The timing of suture removal varies widely depending on the location and dynamics of wound healing. As a rule, interrupted sutures from linear wounds are removed using the “halving” method on the 5th, 7th and 9th days. When removing sutures from a wound of complex configuration, they are removed from the tops of the flaps first (5th day), every second suture - on the 7th day, and the remaining sutures - on the 9th day.

To improve the healing of the wound edges and facilitate the removal of sutures, the nodes should be shifted to one side of the wound line.

Surgical tweezers and pointed scissors should be used to remove sutures. The use of a scalpel blade for this purpose is unacceptable.

Technique for removing interrupted sutures

1. After pre-treatment of the edges of the wound (suture area) with an antiseptic solution, the knot is fixed with surgical tweezers.
2. The seam is pulled up by 2-3 mm so that the part of the thread that was under the skin appears. At the same time, its characteristic whitish coloring is visible.
3. Using pointed scissors, cross the thread in the area of ​​characteristic staining under the knot.
4. The thread is removed and placed on a napkin or gauze ball.

1. To make this action as non-traumatic as possible, the surgeon’s hands must be supported.
2. After crossing the thread with the slightly open tips of the scissors, you can hold the skin while pulling the thread.

Removal of adapting interrupted sutures

1. Using tweezers, pull up that part of the thread that is on the surface of the skin on the side opposite to the knot.
2. The part of the thread that passes intradermally is crossed at the surface of the skin.
3. Cut the thread passing through the subcutaneous fatty tissue.
4. Having grabbed the knot, the threads are pulled out.

Use a gauze ball to hold or even slightly pull the skin along the suture line in the direction opposite to the movement of the thread.

When removing continuous double-row sutures over 10 cm in length, pull up and cut both threads under one of the knots. While pulling up the remaining knot, separately grab the subcutaneous thread, pull it out and cross it directly at the knot. The remaining intradermal thread is pulled out at a later date, holding the skin with a gauze ball and carefully pulling it with your hand in the opposite direction.

Finally, the skin scar is treated with an antiseptic.

G.M. Semenov, V.L. Petrishin, M.V. Kovshova

Sometimes a person cannot avoid surgery. In this case, an incision is made on the body, which is then sutured. Next comes the process of restoration and regeneration. On what day after surgery are sutures removed and is scar care necessary?

Features of removing postoperative sutures

Most require cutting into the patient's tissue. In order for the wound to heal, a suture is necessary. Although this process is very unpleasant, it is very important.

Of course, no one removes the stitches themselves. All manipulations should be performed only by a doctor. He will also assess the condition of the incision site and may adjust the time for removing the threads. As for the materials with which wounds are sutured, the following are used.

Fixed

Resorbable materials that do not need to be removed include catgut. Made from animal intestines. Used in surgery and internal organ transplantation. Convenient for superficial shallow wounds and cuts (perineal rupture after childbirth).

Removable

These are silk threads, nylon, nylon and even staples or wire. Such materials reliably fix the wound, and the likelihood of sutures coming apart is minimal. Requires mechanical removal.

So on what day are the stitches removed? This usually happens 7-10 days later. This period also depends on the type of operation and the characteristics of the patient. For surgery on the abdominal cavity, face, chest, the healing period will be approximately 7 days. After delivery by cesarean section, the process will take up to 8-10 days.

The sutures are removed only when the edges of the wound have already grown together. It’s also not worth overexposing. This threatens that the threads begin to grow into the skin and a fairly noticeable mark may remain.

Before removing the threads, the physician treats the surgical site. For manipulation, tools such as tweezers and scissors (or a scalpel) are needed. When several stitches are applied, they may not all be removed at once, but gradually.

This procedure can hardly be called pleasant, but at the same time it is practically painless. This is an important and necessary step on the path to recovery.

What determines the timing of thread removal?

What determines the time for suture removal? It depends on various factors, the most common are:

1. Part of the body. Different parts of the body are supplied with blood differently. Somewhere the regeneration process is faster, somewhere slower. The first thing to do is remove connecting materials from the face and neck area (sometimes 4-5 days). Later - from the feet and legs (on days 10-12).
2. Availability. If the incision is infected, the threads can be removed as early as the next day. Sometimes it is necessary to keep the wound open.
3. Body mass. The larger the fat layer, the worse the tissues grow together, and the slower the blood circulation.
4. Dehydration. Lack of fluid in the body negatively affects electrolyte metabolism and inhibits important processes.
5. Age. With age, the ability to regenerate decreases. For humans, the incision will take much longer to heal (about 2 weeks).
6. Presence of chronic diseases and status. Unfavorable processes in the body (HIV infection, chemotherapy) slow down the healing rate and increase the risk of complications after surgery.

The decision about when to remove the postoperative suture should be made by the attending physician. To do this, indicators of age, health, and the characteristics of a particular operation are taken into account. Despite the accepted standards, deadlines may vary.

Processing and required materials

Sutures require treatment for two weeks after surgery. This is necessary in order to prevent infection and suppuration of the incision site.

The following materials may be needed for manipulation:

• hydrogen,
• brilliant green, fucorcin,
• hypertonic solution,
• sterile napkins, bandages,
• alcohol, tweezers.

An approximate processing algorithm is as follows:

1. Moisten a sterile bandage with hydrogen and blot the desired area. Use tweezers. If you have a seam, the treatment should be delicate. No need to rub or press hard.
2. You can lightly cauterize the wound with alcohol (especially if the seam is inflamed in some places).
3. You need to apply a sterile bandage. Before this, the material is moistened in a solution of sodium chloride (10%) and wrung out. Another napkin is placed on top and secured with a bandage and adhesive tape.
4. If the seam is in good condition and there is no suppuration, it is enough to repeat the procedure every two days.

There is no need to remove crusts and whitish deposits of the epithelium yourself. If they are damaged, the skin is re-injured and the cosmetic seam may become more noticeable. It is impossible to completely get rid of it and the scar will accompany you for the rest of your life.

Scar follow-up care

If upon examination the doctor confirms that everything is fine with the incision site, no special care is required. It is enough to treat the scar with brilliant green once a day. It is better not to take cotton wool, its fibers can get caught on fabrics, and removing them will be quite problematic.

If the scar does not ooze, then there is no need to tape it. On the contrary, air access is needed for speedy healing.

The very next day after the stitches are removed, you are allowed to take a shower. The water temperature should be comfortable and close to the body. It is best to use a piece of gauze and baby soap for the area around the scar. After a shower, this area is lubricated with baby cream (not the scar itself).

Remember to monitor the condition of your skin even after the stitches are removed. If you notice the appearance of discharge or discharge, you need to inform your doctor. Sometimes the processing has to be entrusted to medical personnel.

The time for removing sutures may vary slightly depending on various factors - the nature, depth of the incision, and the health of the patient. The doctor decides when this should be done. Self-removal of threads is excluded. It is also important to remember to properly care for your scar at home. Report any suspicious changes to your doctor.

About caring for a postoperative suture after a cesarean section - on video:

Surgical suture material - Wikipedia

Surgical suture material- is a thread used to connect tissues to form a scar, or epithelization.

Suture materials have been used for several millennia. The first mention of suture material was found 2000 BC in a Chinese treatise on medicine. Mention was made of intestinal and skin sutures using threads of plant origin. In ancient times, various materials were used for seams: horse hair, cotton, scraps of leather, tree fibers and animal tendons.

In 175 BC, Galen first described catgut. Interestingly, the literal translation of this word from English is “cat gut.” In the mid-19th century, Joseph Lister described methods for sterilizing catgut threads and since then they have come into widespread practice as the only material. Another modern suture material is silk. Its use in surgery was first described in 1050 AD. In 1924, in Germany, Hermann and Hochl first produced polyvinyl alcohol, which is considered the first synthetic suture material. In 1927, in America, Corotes repeated the discovery and named the resulting material nylon. In the 30s, two more synthetic suture materials were created in Western laboratories: nylon (polyamide) and lavsan (polyester). Already in the late 30s and 40s, these materials began to be widely used in surgery.
In 1956, a fundamentally new material appeared: polypropylene.
In 1971, synthetic absorbable sutures were first used.

In appearance, surgical sutures can be interrupted (Fig. 1.1), continuous (Fig. 1.2), purse-string (Fig. 1.3), Z-shaped (Fig. 1.4) and wrapping. After applying the sutures, they are pulled together so that the edges of the wound touch and tied with a non-unraveling straight (sea) knot (Fig. 1.5). Some suture materials (nylon, nylon) are tied with a double (Fig. 1.6) or triple knot due to the fact that otherwise they are easily untied.
For suturing, needle holders and curved or straight needles of various curvatures and cross-sections are used. The thread is threaded into the eye of the needle from above (Fig. 2). Mechanical sutures using stitching machines (see) are becoming more and more widely used, and the suture material is metal staples (mostly tantalum).

A self-employed paramedic can apply stitches for accidental cut, uncontaminated wounds of the skin, face, lips, and fingers. Sutures accompanied by surgical treatment of the wound are performed only by a doctor. The removal of sutures is often entrusted to a paramedic or dressing nurse. It is performed on the 7-10th day after application (earlier - on the face, neck, in the absence of tissue tension and good wound healing, later - in elderly and senile patients). After lubricating the suture line with an alcohol solution of iodine, take one of the ends of the suture with anatomical tweezers and pull it so that a part of the thread not stained with iodine tincture appears below the knot (Fig. 3). It is crossed with scissors and the entire seam is removed by pulling. After secondary lubrication of the suture line with an alcohol solution of iodine, a cleol bandage is applied. Preparation of material for sutures - see Sterilization in surgery.
On some tissues and organs, special types of surgical sutures are used - intestinal suture (see), neural suture (see), vascular suture (see), tendon suture (see). Surgical sutures connecting bones - see Osteosynthesis.

Yes, sure. The condition of the wound and the degree of tension of its edges is one of many factors that determine the timing of suture removal. So, why is it that when low-energy tissue is removed with a scalpel during surgery for carpal tunnel syndrome, it is advised to remove the sutures on the 14th postoperative day, and for a wound inflicted with a circular saw, you can remove the sutures on the 7th day? Is there no difference in the condition of even the edges of these two compared wounds?

I see no reason for serious disagreement.
The sutures should be removed when the edges of the wound have more or less reliably grown together. I don’t think that those who suggested removing sutures on the abdomen a week after the operation, and those who advise removing sutures on the hand for 10-14 days, simply took these dates out of thin air. But serious disagreements will arise when the edges of the wound separate and a protruding bone fragment is discovered at the bottom, the closure of which will then have to be done for several additional weeks. Best case scenario.

I didn't understand the aggression. You provided quotes on removing sutures in several other clinical situations, this is the first thing. No one saw the wound at the top starter - that’s second. I see no reason for disagreement, no topic for discussion at all.

I didn't understand the aggression.

But there is no aggression. A harsh explanation of the situation - yes.

You provided quotes on removing sutures in several other clinical situations, this is the first thing. No one saw the wound at the top starter - that’s second.
Well, yes. I provided quotes from what caught my eye. Clinical situations are indeed different. You won’t mind that when a wound is inflicted with a circular saw, the condition of the soft tissues is much worse than when a skin incision is made with a scalpel as planned in a “clean” operating room? So, for some reason, with such a “clean” surgical wound, the sutures are not removed after 7 days. And there is only one explanation: the seams can come apart with the ensuing troubles. There are explanations for such timing of suture removal, but I didn’t come up with all this, so I won’t explain it. I focus on those specialists who wrote about such deadlines in smart books. I trust these authors, they are much smarter than me personally and they have more experience than I do. By the way, if you are interested, ask hand surgeons about the timing of suture removal. The latter encounter such pathology every day.

I see no reason for disagreement, no topic for discussion at all.
And there are disagreements, and all the more reason for discussion. It’s just that everyone has their own personal opinion and no one can force each other to do it this way and not differently. Everyone is responsible for themselves. But everyone can also express their opinion at the Forum.

Immersed and removable seams. Sutures in the depths of the tissues, which remain in the tissues forever, are made mainly from absorbable material, mainly catgut, or from absorbable material, for example, silk, linen threads. These seams are called submersible seams.

To stitch the skin and general surface tissues, non-absorbable material (staples) is used, as well as silk, linen threads or, in more rare cases, catgut. This type of seam is called a superficial or removable seam.

The timing of suture removal depends on many factors:

• the presence of local complications of the surgical wound
• regenerative features of the body
• the patient's condition
• his age
• anatomical region and its trophism
• the nature of the surgical intervention
• features of the disease.

The average time for removal of surgical sutures is 6-9 days after application, but usually the time frame differs depending on various factors.

The timing of suture removal depends on a number of factors:

Sutures should be removed only when the edges of the wound have fused securely. However, if the suture is not removed on time, this can also lead to problems. The stitches may fester and the threads may grow into the skin, leaving a more noticeable mark from the wound.

In any case, the decision on the need or possibility of removing sutures should be made by the surgeon after examining the wound.

Home " Postpartum period » How to remove stitches from a wound. Does it hurt to remove stitches?

Surgical sutures are the most common method today for connecting biological tissues: the walls of organs or the edges of wounds of various locations, which is used to stop bleeding or during surgery. For suturing, a variety of medical suture materials are used: non-absorbable or absorbable threads of synthetic or biological origin, as well as metal wire.

Sutures are divided depending on the timing of application: primary, delayed primary, provisional, early secondary and late secondary suture, as well as removable and embedded sutures.

A removable suture is a type of surgical suture when the suture material is removed from the tissues after healing of the wound, and when performing a submerged suture, the suture material remains in the tissues, is absorbed and encapsulated in the lumen of a hollow organ.

Primary suture - applied to the surgical wound immediately after the end of surgery or to a random wound immediately after its surgical treatment. A delayed primary suture is applied within a period of 24 hours to 7 days, before granulation develops in a random wound, and after its growth in the wound, an early secondary suture is applied after 8-15 days. A provisional suture is one of the varieties of a delayed primary suture, when the threads are applied during surgery and tied two to three days after surgery. And a late secondary suture is applied within a period of 15 to 30 days or more when scar tissue develops in the wound.

It is important to remember that removable sutures must not only be applied correctly, but also removed in time, since inflammation may begin due to the fact that the suture fixing material is foreign to the body, and if synthetic threads grow into biological tissues, it will be very difficult to remove them later . It should also be noted that it is not recommended to remove suture material at home - there is a very high risk of infection and the development of inflammation or divergence of the edges of the wound if surgical sutures are removed early. It is necessary to avoid a situation in which the suture festers. The timing of suture removal depends on various factors: the regenerative characteristics of the body, the anatomical area of ​​the wound and its trophism, the age and condition of the patient, the nature of the surgical intervention and the presence of local complications of the wound. On average, the time required to remove removable sutures from the skin or mucous membranes ranges from six to fourteen days. If you decide to remove these sutures at your own risk, then you need to understand how to remove the sutures correctly.

But there are situations when, for some reason, it is impossible to go to a medical institution to remove the stitches, and if you are confident that the wound has completely healed, they can be removed on your own. But this is only possible if sterility and safety conditions are fully observed (you should not remove sutures in the face area or in an inconvenient location yourself). To do this, you need to carefully remove the bandage or plaster applied to the area where the stitches are located and be sure to treat them with medical alcohol or iodine. To directly remove sutures, you need to take tweezers, scissors and a sterile napkin (instruments must also be treated with disinfectants and sterile). Using tweezers, one end of the thread is pulled up, and then it is carefully cut near the skin and pulled out with tweezers. You need to be careful that the thread located on the outside does not get inside, otherwise it may infect the wound. Don't forget to be aware of how to treat sutures after surgery. After removing all the sutures, it is necessary to treat the scar with an antiseptic and apply a sterile bandage.

After surgery, a scar remains on the body - an area of ​​connective tissue. Existing methods for getting rid of unsightly marks on the skin are varied. Therefore, the question of how to remove a scar after surgery should be preceded by a brief excursion into the typology of scars. The reasons for differences in the effectiveness of the same products are due to different characteristics of postoperative skin damage.

How are different types of scars treated?

Many methods are available to specialists in medical and cosmetic clinics. To choose a method for removing scars after surgery, you first need information about the type of damage. It is necessary to diagnose the condition of the patient’s skin and the whole body.

Features of scar correction

Types of scars	What they look like	How to remove a scar after surgery
Physiological (normotrophic)	It is located at or slightly below the rest of the skin.	-Sometimes it becomes invisible without treatment. -Silicone film or plate. -Light massage after healing of the incision with oils and creams. -Superficial peeling with fruit acids.
	Pulled into the skin.	-Start treatment as early as possible. -Chemical peeling. -Use of dermal fillers. -It is not recommended to operate.
	Dense to the touch, rises above the skin.	-Silicone plates. -Ointments with enzymes, hormones. -Microdermabrasion. -Laser resurfacing. -Surgical treatment (surgical excision, plastic surgery).
	Significantly rises above other areas of the skin. Causes itching, burning, pain.	-Difficult to correct. -Electrophoresis with hydrocortisone, lidase. -Injections of steroids into the scar area. - with enzymes, hormones. -Surgical methods can stimulate enlargement and relapses.

How to remove scars on the stomach?

Minimally invasive surgery has almost eliminated the side effects of surgical interventions in the form of long and wide scars. With a gentle technique, almost no traces of punctures remain. If scars after laparoscopy are properly cared for from the very beginning, the cosmetic effect will be excellent. Much depends on where the punctures are made. Typically, during laparoscopy, the doctor makes 3-4 small holes (about 1 cm or less):

• 1 - below the navel for introducing a mini-video camera into the abdominal cavity.
• 2–4 - in the lower abdomen for introducing microsurgical instruments.

Caring for punctures after laparoscopy is carried out in two stages and includes measures aimed at preventing the formation of scars:

1. Applications with a substance that stimulates healing (Curiosin gel).
2. Lubrication with a drug that softens scar tissue (Kontraktubeks gel).

Removing a scar on the abdomen after surgery

Correction methods	What actions are performed	What is the expected effect	How many procedures are recommended?
Surgical excision	Removal, application of cosmetic suture.	Elimination of scar and deformation.	1
Chemical peels	Treatments with solutions of AHA acids.	Scar surface smoothing, whitening, exfoliation.	1–8
Microdermabrasion	Treatment of the scar with aluminum oxide powder, grinding the surface.	Elimination of small scars.	1–10
Laser resurfacing		Reduction of scars.
Physiotherapeutic treatment	Various procedures	Softening scars.	5–15
Hormone therapy	Administration of glucocorticoids to the keloid.	Reduction of scars.
Silicone pads and others	Use simultaneously with drugs for resorption of scars after surgery.	Scars become soft, flat, and elastic.
Application of ointments	Applying to problem areas.	Flattening and normalization of scar color.

Video about keloid scars after surgery

Cicatrix cream from the Spanish company Catalysis (test results)

The most accessible ones - special creams and ointments - promote resorption and healing of scars. Such medications are varied, but their methods of use have much in common. Basically, it is necessary to apply the ointment to postoperative skin lesions 1–2 times a day and continue the course of treatment for at least 8–10 weeks.

The advantage of medications for topical use is a small number of contraindications compared to peelings, laser resurfacing, and surgical removal of scars.

Visible results from using the Cicatrix restorative cream from the Spanish company Catalysis appear after 3 weeks (on fresh scars). In 2007–2010, medical centers in Western Europe and Russia assessed the effectiveness of Cicatrix cream in a group of patients with fresh scars. Here are the results of the study published by the Testing Laboratory Center of the Central Clinical Hospital of the Russian Academy of Sciences.

Data from the testing laboratory of special dermatological products of the Central Clinical Hospital of the Russian Academy of Sciences

The researchers explained the positive results of using Cicatrix cream by the synergistic effect of the interaction of the components:

1. Asiatic and madecassonic acids in the Asian centella extract stimulate the activity of fibroblasts and improve microcirculation.
2. Pine extract (Pinus sylvestris) has antioxidant properties far superior to vitamins E and C. Prevents collagen destruction.
3. A unique lipid complex of ceramides and low molecular weight hyaluronic acid retain moisture.

According to the results of a study of Cicatrix cream, 84% of patients noted an acceleration of the regeneration process after surgical damage to the skin.

The restorative drug "Cicatrix" promotes proper healing of wounds by resorption and reducing the formation of scar tissue. The synthesis of collagen types I and III is activated, which compensates for the lack of the main building material of the skin. Cicatrix cream reduces chronic inflammation in damaged tissues and ensures normal epithelization.

In contact with

The most common way to connect the edges of wounds is to apply surgical sutures.

Before we figure out how many days to remove the seams, let’s clarify that there are two types of seams: immersed and removable.

Immersed seams(or non-removable) - made from a material that dissolves over time in the tissues of the body.

For permanent sutures, a natural material called catgut, made from thin sheep intestines, is used.

It is good in that it is not rejected by the human body, but the material does not provide great strength to the tissue connection.

Removable seams must be removed after the edges of the wound have fused.

Removable seams are much stronger. They are made using various materials:

• natural threads - silk and linen;
• synthetic threads - nylon, nylon, mersilene;
• metal parts - wire or brackets.

Correctly applied surgical sutures firmly connect tissues, do not disrupt blood circulation in the tissues adjacent to the wound, and do not leave cavities in the wound. This method of treatment provides optimal conditions for wound healing.

After the edges of the wound have fused, the skin sutures are removed: the knot is pulled upward until a thread hidden in the tissue appears above the skin, which is cut at the surface with scissors.

If the wound is very long, first the stitches are removed after one, and the second half after a few days.

The average time for removal of surgical sutures is 6-9 days after application, but usually the timing differs depending on various factors.

Features that affect the timing of suture removal

From parts of the body with good blood supply (neck and face), sutures are removed earlier - on days 4-6. From places with reduced regeneration (foot or lower leg), sutures are removed later - on days 9-12.

Also, a lot depends on the nature of the wound itself. If the wound is infected, some of the sutures are removed the next day after application, so that the wound heals better using the open method. From a clean wound, the sutures are removed after 5-7 days.

The characteristics of the body of the operated patient also matter, because the ability to regenerate tissue varies from person to person. Thus, older people must wear stitches longer; their stitches are removed no earlier than after 14 days. Also, the period of wearing sutures is extended for seriously ill people whose bodies are weakened by a long-term illness.

The period for removing sutures depends on the complexity of the operation and the depth of the wound incision. Surgeons themselves claim that the edges of wounds during abdominal operations heal faster if the patient does not have excess fat deposits.

When sutures are removed from a wound after common operations

Here are the times when sutures are usually removed after the most common surgical operations and for various parts of the body:

• after cesarean section: on the 8-10th day;
• after amputation: on the 12th day;
• after laparotomy: on day 7;
• after scleroplasty: on day 7;
• on the abdominal cavity: on day 7;
• on the chest: on the 7th day;
• on the face and neck: on the 7th day.

Sutures should be removed only when the edges of the wound have fused securely. However, if the suture is not removed on time, this can also lead to problems. The stitches may fester and the threads may grow into the skin, leaving a more noticeable mark from the wound.

In any case, the decision on the need or possibility of removing sutures should be made by the surgeon after examining the wound.

The timing of suture removal depends on many factors: the anatomical region, its trophism, the regenerative characteristics of the body, the nature of the surgical intervention, the patient’s condition, his age, the characteristics of the disease, the presence of local complications of the surgical wound. The average time frame that specialists are advised to focus on directly depends on the type of surgical intervention (what kind of operation was performed) and the patient’s condition (it is quite natural that the patient’s body, weakened, for example, by cancer, as mentioned earlier, will recover worse, this will require additional time for tissue scarring). Therefore, it is not correct to say immediately after how many days the stitches are removed for everyone.

Timing for suture removal

On the head - on the 6th day; - associated with a small opening of the abdominal wall (appendectomy, hernia repair) - on the 6th - 7th day; - requiring a wide opening of the abdominal wall (laparotomy or transection) - on days 9-12; - on the chest (thoracotomy) - on the 10-14th day; - after amputation - on the 10-14th day; - in elderly, weakened and cancer patients due to reduced regeneration - on the 14th-16th day.

Removing stitches

Sutures that have been placed on the skin and mucous membranes are easy to remove, so their removal is most often entrusted to an experienced nurse. In other cases, the work is carried out by a surgeon, however, almost all medical specialists can remove the sutures. But after how many days the sutures are removed is determined by the surgeon or another doctor.

How to remove stitches

Details of the procedure for removing stitches are outlined in the link. Key points: - Treat the skin around the seam and the seam itself with iodonate or iodopirone; - lift the knot with surgical tweezers; - slightly pull the ligature out of the suture channel so that when removing it, you do not pull part of the thread that is outside the skin through the channel; - cut the thread below the knot and pull it out entirely; - treat the seam with an antiseptic (iodonate or iodopirone) and apply an aseptic bandage.

Stitches after childbirth on the perineum

Healing of small wounds and sutures occurs within 2 weeks - 1 month after birth, deeper injuries take much longer to heal. During the postpartum period, it is necessary to take all precautions so that an infection does not develop at the site of the sutures, which can then enter the birth canal. Proper care of the damaged perineum will reduce pain and speed up wound healing.

Sutures after caesarean section

After a cesarean section, postoperative sutures are monitored especially carefully. For 5-7 days after the operation (before removing the sutures or staples), the procedural nurse of the postpartum department daily treats the postoperative suture with antiseptic solutions (for example, brilliant green) and changes the bandage. On the 5-7th day, the sutures and bandage are removed. If the wound was sutured with absorbable suture material (such material is used when applying a so-called cosmetic suture), then the wound is treated in the same way, but the sutures are removed (such threads are completely absorbed on the 65-80th day after surgery). The skin scar of sutures after cesarean section is formed approximately on the 7th day after surgery; therefore, already a week after a caesarean section, you can shower completely calmly. Just don’t rub the seam with a washcloth - this can only be done in another week.

Removing sutures in dentistry

Sutures are used to stabilize the edges of the wound and should be removed when sufficient tissue strength has been achieved. People often ask how to find out when this strength has reached and after how many days the stitches are removed. This usually occurs on the 5-10th day, in most cases on the 7th day. Materials: - Scissors. - Cotton scissors. - Double-sided scaler. - Hydrogen peroxide. - Preparation for topical anesthesia. - Cotton swabs. Method 1. To remove the bandage, use a scaler. First, the periodontal dressing must be loosened in the apical-coronal direction. This way, the tension will be in the direction of the tooth and not the soft tissue. 2. The area under the bandage is then lightly washed with hydrogen peroxide to remove blood clots, plasma and necrotic tissue, and rinsed with warm water. 3. To reduce sensitivity, some patients receive local anesthetic applications during suture removal. 4. When cutting loops of single or continuous seams, be sure to use sharp scissors.

Removal of sutures for blepharoplasty and canthoplasty of the eyes.

To remove sutures, the nurse prepares pointed, curved scissors, which must always be kept in a jar of alcohol. Place cotton wool at the bottom of the jar to prevent the ends of the scissors from becoming dull. To remove the suture, ocular anatomical tweezers should be prepared, since it is impossible to hold the loop of the conjunctival or corneal suture with surgical ones. First, a 0.5% solution of dicaine is instilled into the eye several times for 3-5 minutes. Sutures are removed 4-5 times after almost any eye surgery.