What Causes Persistent Pus Discharge At The Site Of Surgery?

Posted on Thu, 31 Jul 2014

Question: Hi Dr XXXXXXX we had done chatting earlier regarding my abacus fistulla i had operated in XXXXXXX on 2nd of this month but my doc. done operation on another place now i had heavy pus discharge and pain in abacus and operation area is also having puss may be from abacus but iam afraid it will lead to complication and my doc. said it is normal abacus will heal automatically what i should do pls suggest

Answered by Dr. Ashish Verma (1 hour later)

Brief Answer:
get pus culture done

Detailed Answer:
Hi XXXXXXX

Glad to hear from you again.

As there is persistent pus discharge, so the antibiotics being given to you post surgery are not working. And so i would advice that you get a pus culture and sensitivity test of the same, so that more specific antibiotics can be started to better control the infection.

And as you are saying the the site of pus discharge and the site of surgery are different, then you need to see another surgeon and another surgery might be needed, after proper investigation like MR fistulogram to clearly delineate the tracks for their correct management.

Hope i have been helpful.

Regards,
Dr. Ashish Verma

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Above answer was peer-reviewed by : Dr. Prasad