Discharge from the hospital after surgery involves complete removal of the sutures.

In addition, while at home, the patient must properly care for the sutures, using special ointments and creams to speed up wound healing.

To prevent negative consequences, you should follow the recommendations of the supervising doctor and, if necessary, visit a medical facility for dressing.

Gradually, you can move on to self-treatment of wounds under aseptic conditions.

To connect the edges of a lacerated wound after surgery, modern surgeons use the most common method - suturing. On this moment There are two types of them - removable and immersed.

The non-removable option is applied using a special material, which subsequently disappears through resorption.

Removable options require removal, which occurs after a certain time.

Let's consider what day they film on postoperative suture:

1. The removable seam is made using natural or synthetic threads, as well as metal parts.

   If the threads are applied correctly, the patient will not have a question: why does the suture hurt?

   The threads must be applied in such a way that the tissues grow together correctly without compression.

2. How are stitches removed? The doctor takes the end of the thread with his hand and slightly pulls it up.

   In the meantime, the threads are shown, cut using sterile scissors, and their remains are removed with tweezers.

   Let's answer the question: is it painful to remove the threads? Most likely, the patient will not feel pain if the doctor does it carefully.

3. Removal times usually vary, but the average time allowed for the overlay period is 6 to 9 days. This figure may vary depending on the complexity of the operation.
4. To answer the question of how many days later the material will be removed, it is necessary to take into account the following factors: part of the body, the nature of the wound, the characteristics of the sick person’s body.

It is worth noting that stitches on the neck and face are removed on days 4-6, on the feet and legs they are removed on days 10-12.

This difference is due to different blood circulation in different parts of the body.

How to treat at home

Typically, when discharging a patient after surgery, the doctor issues instructions for further wound care.

Before processing the seams, consider effective methods for home use:

1. Potassium permanganate solution - potassium permanganate. This product can be purchased at a pharmacy; it must be diluted in sufficient quantities. warm water and lubricate the stitched wound using cotton pads.
2. Iodine - use this remedy in moderation so as not to cause excessive dryness epidermis. It is allowed to make a mesh on the wound every 2 days.
3. It is recommended to treat stitches at home with brilliant green - the drug is available in every pharmacy.
4. It is allowed to smear the wound with medical alcohol.
5. For better healing use hydrogen peroxide or fucorcin. The latter remedy may cause discomfort due to the bright shade.

Anti-inflammatory and healing gels and creams have gained the greatest popularity in medical practice. How to use them correctly can be found in the next section.

Important! Seams on the stomach or back can be treated with oil tea tree, tincture of larkspur roots, cream with the addition of calendula.

Before treating a wound yourself, you must thoroughly wash your hands, disinfect all tools used, and follow the dosage.

Cream and ointment for wound healing

After discharge from the hospital, as well as after removal surgical sutures, it is recommended to use special ointments and creams aimed at wound healing.

Note! An ointment for healing sutures should contain not only medicinal compounds, but plant components.

Many people wonder: seroma - what is it? Seroma is the accumulation of serous fluid under the skin after plastic surgery.

Consider a selection of wound healing products:

What to do if the seam breaks or festeres

To prevent suppuration of the stitched area, doctors can install drainage. It is used within 3-4 days.

Doctors install a special tube, the hole of which goes out, and an antiseptic is poured through it.

Let's consider what to do if the seam is torn, as well as if it festers:

1. The cause of discrepancy or suppuration may be infection of the wound, problems with blood circulation, or trauma to the affected area.
2. If the seam does not heal, use enhanced formulations: Aekol, aloe products, sea buckthorn oil.
3. If the wound is oozing, use anti-purulent agents - syntomycin ointment, ichthyol ointment, Vishnevsky ointment.
4. When the stitch itches, it means it is healing. If the wound has opened, you must immediately consult a doctor.

After surgery, a fistula may also appear at the wound site. It is a neoplasm with pus inside.

You should not joke with postoperative sutures - a person’s health depends on the speed of their healing.

Useful video

The defect caused by surgical damage to the skin is filled with connective tissue (scar) over time. The process is irreversible, but there are ways to improve it appearance annoying flaw in appearance. This means that after surgery it is possible. There are various means and methods to make scars almost blend in color and texture with the surrounding areas of the skin.

Scars after surgery cannot be treated. Where should I put the comma?

The operations you have undergone will remind you of themselves for a long time with scars on your body if you let the healing process take its course. Scars are not attractive to anyone; many people want to get rid of them and return them to their skin attractive appearance. To begin with, you should understand that at the site of the incision, a section of connective tissue devoid of sebaceous and sweat glands and hair follicles takes a long time to form. All this time you can use medicinal products to minimize cosmetic damage.

Gradually, one of the main types of scars (normotrophic, atrophic, hypertrophic, keloid) appears in the suture area. Every scar will require individual approach, but there is also general rules treatment. One of the most important things is to prevent chronic inflammation and complications.

What is granuloma?

If surgeons used non-absorbable suture material, granuloma may occur postoperative scar(the body's reaction to foreign particles in the skin). Starch or talc used for surgeons' gloves and microorganisms often get into the surgical wound (if asepsis rules are not followed).

The formation of postoperative scar granulomas is prevented by the use of self-absorbable, hypoallergenic types of suture material.

Granuloma impairs the functions of tissues and organs; large clusters similar formations compress blood vessels and nerves. Fibroblasts form around and scarring occurs. Treatment is usually carried out in a medical facility and involves excision of the connective tissue with granulomas. If the cause of inflammation is suture material, all remaining fragments are removed.

How to speed up the resorption of postoperative scars?

They are in demand in the treatment of scars, preventing the proliferation of connective tissue. Silicone gels and ointments without polyorganosiloxanes promote the natural resorption of scars after surgery. Among the latter, the creams “Contractubex” and “Kelofibraza” have proven themselves well. As consumers rightly note, these drugs are best used for small scars.

Silicone ointments and gels are used in the treatment regimen after removal of postoperative scars and scars, for the prevention of keloids and the resorption of other scars. Polyorganosiloxanes create a thin, almost imperceptible film that protects the cut surface from moisture loss and mechanical stress. In addition, itching and other unpleasant sensations are eliminated.

Gels with silicones are used to resolve postoperative scars for at least 5–10 weeks.

A significant part of pharmaceutical products containing organosiloxanes is produced by European and American companies. Prices in trading network on waterproof gels and plates remain high. We offer to compare foreign-made scar correction preparations, which were evaluated by experts and consumers in the United States (table).

Rating of products for the correction of scars and scars

Name of cream or gel	Helps with	Silicone included	Treatment of postoperative scars	Overall rating	Volume/price (RUB)
SCARprin	Great	Yes	Great	5	29 ml/ 4180
ScarGuard				5	30 ml/7900 15 ml/ 5600
Dermatix (Dermatiks)	Great	Yes	Great	4	15 g/2310
Revitol	Fine	No	Great	3,5	60 ml/1638
Kelo Cote (Kelo cat)	Average	Yes	Fine	3	6 g/605 15 g/1760 10 g/1210
Zen Med (Zenmed)	Average	No	Fine	3	50 ml/1857
Scar Esthetique	Average	Yes	Average	2,5	4 g/369
Scar Zone	Weak	Yes	Average	1,5	14 g/240

Cream "Malavtilin" - an achievement of Russian cosmeceuticals

Many preparations for external use accelerate the regeneration of cells and tissues, promote the resorption and healing of scars. When answering the question of how to remove a postoperative scar, experts often mention physiotherapeutic treatment in combination with the use of ointments. For example, with the information-active drug “Malavtilin”

Cream "Malavtilin" affects the skin, nerve endings, and biological active points.

Application effect:

• antiseptic;
• antibacterial;
• antivirus;
• anti-inflammatory;
• anesthetic;
• decongestant;
• deodorant.

Active ingredients in the cream: aloe vera, juniper, jojoba, macadamia oils, hyaluronic acid, malavit, plant extracts (calendula, eleutherococcus, horse chestnut, chamomile). They produce the cream in 50 ml tubes (price 300 rubles).

What are the options for radical treatment of post-operative scars?

Choosing a method for getting rid of a skin defect that has arisen after surgery is not an easy task. Scars are removed with a laser, excision, skin grafting, and chemical peeling are used. Each method of correcting scar deformity has pros and cons. When choosing a particular method, you should trust the recommendations.

Treatment methods for postoperative scars:

• beech therapy - dosed irradiation of the scar with soft x-rays;
• cryodestruction - destruction of scar tissue with local application of low-temperature liquid nitrogen;
• mechanical dermabrasion - removal of the top layer of damaged skin using a special device;
• laser resurfacing - layer-by-layer removal of the scar, activation of regenerative processes in the skin;
• surgical method of correction.

The above treatment methods are prescribed with caution for keloid scars after surgery, when the processes in the damage are stabilized.

Video about laser removal of postoperative scar

What are the complications of postoperative scars?

Ligature abscess of a postoperative scar occurs after surgical interventions. Suppuration occurs around the threads, the abscess is opened through a small hole, and a fistula is formed on the surface of the skin. Treatment of a ligature abscess involves the surgeon making a small incision in the skin through which the outflow of pus begins. After this, the doctor takes out the remaining thread with a clamp; if it doesn’t work, he prescribes conservative treatment.

If a patient is undergoing surgery, they need to be aware of common complications. For example, what is seroma of a postoperative scar? This is an accumulation of lymph caused by rupture of lymphatic vessels. Translucent yellowish contents pour out from the capillaries. This complication is most common in overweight patients. Treatment consists of drainage procedures and taking antibacterial drugs.

Prevention of complications - strict adherence to the rules of asepsis and antisepsis during surgical operations.

Comparison different types treatment of scars leads to the conclusion that a combination of methods is necessary. Modern hardware technologies are developing. However, ointments for scar correction remain in demand. As a result, more and more new products are appearing on the pharmaceutical market - absorbable and restorative creams for external use.

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

Any surgical intervention leaves behind a scar - a suture at the site of the incision of the skin and soft tissues. The more complex the surgery, the deeper the scar may be and the more difficult the healing process. Besides, great importance have physiological characteristics of a person, in particular, the ability of the skin to be supplied with a sufficient amount of blood.

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

All seams can be divided into several types:

• Normotrophic scar – the simplest type of scar, which is formed in most cases after not deep surgical intervention. As a rule, such a scar has subtle defects and has the same shade as the surrounding skin.
• Atrophic scar– formed in case of removal of moles, for example, or warts. The tissue of such a scar slightly dominates the formation itself and often resembles a pit.
• Hypertrophic scar- appears when suppuration occurs over the formation or the suture suffers injury. To avoid such a scar, you should care for the seam with special ointments.
• Keloid scar– appears on skin that is poorly nourished by blood and in the case of deep surgical intervention. It often has a white or pinkish color, protrudes above the basic level of the skin, and can be shiny.

Postoperative suture

What is better to treat than to smear at home?

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

The simplest means are:

• Zelenka is an antibacterial and disinfectant.
• Alcohol – removes any contaminants and “kills” pathogenic bacteria.
• Iodine, iodoperone (iodinol) – accelerates healing

Other means:

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

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

How to remove postoperative sutures at home?

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

• Immersion seam— the suture is applied with a thread made of natural material (thin thread from sheep intestine). The advantages of this suture are that the material is not rejected by the body and is absorbed. The disadvantage of catgut is that it is less durable.
• Removable seam – The suture is removed when the edges of the incision are fused and show how strong the healing is. Such a suture is usually applied with silk thread, nylon or nylon, wire or staples.

Approximate timing of suture removal after surgery:

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

How to remove a seam at home:

• Stitches should be removed carefully and carefully, remaining calm. The suture should be removed only when there is no inflammation.
• To remove the seam you will need two tools: nail scissors and tweezers. These two instruments should be thoroughly cleaned with alcohol.
• Before work, wash your hands thoroughly with soap and water twice and put on medical gloves, or treat your hands with an antiseptic.
• Sutures should be removed under a bright lamp to closely monitor the process.
• Cut the seams, removing maximum amount threads
• Using tweezers, grab the edges of the protruding seams and gently pull until the piece comes out of the skin.
• After you have pulled out absolutely all the pieces, treat the wound with an antiseptic ointment with an antibiotic.

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

How to remove a seam yourself?

Preparations for healing and resorption of postoperative sutures

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

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

The most effective ointments:

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

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

Healing of scars after surgery

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

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

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

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

Why the patch is useful:

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

Folk remedies for healing and resorption of postoperative sutures

If you want to improve the condition of your skin, smooth out seams and reduce scars, act on problem area should be done comprehensively (using medications and traditional medicine recipes).

What can help:

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

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

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

Seroma most often occurs in those who:

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

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

What can be the treatment:

• Vacuum aspiration– suction of liquid with a special apparatus.
• Drainage– also produced by a special device, pumping the liquid out.

Postoperative fistula: how to treat?

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

Why does a fistula appear:

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

How to eliminate a fistula:

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

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

IMPORTANT: There are situations when sutures and scars experience complications and heal poorly. The scar may turn red, be more textured to the touch, fester and even hurt.

What to do in such cases:

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

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

The scar hurts

Postoperative suture is oozing: what to do?

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

The postoperative suture has split: what to do?

Why the seam may come apart:

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

What to do:

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

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

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

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

Other reasons:

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

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

Why does the postoperative suture itch?

Causes of itching:

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

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

Video: “Removing stitches from a postoperative wound”

Sutures after surgery require careful care. This will significantly speed up wound healing and shorten the rehabilitation period. The method of treating the wound depends on its location. In this article we will tell you how to speed up the healing of sutures after surgery and how to care for them.

Caring for seams in the crotch area

Wounds on the mucous membranes heal the worst. Typically, stitches are placed after an episiotomy or removal of hemorrhoids. If possible, incisions in the perineal area should not be wrapped in dressings. Do not use adhesive tape as it does not allow air to pass through. You need to try to ensure sufficient air circulation. To do this, wear only cotton underwear.

After an episiotomy delivery, try not to wear underwear at night or while resting. Of course, after childbirth, lochia is released, but the use of pads significantly slows down the healing process of tears in the perineal area. Therefore, try to shower and wash your stitches more often. When sleeping, do not wear underwear, but use absorbent diapers.

Some doctors recommend treating sutures in the perineal area with peroxide. Don't rub the wound, just fill a syringe with hydrogen peroxide and squirt it onto the wound. Don't forget to remove the needle from the syringe. If you have sutures on the cervix after childbirth, they do not need to be treated with anything. Douching should not be used. If necessary, your doctor will prescribe suppositories or suppositories.

Scar care after abdominal surgery

If you have undergone abdominal surgery, then most likely you will be in the hospital for 7-10 days. All this time, health workers will care for the wound. When you are discharged, you will have to treat them yourself before the sutures are removed. This can be done using:

• brilliant greens;
• alcohol;
• hydrogen peroxide;
• sodium chloride;
• potassium permanganate.

To treat a wound, you need to take a piece of sterile gauze and dip it in the solution. After this, gently blot the scar. No need to rub the bandage from side to side. If nothing is oozing from the seam, then there is no need to seal it with a bandage or apply a bandage. In the air, postoperative scars heal faster.

Sutures are usually removed 7-14 days after surgery. Until this point, they must be covered with a bandage. It is best to do this in a clinic. After removing the sutures, there is no need to treat the scar with anything. After 2-3 days you can swim and shower.

What to do if blood or pus is oozing from the suture

In this case, you should consult a doctor. This often happens after cesarean or other abdominal surgery. Most likely, ichor is oozing. If swelling and redness appear, you should not self-medicate. Go to the surgeon immediately. To prevent clothes from sticking to the wound, it is necessary to lubricate it with sea buckthorn ointment or sprinkle it with crushed streptocide. It dries the blood perfectly and speeds up wound healing.

Usually, uninfected sutures after surgery do not require any special care. To minimize bleeding, it is necessary to reduce motor activity and do not lift heavy objects.

Each surgical intervention ends with suturing the surgical incision with special threads. Wound care after removal of sutures should be carried out under aseptic conditions with antibacterial ointments and antiseptic agents.

During surgery, the integrity of healthy tissue is damaged. At the end of the operation, the edges of the abrasion are connected with surgical sutures and staples, the care of which must be careful.

There are three types of defect closure:

1. The primary one is applied after the operation is completed.
2. Secondary - closed after cleansing the granulating wound.
3. Provisional - applied temporarily during surgery, removed at the end of the operation.

The day the sutures are removed depends on the following factors:

• on the type of complexity of the operation;
• postoperative wound length;
• development of complications;
• on the rate of soft tissue regeneration;
• from leaving.

Sutures are removed on a certain day:

1. After a cesarean section, the staples and threads are removed on the 10th day.
2. After amputation of limbs, they wait 12-14 days.
3. During surgical interventions on the abdominal organs (stomach), the sutures are opened a week after the operation.
4. On the chest they are removed after 2 weeks.
5. On the face, regenerative processes occur faster. The procedure is carried out after 5-7 days.

Surgical threads are removed only in the hospital. Carrying out manipulation at home without proper care can result in serious consequences.

Stages and factors of healing of postoperative sutures

Healing of the wound area is determined by the following factors:

1. The patient's age affects the speed of reparative processes.
2. The patient's weight affects the reparative capabilities of soft tissues. The presence of excess fatty tissue prolongs the process of healing of the skin defect. Normally, with proper care, adipose tissue receives a poor blood supply, which reduces the rate of healing. Obese people have a high risk of infection in the postoperative area due to the increased susceptibility of lipocytes to pathogenic microorganisms.
3. Hypovitaminosis and poor nutrition reduce metabolism within damaged tissues. The flow of energy and plastic material into the tissues is disrupted, which negatively affects the reparative functions of the skin.
4. After the operation, it is necessary to follow the established drinking regime. Dehydration leads to insufficient fluid flow into the cells.
5. The postoperative area, enriched with blood vessels, heals faster due to the constant supply of nutrients.
6. Normal operation immune system promotes the healing of postoperative wounds without the development of negative consequences. Immunodeficiencies suppress reparative processes within epithelial cells.
7. Chemotherapy, X-ray irradiation, and long-term use of hormonal drugs have a negative effect on the condition of the sutures.
8. Diabetes mellitus disrupts metabolism and care can be painful. To increase reparative processes, you need to keep sugar under control and smear the pathological area with special products.
9. The addition of a bacterial infection reduces the protective function of the skin.
10. The condition of the scratch is negatively affected by hypoxemia, low blood pressure, ischemic damage to injured tissue, and cardiovascular diseases.
11. The use of anti-inflammatory drugs in the early stages helps to suppress the reparative functions of the skin and mucous membranes. Application 12-14 days after removal of the suture has the opposite effect.
12. Insufficient oxygen supply into tissues slows down the synthesis of collagen, which is involved in wound healing.

They heal in several stages:

1. Microphages immediately react when the integrity of the skin is violated. Fibroblasts migrate to the injured area, which is formed by cut, sutured tissue.
2. Fibroblasts connect to fibrillar structures using fibronectin. The reaction provokes active synthesis of collagen, the fibers of which cover the resulting defect.
3. A scar forms at the site of the wound. Its strength depends on the amount of collagen. Young patients heal faster than older people.
4. Epithelial cells begin to migrate from the periphery to central part. The new epithelium acts as a barrier to the penetration of pathogenic microorganisms. Fresh, large scars have poor resistance to infectious agents. Epithelial cells cannot cover the entire postoperative area; careful care is required. A skin graft is required. The last stage of healing of wound surfaces is tightening of the edges. The skin is restored.

Seam treatment products

Treatment of sutures after removal should be carried out under aseptic conditions with selected preparations. Medicines must be selected according to the type and condition of the wound, its length, the presence of complications, and the type of care for it. Postoperative patients are recommended to consult a doctor about the choice of drug in order to get the most effective results from treatment for short time.

The drug must have a regenerative, antiseptic, antimicrobial, reparative effect.

It is better to choose drugs from the group of drying ointments to prevent the development of a weeping wound.

For processing, solutions, creams, gels, and powders are used. The therapy combines several types of care and medications to achieve the fastest results.

Solutions

1. Hydrogen peroxide has an antiseptic effect on the damaged area after removal. Upon contact with the skin, active oxygen is released. The solution has a short-term antimicrobial effect. The product is used 2-3 times a day.
2. When leaving, treatment is carried out with boric acid. The medicine is used twice a day.
3. The seams can be wetted. After the water procedure, it is advisable to smear the wound defect daily with brilliant green to reduce the risk of infection.

Ointments, creams, gels

1. Levomekol is a drug that has an anti-inflammatory and antibacterial effect. Helps restore the integrity of the skin after removal and discharge. Levomekol is recommended to be applied twice a day.
2. Povidone-iodine promotes healing, prevents the development of inflammation and suppuration. The medicine is applied for half an hour, then washed off warm water. Careful care with this medication is not required.
3. Bepanten cream normalizes metabolism within tissues. Suppresses the formation and release of pathogenic fluid. The cream is applied 2-3 times a day.
4. Eplan promotes healing of postoperative wounds in a short time. The cream anesthetizes the pathological area and prevents the growth of bacteria inside the postoperative area.

Daily wound care after stitches

After the scar is removed, it is necessary to continue to care for the postoperative area. Proper care and following the doctor’s recommendations will help avoid unpleasant complications. Treatment of the wound after removal of the sutures should be carried out according to the following algorithm:

1. Buy the necessary materials for dressing at the pharmacy: bandage, potassium permanganate, brilliant green, hydrogen peroxide, plaster.
2. Before treatment, carefully inspect the postoperative area. Pathological contents in the form of pus, ichor, and blood should not be released.
3. Before carrying out the manipulation, wash your hands with soap. You need to wash up to the elbow.
4. Treat your hands with disinfectants.
5. Remove the bandage.
6. The skin around the postoperative scar can be periodically lubricated with brilliant green and iodine.
7. Ointments are applied to the surface of the damaged area, which accelerate the reparative processes.
8. Doctors allow you to wet the wound after removing the stitches. It is important to lubricate the pathological area with hydrogen peroxide after water procedures. The solution should be applied with a cotton pad or swab.
9. After care, the abrasion can be left open or an aseptic bandage applied to it. Secure the top with adhesive tape.

Possible complications and what to do about it

Common postoperative wound complications include:

1. The addition of a bacterial infection is accompanied by suppuration. A complication occurs when the rules of asepsis and antisepsis during care are not followed. The abrasion begins to fester. A yellow-brown liquid oozes from it.
2. The skin defect may bleed and become wet when separated. An unpleasant situation develops with excessive physical exertion.
3. Sutures come apart if removed prematurely. The wound is opened. The procedure must be performed by an experienced surgeon. Otherwise, re-suturing of the skin defect will be required.
4. Inflammation may develop in the postoperative area. The scratch turns red, begins to hurt a lot, and bleeds. Treated with anti-inflammatory drugs.
5. Seroma is a common complication after suture removal. The condition is accompanied by clear discharge without a specific odor. The pathology is associated with the release of intercellular fluid, lymph from the vessels to the outside, and poor care of the abrasion.
6. A septic condition develops when the defect suppurates or an infection occurs. Bacteria enter the bloodstream and septicemia develops. The disease can be fatal.
7. Keloid scars cause a cosmetic defect. Many methods have been developed to remove the defect.