Why is the wound itchy after the operation of condyloma acuminatum?

Genital warts are a relatively serious sexually transmitted disease and also a relatively serious STD. There are many treatment methods, and surgery is also a common method. If the patient experiences itching of the wound after surgery, it is mainly caused by the wound surface, or it may be infected with other pathogens during the recovery process, such as fungi, bacteria, etc., which may cause this inflammatory manifestation.

Indications for condyloma acuminatum surgery

1. Surgical excision is suitable for larger pedunculated warts and lesions that need to be sent for pathological examination for further diagnosis, or lesions that are difficult to fall off after local application of chemical drugs. 2. Other multiple lesions can be treated with laser, microwave, high-frequency electroacupuncture or electrosurgery, and liquid nitrogen freezing according to medical conditions. When there are too many lesions, the procedure can be performed in batches to relieve the patient's pain and in conjunction with systemic interferon and other antiviral treatments.

Preoperative preparation 1. Take detailed medical history. 2. Carefully examine the distribution and range of the lesions, pay attention to examining the lesions in the vagina and cervix, and examine under a colposcope if necessary. After applying 5% acetic acid solution to the cervix, the lesions of genital warts may appear white and nipple-like, making them easier to detect. 3. Prepare laser therapy device, microwave therapy device or cryotherapy equipment for treatment. The rest is the same as the general preoperative preparation for vulvar surgery.

Surgical steps : 1. After disinfection and local anesthesia, use a small sharp knife to make a spindle-shaped incision on the skin along the edge of the lesion, completely remove the lesion, and suture the incision with 1 to 2 interrupted stitches of fine silk thread. 2. Laser treatment uses a CO2 laser and laser beam to directly irradiate the lesions to vaporize and carbonize the lesions. If there are many lesions, they can be treated in batches. 3. When using microwave or high-frequency electroacupuncture treatment, the needle-shaped treatment head is placed at the base of the lesion, and the base of the lesion turns white or yellow, and sometimes the lesion falls off or carbonizes. 4. During cryotherapy, the needle-shaped cryotherapy head directly contacts the lesion until the area turns white. Often when the treatment head is removed, the lesion will fall off.

Postoperative care

1. Keep the perineum clean and remove the stitches 3 to 5 days after surgery. 2. The excised material is fixed with 10% formaldehyde solution and sent for pathological examination. If verrucous carcinoma or condyloma acuminatum is found, surgery should be performed immediately according to the surgical scope of vulvar cancer. 3. Patients with larger lesions or recurrent lesions should be treated with systemic antiviral drugs. Interferon 1 million U can be used, 1/d, subcutaneously injected, for 2 weeks to 1 month. 4. When conditions permit, remove the specimen for HPV-PCR typing to predict carcinogenic virus infection.