When is drainage from a surgical wound concerning?

Contact your surgeon if drainage increases, or becomes thick, tan, green or yellow, or smells bad, which indicates pus. With wet-to-dry dressings, drainage that is not decreasing after 3 to 5 days is also a reason to call.

Here’s a usable list, and it is almost the same for surgical wounds and dressing changes.

Contact your surgeon if the drainage coming from or around the incision increases, or becomes thick, tan, green or yellow, or smells bad. That last cluster means pus.

Four things, then. More of it. Thicker. A color from that list. A smell. Any one of them counts; they do not have to arrive together.

With wet-to-dry dressings there is one more, which is about time rather than appearance: contact your provider if drainage is not decreasing after 3 to 5 days.

Drainage is rarely the only thing changing, so look at the wound alongside it: worsening redness, more pain, swelling, bleeding, a wound that is larger or deeper, and a wound that looks dried out or dark. For a closed surgical wound, a temperature above 100°F (37.7°C) for more than 4 hours is also on the list. That figure belongs to closed surgical wounds; other wound types have different figures.

This answer can’t describe normal drainage in any detail, though that is what most people want to know. The practical substitute is a baseline of your own: knowing roughly how much the dressing was absorbing and what color it was last week is what makes increases visible.

What to watch for

Contact your provider if the drainage coming from or around the wound increases or becomes thick, tan, green or yellow, or smells bad (pus), and if drainage is not decreasing after 3 to 5 days.

Alongside it, watch for these changes: worsening redness, more pain, swelling, bleeding, a wound that is larger or deeper, and a wound that looks dried out or dark.

For a closed surgical wound, the temperature to watch for is above 100°F (37.7°C) for more than 4 hours. That figure is specific to closed surgical wounds and should not be carried to a different kind of wound.

Wound Wizard is general education and cannot assess your wound or your drainage. Your surgeon is the right person to ask.

What we look at

  • Examining the wound and the drainage
  • Checking for infection
  • Deciding whether the dressing or its frequency should change
  • Building a treatment plan based on what they find

Sources

  1. Surgical wound care - closed — MedlinePlus, U.S. National Library of Medicine https://medlineplus.gov/ency/patientinstructions/000738.htm
  2. Surgical wound care - open — MedlinePlus, U.S. National Library of Medicine https://medlineplus.gov/ency/patientinstructions/000040.htm
  3. Wet-to-dry dressing changes — MedlinePlus, U.S. National Library of Medicine https://medlineplus.gov/ency/patientinstructions/000315.htm