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

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

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

When applying sutures, it is very important to connect the edges of the wound tightly so that the possibility of cavity formation is completely excluded. Any type of surgical sutures requires treatment with antiseptic or antibacterial drugs. How and with what to treat a postoperative suture for better healing at home? The healing period of wounds after surgery largely depends on the human body: for some this process occurs quickly, for others - more long time. But the key to a successful result is proper therapy after suturing. The timing and nature of healing are influenced by the following factors: sterility, materials for processing the suture after surgery, regularity. One of the most important requirements for postoperative trauma care is maintaining sterility. Treat wounds only with thoroughly washed hands using disinfected instruments. Depending on the nature of the injury, postoperative sutures are treated with various antiseptic agents: potassium permanganate solution (it is important to follow the dosage to avoid the possibility of burns) iodine (in large quantities can cause dry skin) brilliant green, medical alcohol, fucarcin (it is difficult to wipe off the surface, which causes some inconvenience) hydrogen peroxide (can cause a slight burning sensation) anti-inflammatory ointments and gels.

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

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

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

In the case of self-removal of postoperative sutures, in order to avoid complications, strictly follow the following requirements: you can remove only small superficial sutures yourself, do not remove surgical staples or wires at home, make sure that the wound is completely healed, if blood starts to appear during the process, stop the action, treat with an antiseptic and consult a doctor, protect the suture area from ultraviolet radiation, since the skin there is still too thin and susceptible to burns, avoid the possibility of injury to this area. What to do if there is postoperative suture Has a lump appeared? Often, after an operation, a patient experiences a lump under the suture, which is formed due to the accumulation of lymph. As a rule, it does not pose a threat to health and disappears over time. However, in some cases complications may occur in the form of: inflammation - accompanied painful sensations in the area of ​​the suture, redness is observed, the temperature may increase, suppuration - if the inflammatory process is advanced, pus may be released from the wound, keloid scars may form - this is not dangerous, but has an unaesthetic appearance. Such scars can be removed using laser resurfacing or surgery. If you observe the listed signs, contact the surgeon who operated on you. And if this is not possible, go to the hospital at your place of residence.

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

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

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

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

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

IN Lately A new method of treating fistulas has appeared - ultrasound. This is the most gentle method. Its disadvantage is the length of the process. In addition to the methods listed, healers offer folk remedies for the treatment of postoperative fistulas: dissolve mumiyo in water and mix with aloe juice. Soak a bandage in the mixture and apply to the inflamed area. Leave for several hours, wash the wound with a decoction of St. John's wort (4 tablespoons of dry leaves per 0.5 liters of boiling water), take 100 g of medical tar, butter, flower honey, pine resin, crushed aloe leaf. Mix everything and heat in a water bath. Dilute with medical alcohol or vodka. Apply the prepared mixture around the fistula, cover with film or adhesive tape, and apply a cabbage leaf to the fistula at night.

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

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

Any operation - planned or performed urgently - is stress for the body, in response to which it activates a whole cascade of reactions. They also start in the skin through which the incision is made. And the larger the intervention, the worse the blood supply to the integumentary tissue and the more genetic features in its enzyme systems, the higher the likelihood that postoperative scars will appear at the incision sites.

So that they don't spoil appearance, did not dictate the style of clothing worn and did not cause an uncomfortable feeling of tightness in the surrounding tissues, they need to be removed. We'll talk about ways in which this can be done.

Why do postoperative scars appear?

The formation of such defects depends on many factors:

• Was the incision made along Langer's lines (this is a conventional diagram showing in which direction in a particular area of ​​the body the skin will stretch as much as possible).
• Whether the surgical approach was over a bony prominence or over an area that is subject to tension or is forced to move frequently. For the treatment of diseases or plastic surgery the incision is not performed in such places, but if the intervention was carried out for wounds, to remove a foreign body or tumor, these features may not have been taken into account.
• The scale of the operation: if the intervention was carried out during internal organs, after the incision, the skin was stretched to reach the desired abdominal organ. Such stretching, especially in conditions of insufficient blood supply to the integumentary tissue (this increases with age), increases the chance of scarring.
• How the postoperative suture was placed on the skin - were several stitches performed or the surgeon used an intradermal technique (using a fishing line that connects 2 skin flaps without interrupting its progress). Some interventions, due to the severity of the subcutaneous fat layer, are forced to end with the installation of devices to “tighten” the skin. In this case, the chance of scar formation is 99%.
• Has there been any suppuration or suture dehiscence? These factors increase the chance of excessive scar tissue development at the incision sites.
• Is there a tendency to form keloids, which is genetically determined?

Types of postoperative scars

The dermatologist decides how to remove a scar after surgery by assessing the type of defect. There are 3 types.

Normally, after damage to the skin, 2 processes of the opposite direction are launched at once. The first is the formation of connective (that is, scar) tissue, the second is its splitting. When they are coordinated, a normotrophic scar is formed - an unnoticeable defect of the same color as the surrounding skin.

If the dissolution of scar tissue prevails over its formation, the scar will resemble a pit and is called. Such defects often form after operations that did not require suturing: moles,.

When formation prevails over destruction, a pinkish hypertrophic scar protrudes above the skin appears. Its appearance is promoted by suppuration or constant traumatization of the wound area. It forms when surgery has been performed in an area with a large amount of subcutaneous fat. The likelihood of the formation of such defects is reduced if, after removing the sutures, you use an ointment for healing scars after surgery: Levomekol, Actovegin, Methyluracil or Solcoseryl.

If there is a genetic predisposition to the skin, it may form. This is a formation protruding above the rest of the skin, pink or whitish in color, smooth and shiny. It begins to grow 1-3 months after the stitches are removed. The chance of its occurrence increases if the skin is dark, surgery was performed on the chest, or the intervention was performed during pregnancy or adolescence. The occurrence of this type of defect cannot be prevented.

Scar removal methods

The choice of method by which postoperative scars and scars should be removed is within the competence of the dermatocosmetologist. Only he, based on an assessment of not only the type of skin defect, but also the blood supply to the integumentary tissue, can decide whether the following are applicable here:

• ointment for scars after surgery;
• injection treatment method (mesotherapy, drug injections or steroid injections);
• physiotherapeutic methods of influence;
• deep dermabrasion;
• method of chemical peeling of scar changes;
• one of the mini-operations, when the scar can be removed either by exposure to liquid nitrogen, or a laser, or current pulses;
• Plastic surgery.

You should not self-medicate: a folk remedy for post-operative scars often becomes a waste of time, which later makes it difficult for even a laser to deal with them. A dermatologist will tell you exactly when you can try using ointment, and when more aggressive methods are needed.

How to treat postoperative scars at home

At home, you can use local remedies such as: creams for resolving scars after surgery, ointment-based preparations, and special patches. An excellent help for such therapy is the use of physiotherapeutic procedures (phonophoresis with lidase and hydrocortisone) and compression methods (pressure treatment, when the same drugs are applied under a pressure bandage).

Kelofibrase

This is a drug based on urea, a substance that dissolves tissue, as well as sodium heparin, a compound that thins the blood (this improves microcirculation) and has an anti-inflammatory effect. Effective for removing fresh post-operative scars.

Contractubex

This is a gel based on onion extract, which has an anti-inflammatory effect. It inhibits the growth of cells that give rise to scar tissue. This also includes heparin, which has an anti-inflammatory, anti-allergic effect, softening scar tissue. The third main substance of the drug is allantoin, which promotes wound healing and increases the ability of tissues to bind water.

Gel and spray Kelo-kot

The drugs are based on silicone and polysiloxane. Together they form a film on the surface of the scar, which will prevent the growth of scar tissue and restore interstitial water balance, eliminate itching, feeling of skin tightness.

Dermatix

It contains silicon dioxide (abrasive particles) and polysiloxanes. Its effect is not much different from the effect of Kelo-Kot: moisturizing the skin, eliminating itching, fighting scars and the appearance of pigmentation on them.

Skargard

This is a scar cream after surgery. It contains silicone, the actions of which are described above, hydrocortisone, a hormone that has a pronounced anti-inflammatory effect, and vitamin E, which softens scar tissue.

Gel Fermenkol

It consists of enzymes that break down collagen (collagen fibers form the basis of scar tissue). Can be used to treat both fresh postoperative scars and those that are more than 6 years old. In the latter case, it is better not to smear the scar, but to apply Fermencol under the influence of electrophoresis.

Clearvin

This is an ointment based on natural ingredients, made according to an Ayurvedic recipe. Thanks to its active ingredients, it penetrates deep into the tissues, “switches” regeneration in them so that they themselves begin to displace the scar defect, replacing it with normal skin.

Mepiderm scar patch

This is a silicone patch combined with a compress

ionic (compressive) layer. This complex creates sufficient moisture in the scar tissue, which leads to its rapid resorption.

It has different sizes, which allows you to choose it individually. Its color is flesh. Before application, the skin should be treated with water lotion and dried with a dry cloth. It is advisable to remove hair at the application site.

Contraindications to treatment at home

It is better not to decide the question of how to smear the formed scar while there are such conditions at the site of the defect as:

• redness;
• herpes;
• the appearance of reddish vessels;
• manifestations: weeping areas with individual blisters and crusts on them.

It is contraindicated to begin treatment of scars during exacerbation of an existing chronic disease, during allergies, especially with skin manifestations, during any infectious disease.

Treatment in a dermatocosmetologist's office

Let's look at what scar correction methods professionals offer.

Mesotherapy

The method involves injecting a “cocktail” of (the main natural “filler” of the skin), vitamins and enzymes into the area near the scar. The effectiveness of the method is low.

Administration of glucocorticoid hormones

The method is based on the introduction into scar tissue of drugs based on synthetic analogues of hormones produced in the human adrenal glands (“Triamcinolone acetate”, “Hydrocortisone suspension”). There they, having a pronounced anti-inflammatory effect, should stop the production of connective tissue, and this will significantly reduce the scar after surgery.

This is how hypertrophic and keloid scars are treated.

Peelings

This is the name given to exfoliation of the surface layers of skin within the epidermis so that new, healthy layers appear in their place. Since the scar is not the epidermis, but connective tissue, there is no need to be afraid of causing deeper damage (the germ layer will still not be deformed due to its absence).

To treat scars, mechanical peeling is performed (microdermabrasion, using small abrasive particles) or its chemical analogue when acids are used (for example,).

Scar removal using deep mechanical dermabrasion

Cryotherapy

It is based on the effect of liquid nitrogen. It causes necrosis of pathological tissue, in place of which healthy skin is formed.

The depth of cryotherapy is not 100% controlled. More than one procedure may be needed to remove a scar. Healing after each of them takes up to 14 days, the wound is wet and can become infected.

Laser resurfacing

This is the best way to remove scars after surgery. It involves the application of microburns both on the area of ​​the defect itself (because of this, the scar is “compressed”), and on small area along its perimeter. As a result of the last impact, healthy skin begins to form, which displaces scarred skin.

For complete correction, you may need not 1, but several procedures. Healing occurs under a dry crust, so infection is impossible here. The crust disappears after 10 days.

Scar correction using laser resurfacing

Surgery

Plastic surgeons know how to get rid of a scar after surgery if it occupies a large area, is keloid or hypertrophic. They excise the scar tissue, after which they either immediately apply cosmetic stitches or cover the defect with a flap of their own skin. The flap is pre-prepared so that it does not lose its blood supply.

Treatment of sutures after surgery - required condition, which ensures fast and proper healing of wounds. It should be noted that the healing of sutures after surgery depends on a large number of factors. For some, this process goes through successfully in a few days, while others have to suffer for several months.

Complete healing is only possible if the postoperative wound is sterile. The sutures after surgery are adjusted in such a way that the edges of the wound are completely joined. This completely eliminates the formation of a cavity.

How can you treat the wound area after surgery?

Every person should know what exactly the sutures should be treated with after surgery so that the healing process takes place as quickly as possible. short term. Various antiseptics can be used for these purposes. Such agents include iodine, potassium permanganate, and alcohol. You need to be very careful with iodine, as in large quantities this product can dry out the skin.

If desired, you can use regular brilliant green, which should be used to treat the wounds every day for 6 days. This is very convenient to do using regular cotton swabs. The problem is that under this medication Often it is not visible how the wound heals and some complications appear. Zelenka can be replaced with fucorcin. This product should be used to treat not only the seam, but also the area around it. However, experts warn that after the wound has healed, it will not be easy to wash off fucorcin.

If you have hydrogen peroxide on hand, then the problem can be considered half solved. A small piece of gauze should be soaked in hydrogen peroxide and applied to the affected skin. A slight burning sensation may occur. Don't worry, because this reaction is considered normal.

40% medical alcohol can be used if the seam is inflamed in some places. In this case, it is not worth treating areas of the skin where there is no inflammation, as this can lead to their drying out, which will significantly slow down the process of tissue regeneration. If after this the inflammatory process does not go away, and there is constant aching and pulling in the area of ​​the suture, then you should definitely seek help from a specialist.

Also very popular are Contractubex ointment and silicone patch, which prevents the formation of keloid scars.

In the first days after surgery, it is recommended to apply a bandage with a hypertonic solution to the affected areas of the body.

This solution is prepared quite simply: pour 2 tablespoons of table salt into 1 cup of boiling water. The finished product must be cooled until room temperature, moisten a gauze napkin in it, apply it to the seam and bandage it with a bandage.

Often, in the second week after surgery, the patient begins to complain of unpleasant itching in the suture area. This phenomenon is considered quite normal, since it is during this period that the active healing process takes place. These unpleasant symptoms can be eliminated using a cotton pad generously soaked in a novocaine solution.

Often after the operation, for one reason or another, the sutures come apart, which causes severe pain and the appearance of unpleasant discharge. In this case, you should not wait long; you should immediately seek help from a specialist. This will help avoid adverse consequences. In such situations, doctors, as a rule, resort to Vishnevsky ointment. This remedy helps remove pus from the wound and promotes its rapid healing.

Return to zmist How to process seams?

It is important to know not only how to treat seams, but also how to do it correctly. Treatment of wounds should be carried out 2 times a day, without skipping a single procedure. In some cases, on the recommendation of doctors, wounds can be treated more often.

The dressing must be changed until the stitches are removed. Dressings should be carried out in hospital rooms that are designed specifically for this purpose. Such daily procedures will help speed up the healing of the skin. The thing is that air helps the joints dry out faster. If dressings are performed at home, then you need to be as careful as possible. The bandage should be removed very carefully, as the bandage often sticks to the wound. Only after this can the affected area be poured with a thin stream of hydrogen peroxide, and then with an antiseptic.

An important rule is that before treating postoperative injuries, hands must be perfectly clean. Therefore, before starting the procedure, your hands should be washed thoroughly with soap, preferably up to the elbows.

When treating postoperative wounds, you should never remove scabies or remove whitish plaque, as this indicates the structure of a new layer of epithelium. If this layer is damaged, depressions may appear, which will lead to the formation of scars.

In most cases, sutures are removed 7-10 days after surgery. This procedure is quite painless, so it takes place without any anesthesia. Immediately before starting this procedure, the wounds are treated with special means. Once the sutures are removed, bandages are no longer necessary. You can take water procedures only after 2-3 days.

Return to serpentine How to process seams after caesarean section

After a cesarean section, it is very important to properly handle the sutures. After such a surgical intervention, the wounds are most often treated with a 5% solution of potassium permanganate for 2-3 days. The dressing should be changed constantly. This will help you notice suppuration in time. The threads are usually removed on the 6th day before discharge. When taking a shower, you should never put too much pressure on the seam area and use hard sponges for washing. This can cause keloid scars.

After the birth of the baby, very often, the young mother is given internal and external stitches. Internal ones are considered to be those that were applied for ruptures of the walls of the vagina or cervix. There is no need to look after them. Care should be taken of the external seams that are placed on the perineum. During the first time after surgery, midwives take care of everything. They moisten the affected areas twice a day with a solution of potassium permanganate or brilliant green. After discharge, such activities should be carried out independently after each bath.

If scars do appear after the birth of a child, they can be easily removed using a scar resurfacing procedure. Laser resurfacing is a very effective procedure that is carried out today in many beauty salons.

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

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

Sutures after surgery are processed 2 times a day

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

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

Treating seams with antiseptic solutions

Basic tips for fast healing of stitches after surgery:

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

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

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

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

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

If they are removed, complications such as:

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

Ointments for healing sutures after surgery

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

Levomekol

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

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

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

If the suture does not heal after surgery, not only experienced doctor, but also instructions for use of the drug prescribed by the doctor.

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

Plaster for healing postoperative sutures

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

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

Interesting fact! Silicone gel patch is a non-surgical method for tightening post-operative sutures, making it one of the most popular and affordable means of rapid skin healing.

It is very light, convenient, practical and comfortable.

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

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

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

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

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

Folk remedies for healing postoperative sutures

In addition to medications, doctors often prescribe treatment with folk remedies and methods.

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

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

Among those used folk remedies, the most popular are:

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

Tea tree oil

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

It is used in the following ways:

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

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

Tincture of calendula

Cream with calendula extract

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

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

Blackberry syrup with echinacea

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

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

Seam care in special cases

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

Dry scar care

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

What to do if the seam gets wet

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

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

What to do if the seam festers

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

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

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

Take care of yourself and be healthy!

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

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

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

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

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