An abscess appeared on the scar. Fistula after surgery, what is dangerous and how to treat it

Ligature fistulas, like other fistulas, occur as a result of foreign bodies entering the tissues. When a ligature fistula is formed, the foreign body is a piece of surgical thread. Around it forms a seal - granuloma, which consists of the filament itself, giant cells encircled by fibroblasts and macrophages, collagen fibers, a zone of fibrous tissue and plasma cells. The suppuration that occurs when the thread is infected can lead to the formation of an abscess.

I. Etiology of ligature fistula (causes of ligature fistula)

The cause of ligature fistula is the infection of non-absorbable suture material (usually silk). Ligature, due to an inflammatory purulent reaction in the tissues, does not undergo encapsulation. Those. there is no process of limiting a foreign body by the formation of a fibrous membrane around it. After opening the abscess that has arisen around the ligature, a fistula is formed through which the ligature migrates. Such fistulas can form in several areas of the wound where ligatures remain.

II. Clinical manifestations of ligature fistula (symptoms of ligature fistula)

Symptoms of ligature fistulas include: the presence of the fistulous course and mushroom-like granulations in a limited area of \u200b\u200bthe postoperative scar, the separation of pus, the formation of inflammatory infiltrate around the ligature. Ligature fistula is a common complication after operations of various types. Fistulas often arise in cases where silk thread was used as a surgical material. Patients who underwent surgery have problems with the healing of the postoperative suture - “tubercles” form in the suture area, the sut is festering, and painful sensations arise. The amount of pus secreted is different. In some cases there is little pus, in others a large amount of pus flows from the wound. There are redness at the site of the suture, swelling, bloating with "bumps". Educated “bumps” and “tubercles” are often hot to the touch. Sometimes ligature fistulas of small sizes do not cause concern. Long-term non-healing ligature fistulas can complicate the underlying disease with a secondary infection, as well as lead the body to severe intoxication, up to disability.

Fistula is manifested by the formation of an external opening and the release of liquid contents of various quantities and of a different nature from it. Dermatitis may occur as a result of the prolonged existence of a ligature fistula, as its discharge irritates the skin. With purulent inflammation, redness, swelling of the skin appear; body temperature can rise up to 39 degrees Celsius.

III. Diagnosis of ligature fistula

Recognition of ligature fistulas is not difficult. To clarify the detailed localization of a foreign body, special techniques are used: the tangent plane method, the double-shot method, the four-point method, etc.

IV. Treatment of ligature fistulas

To improve the situation, it is necessary to repair the wound, gradually removing the ligatures, strengthen the immune system. You can wash the seam with hydrogen peroxide (neutralizes the surface of the wound, rinses purulent secretions well, promotes faster healing), with a solution of furatsilina. In a hospital environment, less traumatic treatment of fistulas under ultrasound guidance is possible. Surgical treatment of arising ligature fistula consists of revision of fistulous passages, cauterization or curettage of excess granulations along the fistula with a sharp spoon, removal of festering ligatures. Ligatures are sometimes "expelled", stand out spontaneously.
  If there is evidence, it is necessary to excise the entire postoperative scar with fistulous passages. In some cases, with multiple fistulas that have arisen after suturing from the thick silk sutures on the aponeurosis, it is necessary to resort to surgical removal of the threads applied to the aponeurosis, excision of the scar and subsequent secondary suture.

V. Prevention of ligature fistulas

Prevention of ligature fistulas is as follows:

- refusal to use silk threads (especially thick ones);
  - the use of synthetic threads, as not causing pronounced inflammatory reactions in the tissues;
  - strict adherence to the requirements of surgical asepsis.

Ligature fistula after surgery

In medical practice, ligature fistulas are usually called complications associated with previous surgical interventions. Usually, a ligature fistula is the result of suppuration, infiltrates, or event scars. The main cause of the disease is implantation contamination due to contamination of suture material by pathogens.

A ligature is a thread used to ligate blood vessels during an operation. The application of a ligature suture helps to stop and subsequent prevention of bleeding. Surgical thread is known to be used for suturing wounds during most operations. Ligature fistula is a frequent complication of surgical intervention and is an inflammatory process at the site of wound suturing in the presence of a ligature thread contaminated with bacteria. A granuloma is formed around the fistula - a seal consisting of the filament itself, as well as cells encircled by macrophages and fibroblasts, fibrous tissue, plasma cells and collagen fibers. The process of suppuration of the ligature thread can lead, ultimately, to the development of an Abscess.

The main reason for the formation of ligature fistula is infection of suture material (ligature). Fistula can form in those areas of the wound where there are surgical sutures. Recognition of the ligature fistula is not difficult, since the process of its development has pronounced symptoms:

  The formation of seals and mushroom granulations around the infected area of \u200b\u200bthe wound. The tubercles that appear may be hot to the touch. Inflammation of a limited area of \u200b\u200bthe postoperative scar. Separation of pus from the wound (in some cases insignificant, rarely large). Redness at the site of the suture. The appearance of edema and pain in the area of \u200b\u200bthe fistula. The temperature rises to 39 degrees.

Most often, fistulas arise as a result of the use of silk thread for suturing a wound. Ligature fistula may be small in size and not cause particular concern to the patient. In some cases, suppuration reaches a large size and does not pass for a very long time. In this case, the ligature fistula can cause secondary infection or lead to complete intoxication of the body, up to disability. The fistula, as a rule, has an external opening through which its contents are released to the outside. Frequent pus can cause dermatitis because it irritates the skin.

Ligature fistula can occur several months and even years after surgery. You can establish its localization using some methods: the tangent plane method, the four-point method, the double-shot method, etc.

Treatment of ligature fistula after surgery

Fistula treatment can only be carried out by a doctor and in no case at home. The specialist will conduct a detailed examination of the inflammation, establish its exact location and cause. Most often, the treatment of the fistula consists in the surgical removal of festering ligature. After the procedure, the patient is prescribed a course of Antibiotics, or anti-inflammatory drugs. Also, one should not forget about strengthening immunity. Everyone knows that a strong immune system is the key to a speedy cure for any disease. After the operation, it is recommended to take vitamins. Which ones, the attending physician can advise. Frequent debridement of the wound will allow for its speedy healing and avoid subsequent infection. For washing, a solution of furatsilina or hydrogen peroxide can be used. These funds well neutralize the surface of the wound and wash off the protruding pus. Surgical treatment of the fistula consists in the removal of festering ligatures, curettage or cauterization of excess granulations. Modern medicine also offers a more gentle way to get rid of a ligature fistula, carried out under ultrasound control. Sometimes the ligature suppurates and leaves on its own with pus. However, one should not wait for this moment without seeking medical help. If there are several fistulas, excision of the entire postoperative scar, removal of the infected ligature and re-suturing is indicated.

Prevention of ligature fistulas does not primarily depend on the patient, but on the surgeon who performed the operation. In order to avoid serious postoperative complications, careful aseptic compliance during the operation is necessary, using only sterile suture material. Before the wound is sewn, it must be washed. Modern medicine for operations uses thin absorbable sutures that do not require postoperative suture removal. When suturing a wound of the chest or abdominal wall, Vicryl No. 3.0, 1, 2, or dexon is used. Vascular ligation is carried out using material - Vicryl No. 3.0, or Dexon No. 3 ... 4.0, and minimal capture of surrounding tissue. In some cases, the use of antibacterial drugs is indicated. Antiseptics are preferred: chlorhexidine, iodopyrone, sepronex, resorcinol, etc.

You should not be afraid of the formation of a ligature fistula. At the first signs of its appearance, you should seek qualified help. Timely treatment will avoid a lot of suppuration and the development of the inflammatory process. The refusal to use thick silk threads for suturing surgical wounds allows avoiding the appearance of ligature fistulas in the future. Currently, most operations use self-absorbable synthetic yarns. They do not cause inflammatory reactions in the tissues of the body. The occurrence of fistulas in this case is extremely rare.

The fistula, or as this inner channel in the human body is also called, the fistula, is represented by the channel that connects the human genitals with the external environment.

A fistula can also be a channel that connects a cavity or surface of a body with a tumor developing inside.

Outwardly, the fistula looks like the simplest channel, which is covered with a layer of epithelium - the upper layer of the skin.

The type of fistula can be distinguished as a consequence of certain pathological processes in the body, or as a consequence of surgical intervention. Here we are talking about the second type. Just such a fistula can occur during abduction of the contents of the penis.

What is postoperative fistula

We must say right away that the fistula that forms in the patient’s body after surgery can be attributed to the classic complication after surgery. Note that the basis of the causes that lead to the formation of the fistula are:

• Suppuration in the field of operation.
• Eventration.
• Infiltration in the area of \u200b\u200bsurgical sutures.

In any case, the basis is that the suture tissue remains contaminated after surgery. By suture, we mean ligatures, or ligature threads. Pathogenic microorganisms remain on them, which lead to the formation of compaction, granulomas.

Granuloma, in turn, consists of a ligature thread and cells with fibrous tissue. Macrophages and collagen fibers can also be present here, which then, after complete healing of all sutures, can lead to the formation of scars.

In this case, we especially note that the fistula does not have to be pronounced and brings inconvenience or pain. Small fistulas are also diagnosed, which do not manifest themselves at all and the patient does not even feel them.

And yet, most often it can be stated that fistulas are formed after the use of a special thread from silk.

Symptoms of the postoperative fistula

If the fistula is represented by a large size, then its development always takes place against a background of pronounced manifestations and symptoms. Define the main ones:

• Around the wound, the inflammatory process begins. Small tubercles are formed, hot to the touch granulation of mushroom shape.
• The inflammatory process does not affect the entire postoperative suture, but only a part.
• From the wound, the site of the affected inflammation, pus begins to stand out. Sometimes it can be represented by a small number, in the overwhelming majority of cases, pus is secreted a lot.
• The stitching site begins to change color, blushes.
• In the area of \u200b\u200bfistula formation, edema and the first signs of a pain syndrome begin to appear, which can be amplified.
• You can diagnose an increase in body temperature up to 39 degrees.

Fistula and its consequences

If the fistula does not pass for a long time, then its main consequence may be suppuration of the ligature thread, which develops into an abscess.

It is worth noting here that ligature fistulas can repeatedly cause infection of the postoperative suture. In addition, there is a likelihood of intoxication of the whole organism, which can lead the patient to disability.

Important! Frequent discharge of pus from the opening of the fistula can lead to the onset of dermatitis, which can develop into a chronicle.

Interestingly, the onset of the fistula does not necessarily occur shortly after the operation, it is often possible to diagnose its development several months after a successful surgical intervention.

Postoperative Fistula Treatment

In principle, the ligature thread can independently come out together with pus, after suppuration reaches a critical point, let’s say so. However, this happens in rare cases, and just to observe the development of the fistula, without going to the doctors for help, will be a completely wrong act.

You just need to see a doctor right away, at the first symptoms. Moreover, independently treating the fistula, and even at home, is extremely dangerous and contraindicated.

First of all, the treatment consists in the fact that the festering ligature thread is removed again surgically. After a course of antibiotics and anti-inflammatory drugs is prescribed.

Be sure to add to the course of treatment a technique that is designed to help restore immunity and maintain it at the right level.

As for the healing of the wound after removal of the festering suture, then sanations are applied, which are carried out by washing with a solution of furatsilina. You can use hydrogen peroxide. Both of these tools not only perfectly disinfect the surface of the wound, but also remove the pus that is released.

Along with the removal of festering ligature, cauterization and curettage of granulations can be carried out, which appear in excess when inflammation of the fistula occurs.

In addition to these measures, there is a more gentle method of treatment of postoperative fistula, which consists in the use of ultrasound.

When several channels are formed at once, the doctor makes a decision to perform surgical excision of the scar, and the tissue is completely removed along with the ligature thread, and a new suture is applied to the site of the operation. Recall earlier we wrote about.

Ligature fistula after surgical delivery is one of the common complications of this operation. It is dangerous in that it is a source of infection and can cause toxic damage to a woman's body.

Each operation, and delivery using cesarean section is no exception, ends with a suture. The purpose of processing the incision is to stop bleeding, prevent massive blood loss. For this, suture material such as ligature is used, which normally does not cause any complications to patients.

If the reaction of the body to the ligature is unpredictable, a focus of inflammation forms around the threads, an abscess forms with purulent fusion of the tissues. The generally accepted antiseptic requirements for surgical material and the surgical field require careful processing of the incision before suturing. If pathogenic bacteria get into the wound, an inflammatory process complicated by the formation of a fistula will inevitably develop.

Around the ligature, tightening the edges of the incision, the tissues are compacted, forming a granuloma. It consists of collagen fibers, suture material, fibroplasts. The introduction of pathogenic bacteria into this tissue causes suppuration. Pus finds a way out, and a through hole, or fistula, is formed. Ligature fistula may be the only one, or pus erupts in several sections of the surgical suture.

The time of formation of such a complication ranges from 2-3 days to several months. When the intensity of inflammation decreases, the ligature fistula may spontaneously close for a while, but the final recovery does not occur until the source of suppuration is eliminated.

For the appearance of a fistula after a caesarean section, there must be predisposing factors.

Common causes of ligature fistula formation:

Infected suture material;

Infection of the surgical field;

Low quality ligatures;

Violation of the rules of antiseptics during and after the operation;

Incorrect processing of the surgical suture;

Low immunity.

The stresses associated with pregnancy and childbirth, a stress factor, weaken a woman's immunity. This circumstance significantly increases the risk of an inflammatory process, rejection of foreign material (ligatures), and the appearance of an allergic reaction to it.

When a fistula is formed on the suture remaining after cesarean section, effective measures must be taken immediately, because the risk of secondary infection of the body increases. Intense purulent discharge leads to skin irritation and maceration, appearance.

Further development of the inflammatory process leads to intoxication of the body with tissue breakdown products and the vital activity of pathogenic bacteria. With a breakthrough of the fistula, there is a high probability of infection in the blood, which leads to development. This complication can lead to disability and even death.

Complications of the ligature fistula:

Toxic-resorptive fever - the body's reaction to the formation of a purulent focus and its attendant negatively affects the functioning of most organs;

The appearance of phlegmon is the spread of inflammation in the subcutaneous fat;

Abdominal prolapse from a molten wound.

Complications can be prevented only by timely diagnosis of the ligature fistula.

Women who have had a caesarean section should know the main symptoms of the appearance of the pathology, because a ligature fistula can form several months after the operation.

Signs of pathology:

Redness of the skin;

Seal Seal;

Swelling of the tissues;

Higher skin temperature around the seam compared to the rest of the body;

Separation of pus, the uterus from the suture, sometimes it can be minimal, giving the impression that the wound is a little wet.

When a ligature fistula appears, body temperature always rises. At an early stage of the onset of complications, the temperature may be close to normal, but still increase. The more the inflammatory process develops, the more pronounced hyperthermia.

Not all women can detect the onset of the inflammatory process on time on their own. Typically, the patient goes to the doctor when the infection of the wound has gone too far. If a wound after a cesarean section is regularly examined by a specialist, it is possible to detect a pathological process at the earliest stages, to prevent complications.

Diagnostic Methods:

Palpation of granular tissues;

The study of the anamnesis, patient complaints;

Sounding a ligature fistula to determine the defect parameters;

Ultrasound with contrast;

X-ray study with the introduction of a contrast medium.

Treatment

It is strictly unacceptable to self-medicate a ligature fistula after cesarean section at home or wait until the surgical thread comes out on its own. Only in the conditions of a surgical hospital is it possible to prevent the spread of infection, open the suppuration and remove the fistula.

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There are two tactics for surgical treatment of the ligature fistula - the doctor removes the thread that caused the inflammation, or excises the entire fistula, which in many cases is preferable. The thread is removed blindly through a small incision in the seam area. Suppuration is freed from the syringes and pus, washed with an antiseptic solution. If it was possible to completely get rid of the cause of inflammation, the fistula is finally delayed. If relapses occur, the operation is repeated.

A wide incision is not made because there is a risk of phlegmon formation and the spread of infection to healthy tissue. The surgeon may decide not to make an incision, but to remove the ligature from the fistulous canal with a special tool. After performing the manipulation, the wound is treated with antiseptic drugs, the dressing is regularly changed on it.

In modern clinics, the procedure is carried out under the control of ultrasound scanning, which allows you to accurately determine the localization of the ligature that caused inflammation.

A radical way to get rid of the focus of inflammation is a single-block excision of the fistula. At the same time, both the fistulous canal and the suture material that caused the pathology are removed. The operation is performed under local anesthesia, with careful observance of the rules of antiseptics. After removal of the fistula, the wound is sutured, its condition is monitored for 5 days. After healing of the site of excision of the fistula, the sutures are removed from the wound.

Conservative treatments

In the case when the inflammatory process has not yet gone too far, the use of drug therapy is possible. It consists in treating the inflamed area with antibacterial and antiseptic solutions. The purpose of the treatment is the destruction of pathogenic bacteria over the entire area of \u200b\u200bthe wound. Treatments are often done to effectively remove pus and disinfect the suture.

If in this way it is possible to stop the inflammation, the ligature fistula can drag on spontaneously. To support the immune system, immunostimulants and vitamin complexes are prescribed. A course of antibiotics will help prevent the spread of infection. When the body's defenses increase, the focus of inflammation will decrease or completely disappear.

With this method of treatment, there is always a risk of relapse, since the suture material remains in the wound. If the appearance of the ligature fistula was triggered by surgical thread, the process may be repeated.

Even with the strictest observance of the rules of antiseptics during cesarean section, there remains a risk of ligature fistula. It is impossible to predict in advance whether a woman will experience a rejection of suture material or not. However, preventative measures will help prevent complications.

Prevention measures:

Rational management of cesarean section;

Compliance with the rules of antiseptics;

Thorough preparation of the surgical field;

The use of modern surgical materials.

In order to prevent the development of inflammation of the suture after cesarean section, you need to carefully monitor its condition for several months after the operation.

Take in equal proportions pine resin, medical tar, butter, pulp of aloe leaf, flower honey. Put this mixture in a water bath and heat there, stirring until the mixture becomes homogeneous. If it turned out very thick, dilute with vodka. This ointment helps to cure any non-healing fistulas, tuberculosis of the bone, abscesses. It is necessary to impose it around the fistula, cover it with a sterile napkin, polyethylene and fix it with adhesive plaster. (newspaper “Vestnik ZOZH” 2003, No. 3, p. 25)

Alternative treatment of fistulas - healthy lifestyle recipes

Alternative treatment of fistula with cabbage

A woman developed a fistula under her knee, for 2 months the doctors prescribed various ointments, but they did not help, her leg hurt. A neighbor suggested an unusual recipe: every day, tie a fresh cabbage leaf to a sore and walk with it all day. The procedure is done 12 days in a row. On the 13th day, red dots should appear around the fistula. If they appeared, then the treatment was successful, everything will quickly heal. The woman began to make cabbage compresses, for a day the leaf dried out, became transparent. And after the 12th procedure, under the leaf, red dots appeared around the fistula. Everything went smoothly. After 3 days, there was no trace of the fistula. (HLS 2002, No. 3, p. 18,)

Fistula in a newborn - treatment of aloe and mummy

The umbilical fistula in a newborn child was cured by the following remedy.
  Dilute the mummy with boiled water to the color of a strong tea brew. Mix the mummy solution and aloe juice in equal proportions. Moisten the bandage with this mixture and apply to the navel. (HLS 2003, No. 9, p. 27)

Ligature fistula - treatment with infusion of aloe on honey

A 4.5-year-old man did not heal a ligature fistula, he turned to the readers of the Vestnik ZOZh newspaper to advise him on folk remedies to cure the fistula. A lot of advice came. But the following recipe turned out to be very effective:
  From the bottom of a 2-3-year-old aloe, tear 12 leaves, put in the refrigerator for 10 days, rinse in boiled water and chop finely. Pour the crushed aloe into a jar, add fresh liquid honey there, so that the aloe slices are completely covered. Infuse the mixture for 6 days, shaking daily. Then strain the mixture, discard the aloe leaves, and take 1 tsp of liquid. 3 times a day before meals. In addition to this treatment, the man was also washing the ligature fistula daily with a furacilin solution from a small syringe. After a month and a half of continuous treatment, the fistula began to actively heal. (HLS 2004, No. 1, p. 27)

Fistula treatment after cancer surgery

The man was operated on for lung cancer. The postoperative fistula did not heal for a long time - it was sick, festering, the temperature rose, the patient lost 12 kg after the operation.
  Having studied a lot of literature, we decided to treat the fistula with celandine. The man began to drink the infusion of this herb. Immediately returned the appetite, feeling better. Drank in courses: drinks a month, rests a week. The fistula has dragged on, the tumors do not grow. (HLS 2004, No. 12, p. 26)

External fistula - onion and calendula ointment

Finely chop 200 g of onion, pour 500 ml of hot melted interior pork fat. Heat in a pan until the onion turns brown. Drain into a jar, wrap for 8 hours.
  1 cup calendula flowers pour 500 ml of hot melted interior pork fat. Keep at a temperature of 60 degrees for two days. Apply dressings to the fistula with these ointments, alternating them. (2005, No. 11, p. 18-19)

Bread and salt

The man had 2 fistulas in the wall of the abdominal cavity. Three weeks I tried to treat fistulas in the clinic, but to no avail. I decided to use folk remedies.
  I crushed salt into the crumb of black bread as much as possible. He made a flat cake, smeared it with saliva on one side and put it on the fistula with the same side. The second fistula for comparison did not touch. .Changed a flat cake every other day. On the fourth day, the fistula cleared and began to overgrow. I got rid of the other in the same way. Soon there was no trace left, only the skin was whiter at first. (2005, No. 11, p. 31)

Fistula on the tailbone - treatment of the mummy

The woman repeatedly developed a fistula on the tailbone, her legs were taken away, it was impossible to sit. They did the operation several times, but the fistula on the tailbone opened again. Then the elderly doctor gave a sick piece of mountain mummy with a match head - this was enough for a month's course - the woman made an aqueous solution of the mummy and washed the fistula, made lotions. Three months later, she conducted another course of treatment for the fistula. Since then, this sore has not bothered her. And now mumiyo can be bought without any problems at any pharmacy. (2005, No. 24, p. 26)

Fistula on the leg - treatment of resin

A man with the help of resin was saved a toe from amputation. The finger was black, a fistula with an unpleasant odor appeared on it. He applied a soft resin to the cloth and wrapped it around his finger. The fistula closed after 3 days. (2006, No. 4, p. 31)

Homemade ointment from the fistula

After the operation, the man left a fistula. He was small, but blood oozed from him constantly. In the hospital, the fistula was expanded, cleaned, washed. And so several times, but there was no sense. So they wrote out with an unopened fistula. Every day by lunchtime the temperature rose, the whole body ached, sometimes the temperature jumped to 40 degrees and had to call an ambulance. This went on for 8 months.

In summer, the patient moved to the village, where he began to ask local residents for folk remedies for non-healing wounds and fistulas. He was advised to make an ointment from pine resin, wax, vegetable and butter. The man scored pine resin, prepared an ointment, adding more propolis. He impregnated the bandage with ointment, wrapped it on a match, and introduced the match into a wound before going to bed.

The match entered almost completely. The next day, the temperature did not rise. In the evening, he again did the same procedure, the Match entered only 3/4. The fistula gradually closed, and after a week healed completely.

Here is the ointment recipe:
  Take 1 tsp. crushed wax, propolis, resin, 2 tbsp. l vegetable oil and 2 tbsp. l (40-50 g) butter. Sleep everything in an enameled bowl and put on the weakest fire. Heat, stirring, until everything dissolves. Strain the hot mixture immediately through 4 layers of gauze. (2007, No. 19, p. 33)

Treatment of fistula folk remedies

One of the most effective folk remedies for fistula is the mummy. It should be taken 1 time a day on an empty stomach for 28 days (1 course of treatment). In advanced cases, the second course should be carried out in 10 days. Mummies should be dissolved in 50 ml of water, and preferably milk. The daily dose of the mummy depends on the weight of the patient: up to 70 kg - 0.2 g, up to 80 kg - 0.3 g, up to 90 - 0.4 g, more than 90 kg - 0.5 g. High-quality mummy is completely dissolved in water.
  Simultaneously with the ingestion, the mummy is used externally - lotions are made by dissolving 3 g of the mummy in 100 ml of water.

On fistulas and any abscesses it is useful to apply all night long cakes of comfrey root powder. Comfrey stimulates the growth of healthy skin cells.

Rinse the fistulas with very hot salt water (1 tsp. Salt in 1 cup of water).
  Lubricate the wounds with celandine juice 2-3 times a day
  (HLS 2008, No. 19, p. 32-33)

Fistula in a child - treatment with tincture of dandelions

The child had fistulas near the ear tragus: holes appeared, sometimes a sticky transparent liquid oozed from them. Pharmaceutical ointments did not help - the holes did not tighten. With a cold, the fluid became purulent, ears hurt. Over time, a foul odor appeared from the fistula. It was time for the girl to go to school, she had to somehow get rid of the fistulas. To help came tincture of dandelion flowers on a triple cologne. At first tincture simply smeared the wounds. After 3-4 times, the inflammation stopped, the fistulas almost dragged on. But after some time, the inflammation started again, purulent discharge began. Then the parents decided to pour a dandelion tincture directly into the fistula with a pipette. For three such procedures, the fistulas near the ears were completely dragged on, healed very quickly and did not open anymore. (HLS 2010, No. 9, p. 10)

Cabbage leaf from postoperative fistula

The woman underwent surgery, after which a fistula formed at the site of the suture. I turned to the surgeon, he said that he would have to live with a fistula. In the "Bulletin of healthy lifestyle" I read the recipe that fistula can be treated with cabbage. The patient washed the cabbage leaf, slightly beat off until the juice appeared and put it on the wound. After seven procedures, the fistula seems to have disappeared, but the recipe said that it should be applied 12 times. The woman continued treatment. And after the eighth procedure, I saw on a removed leaflet knitted and sewn by carelessness during the operation, threads. After the threads came out, the fistula dragged on, everything fell into place. (2012, No. 9, p. 31)

Ligature fistula does not close - what to do

After the operation to remove the hernia, a fistula formed. He has been bothering a woman for five years: constantly festering, a lump the size of a chicken egg has formed. Surgeons believe that a new operation is needed. The patient turned to the “Healthy Lifestyle Bulletin” with the question “How to avoid surgery?”
  Candidate honey responds. sciences. A.I. Vanin.

In a patient, a ligature fistula is a fistula due to the presence of an infected suture ligature (suture) that is tied up during surgery on a crossed vessel. Usually, the ligature fistula closes and overgrows after the suppurative threads have left. This did not happen in the patient. Therefore, she needs to do fistulography - an x-ray examination of the fistula with contrasting, to see if it is connected with internal organs. Based on the results of the studies, the doctor will prescribe a treatment for the fistula.

While it is necessary to wash the wound with 1% dioxidine solution: inject the solution inside with a syringe without a needle and cover with a cloth soaked in the same solution. Secure with a band-aid. The procedure is done daily for a week. If a lot of pus and fluid comes out, then rinse several times a day. Usually on the 3-4th day, the fistula stops flowing. You can apply an oily solution of propolis or ointment levomikol.

At the same time, take sumamed in tablets - 0.5 g once a day 1-2 hours after breakfast at the same time. The course is 3 days.

After that, take vitamins compliments -1 times a day for a month.
  From folk remedies - take 1 tsp. 3 times a day, aloe honey syrup, the recipe of which is given above.

For washing the fistula, a decoction of calendula flowers is also suitable: 1 tbsp. l 1 cup boiling water. In a warm broth, add a few drops of tea tree oil. With the same broth, do compresses on the wound 1-2 times a day for 5-10 days. Take drugs and folk remedies to increase immunity. (HLS 2013, No. 12, p. 16)