How to treat sutures after surgery. Instructions for processing sutures after surgery. Training video: Self-treatment of the surgical field and sutures How to treat sutures after surgery at home

7–10 days after surgery. Usually during this time the patient remains in hospital, and the condition is monitored by a medical professional. Sometimes it happens that the patient can be sent home earlier, but at the same time he must be treated.

To care for postoperative uninfected patients, you will need various antiseptics: alcohol, iodine, potassium permanganate solution, etc. You can also use hydrogen peroxide, 10% sodium chloride solution or regular brilliant green. We should not forget about the necessary means at hand, such as an adhesive plaster, tweezers, sterile wipes and a bandage. It is important not only the seams, but also how to process them correctly. This largely depends on the nature and complexity of the operation itself. For example, when it comes to caring for sutures after eye surgery, the patient must perform daily careful external treatment under the supervision of a specialist, otherwise it can be fatal.

How to process seams

If the operation was successful, the patient is on home treatment and the seams are not infected, their treatment should begin with thorough rinsing with an antiseptic liquid. To do this, you need to take a small piece of napkin with tweezers and moisten it generously with peroxide or alcohol. Then use a blotting motion to work the seam and the area around it. The next step is to apply a sterile dressing, previously soaked in hypertonic solution and pressed out. You need to put another sterile napkin on top. At the end, the seam is bandaged and sealed with adhesive tape. If the wound does not fester, this procedure can be carried out every other day.

Postoperative scar care

If the stitches were removed in the hospital, you will have to treat the postoperative scar at home. Caring for it is quite simple - daily lubrication with brilliant green for a week. If nothing is oozing from the scar and it is dry enough, there is no need to cover it with an adhesive plaster, since such wounds heal much faster in the air. It should be remembered that in case of systematic appearance of blood or fluid at the site of the scar, its independent treatment is not recommended. It is better to trust professional doctors, as this may indicate an infection in 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 an excellent alternative.

How and with what to treat the postoperative suture for better healing at home? How to remove postoperative sutures at home?

Information about the types and healing process of postoperative sutures. It also tells what actions need to be taken in case of complications. After a person has undergone surgery, scars and stitches remain for a long time. From this article you will learn how to properly process a postoperative suture and what to do in case of complications. Types of postoperative sutures Using surgical suture biological tissues are connected. The types of postoperative sutures depend on the nature and scale of the surgical intervention and are: bloodless, not requiring special threads, and bloody ones glued together using a special plaster, which are stitched with medical suture material through biological tissue. Depending on the method of applying bloody sutures, the following types are distinguished: simple nodal - the puncture has a triangular shape, which 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 tissues of a plastic nature, entwining - as a rule , serves to connect vessels and hollow organs. Depending on what technique and tools are used for suturing, they differ: manual, when applying which a regular needle, tweezers and other tools are used. Suture materials - synthetic, biological, wire and other mechanical, carried out using an apparatus using special staples.

The depth and extent of the bodily injury is dictated by the method of suture application: single-row - the suture is applied in one tier; multilayer - application is made in several rows (muscle and vascular tissues are first connected, then the skin is sutured) In addition, surgical sutures are divided into: removable - after as the wound heals, the suture material is removed (usually used on integumentary tissues) submersible - not removed (applicable for connecting internal tissues) Materials 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 - they are removed after a certain period of time, determined by the doctor.

When applying sutures, 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 sutures requires treatment with antiseptic or antibacterial drugs. How and with what to treat a postoperative suture for better healing at home? The healing period of wounds after surgery largely depends on the human body: for some this process occurs quickly, for others - more long time. But the key to a successful result is proper therapy after suturing. The timing and nature of healing are influenced by the following factors: sterility, materials for processing the suture after surgery, regularity. One of the most important requirements for postoperative trauma care is maintaining 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 avoid the possibility of burns) iodine (in large quantities can cause dry skin) brilliant green, medical alcohol, fucarcin (it is difficult to wipe off the surface, which causes some inconvenience) hydrogen peroxide (can cause a slight burning sensation) anti-inflammatory ointments and gels.

Often at home, folk remedies are used for these purposes: tea tree oil (in pure form) tincture of larkspur roots (2 tbsp. spoons, 1 tbsp. water, 1 tbsp. alcohol) ointment (0.5 cups beeswax, 2 cups vegetable oil cook over low heat for 10 minutes, let cool) cream with calendula extract (add a drop of rosemary and orange oils) Before treating with these remedies, be sure to consult your doctor. In order for the healing process to occur as quickly as possible without complications, it is important to follow the rules for treating sutures: disinfect your hands and tools that may be needed - carefully remove the bandage from the wound. If it sticks, before applying the antiseptic, pour peroxide with cotton swab or a gauze swab, lubricate the seam with an antiseptic and apply a bandage.

In addition, do not forget to observe the following conditions: carry out the treatment twice a day, if necessary and more often; regularly carefully examine the wound for inflammation; to avoid the formation of scars; do not remove dry crusts and scabs from the wound; while showering, do not rub the seam with hard sponges; if complications arise (purulent discharge, swelling , redness) consult a doctor immediately. How to remove postoperative sutures at home? A removable postoperative suture must be removed in time, since the material used to connect the tissue is exposed to the body foreign body. In addition, if the threads are not removed in a timely manner, they can grow into the tissue, which will lead to inflammation. We all know that a postoperative suture must be removed by a medical professional in suitable conditions using special tools. However, it happens that there is no opportunity to visit a doctor, the time for removing the stitches has already come, and the wound looks completely healed. In this case, you can remove the suture material yourself. First, prepare the following: antiseptic preparations, sharp scissors (preferably surgical, but you can also use manicure scissors), dressing material, antibiotic ointment (in case of infection in the wound)

Perform the suture removal process as follows: disinfect the instruments, wash your hands thoroughly up to the elbows and treat with an antiseptic, choose a well-lit place, remove the bandage from the suture using alcohol or peroxide, treat the area around the suture with tweezers, carefully slightly lift the first knot while holding it with scissors cut the suture thread carefully, slowly pull out the thread, proceed in the same order further: lift the knot and pull the threads, make sure that you have removed all the suture material, treat the suture site with an antiseptic, apply a bandage for better healing.

When self-removal postoperative sutures, in order to avoid complications, strictly follow the following requirements: you can remove only small superficial sutures yourself, do not remove surgical staples or wires at home, make sure that the wound is completely healed, if blood started to appear during the process, stop the action, treat with an antiseptic and consult a doctor, protect the seam area from ultraviolet radiation, since the skin there is still too thin and susceptible to burns, avoid the possibility of injury to this area. What to do if a seal appears at the site of the postoperative suture? Often, after the operation, a patient experiences a seal under the suture, 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 increase, suppuration - if the inflammatory process is advanced, pus may be released from the wound, formation of keloid scars - does not pose a danger, but is unaesthetic view. Such scars can be removed using laser resurfacing or surgery. If you observe the listed signs, contact the surgeon who operated on you. And if this is not possible, go to the hospital at your place of residence.

Even if it later turns out that the resulting lump is not dangerous and will resolve on its own over time, the doctor must conduct an examination and give his opinion. If you are convinced that the postoperative suture seal is not inflamed, does not cause pain and purulent discharge are absent, fulfill the following requirements: observe the rules of hygiene. Do not allow bacteria to enter the injured area, treat the seam twice a day and change the dressing material promptly, when taking a shower, avoid getting water on the unhealed area, do not lift weights, make sure that your clothes do not rub the seam and the areola around it, before Before going outside, apply a protective sterile bandage, under no circumstances apply compresses or rub yourself with various tinctures on the advice of friends. This can lead to complications. A doctor must prescribe treatment.

Compliance with these simple rules is the key successful treatment suture seals and the possibility of getting rid of scars without surgical or laser technologies. The postoperative suture does not heal, is red, inflamed: what to do? One of a number postoperative complications is inflammation of the suture. This process is accompanied by such phenomena as: swelling and redness in the suture area, pain, the presence of a seal under the suture that can be felt with your 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 can be different : infection in the postoperative wound during surgery, subcutaneous tissue was injured, resulting in the formation of hematomas, the suture material had increased tissue reactivity in overweight patients, wound drainage produced insufficiently low immunity in the patient being operated on. Often there is a combination of several of the listed factors that can arise: due to an error by the operating surgeon (instruments and materials were not sufficiently processed) due to the patient’s failure to comply with postoperative requirements due to indirect infection, in which microorganisms are spread through the blood from another source of inflammation in the body.

In addition, the healing of a surgical suture largely depends on individual characteristics body: weight - in obese people the wound after surgery may heal more slowly, age - tissue regeneration occurs faster at a young age, 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 delay visiting the doctor. It is the specialist who must examine the wound and prescribe the correct treatment: if necessary, remove the stitches, wash the wounds, install drainage to drain purulent discharge, prescribe necessary medications external and internal use. Timely implementation necessary measures will prevent the likelihood of severe consequences (sepsis, gangrene). After medical manipulations by your attending physician, to speed up the healing process at home, follow the following recommendations: treat the suture and the area around it several times a day with the medications prescribed by the attending physician; while showering, try not to touch the wound with a washcloth. After leaving the bath, carefully blot the seam with a bandage, change sterile dressings in a timely manner, take multivitamins, include an additional portion of protein in your diet, and do not lift heavy objects.

In order to minimize the risk of an inflammatory process, it is necessary to take preventive measures before surgery: increase immunity, sanitize your mouth, identify the presence of infections in the body and take measures to get rid of them, strictly follow hygiene rules after surgery. Postoperative fistula: causes of occurrence and methods of controlOne of negative consequences after surgical intervention is a postoperative fistula, which is a canal in which purulent cavities are formed. It occurs as a consequence of the inflammatory process when there is no outlet for purulent fluid. The reasons for the appearance of fistulas after surgery can be different: chronic inflammation, infection not completely eliminated, rejection of non-absorbable suture material by the body. The last reason is the most common. The threads that connect tissues during surgery are called ligatures. Therefore, a fistula that occurs due to its rejection is called ligature. A granuloma forms around the thread, that is, a compaction consisting of the material itself and fibrous tissue. Such a fistula is formed, as a rule, for two reasons: pathogenic bacteria entering the wound due to incomplete disinfection of threads or instruments during surgery, weak the immune system patient, due to which the body weakly resists infections, and there is a slow recovery after the introduction of a foreign body. A fistula can appear in different postoperative periods: within a week after surgery, several months. Signs of fistula formation are: redness in the area of inflammation, the appearance of compactions and tubercles near or on the seam, painful sensations, swelling, discharge of pus, increased temperature.

If you experience any of the above symptoms, be sure to consult a doctor. If measures are not taken in time, the infection can spread throughout the body. Treatment postoperative fistulas determined by the doctor and can be of two types: conservative surgical The conservative method is used if inflammatory process just started and did not lead to serious violations. In this case, the following is carried out: removing dead tissue around the suture, washing the wound from pus, removing the outer ends of the thread, taking antibiotics and immune-boosting drugs by the patient. The surgical method includes a number of medical measures: making an incision to release the pus, removing the ligature, washing the wound, If necessary, the procedure is repeated a few days later if there are multiple fistulas. You may be prescribed complete excision of the suture, the sutures are reapplied, a course of antibiotics and anti-inflammatory drugs is prescribed, complexes of vitamins and minerals are prescribed, and standard therapy prescribed after surgery is carried out.

IN Lately appeared new way treatment of fistulas - ultrasound. This is the most gentle method. Its disadvantage is the length of the process. In addition to the methods listed, healers offer folk remedies for the treatment of postoperative fistulas: dissolve mumiyo in water and mix with aloe juice. Soak a bandage in the mixture and apply to the inflamed area. Leave for several hours, wash the wound with a decoction of St. John's wort (4 tablespoons of dry leaves per 0.5 liters 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 film or adhesive tape, and apply a cabbage leaf to the fistula at night.

However, do not forget that folk remedies are only supportive therapy and do not cancel the visit to the doctor. To prevent the formation of postoperative fistulas, it is necessary to: before the operation, examine the patient for the presence of diseases, prescribe antibiotics to prevent infection, carefully treat the instruments before the operation, and prevent contamination of the suture materials. Ointments for healing and resorption of postoperative sutures. Use for resorption and healing of postoperative sutures antiseptics (brilliant, iodine, chlorhexidine, etc.). Modern pharmacology offers other drugs similar property in the form of ointments for local use. Using them for healing purposes at home has a number of advantages: availability, wide spectrum of action, the fatty base on the surface of the wound creates a film that prevents tissue from drying out, skin nutrition, ease of use, softening and lightening of scars. It should be noted that for wet wounds 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 damage, they are used different kinds ointments: simple antiseptic (for shallow superficial wounds) containing hormonal components (for extensive ones, with complications) Next we will look at the most popular ointments that are prescribed for treating sutures after surgery: Vishnevsky ointment is one of the most affordable and popular pulling agents. Promotes accelerated release from purulent processes, levomekol - has combined effect: antimicrobial and anti-inflammatory. Is an antibiotic wide range. It is recommended for purulent discharge from the suture Vulnuzan - a product based on natural ingredients. Applied both to the wound and to the bandage, levosin - kills microbes, removes the inflammatory process, helps accelerate healing, stellanin - a new generation ointment that removes swelling and kills infection, stimulates skin regeneration, eplan - one of the most powerful remedies local treatment. Solcoseryl has an analgesic and anti-infective effect and is 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 scar formation. It is better to apply Actovegin under the bandage - more cheap analogue solcoseryl. Successfully fights inflammation, practically does not cause allergic reactions. Therefore, it can be recommended for use by pregnant and lactating women. Agrosulfan can be applied directly to the damaged area of the skin - it has a bactericidal effect, has an antimicrobial and analgesic effect.

The listed medications are prescribed by a doctor and used under his supervision. Remember that you should not self-medicate postoperative sutures in order to prevent wound suppuration and further inflammation. Plaster for healing postoperative sutures One of the effective means for caring for postoperative sutures is a plaster made on the basis of medical silicone. This is a soft self-adhesive plate that is fixed to the seam, connecting the edges of the fabric, and is suitable for minor damage to the skin. The advantages of using the patch are as follows: prevents pathogenic microorganisms from entering the wound, absorbs discharge from the wound, does not cause irritation, is breathable, allowing the skin under the patch to breathe, helps soften and smooth out the scar, retains moisture well in the tissues, preventing drying out, prevents the enlargement of the scar ,easy to use, no skin injury occurs when removing the patch.

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

Any surgical intervention leaves behind a scar - a suture at the site of the incision of the skin and soft tissues. The more complex the surgery, the deeper the scar may be and the more difficult the healing process. Besides, great importance have physiological characteristics human, 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 behind minimal damage. Caring for the postoperative suture is also necessary so that it tightens well and does not cause pleasant sensations.

All seams can be divided into several types:

Normotrophic scar – the simplest type of scar, which is formed in most cases after minor surgical intervention. As a rule, such a scar has subtle defects and has the same shade as the surrounding skin.
Atrophic scar– formed in case of removal of moles, for example, or warts. The tissue of such a scar slightly dominates the formation itself and often resembles a pit.
Hypertrophic scar- appears when suppuration occurs over the formation or the suture suffers injury. To avoid such a scar, you should care for the seam with special ointments.
Keloid scar– appears on skin that is poorly nourished by blood and in the case of deep surgical intervention. It often has a white or pinkish color, protrudes above the basic level of the skin, and can be shiny.

Postoperative suture

What is better to treat than to smear at home?

So that postoperative sutures and scars heal quickly and easily, without leaving pain and complications, it should be looked after. Basic care includes treatment with an antiseptic.

The most simple remedies- This:

Zelenka is an antibacterial and disinfectant.
Alcohol – removes any contaminants 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 scars tighten
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 tightening of the scar.

How to allow a stitch to heal quickly and easily, without consequences?

How to remove postoperative sutures at home?

In some cases, postoperative sutures are quite possible and can be removed by a doctor at home. But, before you do this, you should know that there are two types of seams:

Immersion seam— the suture is applied with a thread made of natural material (thin thread from sheep 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 are fused and show how strong the healing is. Such a suture is usually applied with 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 abdominal wall– 2-2.5 weeks (depending on the depth of penetration).
On chest– 1.5-2 weeks
Suture in an elderly person – 2-2.5 weeks
After birth – 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, remaining calm. The suture should be removed only when there is no inflammation.
To remove the seam, you will need two tools: nail scissors and tweezers. These two instruments should be thoroughly cleaned 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.
Sutures should be removed under a bright lamp to closely monitor the process.
Cut the seams, removing maximum amount threads
Using tweezers, grab the edges of the protruding seams and gently pull until the piece comes out of the skin.
After you have pulled out absolutely all the pieces, treat the wound with an antiseptic ointment with an antibiotic.

IMPORTANT: Have sterile bandages and tissues with you; a furatsilin solution will be useful to carry out the removal safely and not cause an infection.

How to remove a seam yourself?

Preparations for healing and resorption of postoperative sutures

You can purchase any scar care product in a modern pharmacy. Particularly popular are ointments for resolving sutures after surgery. The principle of their action is to relieve inflammation, eliminate healing defects, smooth out the scar with the skin, give it a light shade, nourish the skin, making it elastic and smooth.

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

The most effective ointments:

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

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

Healing of scars after surgery

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

You should choose an ointment or gel to care for your scar based on its size and depth. The most popular ointments are antiseptic:

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

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

Why the patch is useful:

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

Folk remedies for healing and resorption of postoperative sutures

If you want to improve the condition of your skin, smooth out seams and reduce scars, you should treat the problem area in a comprehensive manner (using medications and traditional medicine recipes).

What can help:

Essential oil – a mixture or one oil can influence the speedy healing of the scar, nourish the skin and remove the effects of healing.
Melon seeds (melon, pumpkin, watermelon) – they are rich essential oils and antioxidants. Fresh seeds should be made into a paste and applied as a compress to the damaged area.
Compress of pea flour and milk - You should make a dough that will be applied to the damaged area and left for at least an hour a day to tighten the skin.
Cabbage leaf - old, but very effective remedy. Applying to the wound cabbage leaf will have an anti-inflammatory and healing effect.
Beeswax - nourishes the skin at the scar site, relieves swelling, inflammation, evens out the skin.
Olive or sesame oil – nourishes and moisturizes the skin, tightens and smoothes scars, lightens them.

Postoperative suture seroma: what is it and how to treat it?

Seroma is a problem that very often occurs after surgery. At the site of capillary fusion, an accumulation of lymph forms and swelling occurs. Serous fluid begins to appear on the scar. She has bad smell and a yellowish tint.

Seroma most often occurs in those who:

Suffer from high blood pressure
Suffering from excess weight (obesity)
Suffering from diabetes
Is elderly and advanced in age

IMPORTANT: If you notice gray in yourself, you should wait for it to disappear on its own within 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– also produced by a special device, pumping the liquid out.

Postoperative fistula: how to treat?

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

Why does a fistula appear:

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

How to eliminate a fistula:

Locally eliminate inflammation
Remove threads from the scar if they are not accepted
Take a course of antibiotics and anti-inflammatory drugs
Take a vitamin course
Wash the wound with furatsilin solution or hydrogen peroxide

The postoperative suture is red, inflamed, and festering: what to do?

IMPORTANT: There are situations when sutures and scars experience complications and heal poorly. The scar may 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 scale of the problem, from one to several times a day.
When processing, you must not touch or injure the scar in any way; try not to scratch it or put pressure on it.
If you shower, dry the stitch with sterile gauze or cloth.
During treatment, hydrogen peroxide should be poured in a direct stream onto the wound, without using cotton wool or sponges.
After drying the scar (after taking a shower), treat the scar with brilliant green.
Apply a sterile dressing or post-operative tape.

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

The scar hurts

Postoperative suture is oozing: what to do?

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

The postoperative suture has split: what to do?

Why the seam may come apart:

The wound became infected
There is a disease in the body that makes the tissues soft and prevents rapid fusion.
Too much high pressure in humans
Stitches that are too tight
Scar injury
Person's age (after 60)
Diabetes
Overweight
Kidney diseases
Bad habits
Poor nutrition

What to do:

See a doctor immediately
The doctor prescribes treatment based on blood tests
The doctor applies a postoperative bandage
The patient is observed more carefully

IMPORTANT: There is no point in trying to heal a wound after a suture has come apart on your own. If performed incorrectly, you risk more serious complications and blood poisoning.

Sealing of the postoperative suture and pain: what to do?

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

Other reasons:

Scar suppuration- in this case, a thorough antiseptic action should be taken.
Fistula – occurs due to microbes entering the wound. It is important to have an antibacterial and antiseptic effect.

IMPORTANT: Any complication and compaction in the scar is not normal. The wound should be treated regularly to eliminate suppuration.

Why does the postoperative suture itch?

Causes of itching:

Reaction to fastening threads - they irritate the skin
Dirt gets 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, you should not scratch the tissue, as this will not bring pleasant sensations or relief, but can only aggravate the situation.

Video: “Removing stitches from a postoperative wound”

Some people who have undergone surgery do not have stitches that heal after surgery. Few people know what to do in this situation. Proper wound care depends on the location, size, and individual characteristics, but in general, wound care has general rules and recommendations.

In order for the stitch and wound to heal quickly, you must strictly adhere to the recommendations of doctors. At proper care postoperative sutures should heal within this approximate time frame.

Sutures after surgery are processed 2 times a day

Table. Normal healing time for sutures after surgery relative to location on the body

Localization of the wound	Healing time (days)
Face, head	3-4
Anterior surface of the neck
Back of the neck
Lateral surface of the chest and abdomen
Abdominal wounds along the midline
Back
Shoulder
Forearm
Brush
Hip
Shin
Foot

Treating seams with antiseptic solutions

Basic tips for fast healing stitches after surgery:

correct sterile treatment of a postoperative suture or wound;
use only those solutions prescribed by the doctor to treat the seam;
regular inspection and treatment of the seam several times a day.

Proper treatment of the wound allows the suture to heal much faster after surgery. Antiseptics such as iodine, alcohol, hydrogen peroxide, potassium permanganate, and chlorhexidine help with this. It is also possible to use brilliant green or its substitute - fucorcin.

Important to remember! The sutures after surgery are processed 2 times a day. In some more complicated cases, perhaps more often. Procedures cannot be skipped. Wash your hands thoroughly before handling.
After each treatment, it is necessary to change the sterile dressing. This is done until the threads are removed.

You must be extremely careful when removing the bandage, as it often sticks to the wound. After this, pour a thin stream of hydrogen peroxide over the seam, then treat it with an antiseptic solution.

Note! Do not peel off crusts, growths, deposits and other layers formed on the seam. This suggests that the process of tissue fusion is proceeding in the right direction.

If they are removed, complications such as:

inflammation;
deepening of the seam, skin irregularities;
seam rupture;
fistula.

Ointments for healing sutures after surgery

Immediately after surgery, the suture and wound are treated with ointments or gels that prevent inflammation from forming and help to quickly cope with damage and begin healing.

Levomekol

Non-healing postoperative sutures, which make the process a little long, after removal of the threads, also continue to be treated with ointments until a scar begins to form.

The following effective ointments do an excellent job of their intended purpose:

Name	Compound	Operating principle	Mode of application	Price
Levomekol	methyluracil, chloramphenicol, excipients	promotes cell regeneration, has antimicrobial and bactericidal effect	Apply to a sterile bandage or napkins, applied to a non-healing suture after surgery	130 rub.
Vishnevsky ointment	Tar, aerosil, xeroform, castor oil	Antiseptic, anti-inflammatory, Local irritant that accelerates cell regeneration	Apply to the surface of the seam or to a sterile dressing	40 rub.
Solcoseryl	deproteinized dialysate from the blood of healthy dairy calves, cetyl alcohol, cholesterol, white petrolatum, water for injection	Has a regenerating, wound-healing effect. Increases collagen production	Apply a thin layer to the surface of the wound, after rinsing it. Possible use of bandages	250 rub.
Contractubex	Onion extract, heparin, allantoin, sorbic acid, methyl 4-hydroxybenzoate, xanthan, polyethylene glycol, purified water	Anti-inflammatory, regenerating, antithrombic agent	Rub the suture into the scar tissue 2-3 times a day	700 rub.

If the suture does not heal after surgery, not only an experienced doctor will tell you what to do, but also instructions for using the drug prescribed by the doctor.

The use of healing ointments lasts until the wound and stitch are completely healed and the scar begins to lighten.

Plaster for healing postoperative sutures

Modern medicine does not stand still for the speedy safe healing of sutures after operations Plasters based on medical silicone are increasingly being used.

Plasters made of such material are pressed more tightly to the surface of the skin and scars, which allows hardened tissues to dissolve faster. Compacted silicone allows air to pass through perfectly, which is important for the healing of postoperative sutures. This makes it very useful in complex treatment wounds. At the same time, it does not allow water and other moisture to pass through.

Interesting fact! The silicone gel patch is not surgical method for tightening postoperative sutures, which makes one of the most popular and available funds rapid skin healing.

It is very light, convenient, practical and comfortable.

The principle of operation of the silicone patch is as follows:

causes softening of scar tissue, reducing its density, due to moisture retention in the skin;
compression tension occurs and the scar is smoothed using the sticky base of the patch;
improving the structure of the skin, increasing its elasticity, preventing scarring and hardening of the skin.

Before using a patch based on medical silicone gel, remove the protective film from the sticky side.

The seam, scar or scar must first be washed with soap, then the patch must be tightly applied and smoothed out.

If there is hair in this area, it must be shaved to ensure closer contact between the skin and the patch. When first used, the patch is applied for no more than 2 hours.

Folk remedies for healing postoperative sutures

Besides medications, doctors often prescribe treatment with folk remedies and methods.

In complex treatment, such procedures for caring for postoperative non-healing sutures work wonders. In a short time, if you do everything strictly according to the surgeons’ recommendations, the wounds begin to heal.

If the suture does not heal after surgery, you need to consult a doctor to find out what to do.

Among those used folk remedies, the most popular are:

tea tree oil;
Calendula extract is considered one of the most effective means if the suture does not heal after surgery. The instructions for the cream will tell you how and what to do;
Blackberry syrup with echinacea is also great for wounds after surgery.

Tea tree oil

Real high-quality tea tree oil has powerful bactericidal, anti-inflammatory, antifungal, analgesic and wound-healing properties.

It is used in the following ways:

in its pure form, applied to a seam or wound using a sterile napkin, cotton swab or swab;
dissolve 3-5 drops per glass of clean warm water, dip a gauze napkin and apply it as a compress to the damaged area of skin.

Natural high-quality oil smells of refreshing spicy wood. If it has a different foreign smell, then it is a fake.

Tincture of calendula

Cream with calendula extract

A natural cream based on calendula extract perfectly heals wounds and stitches after surgery, accelerates skin regeneration, disinfects, softens the skin (scars) and makes it elastic.

Cream with calendula extract is applied to the surface of a suture, wound or scar, and if there is no pain, massage. It can be used continuously if necessary.

Blackberry syrup with echinacea

This product is also antibacterial, disinfectant, soothing and wound healing. Due to its composition of natural ingredients, the syrup has no contraindications for both children over 2 years old and for patients with diabetes.

Take this remedy orally before meals, 1 tablespoon per day, or 1 teaspoon 3 times a day.

Seam care in special cases

There are special cases when sutures do not heal as expected. They need careful care. They are not particularly different from the treatment behind conventional postoperative sutures, but still require a little more attention.

Dry scar care

When a postoperative suture begins to form a dry scar, it should never be removed. The dry skin will fall off on its own, or with the help of medicinal and folk remedies. In the shower or bath, you should try not to get the scar wet to avoid damage by bacteria and inflammation. Systematically treat the scar with aseptic means, smear it with creams or gels.

What to do if the seam gets wet

If the seam begins to get wet, it means that inflammation has formed in it. To prevent its development and speed up the recovery process, as well as healing, it is necessary to constantly treat the surface of the seam with aseptic, bactericidal and anti-inflammatory agents.

Apply anesthetic cream to the seam as necessary. After each procedure, apply a sterile bandage. When the seam more or less begins to heal, you can do air baths for no more than 5 minutes.

What to do if the seam festers

If the sutures become suppurated, you should urgently contact a surgeon. He will examine the seam, cut it at the place of suppuration or, if there are threads, unravel them. Next, he will wash the wound, treat it with antimicrobial, anti-inflammatory solutions and apply a sterile bandage lubricated with wound healing cream.

After this, the seam must be carefully monitored and cared for., otherwise the healing process will take a long time.

Long-term non-healing postoperative sutures cause many people to worry about their health. No need to worry. It is enough to be more careful, properly handle and care for the seam, and do everything according to the doctor’s recommendations. After a short time, the seam will heal and stop bothering you.

Take care of yourself and be healthy!

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Few people know how to properly care for a suture after surgery, so, first of all, you need to seek help from a doctor who will tell you in detail how to treat the suture. It is important to know that there should always be hydrogen peroxide in the house; if it is not there, then you need to go to the pharmacy or send one of your close relatives. You will also need to purchase sterile dressings and brilliant green at the pharmacy (it is advisable that these products are always available). home medicine cabinet) . You may also need to purchase special sterile cotton wool, since simple cotton wool will not work in this case - it is needed in order to reduce the risk of infection in the wound. If desired, the cotton wool can be replaced with cotton swabs or disks, but you need to be one hundred percent sure that they are sterile.

If, while still in the hospital, the doctor stopped applying a bandage to the seam, then there is no need to purchase sterile cotton wool. It is important to remember that the bandage only prolongs the healing process of the suture, since the wound under it will constantly get wet, and this is very harmful. In any case, you will definitely need to consult with your doctor again, since you need to be one hundred percent sure that if you do not apply a bandage, the stitch itself will not come apart (the bandage prevents infection from entering the wound). It is important to remember that you need to process the seam two to four times a day. WITH special attention the seam should be processed after taking a shower. However, you are allowed to shower no earlier than seven days after the operation, but you will need to check this with your doctor.

It is very important to know how to treat a postoperative suture after taking a shower. While taking a shower, under no circumstances should you rub the seam itself with a washcloth, as such actions can seriously harm the scar that has not yet had time to heal and there is a risk of seriously damaging it. After all are completed hygiene procedures, you need to take a sterile bandage and blot the seam thoroughly to remove all accumulated moisture from it, since it is in a wet environment that the intensive development microbes Then you need to take hydrogen peroxide and pour this disinfectant solution directly onto the seam. You can also take a clean cotton pad, soak it generously in this solution, then treat the seam, and also wipe the skin next to the scar. Then you need to wait a while until the peroxide dries. After some time, as soon as the seam has dried, you will need to apply a small amount of brilliant green to the scar using a clean cotton pad or swab (you can also apply a solution of brilliant green using a simple cotton swab).

It is important to remember that the treatment of postoperative sutures should be carried out in a sterile environment to prevent infection of the scar. At the end of this treatment procedure, you need to apply a sterile bandage to the seam, of course, if the doctor does not allow you to no longer apply a bandage. Treatment of the postoperative suture should be carried out until the scar has completely healed, in some cases this may take several months (it all depends on what kind of operation was performed, as well as on the size of the suture). There are cases when the scar is damaged only in one place, therefore, even two or three weeks after the operation, fluid or blood is released. In this case, the problem area must be treated until the scar is completely healed.

Approximately one or two weeks after surgery (depending on how complex the surgery was), the stitches will be removed. This will also be influenced by how quickly the healing process occurs. postoperative scar. After the doctor removes all the sutures, it will be necessary to treat the suture in the same way for several more days. If desired, instead of a bandage, you can stick a special patch on the seam, which can also be purchased at any pharmacy. Such a patch should only be applied to fresh seams, therefore, after removing the threads, when the tissue begins to scar, it can not be used, since it can create a greenhouse effect, and this will negatively affect the tissue healing process. Do not forget that even after the stitches are removed, you must regularly visit the doctor and undergo a complete medical checkup to convince not only that the scar is healing correctly, but also that the operation was successful and no complications appeared. Also, an experienced doctor can advise which ointments to use in order not only to speed up the healing process of the suture, but also to prevent the formation of a deep and unsightly suture.