Is it possible to process a postoperative suture? How to reduce the visibility of a scar after a caesarean section? The suture itches after a cesarean section, discharge from the scar

One stitch, two stitches, it will be fun! - the obstetrician said with a needle at the feet of the happy woman in labor. For some, this black humor becomes an unfunny reality and causes a lot of trouble and trouble. We'll talk about situations that inspire obstetricians to take up the needle, ways to quickly heal and relieve pain.

When to apply stitches and causes of ruptures

Childbirth does not always go smoothly, and sometimes you have to pay for the happiness of having children with birth injuries - tears and cuts in the genital tract, which are covered with external and internal sutures after childbirth. Injuries can be internal - ruptures in the cervix and vagina, and external - ruptures and cuts in the perineum.

After a natural birth, the obstetrician must check for ruptures and, if detected, they are sutured. Otherwise, if suturing is not carried out, the postpartum period threatens to end in a hospital bed due to bleeding in the injured tissues and the addition of infection to them, and in the future even provoke prolapse of internal organs and urinary and fecal incontinence.

The process of applying external and internal sutures takes a long time and requires high qualifications of the doctor, and in the case of ruptures in the cervix that extend to the vagina and uterus, and some virtuosity due to the inaccessibility and danger of damage to the nearby bladder and ureters.

Internal sutures after childbirth on the cervix, vagina and uterus itself are applied using absorbable threads made of biological or semi-synthetic material. If only the cervix is ​​affected, then anesthesia is usually not required - after childbirth it is insensitive. In all other cases, local or general anesthesia is used - anesthesia or epidural anesthesia.

The muscle layers in case of ruptures and cuts of the perineum are also sutured with absorbable threads, and the skin is often made of non-absorbable silk, nylon and other materials, which are removed in the maternity hospital or in the antenatal clinic, usually 3-7 days after childbirth, when the suture is scarred. The procedure is quite painful and therefore anesthesia is required.

The reasons for ruptures can be different. This includes not following the advice of the obstetrician during the pushing period, and the presence of scars from sutures placed in previous births (the scar consists of inelastic connective tissue), rapid, prolonged, premature and instrumental births (application of forceps), anatomical features of the pelvic structure, a large head in a child, breech presentation, low skin elasticity at the time of birth.

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Obstetricians have different attitudes toward episiotomy—dissection of the perineum. For some, this is a routine procedure that is performed en masse to avoid the risk of perineal rupture. Other doctors strive for the most natural course of the birth process, intervening when it is already quite obvious that a rupture cannot be avoided. If instrumental delivery is performed with forceps or a vacuum extractor, then preliminary dissection of the perineum is recommended.

Episiotomy does not help prevent third-degree tears when the anal sphincter is involved in the violation of the perineal integrity and may even contribute to such injury. Still, surgical dissection has a number of advantages over rupture. Dissected tissues are technically easier to repair than torn ones. The resulting wound has smooth edges, healing occurs faster and a more aesthetic scar is formed.

Healing and treatment of sutures

As unfortunate as it may be, what happened happened, and as a result, after giving birth, you needed stitches. With internal sutures, if the suturing procedure is performed correctly and carefully, the pain lasts for about 2 days. They do not require special care and do not need to be removed, since they are made of absorbable thread.

Self-absorbing sutures after childbirth made from natural material - catgut - completely dissolve in about a month, and from synthetic ones - after 2-3 months. Internal ones heal faster and can diverge in extremely rare and exceptional cases.

The outer crotch seams are a completely different matter. With such a postpartum reward, it’s painful to move, it’s difficult to go to the toilet, and you can’t sit down at all because the stitches can come apart.

The ban on sitting remains in effect for two weeks, after which you can gradually try to sit on hard surfaces.

If catgut sutures were placed on the perineum, then do not be alarmed if after a week pieces of threads appear that have fallen off - during this period the material loses its strength and breaks. The seams will no longer come apart, unless, of course, you start dancing. How long it will take for the material to dissolve depends on the speed of metabolic processes in the body. Sometimes there are cases when the catgut does not dissolve even six months after suturing.

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Non-absorbable thread sutures from the perineum are removed 3–7 days after birth. If this was not done in the maternity hospital, then the sutures are removed by a gynecologist in the antenatal clinic. During the removal procedure itself, it is a little unpleasant, but in most cases it does not hurt, or the pain is quite tolerable.

How long it takes for sutures to heal after childbirth is influenced by the individual healing rate of damage received by the body - both from minor scratches and from more serious injuries.

Usually this process does not take more than a month, but on average is 2 weeks.

Both before and after removal of sutures, it is necessary to regularly treat them. This is especially important, since postpartum discharge and the constantly moist environment of the perineum contribute to the proliferation of various microorganisms on the wound surface. As a result, the sutures may fester and healing will be delayed indefinitely.

How and with what to treat stitches after childbirth at home? Just like in the maternity hospital, you need to treat two to three times a day with antiseptic solutions and/or antibacterial ointments that suppress the uncontrolled growth of inflammation-causing bacilli. The most accessible means are the well-known brilliant green, hydrogen peroxide, potassium permanganate, chlorhexidine, etc. Ointments include levomekol and others. Treatment should be carried out avoiding a sitting position.

If you provide air access to the perineum, healing will go much faster. To do this, you need to use “breathable” pads made from natural materials and refrain from wearing tight underwear. The ideal option is to provide “ventilation” during sleep, when you can completely abandon underwear and sleep on a special absorbent diaper, or an oilcloth with a regular fabric diaper.

To accelerate regeneration, adequate nutrition is also necessary, supplying building material to the site of injury. Among the folk remedies, tea tree oil and sea buckthorn oil accelerate healing. And of course, hygiene rules and maintaining cleanliness are welcome on the path to rapid healing.

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How to relieve pain

During the healing process of the sutures, tissue contraction occurs - the wound surfaces contract and the wound is closed with a scar. Therefore, it is quite normal that the sutures hurt after childbirth, like any other injuries that violate the integrity of muscle and epithelial tissue. Discomfort – pain and itching in the perineum may be experienced up to 6 weeks after birth.

If the pain is of a different nature, and even more so when the sutures begin to fester, you need to consult a doctor.

If the pain is severe, which happens in the first days after childbirth, then applying cold to the perineum and painkillers can help cope with it. In the maternity hospital they give injections, at home you can take ibuprofen (Nurofen), which is not contraindicated during breastfeeding and has an anti-inflammatory effect. To feel less pain when urinating, you can try urinating while standing in the bathroom with your legs apart.

Any surgical operation, even the most harmless one, entails traumatic damage to nearby tissues. The most important thing is to prevent the development of infection and speed up the regeneration process. The general resistance of the body and the skin itself in one way or another affect the complete healing of the wound. In this article we will talk about how sutures heal after surgery, and also consider the main factors affecting the healing of sutures.

How does the suture heal after surgery?

Healing of postoperative sutures consists of three main processes:

1. Formation of connective tissue (collagen) by fibroblasts. Fibroblast is a cell that is found in the middle layer of the skin. Thanks to collagen, restoration processes are accelerated and tissue defects are eliminated.
2. Formation of epithelium at the site of wound damage. This creates a barrier for the passage of microorganisms.
3. Tissue contraction is the process of reducing wound surfaces and closing the wound.

Factors influencing the healing of sutures

According to medical standards, sutures usually take seven to twelve days to heal. But a big role is also played by the person’s age, his illness and the place where the sutures are placed. The process of removing stitches and healing wounds can take a long time if a person, for example, has diabetes. The healing of various medical sutures is influenced by many factors, namely:

• Age. Young people recover from surgery much faster than older people.
• Weight. In people who are overweight or underweight, the healing of wounds and stitches is slower.
• Diet. During the recovery period, the body needs “building” material: vitamins, minerals. They are necessary during the rehabilitation period.
• Dehydration of the body. It leads to improper functioning of the kidneys and heart, which, in turn, increases the time of the recovery process.
• Immunity. A malfunction of the immune system can lead to suppuration and slow healing of sutures. If pus accumulates on the wound, you should immediately consult a doctor.
• Chronic diseases. Diabetes, all diseases associated with disruption of the endocrine system, tumors, and vascular diseases can cause complications after surgery.
• Function of the circulatory system. Normal functioning of blood vessels speeds up the recovery process.
• Oxygen. Restricting oxygen to the wound by applying a bandage will slow down the healing process of the sutures. Access to oxygen, like other nutrients, is simply necessary for rapid healing.
• The use of steroids and anti-inflammatory drugs during the first days after surgery slows down the recovery process.

All these factors significantly affect the healing of postoperative sutures. In addition, in order for the stitches to begin to heal faster, they need proper care.

How to properly care for seams

At first (1-5 days), a nurse or doctor takes care of the sutures: changes the bandage and treats the suture. Then, if there are no complications, the surgeon can remove the dressing material after treating it with hydrogen peroxide.

At home, seams need to be treated daily. No special skills are required for this. Remember that applying a bandage increases the healing time of the stitches because the wound gets wet under the bandage. Before removing it, you should consult your doctor.

There are a huge number of different remedies and medications that speed up wound recovery. Iodine and potassium permanganate are the main ones among them. They have proven their effectiveness for many years.

Contractubex ointment has good healing properties. It reduces wound healing time and prevents scarring. The ointment is rubbed into the skin until completely dry.

In addition to products for external use, there are also internal ones that need to be taken during the postoperative period: vitamins, anti-inflammatory drugs, enzymes.

Folk remedies for healing sutures

• Tea tree oil. Treat the seam twice a day.
• Cream with calendula extract. Lubricate the wound twice a day.
• Blackberry syrup with echinacea. Take one teaspoon three times daily before meals. Drink for two weeks.

How quickly the stitch heals after surgery depends only on you. But with the help of these recommendations you can speed up this process. I wish you good health and a speedy recovery!

No matter how careful and experienced the surgeon is, no matter what modern suture materials he uses, a scar inevitably remains at the site of any surgical incision - a special structure made of connective (fibrous) tissue. The process of its formation is divided into 4 sequential stages, and significant internal changes after fusion of the wound edges continue for at least another year, and sometimes much longer - up to 5 years.

What happens at this time in our body? How to speed up healing, and what needs to be done at each stage to ensure that the scar remains as thin and invisible as possible?TecRussia.ru explains in detail and gives useful recommendations:

Stage 1: epithelization of the skin wound

It begins immediately as soon as the damage is received (in our case, a surgical incision) and continues for 7-10 days.

• Immediately after injury, inflammation and swelling occurs. Macrophages emerge from adjacent vessels into the tissue - “eaters”, which absorb damaged cells and clean the edges of the wound. A blood clot is formed - in the future it will become the basis for scarring.
• On day 2-3, fibroblasts are activated and begin to multiply - special cells that “grow” new collagen and elastin fibers, and also synthesize the intercellular matrix - a kind of gel that fills the intradermal cavities.

• At the same time, vascular cells begin to divide, forming numerous new capillaries in the damaged area. Our blood always contains protective proteins - antibodies, the main function of which is to fight foreign agents, so a developed vascular network becomes an additional barrier to possible infection.
• As a result of these changes, granulation tissue grows on the injured surface. It is not very strong and does not connect the edges of the wound tightly enough. With any, even slight force, they can separate - even though the top of the cut is already covered with epithelium.

At this stage, the work of the surgeon is very important - how smoothly the skin flaps are aligned when applying a suture, and whether there is excessive tension or “tucking” in them. Also, careful hemostasis (stopping bleeding) and, if necessary, drainage (removing excess fluid) are important for the formation of a proper scar.

• Excessive swelling, hematoma, and infection disrupt normal scarring and increase the risk of developing rough scars. Another threat during this period is an individual reaction to the suture material, which usually manifests itself in the form of local edema.
• All necessary treatment of the surgical wound at this stage is done by a doctor or nurse under his supervision. You can’t do anything on your own, and it doesn’t make sense to interfere with the natural healing process yet. The maximum that a specialist can recommend after removing the stitches is to fix the edges with a silicone patch.

Stage 2: “young” scar or active fibrillogenesis

Occurs between 10 and 30 days after surgery:

• Granulation tissue matures. At this time, fibroblasts are actively synthesizing collagen and elastin, the number of fibers is growing rapidly - hence the name of this phase (the Latin word “fibril” means “fiber”) - and they are located chaotically, due to which the scar looks quite voluminous.
• But there are fewer capillaries: as the wound heals, the need for an additional protective barrier disappears. But, despite the fact that the number of vessels in general decreases, there are still relatively many of them, so the developing scar will always be bright pink. It is easily stretchable and can be injured under excessive loads.

The main danger at this stage is that the already fused sutures may still come apart if the patient is overly active. Therefore, it is so important to carefully follow all postoperative recommendations, including those related to lifestyle, physical activity, and medication - many of them are aimed precisely at providing conditions for normal, uncomplicated scarring.

• As prescribed by your doctor, you can start using external creams or ointments to treat the developing seam. As a rule, these are agents that accelerate healing: Actovegin, Bepanten and the like.
• In addition, hardware and physical procedures aimed at reducing swelling and preventing hypertrophy of fibrous tissue give good results: Darsonval, electrophoresis, phonophoresis, magnetic therapy, lymphatic drainage, microcurrents, etc.

Stage 3: formation of a durable scar - “maturation”

During this period - 30 - 90 days after surgery - the appearance of the scar gradually returns to normal:

• If at earlier stages the collagen and elastin fibers were arranged randomly, then during the third phase they begin to rearrange, oriented in the direction of greatest stretching of the edges of the incision. There are fewer fibroblasts, and the number of blood vessels decreases. The scar thickens, decreases in size, reaches its maximum strength and turns pale.
• If at this time fresh connective tissue fibers are subjected to excessive pressure, tension or other mechanical stress, the process of restructuring collagen and removing its excess is disrupted. As a result, the scar may become rough, or even acquire the ability to constantly grow, turning into. In some cases, this is possible even without the influence of external factors - due to the individual characteristics of the body.

At this stage, there is no need to stimulate healing; it is enough for the patient to avoid excessive stress on the operated area.

• If a tendency towards excessive fibrosis becomes apparent, the doctor will prescribe injections to reduce scarring activity - usually corticosteroid-based drugs (hydrocortisone or similar). Collagenase also gives good results. In less complex cases, as well as for preventive purposes, non-steroidal external agents are used -, etc.
• It is important to understand that such therapy should be carried out exclusively under the supervision of a doctor - a dermatologist or surgeon. If you prescribe hormonal ointments or injections yourself, just because the appearance of the suture does not meet expectations or does not look like a photo from the Internet, you can significantly disrupt the process of tissue restoration, up to their partial atrophy.

Stage 4: final restructuring and formation of a mature scar

Begins 3 months after surgery and continues for at least 1 year:

• The vessels that penetrated the ripening scar tissue at the previous stages almost completely disappear, and the collagen and elastin fibers gradually acquire their final structure, lining up in the direction of the main forces acting on the wound.
• Only at this stage (at least 6-12 months after surgery) can the condition and appearance of the scar be assessed, as well as plan any corrective measures, if necessary.

Here, the patient is no longer required to take such serious precautions as in the previous ones. In addition, it is possible to carry out a wide range of additional corrective procedures:

• Surgical threads are usually removed much earlier than the surface of the scar is completely formed - otherwise the scarring process may be disrupted due to excessive compression of the skin. Therefore, immediately after removing the sutures, the edges of the wound are usually fixed with special adhesives. The surgeon decides how long to wear them, but most often the fixation period coincides with the “average” period of scar formation. With this care, the mark from the surgical incision will be the thinnest and most invisible.
• Another, less known, method that is used mainly on the face is. “Switching off” the adjacent facial muscles allows you to avoid tension on the developing scar without the use of a patch.
• Aesthetic defects of mature scars do not respond well to conservative treatment. If hormonal injections and external ointments used earlier did not give the desired result, then at the 4th stage and upon its completion, techniques based on mechanical removal of fibrous excess are used: dermabrasion, peelings and even surgical excision.

Briefly about the most important things:

Stage of scar formation and its timing	Main characteristics	Therapeutic and preventive measures
1. Epithelization of the skin wound as a response to tissue damage (the first few days after surgery)	At the site of injury, the body releases biologically active substances that cause the development of edema, and also trigger the processes of cell division and collagen synthesis.	Careful treatment and suturing of the incision (performed by a surgeon). After the sutures are removed, they can be replaced with a plaster to avoid unnecessary tension on the edges of the wound.
2. “Young” scar (1-4 weeks after surgery)	The production of a significant, usually even excessive amount of collagen continues. Vasodilation and increased blood flow at the site of injury contribute to the formation of a voluminous, soft, red or pink scar.	Application of healing ointments (Solcoseryl, etc.) In the presence of severe swelling and/or the threat of proliferation of fibrous tissue - corrective hardware procedures (microcurrents, lymphatic drainage, etc.)
3. “Maturation” of the scar (from 4th to 12th week)	Excess connective tissue gradually dissolves, blood flow weakens. The scar thickens and fades - normally it becomes flesh-colored to white.	The use of non-hormonal ointments to prevent severe scarring. If there are obvious signs of keloid formation, injections or external application of corticosteroids are required.
4. Final tissue restructuring (from 13 weeks to 1 year).	Collagen and elastin fibers are aligned along the lines of greatest tension in the skin. In the absence of complications, a thin whitish stripe is formed from the loose, voluminous and elastic scar formation, almost invisible from the outside.	Towards the end of this stage, if necessary, you can use any mechanical methods of scar correction: grinding, peeling, surgical excision.

In addition to the local factors mentioned above, the healing processes of surgical incisions largely depend on the following circumstances:

• Age. The older a person is, the slower the damaged tissues heal - but the more accurate the final result will be. Statistically, rough hypertrophic and keloid scars occur more often in patients under 30 years of age.
• Heredity. The predisposition to forming large, uncontrollably growing scars often runs in families. In addition, people with dark and dark skin are more prone to excessive division of connective tissue cells.

Also, the following can disrupt the normal wound healing processes and worsen the final condition of the scar:

• obesity or, conversely, underweight;
• diseases of the endocrine system (hypo- and hyperthyroidism, diabetes mellitus);
• systemic collagenoses (systemic lupus erythematosus, systemic scleroderma, etc.);
• use of medications (corticosteroids, cytostatics, anti-inflammatory drugs).

Contents [Show]

Undoubtedly, all people sooner or later encounter various diseases. Some of them necessarily require surgical intervention. Such treatment never goes away without leaving a trace. The manipulation always leaves a person with 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 may vary significantly. Some interventions, for example, after laparoscopy, leave a person with small centimeter incisions. Sometimes such seams do not require the use of special threads and are simply glued together with adhesive tape. In this case, you need to ask your doctor how to properly care for the damaged area and when to remove the patch.

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

The postoperative suture always needs treatment. From the moment your doctor places the sutures on your skin, the medical staff will wash your sutured tissue daily. In some cases, treatment must be carried out several times a day. The doctor will definitely notify you about this after the procedure. If complications occur or germs enter the wound, it may be necessary to use additional antiseptic and antibacterial agents for treatment.

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

In some cases, suture removal is not required after surgery. Sometimes doctors use special self-absorbing threads. They are applied in most cases to soft tissues and mucous membranes. This method of tissue bonding is often 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 stitching material 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 sewn fabrics. After removing the threads, postoperative sutures should be processed for some time. So, how can you care for a wound yourself?

First you need to purchase all the necessary materials. This can be done at any pharmacy chain located near your home. If you have difficulty walking, ask your relatives or neighbors to buy everything you need.

Treatment of a postoperative suture requires the presence of ordinary brilliant green, 3% hydrogen peroxide, an alcohol solution and hypertonic fluid. You will also need sterile bandages, tweezers, postoperative patches of suitable sizes and cotton swabs.

In some cases, postoperative sutures are treated with cotton wool. When independently caring for damaged tissue, it is better to avoid using this material. When rubbing the skin, small pieces of cotton wool can cling to the applied threads and remain on the wound. As a result, inflammation may occur. That is why you should give 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 inspect the skin. There should be no liquid on the rumen. If ichor or pus oozes from the wound, you should 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 tissue is completely dry, you can begin to process the seam yourself. To do this, take a comfortable position and prepare all the necessary materials.

To begin, 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 this, let the skin dry and proceed to the next step.

If pain, pulsation and burning occur in the suture area, you must do the following. Roll the gauze bandage into four layers and soak it in a hypertonic solution. Place the fabric over the seam and seal it with adhesive tape. This compress will help relieve pain and swelling in the wound area. If you are not bothered by unpleasant sensations, then skip this point and proceed further according to the instructions.

Take a cotton swab and soak it in brilliant green. Carefully treat all wounds that were caused by the suture, as well as the scar itself. After this, apply a sterile bandage to the cleaned area and cover with a bandage.

If the doctor allows it, you can leave the stitch open. All wounds heal faster in the air. Remember that in this case you must be careful not to damage the scar.

If you have already had your stitches removed, this does not mean that you do not need to take care of your scar. 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 caring for the damaged surface for about one more week.

After taking a shower, pour hydrogen peroxide into the grout in a thin stream. Wait until the reaction occurs and the liquid hisses. After this, blot the seam with a sterile bandage and proceed to the next step.

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

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

If you have any complications or questions, please contact your local doctor. In emergency situations, call an ambulance. Remember that tissues that are not yet fused may separate. That is why be careful, avoid unnecessary stress and get plenty of rest. Be healthy!

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. 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 behind minimal damage. Caring for the postoperative suture is also necessary so that it tightens well and does not give any unpleasant 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?

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 treatment with an antiseptic.

The simplest means are:

• 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 the abdominal wall – 2-2.5 weeks (depending on the depth of penetration).
• On the 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 as much thread as possible.
• 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 the necessary substance and can 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

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 in 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 - An old but very effective remedy. Applying a cabbage leaf to the wound 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.

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. It has an unpleasant odor 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

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 bandage 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.

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.
• A person's blood pressure is too high
• 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.

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.

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.

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

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

• sterility;
• regularity of procedures;

Depending on the nature of the damage, the seams are treated with the following antiseptics:

1. Medical alcohol.
2. Zelenka.

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

• apply a bandage.

Caring for a postoperative suture requires compliance with certain conditions:

• availability;
• broad 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 accessible 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 product, it will be possible to achieve antimicrobial and anti-inflammatory effects. The substance is a broad-spectrum antibiotic. The product can be used for purulent discharge.
3. Vulnuzan– the substance is made on the basis of natural ingredients. It can be applied to the wound and to the bandage.
4. Levosin– helps cope with microbes, eliminate inflammation and stimulate the healing process.
5. Stellanin- a new generation product. With its help, it is possible to eliminate swelling and cope with infection. The drug perfectly restores the structure of the epithelium.
6. Eplan- considered one of the most powerful local remedies. The substance has pronounced analgesic properties and helps cope with infection.
7. Solcoseryl- Produced in the form of gel and ointment. The gel is applied to a fresh wound, and the ointment is applied after the healing process has begun. The product minimizes the risk of scars and cicatrices. 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 allergies. Therefore, the drug can be used even during pregnancy and lactation. The product can be applied directly to the affected area of ​​the dermis.
9. Agrosulfan– has bactericidal properties, has antimicrobial and analgesic effects.

1. Naftaderm– has anti-inflammatory properties. With the help of this substance it is possible to cope with pain and soften scars.
2. Contractubex– used during 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 lighten scars.

A patch for healing postoperative sutures also helps to achieve good results.. This product is a plate that holds the incision area together 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 product should be lubricated on the wound immediately after the intervention. Subsequently, the procedure is performed within a week.
3. Ointment based on goose fat and Japanese sophora berries. This remedy significantly accelerates wound healing. To make it, you need to mix a couple of glasses of dry fruits with 2 glasses of fat. Instead of goose fat, you can use badger fat. It is recommended to heat the resulting composition in a steam bath for 2 hours. Then the product must be heated once for 3 days. On day 4, the composition is brought to a boil and removed from the stove. It is recommended to mix the finished ointment thoroughly and place it in a glass container. A small amount of the composition is applied to the bandage and applied to the seams.
4. Larkspur tincture. A couple of tablespoons of crushed plant roots should be mixed with a glass of water and the same amount of alcohol. It is recommended to treat damaged areas with the resulting product.
5. Beneficial beeswax ointment. To make it you need to mix 100 g of wax and 400 g of sunflower oil. Place the mixture on the stove and cook for at least 10 minutes. When the composition has cooled, it is applied to a bandage and applied to the affected area.

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How to treat a postoperative suture for better healing?

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

To speed up the wound healing process, you need to strictly follow the doctor’s recommendations.

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

So, what should you apply to the skin around the stitches?

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

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

The speed and characteristics of recovery are influenced by the following factors:

• sterility;
• regularity of procedures;
• materials used for processing 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 nature of the damage, the seams are treated with the following antiseptics:

1. Potassium permanganate solution - it is important to strictly adhere to the dosage. This will help avoid getting burned.
2. Medical alcohol.
3. Zelenka.
4. Fucarcin - the drug is wiped off the surface with great difficulty. This may 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, you should definitely consult a doctor before starting therapy.

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

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

Caring for a postoperative suture requires compliance with certain conditions:

• treatment 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, you should avoid using 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 treat a postoperative suture for better healing. A variety of means can be used for this purpose.

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

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

It is important to consider that wet wounds should not 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;
• medications with hormonal ingredients - used for extensive injuries that are accompanied by complications.

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

1. Vishnevsky ointment is considered one of the most accessible 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 product, it will be possible to achieve antimicrobial and anti-inflammatory effects. The substance is a broad-spectrum antibiotic. The product can be used for purulent discharge.
3. Vulnuzan is a substance made from natural ingredients. It can be applied to the wound and to the bandage.
4. Levosin - helps 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 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 cope with 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 product minimizes the risk of scars and cicatrices. 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 allergies. Therefore, the drug can be used even during pregnancy and lactation. The product can be applied directly to the affected area of ​​the dermis.
9. Agrosulfan – has bactericidal properties, has antimicrobial and analgesic effects.

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

1. Naftaderm – has anti-inflammatory characteristics. With the help of this substance it is possible to cope with pain and soften scars.
2. Contractubex – used during 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 lighten scars.

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

Thanks to the use of a special patch, the following results can be achieved:

• 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;
• retain 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-medication options are strictly prohibited, as there is a risk of wound suppuration and progression of inflammation.

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

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 product should be lubricated on the wound immediately after the intervention. Subsequently, the procedure is performed within a week.
3. Ointment based on goose fat and Japanese sophora berries. This remedy significantly accelerates wound healing. To make it, you need to mix a couple of glasses of dry fruits with 2 glasses of fat. Instead of goose fat, you can use badger fat. It is recommended to heat the resulting composition in a steam bath for 2 hours. Then the product must be heated once for 3 days. On day 4, the composition is brought to a boil and removed from the stove. It is recommended to mix the finished ointment thoroughly and place it in a glass container. A small amount of the composition is applied to the bandage and applied to the seams.
4. Larkspur tincture. A couple of tablespoons of crushed plant roots should be mixed with a glass of water and the same amount of alcohol. It is recommended to treat damaged areas with the resulting product.
5. Useful beeswax ointment. To make it you need to mix 100 g of wax and 400 g of sunflower oil. Place the mixture on the stove and cook for at least 10 minutes. When the composition has cooled, it is applied to a 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, medications and folk remedies are actively used.

Always consult a physician before using any product. 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 product, ALWAYS consult your physician. The site administration is not responsible for the practical use of recommendations from articles.

Source: necessary for processing

Postoperative sutures are usually removed 7–10 days after surgery. Usually during this time the patient remains in hospital, and the condition of the wound is monitored by a medical professional. Sometimes it happens that the patient can be sent home earlier, but he must always handle the stitches himself.

If the operation was successful, the patient is receiving home treatment and the sutures 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 bandage, previously soaked in a hypertonic solution and wrung 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.

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.

• - hydrogen peroxide;
• - brilliant green;
• - sterile bandage;
• - cotton wool, cotton swabs or disks.

• how to treat with hydrogen peroxide

Timing for removing suture material

The time when sutures 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. Only the attending physician can determine the timing of suture removal; such decisions should not be made independently.

Preparations for treating seams

Source: doctor Krivega M.S.

For the first few days, suture care after surgery is carried out in the hospital where it was performed. Every day, the doctor removes the sterile gauze bandage, which will first be soaked in ichor, treats the edges of the seam with brilliant green (iodine is almost never used, given the abundance of allergic reactions), and reapplies the bandage, which is secured with a plaster. During this period (it usually ranges from 1 to 5 days), the doctor does not recommend that you wash so that water does not get on the area of ​​the postoperative wound.

If the sutures are applied to the mucous membrane, for example, they were used to close perineal tears after childbirth or after an episiotomy, then such wounds are usually treated several times a day during 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 digluconate, and a solution of furatsilin. After treatment with the above agents, such a wound is lubricated with alcohol and a sterile bandage is applied to it.

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

Sutures 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 blotted with gauze, but is not treated with anything else unless necessary. In the future, such stitches (almost always these wounds are sutured with catgut) dissolve on their own, while the person is at home at this time.

The skin suture is usually removed by 7-14 days, having previously treated it with alcohol and brilliant green. Before this, a few days before the sutures are completely removed, they can be removed one at a time. The person is discharged home, with the recommendation not to forget about the stitch yet, not to get it too wet, and to treat it with fucorcin or alcohol once a day. Treatment of postoperative sutures is an essential component of treatment. To speed up healing, you can apply water-soluble ointments such as Levomekol, Dioxyzol, Bepanten-cream (sea buckthorn oil is best used when the seam looks like a dry dark stripe).

Sometimes it happens that the sutures are not removed, but the person is discharged with recommendations and told when he should visit the surgeon at his place of residence to have the sutures removed. Then the person has to treat the postoperative wound site himself. This 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, and a roll of paper plaster. Water the previous bandage with peroxide to easily remove it. Then you remove it, treat the edges of the wound with a cotton swab and alcohol, then do the same with brilliant green, apply a sterile gauze bandage folded in 4-6 layers, and secure it with a paper bandage. Try not to stick the patch on the same places so that bedsores do not occur there. If within two to three days the wound is dry and nothing comes out of it, continue to treat it with brilliant green and alcohol, but do not put a bandage on top. Use wound healing ointments after the stitches are removed.

Sometimes, unfortunately, the postoperative suture does not heal so well. If the suture does not heal after surgery, 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 surgical wound;

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

Redness and looseness of tissue near the seam;

The appearance of a hematoma at the suture site;

Dehiscence of the suture with prolapse of a portion of the internal organ into the wound;

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

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

In all these cases, an urgent visit to the hospital where the operation was performed is necessary. In cases of heavy bleeding or prolapse of internal organs into the wound, you need to call an ambulance, which will take the patient in a supine position to the department where he was previously operated on.

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

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

The postoperative wound is sterile and only in this case is there 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 for whom everything heals quickly, be it post-operative stitches, or just a cut or wound, and there are those for whom this process drags on for many months.

In his life, any person has injured his 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 material that is used to close a wound.

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

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

This is a surgical procedure, otherwise called medical sterilization. During this operation, the tubes are blocked, cut or tied. The operation is considered one of the most effective, guaranteeing 99% absence of pregnancy. Only for a few people it can occur when there is still a passage for sperm to enter, as well as due to an incorrectly performed operation.

The normal desire of every pregnant woman is to give birth easily, quickly and without tearing. But alas, this happens extremely rarely. 95% of women who have experienced the joy of motherhood have perineal ruptures, which complicate the already far from easy postpartum period.

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

The doctor removes the sutures after the operation, but we will talk about what it is and how the process itself occurs. There are also threads that do not need to be removed; they dissolve on their own. This is a suture material such as catgut, vicryl and others. Catgut usually begins to dissolve within 7-10 days. Vicryl usually dissolves within a day, but there are situations when the wound heals much earlier and there is no need for threads, so it is better to remove them. If the wound has healed, but the threads are not 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, surgical delivery by cesarean section is performed either planned or emergency.

Source: VPROK (188)

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Postoperative suture care 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.

A surgical suture is used to connect biological tissues. The types of postoperative sutures depend on the nature and scale of the surgical intervention and are:

• bloodless, not requiring special threads, but sticking together using a special plaster
• bloody, which are stitched with medical suture material through biological tissue

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

• simple knotted - 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 fabrics
• entwining - as a rule, serves to connect vessels and hollow organs

The following techniques and instruments are used for suturing vary:

• manual, when applying which a regular needle, tweezers and other instruments are used. Suture materials – synthetic, biological, wire, etc.
• mechanical, carried out by means of a device using special brackets

Sutures can be applied in different ways

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

• single-row - the seam 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 the wound has healed, the suture material is removed (usually used on covering tissue)
• submersible – not removed (suitable for joining internal tissues)

Materials that are used for surgical sutures can be:

• absorbable - removal of suture material is not required. Typically used for ruptures of mucous and soft tissues
• non-absorbable - removed after a certain period of time determined by the doctor

Various materials are used for suturing

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.

The healing period of wounds 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 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 (difficult to wipe off from the surface, which causes some inconvenience)
• hydrogen peroxide (may cause a slight burning sensation)
• anti-inflammatory ointments and gels

Sutures must be treated after surgery

Folk remedies are often used at home for these purposes:

• tea tree oil (pure)
• 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)

Before using these medications, 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 processing sutures:

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

Maintain sterility

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

• Perform treatment twice a day, more often if necessary
• regularly carefully examine the wound for inflammation
• To avoid the formation of scars, do not remove dry crusts and scabs from the wound
• When showering, do not rub the seam with hard sponges
• If complications occur (purulent discharge, swelling, redness), consult a doctor immediately

The removable postoperative suture must be removed on time, since the material used to connect the tissue acts as a foreign body to the body. In addition, if the threads are not removed in a timely manner, they can grow into the tissue, leading 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.

To get started, prepare the following:

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

Perform the seam removal process as follows:

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

But it's better to leave this matter to a professional.

If you remove postoperative sutures yourself, in order to avoid complications, strictly follow these requirements:

• You can remove only small superficial seams yourself
• 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 susceptible to burns
• avoid the possibility of injury to this area

Often, after the operation, a patient experiences a seal under the suture, which is 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, and the temperature may rise
• suppuration – when the inflammatory process is advanced, pus may leak from the wound
• the formation of keloid scars is not dangerous, but has an unaesthetic appearance. 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.

If you see a lump, consult a doctor

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 there is no purulent discharge, follow these requirements:

• Follow the rules of hygiene. Keep bacteria away from the injured area
• treat the seam twice a day and change the dressing material promptly
• When showering, avoid getting water on the unhealed area
• don't lift weights
• make sure that your clothes do not rub the seam and the areola around it
• Before going outside, apply a protective sterile bandage
• Do not under any circumstances apply compresses or rub yourself with various tinctures on the advice of friends. This can lead to complications. A 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 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 a postoperative wound
• During the operation, the subcutaneous tissues were injured, resulting in the formation of hematomas
• suture material had increased tissue reactivity
• in overweight patients, wound drainage is insufficient
• low immunity of the patient being operated on

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

• due to an error by the operating surgeon (instruments and materials were not processed sufficiently)
• due to patient non-compliance 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, consult a 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 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 notice redness or inflammation of a postoperative suture, do not delay visiting a doctor. It is the specialist who must examine the wound and prescribe the correct treatment:

• remove stitches if necessary
• washes the wounds
• install drainage to drain purulent discharge
• will prescribe the necessary medications for external and internal use

Timely implementation of the necessary measures will prevent the likelihood of severe consequences (sepsis, gangrene). After medical procedures have been performed by your attending physician, to speed up the healing process at home, follow these 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. When you get out of the bath, gently blot the seam with a bandage.
• change sterile dressings on time
• take multivitamins
• add extra protein to your diet
• do not lift heavy objects

Take vitamins to help the stitch heal better

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

• boost your immunity
• sanitize your mouth
• 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 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
• the infection is not completely eliminated
• rejection by the body of non-absorbable suture material

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:

• entry of pathogenic bacteria into the wound due to incomplete disinfection of threads or instruments during surgery
• the patient’s weak immune system, 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
• after a few 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
• discharge of pus
• temperature increase

After surgery, a very unpleasant phenomenon may occur - a fistula.

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 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 disorders. In this case, the following is carried out:

• removal of dead tissue around the seam
• washing the wound from pus
• removing the outer ends of the thread
• patient taking antibiotics and immune-boosting drugs

The surgical method includes a number of medical measures:

• make an incision to drain the pus
• remove the ligature
• wash the wound
• if necessary, perform the procedure again after a few days
• if there are multiple fistulas, you may be prescribed complete excision of the suture
• the stitches are reapplied
• a course of antibiotics and anti-inflammatory drugs is prescribed
• complexes of vitamins and minerals are prescribed
• standard therapy prescribed after surgery is carried out

Often the fistula must 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 the methods listed, 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 it 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 medicinal 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 plaster
• Apply a cabbage leaf to the fistula at night

Fistula can also be removed using 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
• carefully handle instruments before surgery
• avoid contamination of suture materials

For resorption and healing of postoperative sutures, antiseptic agents (brilliant, iodine, chlorhexidine, etc.) are used. Modern pharmacology offers other drugs of similar properties 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 the use of ointments for wet wounds of the skin is not recommended. They are prescribed when the healing process has already begun.

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

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

• Vishnevsky 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. Apply to both wound and bandage
• levosin – kills microbes, eliminates inflammation, promotes healing
• stellanin is a new generation ointment that removes swelling and kills infection, stimulates skin regeneration
• eplan is one of the most powerful local treatments. Has an 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 scar formation. Better to put under a bandage
• Actovegin is a cheaper analogue of solcoseryl. Successfully fights inflammation and 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. Additionally, it relieves pain and softens scars.
• Contractubex - used when the healing of the suture begins. Has a softening, smoothing effect in the scar area
• Mederma – helps increase tissue elasticity and lightens scars

Excellent absorbent agent

The listed medications are prescribed by a doctor and used under his supervision. Remember that you cannot self-medicate postoperative sutures in order to prevent wound suppuration and further inflammation.

One of the effective means for caring for postoperative sutures is a patch made from 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
• breathable, allowing the skin under the patch to breathe
• Helps soften and smooth out scars
• retains moisture well in fabrics, preventing drying out
• prevents scar enlargement
• easy to use
• There is no skin injury when removing the patch

Postoperative patch

Some patches are waterproof, allowing the patient to shower without risk of suture damage. The most commonly used patches are:

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

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

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

After childbirth, many women are faced with the phenomenon of stitches on the cervix, vagina or perineum. Let's look at what types of sutures there are, what complications can be encountered after their application, and what care they require after childbirth.

Depending on where the sutures are placed, they are divided into internal and external.

Internal seams

Internal ones are considered to be those that were applied for ruptures of the cervix or vaginal walls. Such sutures are applied after childbirth, when the doctor examines the genital organs. The procedure for suturing the uterus does not require anesthesia, since after childbirth the organ is absolutely insensitive. When suturing the vaginal walls, local anesthesia is given. Sutures are applied with self-absorbing threads that do not require removal.

External seams

External stitches include sutures placed on the perineum. They are applied when ruptures of the perineum appeared during childbirth or an artificial incision was made. If necessary, doctors give preference to incisions, preventing ruptures, since their edges are always smooth, which means they will heal faster. External sutures after childbirth are performed under local anesthesia.

The perineum can be sutured with threads, which require removal on the 5th day, or with self-absorbable threads. Also in this area, doctors can use a cosmetic suture, which came to gynecology from plastic surgery. This type of suture is characterized by the fact that the thread passes subcutaneously, and only its entrance and exit from the wound are visible.

How to treat and care for stitches after childbirth

During the first days in the maternity hospital, midwives handle the sutures. 2 times a day they treat the seams with a solution of brilliant green or potassium permanganate. You will continue processing at home. This will need to be done after each water procedure.

This is how external seams are treated. Internal seams do not require special care, provided that you do not have any infectious diseases. And this needs to be taken care of even before pregnancy.

In the first days after childbirth, when stitches were placed, you need to be careful with bowel movements so as not to overstrain the fused tissues. Ideally, at the first urge to ask for an enema or glycerin suppository.

After every trip to the toilet you should wash yourself. In the morning and evening you can use the intimate hygiene product. It is better to wash yourself in the shower, rather than in a basin of water. The sanitary pad needs to be changed every 2 hours. Even if you think it can still serve.

A good option for underwear would be disposable panties, which are made of breathable material. If there are none, then use cotton clothes. Do not put on underwear immediately after showering.

Air baths are good not only for children's skin, but also for your healing wounds. You should not rub the seams with a towel; it is better to blot them or wait until they dry completely.

Shapewear should not be used. The tightening effect cuts off blood flow and interferes with healing. Yes, you want to look good immediately after the baby is born, but wait a couple of months, and then you will be able to wear both a corset and panties.

And the most important. When applying postpartum sutures, you will not be able to sit for about 10 days - this is at least. After this period, if the stitches heal without complications, you can begin to sit on a hard surface. You need to rest while the sutures are healing while lying down or half-sitting. You cannot make sudden movements.

Previously, when newborns were separated from their mothers, those who had postpartum stitches were not allowed to get up until discharge. This allowed the sutures to heal much faster. Now, when children are with their mothers in the ward, bed rest is impossible. Therefore, you need to follow the recommendations regarding sitting as much as possible so that the seams do not come apart or become inflamed.

Complications of postpartum sutures

If a woman has had stitches after giving birth, she is examined by a doctor every day. If no violations are found, then the treatment procedure is standard: hydrogen peroxide and a solution of brilliant green or potassium permanganate. If deviations from the norm are noticed, then a decision is made depending on the situation.

The seams have come apart

If the wound has not yet healed and the stitches have come apart, they are reapplied. If the wound has healed, but several stitches of the suture have come apart, then the doctor can leave the situation as is (provided that there is no threat to the woman’s life). If the entire seam has come apart, then you will need to cut the wound and sew it up again. The stitches may come apart when the woman is already discharged from the hospital. This fact requires an immediate visit to the hospital and calling an ambulance.

The stitches are festering

The correct treatment of sutures that heal normally was discussed above. If inflammation or suppuration of internal or external postpartum sutures is detected, the doctor will prescribe additional measures to treat the wounds.


Hygienic care will be supplemented with tampons and ointments for sutures. Levomikol, Vishnevsky ointment or other ointments that relieve inflammation and suppuration can be used. If you discover uncharacteristic vaginal discharge while at home, then the next day you should consult a doctor for advice.

The stitches hurt

Painful sensations after applying both external and internal sutures will occur in any case. Normally, internal pain should go away within 2 days after birth. Discomfort when applying external sutures will persist much longer. Especially if you don't follow a routine and try to sit down early.

If the pain only appears when you sit, this is normal (unless it is very severe and can be tolerated). But, if you feel discomfort while standing or lying down, then this may indicate an inflammatory process. In this case, the pain cannot be tolerated. Seeing a doctor should be done immediately.

Postpartum sutures are sutures after surgery. In order for them to heal quickly and safely, you must take proper care of them. Of course, after the birth of the baby there will be plenty of other worries. But believe me, your baby needs a healthy mother. The more carefully you take care of your stitches, the faster they will heal and will no longer require attention.

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