How to process a postoperative suture at home. What to do if the suture does not heal after surgery

Please help with advice. My mother-in-law underwent surgery 2 weeks ago to remove a tumor from her intestines. She has a longitudinal seam across the entire abdomen. After the operation, she was discharged home a week later. A nurse comes to us to do dressings. But I wouldn't call it bridging. She removes the old bandage, rinses the seam with plain water from the tap and sculpts a new bandage. And because of these dressings, her seam bleeds and hurts. She suffers a lot from this, because she is 90 years old. Advise me what to do. She can refuse to bandage them and do it herself, as they do in hospitals in our homeland. Wounds are treated with furatsilin and then an ointment is applied for healing, for example, levomikol. And I think maybe aloe will help or sea buckthorn oil.
Laonarda

Hello! Unfortunately, in this situation, especially in absentia, it is very difficult to advise anything. Look at the situation and do as your intuition tells you. We, in turn, will try to prompt you and describe the correct dressing procedure in as much detail as possible.

So, to begin with, a little theory: the wound process consists of three phases - the actual damage, the phase of the outflow of wound contents and the final healing phase. The first phase is quite short-term, and therefore does not affect the characteristics of dressings. But the second and third phases are already very important when applying bandages. It is not difficult to distinguish these phases on your own. In the second phase, the wound gets wet, or, as the old surgeons used to say, "the wound cries." Therefore, its main symptom is getting the bandages wet. As soon as the wetting “fades away”, then the healing phase has begun.

Bandaging is a medical manipulation. That is why it is carried out not anyhow and when you want, but according to indications. An indication for a mandatory daily dressing (and maybe even more than one during the day) is to get the bandage wet. Increasing pain in the wound also requires dressing, as this is either a sign of infection or a sign of poor outflow of wound contents. Bandaging should also be done in case of banal household reasons, if, for example, the bandage is dirty or lost (slipped, crumpled). And, finally, the reason for dressing can be "control dates" - for example, the day the sutures are removed.

To care for postoperative uninfected people, various antiseptics will be needed: alcohol, iodine, potassium permanganate solution, etc. You can also use hydrogen peroxide, 10% sodium chloride solution, or regular green paint. Do not forget about the necessary improvised means, such as adhesive plaster, tweezers, sterile wipes and bandages. It is important not only the seams, but also how to handle them correctly. This largely depends on the nature and complexity of the operation itself. For example, when it comes to caring for stitches after eye surgery, the patient must perform daily thorough external treatment under the supervision of a specialist, otherwise they can be fatal.

How to handle seams

Postoperative scar care

Suturing is a prerequisite for surgical operations and for deep wounds. Sutures are applied to ensure the rapid fusion of tissues necessary for their further normal functioning and for aesthetic purposes.

Instruction

It is desirable that the seams are removed by a qualified specialist. If you have had a serious operation or you have a very deep wound, then a doctor must monitor the fusion of tissues and remove the stitches. You can also contact a paid clinic if you can not get to your surgeon. They can remove the stitches there quickly and for a reasonable amount.

If the wound was shallow, and there were no problems in the healing process, then the stitches can be removed on their own. It is important to know how you can remove them. On average, it is 6-9 days. If the wound is on the face or neck, then the stitches can be removed after 4-6 days.

Sources:

• how to treat a stitch from surgery

Postoperative sutures must be processed daily. If a nurse does this in the hospital, then at home you will have to take care of the treatment yourself. But do not worry, you will succeed, because it is not difficult to do this, and you do not need to have special professional skills.

You will need

• - hydrogen peroxide;
• - greenery;
• - sterile bandage;
• - cotton wool, cotton buds or discs.

Instruction

First go to the pharmacy. Buy hydrogen peroxide, and sterile dressings. It is also necessary to purchase sterile cotton wool, but ordinary cotton pads or sticks can do it. If you have already stopped applying a bandage yet, you do not need it. The bandage somewhat prolongs healing, since the wound is under it. In any case, consult a doctor, but you can be sure that without a bandage, the seam will not open, it only prevents the infection from penetrating inside.

Then the surgeon gently pulls the thread, picking it up with tweezers for that part of the seam that is outside, and cuts it off again near the living tissue. This procedure must be done with all parts of the suture material and at the end remove the rest.

The threads after the procedure must be disposed of, and the remaining scar must be treated with an antiseptic, such as iodine or potassium permanganate solution.

After removing the stitches, the patient is put on a sterile dressing for several days, which must be changed as needed.

Wounds after injuries, operations are closed by suturing. In order for healing to take place quickly and without complications, it is necessary to follow certain rules for their processing.

Preparations for the treatment of seams

Normal wound healing after suturing will only be possible if it is. In this case, the sutures themselves should be applied in such a way as to exclude the possible formation of a cavity between the edges of the wound. Uninfected sutures are processed daily, but not earlier than one day after they are applied. Various antiseptics are used for processing: iodine, brilliant green, potassium permanganate, alcohol, Iodopyron, Fukortsin, Castellani liquid. Protracted wounds are treated with an ointment containing panthenol. Promote healing sea buckthorn ointment, ointment with. To prevent the formation of keloid scars, you can use Contractubex ointment or silicone.

How to handle stitches on wounds

When processing, it is not recommended to use cotton wool, as its particles can remain on and cause inflammation. It is better to use gauze napkins. The sutures are treated once a day for five to six days. The bandage must be changed daily until the threads are removed. In and hospitals, dressings are performed in specially designated places (dressing rooms). Daily dressing procedures contribute to faster wound healing, since the air helps to dry the seam.

After suturing, you should carefully monitor the condition of the wound. Alarm signals include wetting the bandage with blood, the appearance of swelling, swelling, and redness around the seam. Discharge from the wound indicates that there is an infection in it that can spread further. Infected, purulent sutures cannot be done on their own. In these cases, an urgent need to consult a doctor.

Stitches are usually removed on days 7-14, depending on the location of the wound. The procedure is painless and does not require anesthesia. Before removing the suture, it is carried out; after removing the threads, the suture is not closed with a bandage. After removing the threads, the seam needs to be processed for a few more days. Water procedures in two or three days. During washing, do not rub the seam with a washcloth so as not to damage the scar. After a shower, you need to blot the seam with a bandage and treat it with hydrogen peroxide, after which you need to apply brilliant green on it. Two to three weeks after the removal of the threads, phonophoresis can be used with special absorbable solutions. In this case, the seams heal faster, and the scars become less noticeable.

Instruction

Uninfected surgical sutures should be treated with antiseptic solutions - chlorhexidine, fucorcin, brilliant green, hydrogen peroxide. The stitches are recommended to be treated with antiseptics for up to 14 days from the date of the operation. Sometimes this term is less, sometimes more. For example, after a caesarean section, the stitches and the bandage are removed after a week.

To disinfect the postoperative suture, apply a small amount of brilliant green or other antiseptic to a cotton swab and gently treat the sutured wound. It is not recommended to wipe the seam - it slows down the process of tissue regeneration. Surgeons advise treating the seam with antiseptics twice a day. If the seam is large, it is better to treat it not with a cotton swab, but with a cotton pad or a piece of sterile napkin soaked in an antiseptic solution. After decontamination, apply a dry, clean dressing or silicone patch to the seam. If the seam is dry, you can not glue it with anything, so it will heal even faster.

The fight against surgical infection is the key to successful treatment and wound healing. In addition to observing the rules of asepsis, antiseptics must also be observed. This includes a whole range of procedures for the treatment of postoperative sutures with antiseptic solutions. Treatment begins immediately after surgical procedures and continues until a dense scar is formed on the skin.

Why you need to process the seams

The key to successful healing of a postoperative wound is clean, non-infected sutures. If antiseptics are not observed, the infection penetrates into the deeper layers of the skin, which causes purulent complications in the form of phlegmon, abscess and deep tissue necrosis.

It is important to know! The healing time depends not only on the processing of postoperative sutures. The duration of treatment is influenced by the age of the patient, the severity of tissue damage, the volume of surgical intervention, and the features of the course of the postoperative recovery period.

How is the wound treated

At the present stage, many groups of antiseptic solutions are used in clinical practice. The choice of one or another antiseptic depends on the nature of the wound, the presence or absence of pus in it, the timing of healing and the final goals of treatment.

Important! An antiseptic for use at home and in a hospital is determined by the attending physician. The name of the drug is given in the recommendations, the duration and frequency of treatment of the postoperative wound are also indicated there.

Types of antiseptic solutions for external use at home and in the hospital

• The halogen group. These include water and alcohol tincture of iodine, potassium iodide, Lugol's solution. They are used for the treatment and washing of the wound cavity. They have a cauterizing effect. The sutures are treated with iodine preparations no more than 1 time per knock.
• Salts of heavy metals. Currently, dressings and ointments with the addition of silver nitrate are widely used, as well as a 0.1-0.2% solution of silver nitrate for external treatment of postoperative wounds. At a concentration of 5%, this solution has a cauterizing effect, therefore it is used only for severe inflammation and weeping of the wound.
• Alcohols. Ethyl alcohol in solutions with a concentration of 40% is used extremely rarely. It is not recommended to use it on a dry, non-inflamed seam. It is used mainly for the treatment of wounds in the phase of active inflammation.
• Dyes. This group includes the most widely used solution - brilliant green, better known as brilliant green. For external use, an aqueous or alcoholic 1-2% solution is used. It is used both on mucous membranes and on the skin. Wound treatment is carried out daily, at least 2 times a day.
• Acids. Here, a weak solution of boric acid (2-4%) is most often used. Boric acid is a good antiseptic, which is used in the form of solutions, ointments, powders, powders. Local treatment with boric acid is applicable to both mucous membranes and skin. Treatment of postoperative wounds is carried out at least 2 times a day: in the morning and in the evening.
• Oxidizers. They are also widely used in medical practice. The most well-known drugs from this group are potassium permanganate and hydrogen peroxide.

Hydrogen peroxide is an active oxidizing agent used for the treatment and treatment of purulent wounds. It is more often used in a hospital to separate purulent contents and completely cleanse the wound surface.

Important information! The advantage of hydrogen peroxide is its hemostatic properties. Therefore, with suppuration and bleeding from the wound after discharge from the hospital, this is the first remedy.

Potassium permanganate has cauterizing properties. In a weak concentration, it is suitable for washing sutures in the oral cavity, in higher concentrations, for the treatment of postoperative wounds. It is used for processing no more than 1 time per day.

• Detergents. 0.1-0.2% aqueous solution of chlorhexidine is one of the drugs in this group. It is used externally for the treatment and washing of postoperative sutures, at least 2-3 times a day.
• Antibiotics. To combat a bacterial infection, ointments with the addition of antibiotics and hygroscopic agents have been developed. They are used to apply bandages on purulent postoperative wounds. At home, they are used only in case of suppuration of the sutures. An example of such ointments is Levomekol ointment, Vishnevsky ointment.

What is needed first of all for the treatment of sutures and wounds

For bandaging, you will need an antiseptic, cotton wool or gauze wipes, cotton swabs (can be replaced with ordinary cotton swabs), tweezers.

Important to remember! Before starting treatment, you need to make sure that the wound is clean. If there are foreign bodies, they are removed. If the wound surface is contaminated, the sutures are washed with a weak antiseptic solution or distilled water.

After cleaning, direct processing is carried out:

• When using the ointment, a gauze napkin is taken, on the surface of which the agent is applied. The napkin is placed on the wound surface, a bandage bandage is applied on top for fixation.
• If an antiseptic is used in the form of a solution, take a cotton swab and soak it in the liquid. Instead of a tampon, you can use an ordinary cotton or gauze ball, but you can’t grab it with your hands, use tweezers to grab it. Treat the wound surface with a thin layer, after which they wait for the solution to dry completely.

How to properly treat a wound and a seam

Before removing the sutures, the dressing is changed daily with solutions and ointments of silver nitrate, antibiotics, hydrogen peroxide. The sutures are removed mainly on the 7th day after the operation. Immediately after this, the scar is cauterized with a solution of potassium permanganate, hydrogen peroxide.

On the day of discharge, the attending physician gives recommendations on the further management of the postoperative suture and recommends a suitable antiseptic. Treatment at home is carried out 1-3 times a day, depending on the properties of the disinfectant solution. Cauterizing solutions are used no more than 1 time per day. Water and alcohol tinctures are processed 2-3 times a day.

Important! For effective disinfection of the wound, water procedures after treatment are not carried out for 2-3 hours. The first days after discharge from the hospital, wetting fresh stitches and scars is not recommended at all.

Dry scar care

With successful healing, the scar is formed almost immediately after discharge from the hospital. Signs of a dry scar:

1. Absence of pus, exudate, serous fluid discharged from the wound.
2. Pink or pale pink color.
3. Normal temperature of the skin above the surface of the scar.
4. Absence of keloids (pathological growths of scar tissue).

The treatment of such a scar is carried out with ordinary brilliant green 1-2 times a day for 7 days. During the procedures, the condition of the scar tissue is checked, signs of inflammation are detected. The final healing of the scar should take place in the open air; it is not recommended to cover the defect with bandages and patches.

What to do if the seam gets wet

The onset of weeping is the first sign of serous inflammation. Exudative fluid is clear or yellowish. Weeping is accompanied by inflammation of the wound surface: a forming scar is red, hot to the touch, painful on palpation.

Inflammation is a complication of the postoperative recovery period, so you need to inform your doctor as soon as possible and seek medical help. As a first aid, drying agents are used: salicylic ointment, a solution of boric acid, lotions with a decoction of oak bark, ointments and solutions based on silver nitrate.

What to do if the seam festered

The separation of a thick, yellow or greenish liquid from the wound cavity indicates the addition of a purulent infection - a serious complication of the postoperative period. Therapeutic measures should be started immediately, as early as possible.

Important! The accession of a purulent infection is dangerous by the development of phlegmon of soft tissues, abscesses of subcutaneous fat and organs up to necrosis.

Purulent inflammation proceeds with a vivid clinical picture. In addition to discharge from the wound, the patient is concerned about weakness, fever. The temperature rises to 39-40C. The wound surface is bright red, hot to the touch, sharply painful on palpation. The skin around the seam is shiny and tense.

If such symptoms appear at home, the patient should immediately contact the emergency room of the hospital or the surgeon at the clinic at the place of residence. As a first aid, washing the seams with a solution of hydrogen peroxide, dressings with Levomekol or Vishnevsky ointment is used. Cauterization with potassium permanganate or brilliant green is not recommended, as this will make it difficult for the doctor to work when processing sutures.

Tutorial video: Self-treatment of the operating field and sutures

Special dressings

A very convenient way to treat postoperative sutures is to use special ready-made dressings. They are effective for healing clean and purulent wounds. Depending on the phase of regeneration, bandages of various composition are used.

Dressings for the first phase contain antibacterial and absorbent substances that help cleanse the wound, including from necrotic tissues. Dressings for the second and third phases of healing are designed to protect delicate granulations (forming scar), and also contain substances that stimulate regenerative processes.

This method is very convenient for the patient, as it does not require any effort other than a daily dressing change. The most common dressings are Vascopran, Algipor, Sorbalgon and others.

The seam is an irreversible consequence after the operation. For someone, it heals very quickly, but for someone it causes a lot of inconvenience: it hurts, pulls, aches, does not heal for a long time. It all depends on the body, on the experience of the doctor who performed the operation, and on how well the suture is cared for. Usually, healing occurs over a period of several weeks to a month. But there are times when pathologies occur, and the seam does not heal. To speed up healing, you need to take the following measures.

How to speed up the healing of the seam

• Remove the bandage as often as possible and keep the suture in the open air, because, as you know, it dries wounds well.
• Ointments "Levosin", "Levomekol", "Stellanin", "Sinaflan" help relieve inflammation.
• If the seam is festering, you need to wash it with hydrogen peroxide and treat it with an antiseptic: a solution of brilliant green or iodoperone, Costellani's liquid.
• To help heal the wound "from the inside", you can take vitamins, enzymes, anti-inflammatory drugs.
• Physiotherapy helps a lot. If there are no contraindications to it, then this method is very effective.
• After the doctor removes the threads, you can treat the seam with sea buckthorn oil and essential oils that stimulate skin regeneration, such as patchouli, tea tree.

How to get rid of complications

In some cases, the seam does not heal for a long time, becomes inflamed and oozes. To speed up healing, it is necessary to carry out the correct care measures:

• If during the rehabilitation period the patient lifts weights and does not limit himself in physical activity, a divergence of the seam may occur, which is not re-sutured, it gradually tightens itself. Such a wound requires careful care: it must be regularly treated with hydrogen peroxide and a solution of brilliant green, and then applied with an alcohol or demixid dressing. The following ointments accelerate the healing process well: sea buckthorn, with panthenol, Levomekol.
• If proper care is not followed, a complication such as infection can occur. At the same time, a high temperature rises, liquid is released from the seam. You need to see a doctor right away. As a rule, in this condition, antibiotics and antibacterial ointments and a hypertonic solution for topical application are prescribed. After a week, the condition stabilizes, and the suture begins to heal.

Alternative methods for healing the postoperative suture

• Cream based on calendula, to which you need to add a drop of orange oil and rosemary oil. It not only promotes healing, but is also used to prevent scarring.
• Healing seam oil: Add a drop of tea tree oil and lavender oil to a teaspoon of functional oil.
• Inside you can take syrup - blackberries with echinacea. It can be purchased at a pharmacy. The course of treatment is 2-3 weeks.

Table of contents [Show]

Undoubtedly, all people sooner or later face various diseases. Some of them necessarily require surgical intervention. Such treatment never goes unnoticed. From manipulation, a person always has a postoperative suture. You need to know how to properly care for such a scar, and in what cases to seek help from a specialist.

Depending on the scale of the operation, the size of the suture can vary significantly. From some interventions, for example, after laparoscopy, a person has small centimeter incisions. Sometimes such seams do not require the use of special threads and are simply glued together with a plaster. In this case, you need to ask your doctor how to properly care for the damaged area and when you can remove the patch.

Also, the postoperative suture can be of impressive size. In this case, the fabrics are sewn in layers. First, the doctor combines the muscles, tissues of the blood vessels, and only after that he makes an external seam, with which the skin is combined. Such scars grow together longer and require careful care and special attention.

The postoperative suture always needs processing. From the moment the doctor puts the threads on the skin, the medical staff will wash your stitched tissues daily. In some cases, processing must be carried out several times a day. The doctor will inform you about this after the procedure. If complications occur or microbes enter the wound, it may be necessary to use additional antiseptic and antibacterial agents for treatment.

The suture is removed after the operation in about a week. With slow tissue healing, this period can increase to two weeks or even up to one month. During this time, it is necessary to properly process postoperative sutures. Wound healing is determined by the attending physician. It is he who sets the period when the threads can be removed.

In some cases, the removal of the suture after the operation is not required. Sometimes doctors use special absorbable threads. They are superimposed in most cases on soft tissues and mucous membranes. Often this method of tissue bonding is used in gynecology and plastic surgery. Despite the fact that such threads are not removed, it is also necessary to process these postoperative sutures. Wound healing occurs when the tail of the protruding stapling fabric simply falls off.

In some cases, the postoperative suture must be removed much later than the patient is discharged from the medical facility. In such a situation, a person needs to be told and shown how to care for stitched fabrics. After removing the threads, the processing of postoperative sutures should be carried out for some more time. So how do you take care of a wound yourself?

First you need to purchase all the necessary materials. You can do this at any pharmacy chain located near your home. If you find it difficult to walk, ask relatives or neighbors to buy everything you need.

Treatment of a postoperative suture requires the presence of conventional brilliant green, hydrogen peroxide 3%, alcohol solution and hypertonic fluid. You will also need sterile bandages, tweezers, appropriately sized post-op patches, and cotton swabs.

In some cases, the processing of postoperative sutures is carried out with cotton wool. When self-care for damaged tissue, it is better to refuse to use this material. When wiping the skin, small pieces of cotton can cling to the superimposed threads and remain on the wound. As a result, inflammation may occur. That is why it is worth giving preference to sterile bandages or special dressings.

Before treating the wound, it must be opened. Wash your hands with soap and disinfect them with an antiseptic solution. Carefully remove the bandage and examine the skin. There should be no liquid on the scar. If ichor or pus oozes from the wound, then it is necessary to consult a doctor as soon as possible. This means that there is an inflammatory process in the wound.

Treatment of the surface of the scar In the event that the surface of the tissues is completely dry, you can proceed to self-treatment of the seam. To do this, take a comfortable position and prepare all the necessary materials.

First, roll up a small piece of sterile bandage and soak it in an alcohol solution. Gently wipe the scar with a damp cloth. Make sure that all wounds and holes on the body are moistened with liquid. After that, let the skin dry and proceed to the next step.

If you experience pain, pulsation and burning in the area of ​​the seam, you must do the following. Fold the gauze bandage into four layers and soak it in hypertonic saline. Put the fabric on the seam and cover it with a band-aid. Such a compress will help relieve pain and swelling in the wound area. If you are not bothered by discomfort, then skip this step and proceed further according to the instructions.

Take a cotton swab and soak it in greenery. Gently treat all wounds that were obtained during suturing, as well as the scar itself. After that, apply a sterile dressing to the cleaned area and seal with a plaster.

If the doctor has allowed, then you can leave the seam open. In the air, all wounds heal faster. Remember that in this case, you must be careful not to damage the scar.

If you have already removed the stitches, this does not mean that the scar does not need to be looked after. Remember that after water procedures it is necessary to treat the injured surface. Ask your surgeon how long the scar treatment should take. On average, doctors recommend taking care of the damaged surface for about one more week.

After taking a shower, pour hydrogen peroxide on the seam in a thin stream. Wait for the reaction to take place and the liquid to sizzle. After that, blot the seam with a sterile bandage and proceed to the next step.

Moisten a cotton swab in brilliant green and treat the seam and existing postoperative wounds. Repeat this procedure after every bath.

Carefully monitor the condition that your postoperative sutures have. You can see photos of properly healing scars in this article. At the time of discharge, ask your doctor for detailed recommendations. Let the doctor tell and show you how to properly care for damaged tissue. Remember that from the moment you are discharged, your health is solely in your hands. That is why ask the medical staff about everything that interests you. This will help to avoid various unpleasant consequences.

If you have any complications or questions, please contact your local doctor. In emergency situations, call an ambulance. Remember that still unfused tissue can disperse. That is why be careful, avoid unnecessary stress and rest more. Be healthy!

The article will tell you about how to care for scars after surgery.

Any surgical intervention leaves behind a scar - a seam at the site of the incision of the skin and soft tissues. The more complex the operation, the deeper the scar can be and the more difficult the healing process. In addition, the physiological characteristics of a person are of great importance, in particular, the ability of the skin to be supplied with a sufficient amount of blood.

Proper scar care will allow the wound to heal more gently and quickly, leaving minimal damage behind. Care for the postoperative suture is also necessary so that it tightens well and does not give discomfort.

All seams can be divided into several types:

• Normotrophic scar - the simplest type of scar, which is formed in most cases after a non-deep surgical intervention. As a rule, such a scar is distinguished by subtle defects and has the same shade as the surrounding skin.
• atrophic scar- is formed in the case of removal of moles, for example, or warts. The tissue of such a scar slightly dominates the formation itself and often resembles a hole.
• Hypertrophic scar- appears when suppuration occurs over the formation or the seam is injured. To avoid such a scar, you should take care of the seam with special ointments.
• Keloid scar- appears on the skin, poorly nourished by blood and in the case of deep surgical intervention. Often has a white or pinkish color, protrudes above the main level of the skin, may give off shine.

Postoperative suture

What is better to process than to smear at home?

In order for postoperative sutures and scars to heal quickly and easily, without leaving pain and complications, it should be looked after. Basic care includes antiseptic treatment.

The simplest means are:

• Zelenka is an antibacterial and disinfectant.
• Alcohol - eliminates any pollution and "kills" pathogenic bacteria.
• Iodine, iodoperone (iodinol) - accelerates healing

Other means:

• Fukortsin or Castellani - high-quality skin treatment and postoperative scar care.
• Levomekol ointment - accelerates healing, nourishes the skin
• Ointments with panthenol - help shrink scars
• Ointment "Kontraktubes" (or "Mederma") - are used in the second or third month after surgery to smooth the skin and tighten the suture.
• Oils (milk thistle, sea buckthorn) - nourishes the skin, heals wounds and promotes smoother contraction of the scar.

How to let the suture heal quickly and easily, without consequences?

How to remove postoperative sutures at home?

In some cases, postoperative sutures are quite realistic and are allowed by the doctor to be removed at home. But, before you do this, you should be aware that there are two types of seams:

• Dipped seam- the seam is applied with a thread made of natural material (thin thread from sheep's intestine). The advantages of this suture are that the material is not rejected by the body and is absorbed. The disadvantage of catgut is that it is less durable.
• Removable seam the suture is removed when the edges of the incision grow together and show how strong the healing is. Such a seam is superimposed, as a rule, with a silk thread, nylon or nylon, wire or staples.

Approximate timing of suture removal after surgery:

• In case of amputation - 2-3 weeks
• Head surgery – 1-2 weeks
• Opening of the abdominal wall - 2-2.5 weeks (depending on the depth of penetration).
• On the chest - 1.5-2 weeks
• Seam in an elderly person - 2-2.5 weeks
• Postpartum - 5-7 days, up to 2 weeks
• Caesarean section - 1-2 weeks

How to remove a seam at home:

• Stitches should be removed carefully and carefully, while maintaining calm. The suture should be removed only when there is no inflammatory process.
• To remove the seam, you will need two tools: manicure scissors and tweezers. These two tools should be carefully treated with alcohol.
• Before work, wash your hands thoroughly with soap and water twice and put on medical gloves, or treat your hands with an antiseptic.
• Stitches should be removed under a bright lamp to closely monitor the process.
• Cut the seams, removing as much thread as possible.
• With tweezers, grab the edges of the protruding seams and gently pull until the piece comes out of the skin.
• After you pull out absolutely all the pieces, treat the wound with an antiseptic antibiotic ointment.

IMPORTANT: Carry sterile bandages and tissues with you, furacilin solution will come in handy in order to carry out the removal safely and not drive the infection.

How to remove the seam yourself?

Preparations for healing and resorption of postoperative sutures

You can buy any remedy for the care of scars and scars in a modern pharmacy. Especially popular are ointments for resorption of sutures after surgery. The principle of their action is to relieve inflammation, eliminate healing defects, smooth the scar with the skin, give it a light shade, nourish the skin, making it supple and smooth.

As a rule, such products and ointments are based on silicone, which helps to cope with itching (inevitable during wound healing). Regular care of the seam will help it shrink in size and become less noticeable. Such a tool should be applied in a thin layer so that the skin receives the necessary substance and can breathe. But, several applications of the tool may not be effective and it will take at least six months of active use.

The most effective ointments:

• Gel "Kontraktubeks" - softens and smoothes the skin, accelerates cell regeneration, improves skin blood supply.
• Gel "Mederma" - dissolves scar tissue, improves it by moisturizing and blood supply.

IMPORTANT: You can also use other means that accelerate the resorption of sutures. This medicine contains onion extract. It is this component that penetrates deep into the tissues, has a sedative and anti-inflammatory effect.

Scar healing after surgery

Ointment, cream, gel, patch for healing and resorption of postoperative sutures

Choosing an ointment or gel for caring for your scar should be based on its scale and depth. The most popular ointments are antiseptic:

• Vishnevsky ointment- a classic healing agent with a powerful pulling property, as well as the ability to remove pus from a wound.
• Vulnuzan- Healing ointment based on natural ingredients.
• Levosin- A powerful antibacterial and anti-inflammatory ointment.
• eplan- ointment of antibacterial and healing properties.
• Actovegin– improves healing, relieves inflammation and improves blood supply to tissues.
• Naftaderm– relieves pain and improves the resorption of scars.

There is another new generation tool that can effectively deal with postoperative sutures - a patch. This is not an ordinary, but a special patch that should be applied to the suture site after the operation. A plaster is a plate that fastens the incision site and nourishes the wound with useful substances.

What is the use of the patch:

• Prevents bacteria from entering the wound
• The material of the patch absorbs the discharge from the wound
• Does not irritate the skin
• Allows air to enter the wound
• Allows the seam to be soft and smooth
• Retains the necessary moisture in the place of the scar
• Prevents the scar from growing
• Comfortable to use, does not injure the wound

If you want to improve the condition of your skin, smooth out the seams and reduce scars, you should act on the problem area in a complex way (using medicines and traditional medicine recipes).

What can help:

• Essential oil - a mixture or any one oil will be able to influence the speedy healing of the scar, nourish the skin and remove the effects of healing.
• Melon seeds (melon, pumpkin, watermelon) - they are rich in essential oils and antioxidants. From fresh seeds, gruel should be made and applied as a compress to the damaged area.
• Compress of pea flour and milk - a dough should be molded, which will be applied to the damaged area and kept for at least an hour a day to tighten the skin.
• cabbage leaf - old but very effective remedy. Applying a cabbage leaf to a wound will have an anti-inflammatory and healing effect.
• Beeswax - nourishes the skin at the site of the scar, relieves swelling, inflammation, smoothes the skin.
• Olive or sesame oil - nourishes and moisturizes the skin, tightens and smoothes scars, brightens them.

Seroma is a very common problem after surgery. In the place of fusion of capillaries, an accumulation of lymph is formed and puffiness is formed. A serous fluid begins to appear on the scar. It has an unpleasant odor and a yellowish tint.

Seroma most often occurs in those who:

• Suffering from high blood pressure
• Is overweight (obese)
• Suffering from diabetes
• Has an advanced age

IMPORTANT: If you notice gray in yourself, you should wait for it to disappear on its own in a period of one to three weeks. If this does not happen, be sure to consult a doctor for treatment.

What can be the treatment:

• vacuum aspiration- suction of liquid with a special apparatus.
• Drainage- it is also produced by a special device, pumping the liquid out.

Postoperative fistula: how to treat?

A fistula is a kind of channel connecting the body cavity (or an organ). It is lined with epithelium, which brings out purulent discharge. If the pus does not come out, then inflammation is formed that can affect the internal tissues.

Why does a fistula appear:

• The wound got infected
• The infection was not completely removed
• If the inflammatory process is delayed
• Foreign body in the body (suture threads) and thread rejection

How to fix a fistula:

• Eliminate inflammation locally
• Remove the threads from the scar if they were not accepted
• Take a course of antibiotics and anti-inflammatories
• Take a vitamin course
• Wash the wound with a solution of furacilin or hydrogen peroxide

IMPORTANT: There are situations when stitches and scars experience complications and do not heal well. The scar can turn red, be more textured to the touch, fester and even hurt.

What to do in such cases:

• Treat the damaged area daily, depending on the magnitude of the problem, from one to several times a day.
• When processing, it is impossible to touch or injure the scar in any way, try not to scratch it or put pressure on it.
• If you take a shower, dry the seam and dry it with sterile gauze or cloth.
• During treatment, hydrogen peroxide should be poured in a direct stream onto the wound, without using cotton and sponges.
• After drying the scar (after taking a shower), treat the scar with brilliant green.
• Make a sterile dressing or stick a post-operative patch.

IMPORTANT: Do not take any further measures yourself. Contact your doctor with your problem, who will prescribe you an antimicrobial, analgesic and antiseptic.

Scar hurts

The postoperative suture oozes: what to do?

If the seam oozes ichor, it cannot be left. Try to take care of the scar every day. Rinse with a solution of peroxide or furacilin. Apply a loose bandage that allows air to pass through and absorbs excess secretions. If, in addition to discharge, the seam is very painful for you, seek additional treatment from a doctor.

Why the seam may come apart:

• The wound got infected
• There is a disease in the body that makes tissues soft and prevents rapid fusion.
• Too high blood pressure
• Too tight stitches
• Scar injury
• Person's age (after 60)
• Diabetes
• Overweight
• kidney disease
• Bad habits
• Poor nutrition

What to do:

• Urgently consult a doctor
• The doctor prescribes treatment based on blood tests
• The doctor applies a postoperative bandage
• The patient is observed more closely

IMPORTANT: It is not worth trying to heal the wound on your own after the divergence of the seam. In case of incorrect manipulations, you risk getting more serious complications and blood poisoning.

IMPORTANT: The most common cause of compaction in the scar is a seroma (accumulation of lymphoid fluid).

Other reasons:

• Scar suppuration- in this case, a thorough antiseptic action follows.
• Fistula - occurs due to the entry of microbes in the wound. It is important to have an antibacterial and antiseptic effect.

IMPORTANT: Any complication and induration in the scar is not normal. The wound should be treated regularly, eliminating suppuration.

Causes of itching:

• Reaction to fastening threads - they irritate the skin
• Dirt got into the wound - the body tries to resist microbes.
• The wound heals, tightens and dries the skin - as a result, it stretches and itches.

IMPORTANT: When healing a scar, do not scratch the tissue, as this will not bring pleasant sensations or relief, but can only aggravate the situation.

Treatment of postoperative sutures at home is a very important procedure that ensures the rapid recovery of the dermis.

To get a good result, you need to provide adequate care for postoperative wounds.. To do this, the doctor selects drugs for the healing of damaged areas.

• sterility;
• regularity of procedures;

Depending on the characteristics of the damage, the seams are treated with such antiseptics:

1. Medical alcohol.
2. Zelenka.

To speed up the healing process, it is necessary to follow the wound treatment algorithm:

• apply a bandage.

Postoperative suture care requires certain conditions to be met:

• availability;
• wide spectrum of action;
• nutrition of the dermis;
• ease of use;

Depending on the nature and degree of damage to the dermis, the following types of drugs are used:

1. Vishnevsky ointment- is considered one of the most affordable pulling drugs. With its help, it is possible to speed up the recovery process after purulent processes.
2. Levomekol- has a combined effect. Thanks to the use of the drug, it will be possible to achieve antimicrobial and anti-inflammatory effects. The substance is a broad-spectrum antibiotic. The tool can be used for purulent discharge.
3. Vulnuzan- the substance is made on the basis of natural ingredients. It can be applied to wounds and bandages.
4. Levosin- helps to cope with germs, eliminate inflammation and stimulate the healing process.
5. Stellanin- a tool of a new generation. With its help, it is possible to eliminate swelling and cope with the infection. The drug perfectly restores the structure of the epithelium.
6. eplan- is considered one of the most powerful local remedies. The substance has pronounced analgesic properties and helps to cope with the infection.
7. Solcoseryl- Produced in the form of a gel and ointment. The gel is applied to a fresh wound, and the ointment is applied after the healing process has begun. The tool minimizes the risk of scars and scars. The substance is recommended to be applied under a bandage.
8. Actovegin- is considered a cheaper analogue of Solcoseryl. With its help, it is possible to cope with inflammation and avoid the appearance of allergies. Therefore, the drug can be used even during pregnancy and lactation. The tool can be applied directly to the affected area of ​​​​the dermis.
9. Agrosulfan- has bactericidal properties, has an antimicrobial and analgesic effect.

1. Naftaderm- has anti-inflammatory properties. With the help of this substance, it is possible to cope with the pain syndrome and soften the scars.
2. Contractubex- used in the healing phase. With its help, it is possible to achieve a softening effect in the area of ​​scars.
3. Mederma- increases skin elasticity and helps to lighten scars.

A patch for healing postoperative sutures also helps to achieve good results.. This tool is a plate that fastens the incision area and supplies the wound with the necessary substances.

All medications must be prescribed by a doctor. The specialist will definitely tell you how to care for the affected area.

1. Healing cream. To make it, you need to take 2-3 tablespoons of nourishing cream, add 1 drop of rosemary oil and the same amount of orange oil. Treat the affected areas of the dermis with the resulting composition.
2. Tea tree oil. This tool should be lubricated with a wound immediately after the intervention. Subsequently, the procedure is performed within a week.
3. Ointment based on goose fat and Japanese sophora berries. This tool significantly accelerates wound healing. To make it, you need to mix a couple of glasses of dried fruits with 2 glasses of fat. Instead of goose fat, you can use badger fat. The resulting composition is recommended to be heated on a steam bath for 2 hours. Then the product must be heated 1 time for 3 days. On day 4, the composition is brought to a boil and removed from the stove. Ready ointment is recommended to mix thoroughly and place in a glass container. A small amount of the composition is applied to the bandage and applied to the seams.
4. Livestock tincture. A couple of tablespoons of crushed plant roots should be mixed with a glass of water and the same amount of alcohol. The resulting tool is recommended to treat damaged areas.
5. Useful beeswax ointment. To make it, you need to mix 100 g of wax and 400 g of sunflower oil. Put the composition on the stove and cook for at least 10 minutes. When the composition has cooled, it is applied to the bandage and applied to the affected area.

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How to treat the postoperative suture for better healing?

Treatment of postoperative sutures at home is a very important procedure that ensures the rapid recovery of the dermis.

To speed up the healing process of wounds, you need to strictly follow the recommendations of the doctor.

The specialist will prescribe effective medications to treat the affected areas.

So, how to smear the skin in the area of ​​\u200b\u200bthe seams?

The healing process depends on the human body. In some people, skin regeneration occurs quite quickly, in others it takes a long period of time.

To get a good result, you need to provide adequate care for postoperative wounds. To do this, the doctor selects drugs for the healing of damaged areas.

The following factors influence the speed and characteristics of recovery:

• sterility;
• regularity of procedures;
• materials used for seams.

One of the key rules for caring for damaged areas of the dermis is compliance with the rules of sterility. Treatment of wounds is carried out exclusively with well-washed hands. For this purpose, carefully disinfected instruments must be used.

Depending on the characteristics of the damage, the seams are treated with such antiseptics:

1. Potassium permanganate solution - it is important to strictly adhere to the dosage. This will help prevent burns.
2. Medical alcohol.
3. Zelenka.
4. Fukartsin - the drug is rubbed off the surface with great difficulty. This can cause discomfort.
5. Hydrogen peroxide - may cause a slight burning sensation.
6. Anti-inflammatory ointments or gels.

In addition, you can treat the wound with an effective antiseptic - Chlorhexidine. In any case, before starting therapy, you should definitely consult a doctor.

To speed up the healing process, it is necessary to follow the wound treatment algorithm:

• disinfect hands and equipment to be used;
• carefully remove the bandage from the wound;
• using a gauze swab or cotton swab, apply an antiseptic to the seam;
• apply a bandage.

Postoperative suture care requires certain conditions to be met:

• processing should be performed 2 times a day, but if necessary, this amount can be increased;
• it is important to systematically check the wound for inflammation;
• to avoid the formation of scars, do not remove dry crusts;
• during water procedures it is worth avoiding the use of hard sponges
• if complications occur in the form of redness, swelling or purulent secretion, you should immediately consult a doctor.

Many people are interested in how to process a postoperative suture for better healing. A variety of means can be used for this purpose.

Today you can find many effective local drugs that can cope with the problem. Their use has a number of advantages:

• availability;
• wide spectrum of action;
• creating a film on the surface of the wound - this avoids excessive dryness of the tissues;
• nutrition of the dermis;
• ease of use;
• softening and lightening of cicatricial defects.

It is important to consider that wet wounds are not allowed to be treated with ointments. They are prescribed after the healing process has begun.

Depending on the nature and degree of damage to the dermis, the following types of drugs are used:

• simple antiseptics - suitable for treating shallow wounds;
• drugs with hormonal ingredients - used for extensive damage, which are accompanied by complications.

Properly selected ointment for the healing of postoperative sutures allows you to achieve excellent results. The most effective means include the following:

1. Ointment Vishnevsky - is considered one of the most affordable stretching drugs. With its help, it is possible to speed up the recovery process after purulent processes.
2. Levomekol - has a combined effect. Thanks to the use of the drug, it will be possible to achieve antimicrobial and anti-inflammatory effects. The substance is a broad-spectrum antibiotic. The tool can be used for purulent discharge.
3. Vulnuzan - the substance is made on the basis of natural ingredients. It can be applied to wounds and bandages.
4. Levosin - helps to cope with microbes, eliminate inflammation and stimulate the healing process.
5. Stellanin is a new generation remedy. With its help, it is possible to eliminate swelling and cope with the infection. The drug perfectly restores the structure of the epithelium.
6. Eplan - is considered one of the most powerful local remedies. The substance has pronounced analgesic properties and helps to cope with the infection.
7. Solcoseryl - produced in the form of a gel and ointment. The gel is applied to a fresh wound, and the ointment is applied after the healing process has begun. The tool minimizes the risk of scars and scars. The substance is recommended to be applied under a bandage.
8. Actovegin - is considered a cheaper analogue of Solcoseryl. With its help, it is possible to cope with inflammation and avoid the appearance of allergies. Therefore, the drug can be used even during pregnancy and lactation. The tool can be applied directly to the affected area of ​​​​the dermis.
9. Agrosulfan - has bactericidal properties, has an antimicrobial and analgesic effect.

In addition, you can choose an effective ointment or cream for resorption of postoperative sutures. The most effective tools in this category include the following:

1. Naftaderm - has anti-inflammatory characteristics. With the help of this substance, it is possible to cope with the pain syndrome and soften the scars.
2. Contractubex - used at the healing stage. With its help, it is possible to achieve a softening effect in the area of ​​scars.
3. Mederma - increases skin elasticity and helps to lighten scars.

A patch for healing postoperative sutures also helps to achieve good results. This tool is a plate that fastens the incision area and supplies the wound with the necessary substances.

Thanks to the use of a special patch, it is possible to achieve the following results:

• prevent the penetration of bacterial microorganisms into the wound;
• absorb discharge from the damaged area;
• ensure air flow to the seam area;
• make the seam softer and smoother;
• keep the necessary moisture in the scar area;
• prevent seam growth;
• avoid subsequent damage to the injured area.

All medications must be prescribed by a doctor. The specialist will definitely tell you how to care for the affected area.

Any self-treatment options are strictly prohibited, as there is a risk of wound suppuration and inflammation progression.

To speed up the healing process of the affected areas, you need to use folk recipes. Today there are quite a few effective tools:

1. Healing cream. To make it, you need to take 2-3 tablespoons of nourishing cream, add 1 drop of rosemary oil and the same amount of orange oil. Treat the affected areas of the dermis with the resulting composition.
2. Tea tree oil. This tool should be lubricated with a wound immediately after the intervention. Subsequently, the procedure is performed within a week.
3. Ointment based on goose fat and Japanese sophora berries. This tool significantly accelerates wound healing. To make it, you need to mix a couple of glasses of dried fruits with 2 glasses of fat. Instead of goose fat, you can use badger fat. The resulting composition is recommended to be heated on a steam bath for 2 hours. Then the product must be heated 1 time for 3 days. On day 4, the composition is brought to a boil and removed from the stove. Ready ointment is recommended to mix thoroughly and place in a glass container. A small amount of the composition is applied to the bandage and applied to the seams.
4. Livestock tincture. A couple of tablespoons of crushed plant roots should be mixed with a glass of water and the same amount of alcohol. The resulting tool is recommended to treat damaged areas.
5. Useful beeswax ointment. To make it, you need to mix 100 g of wax and 400 g of sunflower oil. Put the composition on the stove and cook for at least 10 minutes. When the composition has cooled, it is applied to the bandage and applied to the affected area.

To speed up the healing process of postoperative sutures, it is very important to provide good care for the damaged areas of the dermis. For this purpose, drugs and folk remedies are actively used.

Before using any product, be sure to consult a doctor. Self-medication can lead to dangerous consequences in the form of serious inflammation.

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All information provided on this site is for informational purposes only and is not intended as a guide to action. Before using any remedy, ALWAYS consult with your doctor. The site administration is not responsible for the practical use of the recommendations from the articles.

Source: needed for processing

Postoperative sutures are usually removed 7-10 days after the operation. Usually, all this time the patient stays in hospital, and a medical worker monitors the state of the wound. Sometimes it happens that the patient can be allowed to go home earlier, but at the same time he must necessarily process the stitches on his own.

If the operation was successful, the patient is on home treatment and the sutures are not infected, their treatment should begin with thorough washing with an antiseptic liquid. To do this, you need to take a small piece of a napkin with tweezers and moisten it liberally with peroxide or alcohol. Then, with blotting movements, process the seam and the area around it. The next step is the application of a sterile bandage, pre-moistened in a hypertonic solution and wrung out. From above it is necessary to put another sterile napkin. At the end, the seam is bandaged and sealed with adhesive tape. If the wound does not fester, such a procedure can be carried out every other day.

If the stitches were removed in the hospital, the postoperative scar will have to be treated at home. Caring for him is quite simple - daily lubrication with brilliant green for a week. If nothing oozes from the scar, and it is dry enough, you do not need to seal it with adhesive tape, since such wounds heal much faster in the air. It should be remembered that in the case of the systematic appearance of blood or fluid at the site of the scar, its self-treatment is not recommended. It is better to trust professional doctors, as this may indicate an infection has entered the wound. It is important to know that when processing seams, you should not use cotton swabs. Their particles can linger on the seam and cause an inflammatory process. Easy-to-use gauze pads are a great alternative.

• - hydrogen peroxide;
• - greenery;
• - sterile bandage;
• - cotton wool, cotton buds or discs.

• how to treat with hydrogen peroxide

Timing of suture removal

The time when the stitches can be removed depends on many factors: postoperative complications, the condition of the patient and the wound, the age of the patient, the nature of the injury, and many others. The term for the removal of sutures can only be determined by the attending physician, such decisions should not be made independently.

Preparations for the treatment of seams

Source: doctor Krivega M.S.

The first few days after the operation, the sutures are cared for in the hospital where it was performed. The doctor every day removes a sterile gauze bandage, which will first be saturated with ichor, treats the edges of the seam with brilliant green (iodine is almost never used, given the abundance of allergic reactions), reapplies the bandage, which is fixed with a plaster. During this period (usually 1 to 5 days), the doctor does not recommend that you wash so that water does not fall on the area of ​​​​the postoperative wound.

If the sutures are applied to the mucous membrane, for example, they were sewn up with perineal tears after childbirth or after an episiotomy, then such wounds are usually treated several times a day for the first two to three days. For this, a 3% solution of hydrogen peroxide is used (peroxide is not only an antiseptic, it gently cleanses the wound of dead cells, dried blood and foreign substances), a solution of chlorhexidine bigluconate, a solution of furacilin. After treatment with the above means, such a wound is lubricated with alcohol and a sterile bandage is applied to it.

If the postoperative period goes well and there are no complications, on the 4-5th day, after treating the skin wound with peroxide and brilliant green solution, the surgeon can remove the bandage. This is called open wound management. At this stage, a person can already wash, but still try not to wet the seam. After taking water procedures, it is recommended to wet (do not wipe) the area of ​​​​the seam with sterile gauze, after which, dipping a cotton swab in alcohol or a solution of brilliant green, treat the edges of the wound with them.

The stitches on the mucous membrane can also be washed after a few days, but many obstetricians recommend doing this with soap containing an antiseptic, for example, Safeguard. After washing, the seam is also wetted with gauze, but nothing else is processed if this is not necessary. In the future, such sutures (almost always these wounds are sewn up with catgut) resolve themselves, the person is at home at this time.

The skin suture is usually removed by 7-14 days, having previously treated it with both alcohol and brilliant green. Before that, a few days before the complete removal of the stitches, they can be removed through one. A person is discharged home, recommending not to forget about the seam yet, not to wet it strongly, to treat it once a day with fucorcin or alcohol. Treatment of postoperative sutures is an essential component of treatment. To accelerate healing, you can smear with water-soluble ointments such as Levomekol, Dioksizol, Bepanten-cream (sea buckthorn oil is best used when the seam looks like a dry strip of dark color).

Sometimes it happens that the stitches are not removed, but the person is discharged with recommendations and is told when he should visit a surgeon at his place of residence to remove the stitches. Then the person has to process the place of the postoperative wound himself. It is not difficult, the main thing is to follow the rules of asepsis, that is, wash your hands before treating the wound, do not touch the wound with your hands.

You will need to buy 3% hydrogen peroxide, brilliant green, sterile gauze, cotton swabs and alcohol, a paper band-aid. Pour the previous bandage with peroxide to easily remove it. Then you remove it, treat the edges of the wound with a cotton swab with alcohol, then do the same with brilliant green, apply a sterile gauze bandage folded in 4-6 layers, fix it with a paper patch. Try not to stick the patch on the same places so that pressure sores do not occur there. If within two or three days the wound is dry, nothing stands out from it, continue to treat it with brilliant green and alcohol, but do not apply a bandage on top. Use wound healing ointments after the stitches have been removed.

Sometimes, unfortunately, the postoperative suture does not heal so well. In cases where the suture does not heal after the operation, then urgent measures should be taken. The following complications may occur:

Suppuration of the wound, when the discharge becomes whitish, yellow, greenish, sometimes with an unpleasant odor;

Bleeding from the operating wound;

Infiltration (compaction) at the site of the postoperative suture;

Redness and friability of tissues near the seam;

The occurrence of a hematoma at the site of the suture;

The divergence of the seam with the loss of a section of the internal organ into the wound;

Repeated (later than 5 days) onset of bloody discharge from the wound;

The rise in body temperature with a deterioration in general well-being, weakness, chills.

In all these cases, an urgent appeal to the hospital where the operation was performed is necessary. In cases with heavy bleeding or prolapse of internal organs into the wound, an ambulance should be called, which in the supine position will take the patient to the department where he was previously operated on.

With such complications, the patient will be given antibiotics, drugs that improve blood clotting. When the wound suppurates or its sutures melt, as well as in the presence of an infiltrate, the sutures are removed, drainage is placed in the wound (often it is just a piece of a sterile glove or a small tube), the wound is washed twice a day with hydrogen peroxide, chlorhexidine, furacilin. If air bubbles or contents with an unpleasant odor appear in the wound, the wound is also washed with potassium permanganate. When the seam fester - urgent measures are required.

Re-hospitalization may be necessary, especially in the case of organ prolapse into the wound.

The postoperative wound is sterile and, only in this case, there is a guarantee of wound healing under the sutures, the so-called "primary intention". The healing of sutures depends largely on the human body as a whole. There are people in whom everything heals quickly, whether it be postoperative stitches, or just a cut or wound, and there are those in whom this process drags on for many months.

In his life, every person has injured the skin to a greater or lesser extent. Therefore, it is important to know the basic rules for the primary treatment of the wound surface.

A bandage is a special dressing used to close a wound.

The process of applying a bandage to a wound is called dressing.

There is a fairly large number of different bandages. These dressings are classified according to three main points: by the type of dressing material, by the method of fixing the dressing, and by purpose.

This is a surgical procedure, otherwise known as medical sterilization. During such an operation, the pipes are blocked, they are cut or bandaged. The operation is considered one of the most effective, guaranteeing 99% of the absence of pregnancy. Only in a few, it can occur when there is a passage for sperm to enter, as well as with an incorrectly performed operation.

The normal desire of every pregnant woman is to give birth easily, quickly and without breaks. But alas, this is extremely rare. 95% of women who have known the joy of motherhood have perineal tears, which make it difficult for the already far from easy postpartum period.

Often, after a surgical intervention with a violation of the integrity of the skin, surgeons resort to the imposition of a surgical suture. There are countless varieties of these sutures, and there is even an expression: how many surgeons - so many sutures, since each surgeon applies a suture, albeit according to the generally accepted method, but still adapting the technique to himself and the characteristics of the patient.

The doctor removes the stitches after the operation, but we will talk about what it is and how the process itself takes place. There are also threads that do not need to be removed, they dissolve on their own. This is such a suture material as catgut, vicryl and others. Catgut usually begins to dissolve within 7-10 days. Vicryl usually resolves in a day, but there are situations when the wound heals much earlier and the need for threads disappears, so it is better to remove them. If the wound has healed and the threads have not been removed, then a feeling of tension appears, which causes discomfort.

Childbirth is the long-awaited hours of waiting for the baby to be born. Almost all women want to give birth on their own through the natural birth canal, but for certain indications, operative births are performed by caesarean section in a planned or emergency manner.

Source: VPROK (188)

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Postoperative suture care at home

Information about the types and healing process of the postoperative suture. And also told what actions need to be taken in case of complications.

After a person has survived the operation, scars and stitches remain for a long time. From this article you will learn how to properly process the postoperative suture and what to do in case of complications.

With the help of a surgical suture, biological tissues are connected. Types of postoperative sutures depend on the nature and scale of the surgical intervention and are:

• bloodless, not requiring special threads, but sticking together with a special patch
• bloody, which are sutured with medical suture material through biological tissues

Depending on the method of suturing bloody, the following types are distinguished:

• simple nodal - the puncture has a triangular shape that holds the suture material well
• continuous intradermal - the most common, which provides a good cosmetic effect
• vertical or horizontal mattress - used for deep extensive tissue damage
• purse-string - intended for plastic tissues
• twisting - as a rule, serves to connect the vessels and organs of the hollow

From what technique and tools are used for suturing, they differ:

• manual, when applied, a regular needle, tweezers and other tools are used. Suture materials - synthetic, biological, wire, etc.
• mechanical, carried out by means of an apparatus using special brackets

Sutures can be applied in different ways

The depth and extent of the bodily injury dictates the method of suturing:

• single-row - the seam is superimposed in one tier
• multilayer - the imposition is carried out in several rows (first, muscle and vascular tissues are connected, then the skin is sutured)

In addition, surgical sutures are divided into:

• removable - after the wound has healed, the suture material is removed (usually used on integumentary tissues)
• submersible - not removed (applicable for connecting internal tissues)

Materials that are used for surgical sutures can be:

• absorbable - removal of suture material is not required. They are used, as a rule, for ruptures of mucous and soft tissues.
• non-absorbable - removed after a certain period of time set by the doctor

Various materials are used for suturing

When suturing, it is very important to connect the edges of the wound tightly so that the possibility of cavity formation is completely excluded. Any type of surgical suture requires treatment with antiseptic or antibacterial drugs.

The period of wound healing after surgery largely depends on the human body: for some, this process occurs quickly, for others it takes a longer time. But the key to a successful result is the correct therapy after suturing. The following factors influence the timing and nature of healing:

• sterility
• materials for suture treatment after surgery
• regularity

One of the most important requirements for the care of injuries after surgery is the observance of sterility. Treat wounds only with thoroughly washed hands using disinfected instruments.

Depending on the nature of the injury, postoperative sutures are treated with various antiseptic agents:

• potassium permanganate solution (it is important to follow the dosage to exclude the possibility of burns)
• iodine (in large quantities can cause dry skin)
• brilliant green
• medical alcohol
• fucarcinoma (it is difficult to wipe off the surface, which causes some inconvenience)
• hydrogen peroxide (may cause mild burning)
• anti-inflammatory ointments and gels

Stitches after surgery must be processed

Often at home, folk remedies are used for these purposes:

• tea tree oil (whole)
• tincture of larkspur roots (2 tbsp, 1 tbsp water, 1 tbsp alcohol)
• ointment (0.5 cups of beeswax, 2 cups of vegetable oil, cook over low heat for 10 minutes, let cool)
• cream with calendula extract (add a drop of rosemary and orange oils)

Be sure to consult your doctor before taking these medications. In order for the healing process to occur as soon as possible without complications, it is important to follow the rules for processing sutures:

• sanitize hands and tools that may be needed
• carefully remove the bandage from the wound. If it sticks, pour peroxide before applying the antiseptic
• using a cotton swab or gauze swab, lubricate the seam with an antiseptic preparation
• bandage

Observe sterility

In addition, do not forget to comply with the following conditions:

• process twice a day, if necessary and more often
• regularly carefully examine the wound for inflammation
• to avoid scarring, do not remove dry crusts and scabs from the wound
• do not rub the seam with hard sponges during the shower
• in case of complications (purulent discharge, swelling, redness), consult a doctor immediately

A removable postoperative suture must be removed on time, since the material used to connect the tissue acts as a foreign body for the body. In addition, if the threads are not removed in due time, they can grow into the tissue, which will lead to inflammation.

We all know that a medical worker should remove the postoperative suture in suitable conditions with the help of special tools. However, it happens that there is no opportunity to visit a doctor, the time for removal of stitches has already come, and the wound looks completely healed. In this case, you can remove the suture yourself.

To get started, prepare the following:

• antiseptic preparations
• sharp scissors (preferably surgical, but you can also use nail scissors)
• dressing
• antibiotic ointment (in case of infection in the wound)

The procedure for removing the seam is as follows:

• disinfect the instruments
• wash your hands thoroughly up to the elbow and treat with an antiseptic
• choose a well-lit place
• remove the bandage from the seam
• using alcohol or peroxide, treat the area around the location of the seam
• using tweezers, gently lift the first knot slightly
• while holding it, cut the suture thread with scissors
• carefully, slowly pull the thread
• continue in the same order: lift the knot and pull the threads
• be sure to remove all suture material
• treat the suture site with an antiseptic
• apply a bandage for better healing

But it is better to entrust this matter to a professional.

In the case of self-removal of postoperative sutures, in order to avoid complications, strictly observe the following requirements:

• only small superficial seams can be removed independently
• do not remove surgical staples or wires at home
• make sure the wound is completely healed
• if bleeding occurs during the process, stop the action, treat with an antiseptic and consult a doctor
• protect the seam area from ultraviolet radiation, as the skin there is still too thin and prone to burns
• avoid injury to the area

Often, after the operation, a seal is observed under the suture in a patient, which was formed due to the accumulation of lymph. As a rule, it does not pose a threat to health and disappears over time. However, in some cases, complications may arise in the form of:

• inflammation - accompanied by painful sensations in the suture area, redness is observed, the temperature may rise
• suppuration - with a running inflammatory process, pus may be released from the wound
• the formation of keloid scars - is not dangerous, but has an unaesthetic appearance. Such scars can be removed with laser resurfacing or surgery.

If you observe any of these symptoms, please contact your surgeon. And in the absence of such an opportunity, - to the hospital at the place of residence.

If you see a seal, then consult a doctor

Even if it later turns out that the resulting bump is not dangerous and will eventually resolve on its own, the doctor must examine and give his opinion. If you are convinced that the seal of the postoperative suture is not inflamed, does not cause pain and there is no purulent discharge, follow these requirements:

• follow the rules of hygiene. Keep bacteria out of the injured area
• process the seam twice a day and change the dressing material in a timely manner
• when showering, avoid getting water on the unhealed area
• don't lift weights
• make sure that your clothes do not rub the seam and areolas around it
• before going outside, put on a protective sterile bandage
• in no case do not apply compresses and do not rub with various tinctures on the advice of friends. This can lead to complications. The doctor must prescribe treatment

Maintain hygiene after surgery

Compliance with these simple rules is the key to successful treatment of suture seals and the possibility of getting rid of scars without surgical or laser technologies.

One of a number of postoperative complications is inflammation of the suture. This process is accompanied by such phenomena as:

• swelling and redness in the suture area
• the presence of a seal under the seam, which is groped with fingers
• increased temperature and blood pressure
• general weakness and muscle pain

The reasons for the appearance of the inflammatory process and further non-healing of the postoperative suture may be different:

• infection in the postoperative wound
• during the operation, trauma to the subcutaneous tissues occurred, as a result of which hematomas formed
• suture material had increased tissue reactivity
• In overweight patients, wound drainage is inadequate
• low immunity in the operated

Often there is a combination of several of the following factors that may arise:

• due to the error of the operating surgeon (instruments and materials were insufficiently processed)
• due to non-compliance by the patient with postoperative requirements
• due to indirect infection, in which microorganisms are spread through the blood from another source of inflammation in the body

If you see redness in the suture, contact your doctor immediately.

In addition, the healing of a surgical suture largely depends on the individual characteristics of the body:

• weight - in obese people, the wound after surgery may heal more slowly
• age - tissue regeneration at a young age is faster
• nutrition - lack of proteins and vitamins slows down the recovery process
• chronic diseases - their presence prevents rapid healing

If you observe redness or inflammation of the postoperative suture, do not postpone a visit to the doctor. It is the specialist who must examine the wound and prescribe the correct treatment:

• remove stitches if necessary
• will wash the wounds
• install a drain to drain purulent discharge
• prescribe the necessary medicines for external and internal use

Timely implementation of the necessary measures will prevent the likelihood of serious consequences (sepsis, gangrene). After the medical manipulations performed by the attending physician, to speed up the healing process at home, follow these recommendations:

• treat the seam and the area around it several times a day with the drugs prescribed by the attending physician
• during the shower, try not to catch the wound with a washcloth. After leaving the bath, gently blot the seam with a bandage
• change sterile dressings in time
• take a multivitamin
• include extra protein in your diet
• do not lift heavy objects

Take vitamins to make the seam tighten better

In order to minimize the risk of an inflammatory process, it is necessary to take preventive measures before the operation:

• boost immunity
• perform oral hygiene
• identify the presence of infections in the body and take measures to get rid of them
• Strictly observe hygiene rules after surgery

One of the negative consequences after surgery is a postoperative fistula, which is a channel in which purulent cavities are formed. It occurs as a result of the inflammatory process, when there is no outlet for purulent fluid.

The causes of fistulas after surgery can be different:

• chronic inflammation
• infection is not completely eliminated
• rejection by the body of a non-absorbable suture material

The last reason is the most common. The threads that connect tissues during surgery are called ligatures. Therefore, the fistula that arose due to its rejection is called ligature. A granuloma is formed around the thread, that is, a seal consisting of the material itself and fibrous tissue. Such a fistula is formed, as a rule, for two reasons:

• entry of pathogenic bacteria into the wound due to incomplete disinfection of threads or instruments during surgery
• weak immune system of the patient, due to which the body weakly resists infections, and there is a slow recovery after the introduction of a foreign body

The fistula can manifest itself in a different postoperative period:

• within a week after surgery
• after a few months

Signs of fistula formation are:

• redness in the area of ​​inflammation
• the appearance of seals and tubercles near the seam or on it
• pain
• pus
• temperature increase

After the operation, a very unpleasant phenomenon may occur - a fistula.

If you experience these symptoms, be sure to consult a doctor. If measures are not taken in time, the infection can spread throughout the body.

Treatment of postoperative fistulas is determined by the doctor and can be of two types:

The conservative method is used if the inflammatory process has just begun and has not led to serious violations. In this case, the following is done:

• removal of dead tissue around the seam
• washing the wound from pus
• removal of the outer ends of the thread
• patient taking antibiotics and immunosuppressants

The surgical method includes a number of medical measures:

• make an incision to drain the pus
• remove the ligature
• wash the wound
• if necessary, repeat the procedure after a few days
• in the presence of multiple fistulas, you may be prescribed a complete excision of the suture
• stitches are re-attached
• prescribed a course of antibiotics and anti-inflammatory drugs
• complexes of vitamins and minerals are prescribed
• standard therapy prescribed after surgery

Often the fistula has to be removed surgically

Recently, a new method of treating fistulas has appeared - ultrasound. This is the most gentle method. Its disadvantage is the length of the process. In addition to these methods, healers offer folk remedies for the treatment of postoperative fistulas:

• Dissolve the mummy in water and mix with aloe juice. Soak a bandage in the mixture and apply to the inflamed area. Keep a few hours
• wash the wound with a decoction of St. John's wort (4 tablespoons of dry leaves per 0.5 l of boiling water)
• take 100 g of medical tar, butter, flower honey, pine resin, crushed aloe leaf. Mix everything and heat in a water bath. Dilute with medical alcohol or vodka. Apply the prepared mixture around the fistula, cover with a film or plaster
• put a cabbage leaf on the fistula at night

The fistula can also be removed with folk remedies

However, do not forget that folk remedies are only auxiliary therapy and do not cancel a visit to the doctor. To prevent the formation of postoperative fistulas, it is necessary:

• before the operation, examine the patient for the presence of diseases
• prescribe antibiotics to prevent infection
• clean instruments carefully before surgery
• prevent contamination of suture materials

For resorption and healing of postoperative sutures, antiseptic agents (brilliant green, iodine, chlorhexidine, etc.) are used. Modern pharmacology offers other drugs of similar properties in the form of ointments for local action. Using them for healing purposes at home has several advantages:

• availability
• wide spectrum of activity
• the fatty base on the surface of the wound creates a film that prevents overdrying of tissues
• skin nutrition
• the convenience of use
• softening and brightening of scars

It should be noted that for wet wounds of the skin, the use of ointments is not recommended. They are prescribed when the healing process has already begun.

Based on the nature and depth of skin lesions, various types of ointments are used:

• simple antiseptic (for shallow superficial wounds)
• containing hormonal components (for extensive, with complications)

• Vishnevsky's ointment is one of the most affordable and popular pulling agents. Promotes accelerated release from purulent processes
• Levomekol - has a combined effect: antimicrobial and anti-inflammatory. It is a broad spectrum antibiotic. Recommended for purulent discharge from the suture
• Vulnuzan is a product based on natural ingredients. Applied to both the wound and the bandage
• levosin - kills microbes, removes the inflammatory process, accelerates healing
• stellanin is a new generation ointment that removes puffiness and kills the infection, stimulates the regeneration of the skin
• eplan is one of the strongest local treatments. Has analgesic and anti-infective effect
• solcoseryl - available in the form of a gel or ointment. The gel is used when the wound is fresh, and the ointment is used when healing has begun. The drug reduces the likelihood of scarring and scars. Better put under a bandage
• actovegin is a cheaper analogue of solcoseryl. It successfully fights inflammation, practically does not cause allergic reactions. Therefore, it can be recommended for use by pregnant and lactating women. Can be applied directly to damaged skin
• agrosulfan - has a bactericidal effect, has an antimicrobial and analgesic effect

• naftaderm - has anti-inflammatory properties. It also relieves pain and softens scars.
• contractubex - is used when the healing of the seam begins. Has a softening smoothing effect in the scar area
• mederma - improves tissue elasticity and brightens scars

Excellent absorbent

The listed remedies are prescribed by a doctor and used under his supervision. Remember that self-treatment of postoperative sutures cannot be done in order to prevent suppuration of the wound and further inflammation.

One of the effective care products for postoperative sutures is a patch made on the basis of medical silicone. This is a soft self-adhesive sheet that is fixed on the seam, connecting the edges of the fabric, and is suitable for small damage to the skin.

The benefits of using the patch are as follows:

• prevents pathogens from entering the wound
• absorbs discharge from the wound
• does not cause irritation
• breathable, thanks to which the skin under the patch breathes
• helps to soften and smooth the scar
• retains moisture well in tissues, preventing drying out
• prevents scar growth
• convenient to use
• when removing the patch, skin injury does not occur

Postoperative plaster

Some patches are waterproof, allowing the patient to shower without risking the stitches. The most commonly used patches are:

To achieve positive results in the healing of postoperative sutures, this medical device must be used correctly:

• remove the protective film
• Apply the adhesive side to the seam area
• change every other day
• peel off the patch periodically and check the condition of the wound

We remind you that before using any pharmacological agent, you should consult your doctor.