What is the best way to treat postoperative sutures? What ointment is there for healing sutures after surgery?

The surgical suture, which was applied using threads, must be removed on time. Any thread other than absorbable thread is considered foreign to the body. If you miss the moment to remove the suture, the threads can grow into the tissue, which will lead to inflammatory formations.

The threads must be removed medical worker in the presence of special disinfected instruments. However, if it is not possible to visit a doctor, and the time to remove the threads has come, you need to remove the foreign material yourself.

You need to follow the instructions:

• Prepare everything necessary materials for treatment: antiseptic, scissors, bandages for dressing, antibiotic ointment
• Process metal tools. Wash your hands up to the elbows and also treat
• Carefully remove the bandage from the scar and treat the wound and the area around it. The lighting should be as comfortable as possible in order to examine the scar for the presence of inflammatory processes
• Using tweezers, lift the knot from the edge and cut the thread with scissors
• Slowly pull the thread and try to pull it out completely. When the thread is removed, you need to make sure that all suture material deleted
• Treat the scar with an antiseptic. Cover the stitch with a bandage for further healing
• When the threads are removed, micro wounds are formed. Therefore, at first you need to continue processing, applying a bandage.

How to get rid of seal on a seam?

The seal on the scar appears due to accumulation. Usually it is not dangerous to health, but sometimes it can cause serious harm:

• with inflammation. Painful symptoms, redness appear, t increases
• purulent formations
• the appearance of keloid scars - when the scar becomes more pronounced

Advantages of using patches:

• prevents infection from entering the wound
• sucks out purulent formations from the scar
• does not cause allergic reactions
• Excellent air permeability, which allows the wound to heal faster
• softens and nourishes young skin, helps smooth out scars
• doesn't let you dry out
• protects the scar from injury and stretching
• easy to use, easy to remove

List of the most effective patches after surgery:

• Cosmopore
• Mepilex
• Mepitak
• Gidrofim
• Fixopor

To effectively tighten the scar, medications can be applied to the surface of the shepherd:

• Antiseptics. Have a wound-healing effect, protect against infection
• Analgesics and non-steroidal drugs - have an analgesic effect
• Gel - help the scar to dissolve

Rules for using patches:

• Remove the packaging, release the adhesive side of the patch from the protective film
• Apply the adhesive side of the patch to the body so that the soft pad is on the scar
• Use once every 2 days. During this entire period, the patch must remain on the scar.
• It is important to periodically check the condition by unfastening the shepherd

We must not forget that restoration of the suture after surgery depends on sterility. It is important that germs, moisture, and dirt do not get on the wound. An ugly scar will gradually heal and resolve only if you properly care for the scar. Before using any remedy, a mandatory consultation with a surgeon is required.

Any surgical intervention is a forced measure associated with varying degrees of trauma to body tissues. The recovery time of the body after surgery and the speed of healing of the sutures determine how quickly the patient can return to active life. Therefore, questions about how quickly the sutures will heal and how to avoid postoperative complications are so important. The speed of wound healing, the risk of complications and appearance scar after surgery. We'll talk more about seams today in our article.

Types of suture materials and suturing methods in modern medicine

An ideal suture material should have the following characteristics:

Be smooth and glide without causing additional damage. Be elastic, stretchable, without causing compression and tissue necrosis. Be durable and withstand loads. Tie securely in knots. Be biocompatible with body tissues, inert (do not cause tissue irritation), and have low allergenicity. The material should not swell from moisture. The period of destruction (biodegradation) of absorbable materials must coincide with the time of wound healing.

Different suture materials have different qualities. Some of them are advantages, others are disadvantages of the material. For example, smooth threads will be difficult to tighten into a strong knot, and the use of natural materials, so valued in other areas, is often associated with an increased risk of developing infection or allergies. Therefore the search ideal material are ongoing, and so far there are at least 30 thread options, the choice of which depends on specific needs.

Suture materials are divided into synthetic and natural, absorbable and non-absorbable. In addition, materials are manufactured consisting of one thread or several: monofilament or multifilament, twisted, braided, having various coatings.

Non-absorbable materials:

Natural - silk, cotton. Silk is a relatively durable material, thanks to its plasticity it ensures the reliability of knots. Silk is a conditionally non-absorbable material: over time, its strength decreases, and after about a year the material is absorbed. In addition, silk threads cause a pronounced immune response and can serve as a reservoir of infection in the wound. Cotton has low strength and is also capable of causing intense inflammatory reactions. Threads from of stainless steel They are durable and produce minimal inflammatory reactions. Used in abdominal surgeries, when suturing the sternum and tendons. The best characteristics have synthetic non-absorbable materials. They are more durable and their use causes minimal inflammation. Such threads are used for matching soft tissues, in cardiac and neurosurgery, and ophthalmology.

Absorbable materials:

Natural catgut. The disadvantages of the material include a pronounced tissue reaction, the risk of infection, insufficient strength, inconvenience in use, and the inability to predict the timing of resorption. Therefore, the material is currently practically not used. Synthetic absorbable materials. Made from degradable biopolymers. They are divided into mono and polyfilament. Much more reliable compared to catgut. They have certain periods of resorption, which differ from one another to another. different materials, quite durable, do not cause significant tissue reactions, and do not slip in the hands. Not used in neuro and cardiac surgery, ophthalmology, in situations where constant strength of sutures is required (for suturing tendons, coronary vessels).

Suture methods:

Ligature sutures - they are used to ligate vessels to ensure hemostasis. Primary sutures - allow you to compare the edges of the wound for healing by primary intention. Sutures can be continuous or interrupted. According to indications, immersed, purse-string and subcutaneous sutures can be applied. Secondary sutures - this method is used to strengthen primary sutures, to re-close a wound with a large number of granulations, in order to strengthen a wound that heals by secondary intention. Such sutures are called retention sutures and are used to unload the wound and reduce tissue tension. If the primary suture was applied in a continuous manner, interrupted sutures are used for the secondary suture, and vice versa.

How long do stitches take to heal?

Every surgeon strives to achieve wound healing by primary intention. In this case, tissue restoration takes place in as soon as possible, swelling is minimal, there is no suppuration, the amount of discharge from the wound is insignificant. Scarring with this type of healing is minimal. The process goes through 3 phases:

Inflammatory reaction (first 5 days), when leukocytes and macrophages migrate to the wound area, destroying microbes, foreign particles, and destroyed cells. During this period, the connection of the tissues has not reached sufficient strength, and they are held together by seams. The phase of migration and proliferation (up to the 14th day), when fibroblasts produce collagen and fibrin in the wound. Thanks to this, granulation tissue is formed from the 5th day, and the strength of fixation of the wound edges increases. Phase of maturation and restructuring (from the 14th day until complete healing). During this phase, collagen synthesis and connective tissue formation continues. Gradually, a scar forms at the site of the wound.

How long does it take for stitches to be removed?

When the wound has healed to the point that it no longer requires the support of non-absorbable sutures, they are removed. The procedure is carried out under sterile conditions. At the first stage, the wound is treated with an antiseptic, and hydrogen peroxide is used to remove crusts. Grasping the thread with surgical tweezers, cross it at the point where it enters the skin. Gently pull the thread from the opposite side.

Suture removal time depending on their location:

Sutures on the skin of the torso and limbs should be left in place for 7 to 10 days. Stitches on the face and neck are removed after 2-5 days. Retention sutures are left in place for 2-6 weeks.

Factors influencing the healing process

The speed of healing of sutures depends on many factors, which can be divided into several groups:

Features and nature of the wound. Definitely, wound healing after minor surgery will be faster than after laparotomy. The process of tissue restoration is lengthened in the case of suturing a wound after an injury, when there has been contamination, penetration of foreign bodies, and crushing of tissue. Location of the wound. Healing occurs best in areas with good blood supply and a thin layer of subcutaneous fat. Factors determined by the nature and quality of surgical care provided. In this case, the features of the incision, the quality of intraoperative hemostasis (stopping bleeding), the type of suture materials used, the choice of suturing method, compliance with aseptic rules, and much more are important. Factors related to the patient’s age, weight, and health status. Tissue repair is faster at a young age and in people with normal body weight. Chronic diseases prolong the healing process and can provoke the development of complications, in particular, diabetes and other endocrine disorders, oncopathology, vascular diseases. At risk are patients with foci of chronic infection, with reduced immunity, smokers, and HIV-infected people. Reasons related to caring for the postoperative wound and sutures, compliance with diet and drinking habits, physical activity of the patient in the postoperative period, following the surgeon’s recommendations, and taking medications.

How to properly care for seams

If the patient is in the hospital, the sutures are cared for by a doctor or nurse. At home, the patient should follow the doctor's recommendations for wound care. It is necessary to keep the wound clean, treat it daily with an antiseptic: a solution of iodine, potassium permanganate, brilliant green. If a bandage is applied, consult your doctor before removing it. Special medications can speed up healing. One of these products is contractubex gel, containing onion extract, allantoin, and heparin. It can be applied after epithelization of the wound.

For the speedy healing of postpartum sutures, strict adherence to hygiene rules is required:

• washing hands thoroughly before using the toilet;
• frequent change of gaskets;
• daily change of linen and towels;
• within a month, taking a bath should be replaced with a hygienic shower.

If there are external stitches on the perineum, in addition to careful hygiene, you need to take care of the dryness of the wound; for the first 2 weeks you should not sit on a hard surface, constipation should be avoided. It is recommended to lie on your side, sit on a circle or pillow. The doctor may recommend special exercises to improve blood supply to tissues and wound healing.

Healing of sutures after caesarean section

You will need to wear a postoperative bandage and maintain hygiene; after discharge, it is recommended to take a shower and wash the skin in the suture area twice a day with soap. At the end of the second week, you can use special ointments to restore the skin.

Healing of sutures after laparoscopy

Complications after laparoscopy are rare. To protect yourself, you should remain in bed for 24 hours after the intervention. At first, it is recommended to stick to a diet and give up alcohol. For body hygiene, a shower is used, and the suture area is treated with an antiseptic. The first 3 weeks limit physical activity.

Possible complications

The main complications during wound healing are pain, suppuration and insufficient sutures (dehiscence). Suppuration can develop due to the penetration of bacteria, fungi or viruses into the wound. Most often, infection is caused by bacteria. Therefore, after surgery, the surgeon often prescribes a course of antibiotics for prophylactic purposes. Postoperative suppuration requires identification of the pathogen and determination of its sensitivity to antibacterial agents. In addition to prescribing antibiotics, the wound may need to be opened and drained.

What to do if the seam comes apart?

Suture insufficiency is more often observed in elderly and debilitated patients. The most likely timing of complications is from 5 to 12 days after surgery. In such a situation, you should immediately seek medical help. The doctor will decide on further management of the wound: leave it open or re-suture the wound. In case of evisceration - penetration of an intestinal loop through a wound, emergency surgical intervention is required. This complication may occur due to bloating, severe coughing or vomiting.

What to do if the stitch hurts after surgery?

Pain in the suture area for a week after surgery can be considered normal. During the first few days, the surgeon may recommend taking a painkiller. Following the doctor’s recommendations will help reduce pain: limiting physical activity, wound care, wound hygiene. If the pain is intense or persists for a long time, you should consult a doctor, since pain may be a symptom of complications: inflammation, infection, formation of adhesions, hernia.

You can speed up wound healing by using folk remedies. For this purpose, herbal mixtures are used internally in the form of infusions, extracts, decoctions and local applications, herbal ointments, rubbing. Here are some of the folk remedies used:

Pain and itching in the suture area can be relieved with herbal decoctions: chamomile, calendula, sage. Treatment of the wound with vegetable oils - sea buckthorn, tea tree, olive. The frequency of treatment is twice a day. Lubricating the scar with a cream containing calendula extract. Applying a cabbage leaf to the wound. The procedure has an anti-inflammatory and healing effect. Cabbage leaf must be clean, it must be doused with boiling water.

Before using herbal remedies, you should definitely consult a surgeon. He will help you choose individual treatment and give the necessary recommendations.

One of the most common complications during childbirth is ruptures during childbirth of the soft tissues of the birth canal, which include the cervix, vagina, perineum and external genitalia. Why does this happen and is it possible to avoid stitches? In fact, it is impossible to single out any one reason for breakups. But some of them can be influenced.

First of all, it is necessary to remember that only healthy tissues have sufficient elasticity and stretchability. Inflamed tissue is fragile and swollen, so under any mechanical stress it does not stretch, but tears. Thus, any inflammation of the genital organs the day before can lead to ruptures during childbirth. Therefore, about a month before giving birth, every woman should undergo an examination and take a smear for microflora. If inflammation is detected, treatment must be prescribed followed by monitoring its effectiveness. Another reason for decreased tissue elasticity is previous injuries (scar tissue does not contain elastic fibers and therefore practically inextensible). So, if during a previous birth a perineal incision was made, as a rule, during subsequent births this is also necessary.

Rapid labor, lack of coordinated work between the woman and the midwife, large sizes child or incorrect insertion of the presenting part of the fetus is another cause of ruptures during childbirth. In an ideal birth, the fetus moves through the birth canal gradually and body tissues expectant mother manage to adapt to the increasing pressure, they stretch more and more each time. If the body does not have time to adapt, this leads to impaired blood supply and swelling of the tissues of the birth canal, which inevitably ends in rupture.

Sutures after childbirth: repair of tears and incisions

All injuries to the birth canal are subject to mandatory treatment. It begins when examining the birth canal immediately after separation of the placenta. For suturing small cervical tears, anesthesia is not required, since there are no pain receptors in the cervix. If a very deep rupture is found (which is rare), the woman is placed under general anesthesia to examine the uterine cavity to determine the depth of the rupture. Cervical ruptures are sutured with absorbable material.

After examining the cervix, the vaginal walls are examined. If there are few tears during childbirth and they are shallow, then local anesthesia will be sufficient - the edges of the wound are pricked with painkillers. For deep and multiple ruptures, general anesthesia is used. If epidural anesthesia was used during childbirth, then during suturing the anesthesiologist adds an analgesic to the existing catheter. Tears in the vaginal walls are repaired with absorbable sutures that do not need to be removed.

Small cracks in the external genitalia often do not require suturing, as they heal quickly, but this part of the birth canal is very well supplied with blood, therefore, if the cracks are accompanied by bleeding, they must be sutured after childbirth. Injuries to the external genitalia are very painful, so medical procedures in this area often require general anesthesia. The sutures are placed with very thin absorbable sutures that do not need to be removed.

At the end of the postpartum examination, the integrity of the perineum is restored. Currently, sutures after childbirth are more often applied with absorbable suture material and do not require removal; interrupted non-absorbable sutures are less common.

A separate case of sutures during childbirth are sutures after a caesarean section. Previously when caesarean section They cut the stomach in the middle “from the navel to the pubis” and placed interrupted sutures. Now they make a small incision along the pubic hairline. Most often, a special continuous cosmetic suture is applied, less often - interrupted sutures or metal staples. Sutures after cesarean section are removed on the 7th–9th day. At proper care a year after the operation, a thin, thread-like white scar remains, which is easily covered even by bikini bottoms.

Healing of sutures after childbirth

Of course, all young mothers are concerned with the question of how long it takes for stitches to heal after childbirth? So, this process depends on the size of the damage, proper care, general condition of the body, methods and materials used for suturing. When using natural or synthetic absorbable materials, wound healing occurs in 10–14 days, sutures dissolve in about a month. When using metal braces and non-absorbable material, they are removed after childbirth on average on the 5th day in the maternity hospital, before discharge. In this case, wound healing will take longer - from 2 weeks to 1 month.

Stitches in the vagina and cervix

Self-dissolving sutures in the vagina and cervix do not require special care. There is no need to process or remove them, you just need to ensure complete peace and cleanliness. Postpartum discharge is an ideal substrate for the proliferation of pathogenic bacteria. Therefore, during the first three weeks after birth, it is necessary to especially carefully observe the rules of personal hygiene so that the infection does not enter the genital tract. Before each visit to the toilet and changing a sanitary pad, wash your hands thoroughly with soap and water. After using the toilet, remove the old gasket from front to back. Wash the perineum with warm water and soap. The direction of movement and water flow should always be from the genitals to the rectum. After washing the genitals, blot them dry with a napkin or a well-absorbing towel. Such a towel, like underwear, must be changed immediately when soiled by secretions, and every day - if it all remains clean in appearance. Even if you don't feel the urge to urinate, be sure to go to the toilet every 3-4 hours. But you won’t be able to take a bath in the first month after giving birth.

Stitches on the crotch

The presence of seams on the perineum will require even more careful hygiene. In the first two weeks, they hurt quite a lot, it’s hard to walk, and sitting is forbidden; mothers feed them lying down, and they also have to eat lying down or standing. This does not apply to going to the toilet, since you can sit on the toilet already on the first day after the baby is born. Wash your hands and crotch using antiseptic soap. Do not touch the seam area with your hands. In the first days, pads must be changed frequently, sometimes every 2 hours, since in order for the wound to heal as quickly as possible, it must be kept dry. Use special disposable panties for the postpartum period or loose cotton underwear.

While you are in the maternity hospital, the midwife will treat the sutures twice a day, using a solution of potassium permanganate or brilliant green. Removing threads is a low-painful procedure that significantly relieves discomfort.

In the first days after childbirth, it is necessary to delay bowel movements; to do this, it is better not to eat cereals, fruits, vegetables and other foods that stimulate bowel movements. This usually does not cause big problems, since a cleansing enema is performed before childbirth. After 3 days, laxatives will help restore stool if necessary. To avoid constipation, you can drink a tablespoon before meals vegetable oil, then the stool will become soft and will not affect the healing of the sutures.

After the stitches are removed and discharged from the hospital, if the damaged areas are healing well, there is no need for treatment. It is allowed to sit on something hard only after 2 weeks and only on the healthy buttock opposite the side of the incision.

Do the following exercise several times throughout the day: pull in the muscles of the vagina, perineum and anus. Stay in this state for a few seconds, and then relax your muscles. Then repeat everything again. The exercise can be done for 5–10 minutes. It stimulates blood flow to organs and promotes better healing. The knots of absorbable sutures fall off around the third week. Chamomile infusions will help relieve pain and itching in the suture area. You can wash yourself with this infusion, or you can moisten a gauze pad with it and apply it to the wound for 1–2 hours. Some women use cold compresses. To do this, put crushed ice in a sterile rubber glove. The glove is applied to the wound for 20–30 minutes. During the first month, try not to sit or stand for long periods of time. It is better to lie on your side and sit on a pillow or circle. At the end of the first month after giving birth, you should visit a gynecologist in the antenatal clinic. He will examine the sutures and remove any remaining absorbable sutures if necessary.

Sutures after caesarean section

Stitches after caesarean section. Women who have undergone a cesarean section should be prepared to experience pain in the area of ​​the postoperative wound for 2–3 weeks. In the first days you have to use painkillers. During this time, when you walk, you need to wear a postoperative bandage or tie your stomach with a diaper.

You should not lie in bed, since getting up early and moderate activity (caring for the baby, walking along the corridor) not only improves intestinal motility, but also contributes to better contraction of the uterus and faster healing of the postoperative wound. While you are in the hospital, the treatment nurse will clean the stitches with an antiseptic solution and change the dressing daily. It is important to protect this dressing from water, so cover it with a towel when washing. You should ensure that the clothing surrounding the wound is always clean. Underwear, including a nightgown, is changed every day, and even more often as it gets dirty.

After the stitches are removed, you can be discharged home and take a shower. As a rule, additional seam processing is no longer necessary. For the first 2 weeks after discharge, the skin should be washed with soap and water 2 times a day. After washing the seams, they should be carefully blotted dry with a disposable or freshly washed towel.

Until the wound has completely healed, it is recommended to wear lightweight, breathable underwear. Thick underwear can injure the seam after a cesarean section. The best option are loose trousers made of cotton, with a high waist. In the first month after giving birth, a new mother is not recommended to lift weights more than the weight of the child. You also need to wear a special postpartum bandage. At first, the scar may be very itchy, this is due to the healing process, you just need to be patient. By the end of the second week after childbirth, you can begin to lubricate the scar with creams and ointments that improve skin restoration.

Complications after childbirth

A feeling of heaviness, fullness, or pain in the perineum may indicate accumulation of blood (formation of a hematoma) in the area of ​​injury. This usually happens in the first three days after giving birth while still in the maternity hospital, so you should immediately report this feeling to your doctor.

Dehiscence of sutures most often occurs in the first days or immediately after their removal, rarely later. The reason may be early sitting down, sudden movements, violation of sterility and poor comparison of tissues during suturing, as well as non-compliance with hygiene rules of the postpartum period. This is a rare complication that occurs with serious deep ruptures of the perineum. If, after being discharged home, the suture area begins to bleed, hurt, turn red, or purulent discharge appears, you should urgently consult a gynecologist, as most likely an infection has occurred and inflammation has occurred. To treat, the wound will need to be treated with various antiseptics, and sometimes special surgical treatment may be required.

Complications after childbirth require immediate treatment, as they can lead to very serious consequences - postpartum peritonitis (inflammation of the abdominal cavity) or sepsis (a general infection of the entire body that spreads through the blood). Therefore, if you are concerned about anything about your condition, be sure to consult a doctor.

The main stage, which requires careful adherence to the rules of asepsis and antiseptics, is processing.

Using a sterile bandage, properly treat the skin in the direction from the wound, at a distance of at least 2.5 cm, and only then apply a bandage with a sterile bandage.

You can use a bandage to secure it; it will prevent slipping and will hold the bandage securely. Stitches should be disinfected at home every day, at the same time.

What is seroma?

If the seam hurts and a lump appears, then these are the first symptoms of seroma.

It develops due to the fact that during the operation a large volume of tissue is dissected and fluid – lymph – is released around it.

If analgesics and anti-edema drugs are insufficiently introduced into the body, the fluid stagnates in the wound channel and it is painful for the patient to touch the tissues.

And this means it’s time to urgently contact your doctor or the operating surgeon.

Healing and removal of sutures, on what day?

Do accurate forecast and it is almost impossible to clearly formulate the healing time of postoperative sutures. How many days after sutures can be removed depends on many factors.

In different parts of the body, soft tissue regeneration occurs at different rates.

1. During a caesarean section, the sutures can be removed on the 10th day.
2. For amputation - on the 12th day.
3. For operations on the abdomen and abdominal organs - on the 7-8th day.
4. During operations on the chest organs - through the chest.
5. For facial surgeries – after 7 days.

If the incision site itches, this indicates normal healing by primary tension of the wound.

Normally, after the edges of the wound have fused, the threads are easy to remove, but if you ignore the timing of removal, inflammation and redness of the scar will begin.

Often, when trying to remove stitches yourself, part of the thread remains in the wound. Upon examination, it is easy to see the place where the thread sticks out, going into the soft tissue.

The consequences of such self-medication are a fistula at the suture through which infection occurs. Pathogenic organisms freely enter the body cavity, a significant thickening of the scar is noticeable, and an unpleasant odor appears from the wound.

What to do if the seam comes apart?

Sutures after surgery come apart quite rarely, this is largely due to the severe current illness, but there are other reasons:

1. If the reason for the operation was purulent diseases - purulent cholecystitis, peritonitis.
2. Incorrect management of the postoperative period - early physical exercise, injury to the postoperative suture.
3. The stitches are too tight.
4. Low muscle tone, excess weight, tumors.

If internal organs and subcutaneous fatty tissue are visible at the site of the broken suture, then immediate hospitalization is indicated.

If the edges of the wound are partially separated, and when pressure is applied, serous fluid or pus oozes from it, then you can turn to the surgeon who performed the operation for help.

Further treatment tactics will be based on the results of blood tests, bacteriological culture of the wound contents, and diagnosis using ultrasound or CT will provide information about the condition internal organs.

Home remedies

In the postoperative period, when the patient’s condition is completely stabilized and there are no complications, further care and treatment is carried out at home.

If the area sutured after surgery becomes wet, it is better to carry out the treatment twice a day, noting the condition of the scar.

If there is suppuration under the suture, then under the supervision of a surgeon, blockade of the wound with a 0.25-0.5% novocaine solution with antibiotics is indicated, and in addition, drugs that resolve the pus are prescribed.

If an allergy appears to any of the components of the ointment, treatment is carried out with cleansers for sensitive skin.

Folk remedies that promote healing and smoothing of scars can be used after the approval of a doctor.

A simple ointment to help scars heal faster: 5 g. calendula cream, 1 drop each of orange and rosemary oil.

The ointment gently dissolves the scar, and the oils in the composition are responsible for the gradual lightening of the scar area. After six months, the place where the old scar formed will almost match the color of the skin.

Seam drainage

Drainage is installed in a postoperative wound in order to speed up healing by removing blood clots, lymph, and pus from it.

Typically, wound drainage is indicated for no more than 3-4 days. This term is enough for the wound to cleanse and heal by secondary intention.

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Therapeutic treatment of surgical sutures for rapid healing

The patient is not always given recommendations on how to treat the postoperative suture for better healing. Modern means are presented in a wide variety, the main thing is not to make a mistake with the choice. Products that are identical in purpose may not be suitable in different situations. The patient should know in which case to use one or another method of therapy.

Why is it important to properly handle the suture after surgery?

The attending doctor should provide information about further manipulations, but, unfortunately, this does not always happen in modern clinics and hospitals. The patient returns home after long-term therapy and does not know how to properly treat the postoperative suture for better healing. Correct tactics are important for quick and rapid healing. Surgeons focus on home treatment of sutures; they become common cause complications.

If redness, swelling forms at the site of the postoperative suture, blood, pus, bile, etc. are released, you should immediately seek help from a doctor, this indicates a complication. It is necessary to carefully monitor the condition of the wound after surgery.

Conduct correct processing wounds are important for the following reasons:

• to avoid serious complications that could lead to repeat surgery;
• to maintain the sterility of the wound to prevent suppuration and infection;
• For get well soon;
• to prevent pain;
• to avoid the inflammatory process.

If a person correctly performs the manipulations to treat the seam, recovery occurs on average after 2 weeks. It all depends on the type of operation, severity, and type of suture.

How does rapid healing occur?

Wound healing occurs differently in each patient, depending on the type of suture and the severity of the surgical intervention performed. You should never leave a wound untreated. Processing is necessary for it to occur fast recovery, the seam healed without complications.

Get rid of it quickly unpleasant consequences after surgery, ointments and others help on the skin medications antiseptic, anti-inflammatory, regenerating effects. They are necessary in order to:

• rapid tissue regeneration occurred (recovery, wound closure);
• no inflammatory process occurred due to antibacterial and antiseptic properties;
• improve the quality of newly formed tissue;
• reduce internal intoxication.

Healing occurs in several stages, they are clearly visible during processing manipulations. Firstly, the wound is disinfected, which promotes healing; bacteria cannot prevent the wound from healing. Secondly, the ointments and creams used help speed up regeneration, that is, help the skin recover and improve the quality of the new tissue being formed.

Taken together, all actions lead to the fact that the seam heals soon.

Treatment - how to speed up the healing of postoperative sutures with ointments and other means

At the initial stage, each operated patient should understand the stages of suture treatment in order to understand when it is necessary to perform the necessary actions (apply ointment, clean the wound, etc.).

Seam processing at home is performed as follows:

• carefully remove the bandage from the suture, applied in a medical institution (if the bandage has dried, you should slightly soak it with hydrogen peroxide);
• analyze the condition of the postoperative wound to exclude the appearance of pus, bile, swelling, etc. (if these symptoms occur, you should contact a medical facility);
• if there is a small amount of blood, it should be stopped before manipulation with a bandage;
• First, hydrogen peroxide is applied, you should not skimp on the liquid, it should moisten the wound generously;
• you need to wait until the product stops contacting the seam (stops hissing), then carefully wipe it off with a sterile bandage;
• then, using a cotton swab, the wound along the edges is treated with brilliant green;
• ointments should be applied only after the stitch begins to heal a little, approximately 3-5 days after discharge.

You can speed up the healing of postoperative sutures with the help of special ointments. They are aimed at accelerating tissue regeneration and providing an anti-inflammatory effect. Popular ointments include:

1. Contractubex – heals postoperative sutures, applied approximately 5-7 days from the date of application. The ointment is applied to the problem area 2 times a day, morning and evening, by rubbing until completely absorbed. The average course of therapy is a month.
2. Actovegin. The wound heals faster with the help of ointment due to the anti-inflammatory effect. The main advantage of the drug is the virtual absence of an allergic reaction in patients, due to which the drug can be used during pregnancy and lactation. Should only be used on the advice of a specialist. The product comes in different forms in the form of cream, ointment, and gel.
3. Vulnuzan is an inexpensive product with anti-inflammatory, antiseptic, and regenerating effects. Can be used during periods of purulent discharge. Apply to the immediate affected area every day until the discharge completely disappears.
4. Levomekol is a popular ointment for wounds, abrasions, and cracks. Widely used in postoperative practice. It has antibacterial, anti-inflammatory, wound healing and regenerating properties. Has many positive reviews among doctors and patients. It can also be used during the period of pus discharge and complications. The downside of the product is that it cannot be used during pregnancy and breastfeeding.

1. Iodine is an inexpensive and easy-to-use remedy; you can call it an analogue of brilliant green. But it is not recommended to use it frequently, every day; it is worth taking a alternate course with ointments, since the liquid can significantly dry out the skin, which will cause slow regeneration.
2. Dimexide is a solution widely used in postoperative practice. With the help of the drug you can not only treat the wound, but also make lotions and compresses.
3. Miramistin is suitable as an antiseptic. It can be used instead of hydrogen peroxide. It is believed that due to its antimicrobial properties, the drug is more effective in therapy. Apply throughout treatment to cleanse the wound.

Possible complications - what to do if the seam becomes inflamed?

To begin with, the patient should understand what inflammation is, how it manifests itself and is recognized, in what situation home therapy should be carried out, and when to seek medical help. The following symptoms may indicate the presence of an inflammatory process in a postoperative suture:

• there is redness and swelling in the wound area;
• the pain syndrome becomes stronger every day;
• During palpation, a compaction is felt; as a rule, it does not have sharp boundaries;
• on days 4-6, fever, chills, and symptoms of intoxication appear;
• the emergence of a specific substrate from the wound, suppuration.

The causes of such complications could be the following factors:

• penetration of infection into the wound;
• improper care or lack of care for the postoperative suture;
• incorrectly installed or inadequate drainage installed after surgery;
• making a surgical error after the operation.

When the first signs of inflammation appear, it is worth carrying out hygienic treatment of the wound every day with hydrogen peroxide, iodine, and brilliant green. Repeated manipulations may be required depending on the condition of the lesion. When there is no pus, redness and swelling are observed, a one-time treatment can be used. In other cases, from 2 to 4 times a day. After treatment, it is recommended to apply a sterile bandage with ointment, which can be used during the inflammatory process.

If the wound does not heal for more than 2 weeks, despite frequent treatment, begins to bleed heavily, or pus appears, you should immediately visit a surgeon. It may be necessary to probe the wound and draw out the exudate (discharge). Also read the article - what is seroma of a postoperative suture.

There are typical instructions that presuppose the norms and rules of patient behavior described for the speedy recovery of a postoperative wound. They should be followed by every patient at home. They consist of the following points, described in the table below.

All recommendations are intended for general use. It must be borne in mind that any wound has its own characteristics, which should be discussed with the attending physician. Proper therapy will help you get rid of it quickly unpleasant symptoms physical and moral.

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The surgery left behind leaves scars. Treatment of postoperative sutures is an important period after surgery. It is important to create optimal conditions for speedy healing of wound surfaces. To do this, you need to follow the surgeon’s recommendations and properly treat the wound at home.

Types of seams

The operation never goes without a trace. At first, while the patient is in the hospital, medical personnel are responsible for processing the sutures. Processing occurs several times a day.

If complications occur, additional treatment with special antiseptics and agents that relieve inflammation and disinfect from microbes may be required.

After removal of the suture, complete wound healing can last from 2 weeks to several months. During this period of time, the patient continues to treat the scar himself.

If self-absorbing sutures are used to apply the suture, then removal will not be necessary. The patient remains with stitches, but still continues to treat the wound until the tip of the thread along with the crust falls off on their own.

There are several types of sutures after surgery:

1. bloodless. To heal the wound, they do not use threads, but a special adhesive medical plaster
2. bloody. Stitched with medical threads made from biologically natural, synthetic, and wire materials

Scars can be divided into several types:

1. Normotrophic. Formed after standard shallow surgical intervention. The skin appears as a small defect, redness of the skin
2. Atrophic. Formed as a result of the removal of warts or other pathological growths, it looks like a depression. For deep removals, stitches may be required.
3. Hypertrophic. Occurs due to suture pathology: inflammation, injury, suppuration
4. Keloid. Formed as a result of deep surgery. Often such a scar protrudes above the skin level and is clearly noticeable

According to the method of suturing, sutures are distinguished:

• nodal
• intradermal
• vertical
• horizontal
• for plastic surgery
• for internal organs and tissues

A regular needle and mechanical instruments can be used to apply sutures. The speed of further rehabilitation, healing and even the method of treatment largely depends on the type of suture. Any type of scar requires mandatory disinfection treatment.

Important: Healing depends on the complexity of the operation. It is necessary to take into account the individual physiological characteristics of the patient. For example, the skin's ability to supply the right amount blood.

If you care for the wound correctly and regularly, you can quickly help the wound heal. Also, with proper care, the scar and stitches did not cause discomfort during the healing process.

Processing methods

Methods for treating scars

The key to successful healing of the suture is timely, regular and correct therapy. The time and effectiveness of the result are affected by:

Before you start treating a seam, you need to understand that if an infection enters an open wound, it will not be so easy to cure the process. Therefore, scar treatment begins only after disinfection of hands, instruments and all additional equipment.

Treatment of seams begins with the use of antiseptic drugs:

• iodine. It is not recommended to use frequently or in large quantities. The wound is lightly soaked with cotton wool slightly moistened with iodine.
• potassium permanganate. Use strictly according to the instructions in compliance with the dosage
• brilliant green
• medical alcohol
• hydrogen peroxide
• special anti-inflammatory drugs

In addition to pharmaceutical drugs, you can use home remedies:

• tea tree oil
• beeswax 100 gr, sunflower oil Mix 400 g and cook on the stove for 15 minutes. Apply the cooled compound to the seams
• Mix calendula extract with petroleum jelly or cream, add a little orange or rosemary.

The choice of medication should be coordinated by a doctor. To avoid the patient's individual intolerance to the drug or allergic reactions. To maximize healing time, you must follow following rules scar treatment:

• disinfect everything necessary tools for processing
• Slowly release the scar from the bandage. If the wound is still fresh and the bandage does not want to come off, then you need to pour a little peroxide on the bandage
• take a cotton swab or gauze and treat the scar with the selected antiseptic
• Apply a new clean bandage on top and secure it so that it does not fall off

Important! Treatment is carried out in the morning and evening. Treatment can be increased only after consultation with your doctor. Constantly getting the seam wet is not always beneficial. The scar should be carefully monitored for the absence of inflammatory and putrefactive processes. There is no need to try to remove the scabs from the wound ahead of time; it is better to wait until they fall off on their own. When washing, be careful not to accidentally damage the seam with a washcloth.

If during the postoperative period the suture begins to bother you, it hurts too much or putrefactive processes form, you should immediately consult a doctor.

Removing stitches yourself

Removing stitches yourself

The surgical suture, which was applied using threads, must be removed on time. Any thread other than absorbable thread is considered foreign to the body. If you miss the moment to remove the suture, the threads can grow into the tissue, which will lead to inflammatory formations.

Threads should be removed by a medical professional if special disinfected instruments are available. However, if it is not possible to visit a doctor, and the time to remove the threads has come, you need to remove the foreign material yourself.

You need to follow the instructions:

• Prepare all the necessary materials for treating the scar: antiseptic, scissors, bandages for dressing, antibiotic ointment
• Process metal tools. Wash your hands up to the elbows and also treat
• Carefully remove the bandage from the scar and treat the wound and the area around it. The lighting should be as comfortable as possible in order to examine the scar for the presence of inflammatory processes
• Using tweezers, lift the knot from the edge and cut the thread with scissors
• Slowly pull the thread and try to pull it out completely. When the thread is removed, you need to make sure that all suture material is removed
• Treat the scar with an antiseptic. Cover the stitch with a bandage for further healing
• When the threads are removed, micro wounds are formed. Therefore, at first you need to continue processing, applying a bandage.

How to get rid of seal on a seam?

The seal on the scar appears due to the accumulation of lymph. Usually it is not dangerous to health, but sometimes it can cause serious harm:

• with inflammation. Painful symptoms, redness appear, t increases
• purulent formations
• the appearance of keloid scars - when the scar becomes more pronounced

If you notice the above symptoms, you should inform your surgeon. The doctor will examine you and give you an accurate diagnosis. Recommendations for processing benign seals:

• keep the scar clean, avoid infection in the wound
• continue processing the seam 2 times a day, changing the bandage
• do not wet the wound in the bath
• don't lift weights
• provide yourself with clothes made from natural fabrics that do not cause seam chafing
• Before going outside, apply a bandage to the seam
• do not self-medicate and do not wipe the suture with herbal decoctions without the surgeon’s permission

How to get rid of inflammation?

How to get rid of inflammation?

You can tell that the scar is inflamed by the following symptoms:

• increased in size
• redness
• painful sensations
• dense formation
• increase body t
• increased blood pressure
• general weakness, muscle pain

Inflammation can begin due to:

• infection in the wound
• causing injury to subcutaneous tissues
• allergic reaction to suture material
• low patient immunity

Inflammation can occur due to insufficiently well-treated instruments or due to improper treatment of the wound.

The speed of healing directly depends on individual characteristics body: weight, age, nutrition, presence of chronic diseases. In people with overweight The healing process always takes longer. In young people, cell renewal occurs faster. Proteins help in healing the seam. It is recommended to eat more dairy products and meat.

When contacting a surgeon, the doctor will provide assistance:

• remove stitches if necessary
• Wash the wound and treat it with an antiseptic
• install drainage to remove purulent formations
• prescribe anti-inflammatory drugs, antibiotics

Timely treatment will protect against complications such as gangrene and sepsis. In addition to medical recommendations, it is also recommended to perform the following actions:

• process the seam twice a day
• Take a bath carefully so as not to injure the seam with a washcloth
• take a complex of vitamins and microelements
• eat double portions of protein foods
• conduct sanitization mouth to prevent infection

Postoperative fistula: how to treat?

After surgery, complications are possible - the formation of a postoperative fistula. Pus accumulates in the hole. He can't go outside. The reasons for the appearance of formations can be different:

• chronic inflammation
• infection during surgery
• intolerance of the body to suture threads

Patients often experience reactions to the suture material. Threads envelop tissues - seals. Fistulas can form immediately after surgery or several months later. Symptoms:

Treatment of pathology is possible in two ways:

1. Local. Cleaning the seam from dead tissue, treating the wound, taking antibiotics
2. Surgical. The doctor makes an incision, cleans the wound of pus, and removes the ligature. Complete excision of the suture is possible. Antibiotics and immunotherapy are prescribed

• Mix mummy with aloe juice. Apply a bandage and make a compress for 2-3 hours
• wash the wound with a decoction of St. John's wort
• apply cabbage leaf

Treatment of postoperative sutures with ointments

For rapid resorption and healing of scars, antiseptics are used: brilliant green, iodine, chlorhexidine. With the development of the pharmacy industry, more specialized drugs can be purchased in the form of ointments.

• they are convenient to use at home
• affordable price, can be purchased at any pharmacy
• wide spectrum of action
• does not dry out the skin, creating protective film above
• perfectly softens and nourishes young skin

• Antiseptic – suitable for small, shallow scars
• Contains hormonal components - used for deep wounds

The most effective ointments:

1. Vishnevsky ointment. Perfectly draws out pus, promotes rapid healing, relieves inflammation
2. Levomekol. The ointment relieves inflammation, is an antibiotic, recommended for purulent formations
3. Wunuzan. Contains natural ingredients
4. Stellanin. Helps relieve swelling from the scar, has an antimicrobial effect
5. Actovegin. A budget version of the drug "Solcoseryl". Both ointments successfully heal scars and are suitable for lactating and pregnant women
6. Eplan. A popular and powerful remedy for healing stitches. Relieves pain and relieves inflammation

Of the absorbable ointments, the following are especially valued:

• Naftaderm. Relieves inflammation, smoothes the scar, has an analgesic and softening effect
• Contractubex. Can be used after removal of stitches, perfectly smoothes scars
• Mederma. Increases tissue elasticity, whitens skin, resolves

The above ointments are prescribed by a doctor. It is better not to experiment with drugs, because there are types of sutures that are not suitable for specific ointments and can only aggravate the inflammation.

Absorbable post-operative patches for scars and scars have become extremely popular. The product is based on medical silicone. The patch is a small plate impregnated with a certain composition. It is glued to the surface of the scar. Best used for small wounds.

Scar healing patch

Advantages of using patches:

• prevents infection from entering the wound
• sucks out purulent formations from the scar
• does not cause allergic reactions
• Excellent air permeability, which allows the wound to heal faster
• softens and nourishes young skin, helps smooth out scars
• prevents skin from drying out
• protects the scar from injury and stretching
• easy to use, easy to remove

List of the most effective patches after surgery:

To effectively tighten the scar, medications can be applied to the surface of the shepherd:

• Antiseptics. Have a wound-healing effect, protect against infection
• Analgesics and non-steroidal drugs - have an analgesic effect
• Gel - help the scar to dissolve

Rules for using patches:

• Remove the packaging, release the adhesive side of the patch from the protective film
• Apply the adhesive side of the patch to the body so that the soft pad is on the scar
• Use once every 2 days. During this entire period, the patch must remain on the scar.
• It is important to periodically check the condition of the wound by removing the shepherd

We must not forget that restoration of the suture after surgery depends on sterility. It is important that germs, moisture, and dirt do not get on the wound. An ugly scar will gradually heal and resolve only if you properly care for the scar. Before using any remedy, a mandatory consultation with a surgeon is required.

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You should ask your doctor upon discharge about how to change the dressing after surgery. He must recommend antiseptics, which are suitable for processing seams at home. In a hospital setting, treatment and dressing of wounds is the responsibility of medical personnel. The surgical departments have a dressing room for clean wounds, where healing sutures are treated. They use antiseptic liquids that suppress the growth of pathogenic microflora, sterile wipes and bandages. Special adhesive plasters with antibacterial pads and postoperative dressings can be used as protection.

Purulent dressing rooms are equipped with tools that allow you to clean the wound, make drainage, and treat it with antiseptics. They contain special lamps that inhibit the growth of pathogenic microflora and accelerate healing. Wounds that are festering or oozing ichor are recommended to be treated in a hospital so that the doctor has the opportunity to observe the healing process and, if necessary, can prescribe stronger antibacterial agents.

Dressings after surgery at home are recommended only for clean, well-healing wounds. If it is necessary to treat a poorly healing wound at home, all conditions must be created to improve the patient’s condition and not harm him.

How to prepare for dressing

To do a dressing at home, you need to set up a workplace. A coffee table, stool, or corner is suitable for manipulations. large table. The selected area is treated with warm water with the addition of chlorine and soap, wiped with a clean towel and wait until the surface dries. Then cover with a clean cotton piece of cloth, ironed with a hot iron. All the tools and materials necessary for the work are laid out on the fabric. They must be clean and sterile. It can be:

All manipulations must be performed in compliance with the rules of asepsis and antisepsis. Asepsis involves preventing the entry of an infectious agent into the wound during dressing, and antiseptics is aimed at destroying pathogenic microflora on the surface of the suture.
Wound healing is affected by the rate of fluid outflow and the scarring process. A wound in a healthy young person with well-functioning internal secretion organs heals faster than in an older person with declining functions. endocrine system. The appearance of wet spots on the bandage means that the vessels of the damaged lymphatic system have not yet healed and the healing of the suture has not begun. A long regeneration process is observed in cancer patients and elderly people.

As long as the dressing is wetted by biological fluids, dressings should be done daily, if necessary several times a day. The bandage should be changed if it becomes loose and does not perform its function. Pain under the bandage is a sign of infection. The appearance of painful sensations requires an urgent examination, treatment with an antiseptic and application of a sterile bandage. A clean bandage is applied every time the wound is examined and any manipulation is performed on it.

Stages of wound treatment, algorithm

Treatment of the surgical wound requires accuracy and caution. A person who decides to independently play the role of a nurse is faced with the task of examining the wound, cleaning it and painlessly changing the bandage. The dressing consists of the following manipulations:

• removing the old bandage;
• skin disinfection;
• performing the necessary manipulations;
• protecting the skin from secretions;
• applying a sterile bandage;
• its strong fixation.

How to remove a bandage that has dried to a wound

If the bandage sticks to the wound, it should not be torn off. Completely dried dressing material is cut with scissors. If only the last layers of gauze are stuck, they need to be soaked with hydrogen peroxide or sodium chloride solution. Then wait a while until the layers of woven material get wet and come off. Adhered strips are removed along the wound. You cannot pull the bandage across a non-healing seam. This causes severe pain and can cause the edges of the wound to open up. When removing the bandage, you should try to keep the scab on the healing suture.

Underneath it tissue restoration occurs. Damage leads to the appearance of blood and a slowdown in all regeneration processes. When removing a bandage or plaster, hold the skin with a spatula, tweezers with a gauze ball, or a gloved hand. Do not allow the skin to pull on the bandage. If capillary bleeding appears when removing the bandage, it should be stopped by pressing the wound with a sterile napkin.

Then they begin to treat the skin around the wound surface. To do this, prepare warm soapy water by adding a little ammonia to it in a ratio of 1:200. Treatment is carried out with wet wipes or cotton balls from the edge of the wound to the periphery. Liquid should not get into the wound.
At heavy pollution The skin wound is covered with a sterile gauze cloth, and everything is washed with soap and a brush. After treatment, the skin is dried and treated with any antiseptic. Clean skin around the wound allows you to avoid the development of opportunistic microflora under the bandage, which can lead to serious skin diseases.

• 10% sodium chloride solution;
• Potassium Permanganate solution;
• hydrogen peroxide solution;
• Diamond Green;
• Chlorhexidine;
• Miramistin.

As an antiseptic at home, the seam is lubricated with alcohol tincture of calendula or Betadine is used.

After treatment, the seam is covered with a sterile cloth soaked in antiseptic and a bandage is applied. If it is difficult to apply bandages, bandage plaster is used to secure the bandage. First, it is applied along the entire length of the napkin in 2 strips, and then strips of the patch are placed across, at a distance of 5 cm, covering up to 10 cm of healthy skin.

Seam care using plasters

At the pharmacy you can purchase various products intended for the care of postoperative wounds. To carry out dressings at home, manufacturers offer a large number of plasters. These are sterile self-adhesive postoperative dressings with various antiseptics that help to properly care for surgical sutures after operation. They have the ability to absorb fluids, and this allows you to change the dressings less frequently, allowing the suture to scar faster.

The patches do not cause skin irritation, are removed without pain and do not leave any adhesive particles behind after application. They are equipped with special meshes that allow the wound to breathe and the tissue not to stick to the seam:

1. For infected wounds, a colloidal silver patch is recommended.
2. Clean wounds can be covered with adhesive tape without antiseptic additives.
3. For problem skin, perforated film-based patches are recommended.
4. The healing wound can be covered with a light film alcohol bandage with an absorbent pad.

To select a patch, you need to come to the pharmacy and describe to the pharmacist the condition of the wound surface. He will help you choose suitable option and will advise on this issue.
After finishing the dressing work, the treatment area should be disinfected using products containing chlorine, and the instruments should be boiled. After which it is recommended to keep them in a closed container until next use.