rate of 1 tsp per glass of hot boiled water.
- You can flush the fistula with hot enough salt water, make lotions or salt bandages .
- Treatment of ligature fistula with Dimexide is also quite common in the home. This is a cheap universal concentrate, from which 50% -90% aqueous solution can be prepared for lotions. Demixid has the ability to draw all the impurities from a purulent wound.