Dr. Mohammed Hatem AlsubaihDoes drainage mean failure?
Not by itself. An intentionally open fistulotomy wound or drainage seton may discharge during recovery. A closure procedure has a different aim, so the operation name and examination come first.
Which change is concerning?
Increasing pain after improvement, new swelling or fever needs urgent review. Less drainage with rising pressure and pain does not prove healing. Report new continence changes too.
How should I describe it?
Record trends, approximate amount, pad changes and procedure or seton dates. Do not probe the tract. Ask when healing will be assessed rather than judging success by colour or smell alone.
Sources and preparation
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