Five months after breast cancer surgery the flesh inside the scar feels tight what is the effect five months after breast cancer surgery the flesh is tight, tight normal

Hello. There are many reasons for this. The main reasons for poor healing after surgery are physical and local factors. Poor postoperative incision healing or wound rupture (refers to the healing wound or the original has been surgically stitched wound reopened) is a common symptom of postoperative surgery, the probability of its occurrence of 7%,? Many postoperative infections result in hard-to-heal wounds,? The wound forms a purulent infection, causing a long-lasting healing, which brings great pain and psychological burden to the patient.

?

The main reasons for poor healing of surgical wounds

(1) Fat liquefaction. In particular, when the incision is more fat and electrosurgery is used, the mechanism of its occurrence may be due to the high temperature generated by the electrosurgical knife causing superficial burns of subcutaneous adipose tissue and part of the adipocyte denaturation due to thermal damage, ? At the same time, the capillaries in the adipose tissue are embolized due to coagulation. The blood supply of hypertrophic adipose tissue, which has poor blood circulation, is further impaired. Aseptic necrosis of adipose tissue occurred after surgery. The formation of more ooze,? The incision healing will be affected.

(2) Aseptic toxic reaction. The incision is exposed for a long time,? In the mechanical action such as extrusion, clamping and other stimuli are easy to oxidative decomposition reaction, causing aseptic toxic reaction,? causing aseptic toxic reaction,? liquefaction of adipose tissue. The virulence of the bacteria,? The presence or absence of hematoma or foreign body in the wound, the strength of local tissues and body resistance, and the strictness of sterilization operation are the main influencing factors of incisional infection,? In addition, the incision of fat liquefaction improper treatment can also cause infection.

(3) Systemic factors. Systemic conditions include old age, malignant diseases, diabetes mellitus, low plasma protein, anemia, hepatic and renal insufficiency, and the use of glucocorticoids during the perioperative period, all of which can affect the healing of the incision. All can affect the healing of the incision.

Ageing: Aging is one of the main factors causing trauma healing disorders. The regenerative ability of the tissue cells of the elderly has been significantly weakened, coupled with the aging of blood vessels leading to a decrease in blood supply. At the same time, with age, tissue fibroblasts cell cycle is significantly prolonged, resulting in delayed healing, or even non-healing, the process of mechanical strengthening of the wound is also significantly delayed ...?

Low nutrition: severe protein deficiency can cause poor or slow regeneration of tissue cells, especially when thiamine (such as methionine) deficiency, often lead to impaired growth of wound tissue cells, poor formation of granulation tissue, fibroblasts can not be matured into fibroblasts, collagen fiber synthesis is reduced. Vitamin deficiencies have a greater impact, such as vitamin C deficiency does not affect the regeneration of fibroblasts, but makes its synthesis of collagen dysfunction (including the hydroxylation of proline), and affects its transformation into fibroblasts, resulting in less scarring and weaker resistance to tensile force; vitamin A1, B2 and B6 deficiencies lead to poor fibrosis; systemic and local zinc levels are also reduced, resulting in healing is delayed.

◎Inappropriate use of drugs: high-dose adrenocorticotropic hormone can significantly inhibit the formation of new capillaries, fibroblast proliferation and collagen synthesis, and accelerate the decomposition of collagen fibers, resulting in poor healing; penicillamine has a similar effect, and weakened the tensile strength of the collagen a-peptide chain of the aldehyde group, which can be combined with collagen, interfere with the formation of collagen molecules and the formation of intermolecular crosslinks, resulting in the loss of stability of collagen fibers, resulting in the loss of stability. The collagen fibers lose stability and accelerate the decomposition and absorption of collagen fibers.

(4) local factors: local factors are mainly infections and foreign bodies, poor local blood circulation (poor local nutrient supply) and impaired innervation, the root cause of these with the doctor's aseptic operation techniques, intraoperative suturing techniques, hemostasis is incomplete, improper use of the scalpel and so on.

Infection and foreign body: Wound infection is very common, and easy to cause pus, it is said that only 100 bacteria is enough to cause subcutaneous abscess. After infection, there are a lot of deep outgrowths, which can increase the local tension of the wound and cause the wound to open or even rupture (including healing and sutured wounds), especially some of the enzymes produced by pus-filled bacteria can cause cell necrosis, collagen fibers and collagen dissolution, thus aggravating the tissue damage and preventing the healing process.

Local blood circulation is poor: good local blood circulation not only to ensure the required nutrients and oxygen, but also conducive to the absorption of necrotic material, transportation and control of local infection. On the contrary, it affects the regeneration and repair of tissue cells and delays the healing, especially for some special parts of the incision, the effect of drugs and nutrient delivery is difficult to reach the wound.

◎Innervation damage: plant nerve damage can lead to local blood supply obstacles, affecting the regeneration of tissue cells. The skin ulcers in the hemp inner long time does not heal, that is because of the nerve involvement caused.

Treatment options: ?

Consult our office for more information.

Selenium Vikang Chewable Tablets is a selenium-enriched high-tech products, its main ingredients are selenium malt, vitamin E, beta-carotene, etc., of which the production of selenium malt powder has been awarded a national invention patent. Selenium supplementation can enhance human immune function, antioxidant, delay aging, and can effectively inhibit tumor growth, which has a good auxiliary improvement effect on patients after surgery and radiotherapy treatment. Click on the upper left ◆Body Health◆ to learn more. Recognize CCTV partner ◆Body Health Mall◆