Heal the suture after surgery. Postoperative suture care at home

Stitches after surgery are a very unpleasant consequence, reminiscent of medical intervention in the body. They can drag on, whine, hurt, not heal, fall apart - in general, cause a lot of inconvenience to the former patient.

Healing of sutures after surgery

On some, the stitches heal “like on a dog,” while others suffer for quite a long time. In fact, everything depends, firstly, on the human body, and secondly, on the sterility of the seam. If it is performed correctly, namely, without the formation of a cavity, then a couple of weeks will be quite enough for it to heal.

Your doctor will definitely tell you what to apply to the stitch after surgery, but if for some reason this does not happen, then use calendula cream. You can prepare it yourself: to do this, you need to mix a drop with rosemary and add this elixir to the calendula cream. If the suture does not heal after surgery, you can also anoint yourself with this wonderful healing composition.

The cosmetic suture after surgery will become less noticeable and more elastic if used to soften it. The course of treatment should begin immediately after surgery and continue for a week.

The problem of a hard suture after surgery can be solved with Contractubex ointment or a silicone patch. These products prevent the scar from becoming hard, and if this has already happened, they soften it.

After surgery, you must monitor the condition of your suture; if blood, bile, swelling or redness appears, you must inform your doctor. If your suture has come apart after surgery, then even more so, you need to consult a doctor as soon as possible, because... Germs and bacteria can enter the wound.

Traditional means for treating any seams are iodine and potassium permanganate. They have an antibacterial effect and help the seams to tighten smoothly.

How to process seams?

Many people do not know what instruments are used to perform the treatment or are afraid to remove the bandage. It is necessary to remove it, because... For normal healing, the scar needs air.

If you have a bandage, it should only be removed in a hospital or clinic. It is advisable to perform this procedure as often as recommended by the doctor. If you are allowed to process the seams at home, then use sterile cotton wool, tweezers or a cotton swab. But even at home, for the first time you need to wear a bandage and, most importantly, keep the seam clean.

How to treat a seam after surgery at home?

I treated it with a saturated solution of potassium permanganate, an alcohol solution, peroxide, and brilliant green.

Whatever was at hand.

Alcohol really stings, but you have to wait for potassium permanganate to dry, but the effect is almost the same.

When it stopped oozing, she began to smear it with levomekol.

But it is better to consult a doctor.

Dilute the cologne in half with boiling water and moisten a sterile bandage in this solution, apply it to the fresh seam, securing it with an adhesive plaster. This solution will prevent bacteria from entering the seam and will at the same time heal and disinfect it.

Iodine is also suitable.

If the hospital is normal and the doctors are qualified, then in most cases they will discharge you when there is no need to do anything special with the scar, they can only treat it with brilliant green. When the stitches are removed, you can add something regenerating, and then, for example, smear it with dermatitis so that the scar does not remain. But This is all usually told in the hospital.

Everything healed well for me. When everything dragged on, I started applying Contractubex so that not even a trace remained. After 3-3.5 months, the seam really became thin and barely noticeable.

There is iodocerin in the pharmacy - perfect for this

A nurse from an ambulance with extensive experience treated my stitches. First peroxide. Then brilliant green. Then a sterile napkin, attached at the edges with thin strips of plaster. It was a dry seam. The second seam was a little wet. But she said it's not a big deal if there's no redness. I cut a piece from a three-day-old aloe leaf from the refrigerator, divided it in two and applied it to the seam with the inner layer. Place a napkin on top and secure with a band-aid. For three days, the sutures were treated twice a day, morning and evening. And then once. Everything healed within a week. My threads were removed upon discharge. I told you my version, but everyone is different. If inflammation is expected, then you need to go to the surgeon; they are always warned about this upon discharge.

After reading the authors of the answers above, everything is written interestingly. But I won’t write how and how to treat the stitch at home after surgery. I’ll just say that discharge from the hospital after the operation must be properly correct, that is, the suture must be dry, not wet, and of course examined by a surgeon upon discharge, and the doctor must tell you how to take care of yourself, how to handle it if something goes wrong. But if something is wrong, you need to go back to the surgeon for an examination, and not do the treatment yourself. One thing I can say is that upon discharge from the hospital, as a rule, there are stitches that should be removed in about a week. When I had a stitch after surgery and the threads were completely removed. I didn’t treat it with anything, I just let the seam breathe and be open so it could heal. As a rule, the suture should be sealed first after the operation, then it should be more open. I’ll just add that I smeared it a couple of times with brilliant green, despite the fact that the seam was not inflamed. So here it is better not to use advice from the Internet, but rather to listen to a good doctor and follow his instructions. And take care not to strain yourself if the stitch is on your stomach. And if there are any doubts about whether the stitch is healthy or not, it is better to see a doctor. This is my opinion, what I had, I don’t want it to sound like advice. Be healthy, don't get sick!

I treated the seam after the operation with regular brilliant green. Naturally, on the recommendation of the attending surgeon. She dries the seam and disinfects it. And there is no harm from it.

I haven't heard of other methods.

And the sutures heal quickly if there are no complications after the operation.

She did it this way: she cut off a small piece of bandage, took it with tweezers, dipped it in a bottle of brilliant green and carefully applied it to the seam. If the seam is dry and nothing is flowing from it, then brilliant green should be applied to the wound less often.

After surgery to remove the fetus, a woman is left with an unattractive scar in her lower abdomen. Most often, it has the shape of a longitudinal fold above the pubis, heals quickly and loses its original bright color. Its length can be about 12–15 centimeters. At the same time, there is another incision on the uterus. Correct treatment of the suture after a cesarean section is a very important stage of the postoperative period. This procedure requires responsibility and a competent approach.

Over time, the scar becomes less noticeable. At first, it acquires a pronounced purple tint, which catches the eye. However, literally within a year it takes on the appearance of a thin pale thread.

During and after a cesarean section, there is always the possibility of developing a bacterial infection. In the postoperative period, this is often caused by improper wound care or neglect of personal hygiene rules.

Once on the surface of the wound, bacteria immediately begin to multiply. The area where they are concentrated quickly becomes inflamed. As a result of inflammation of the postoperative suture, the following may be observed:

• the appearance of small painful lumps that are hot to the touch;
• purulent discharge from the wound, fistulas;
• purulent abscess;
• elevated body temperature

The infection can be treated with antibiotics. In addition, acute inflammation can lead to additional surgical intervention. The use of such treatment methods is undesirable during breastfeeding and may have a negative impact on the newborn baby.

There is a possibility of developing another complication. After a caesarean section, stitches may come apart. The reason for this is increased physical activity, incorrectly selected underwear or premature onset of sexual activity.

The uterine scar heals a week after the operation, and at the same time a skin scar is formed. To keep the seam in a healthy condition, regular careful care will be required.

Care postoperative suture occurs in two stages. At first, experienced nurses help women. Inspection and treatment of the suture after cesarean section should be carried out daily in the morning. For these purposes, use brilliant green or other antiseptic agents. In addition to disinfecting the wound, the medical staff applies a new sterile dressing daily. Such procedures are carried out until discharge.

Since at first the suture hurts quite noticeably for mothers who gave birth by cesarean section, they have to endure the discomfort for some time, which intensifies during the treatment of the wound. To reduce pain, women are often prescribed painkillers.

Typically, after a week, the nurse will remove the stitches and bandage. Most often, women are given recommendations on how to handle the suture after a caesarean section at home.

After this, the treatment of the scar must continue for some period of time. After discharge, women will have to independently care for him in normal home conditions.

How to treat a suture after a caesarean section at home

The procedure for caring for a postoperative suture at home is quite simple. It includes:

• regular hygiene procedures;
• treatment with antiseptics;
• wearing postpartum devices;
• moderate physical activity;
• performing special exercises

Following simple rules will help speed up the healing process of a postoperative wound and restore your previous physical shape.

Hygiene procedures

If the healing process proceeds satisfactorily, then immediately after the stitches are removed, women are allowed to take a shower (not a bath!). In this case, you should not rub the scar intensively or use hard washcloths. It is better to wash it as usual laundry soap, known for its antiseptic properties.

We must not forget about careful care of women's intimate parts. It is necessary to wash the genitals at least 2 times a day to prevent bacteria from getting inside. It is recommended to carry out independent douching. Miramistin or chlorhexidine are suitable for this purpose.

Antiseptic treatment

Treatment is carried out after taking a shower. The scar must first be wiped dry with a soft towel. It is important to know how to treat a suture after a caesarean section. A traditionally inexpensive and effective antiseptic is brilliant green. It is perfect for treating wounds and scars. The downside may be the marks it leaves on underwear. To avoid this and also protect the scar from unwanted contact, you can attach a sterile disposable napkin to it.

In some cases, instead of brilliant green, chlorhexidine, hydrogen peroxide, a sterile solution of manganese or furatsilin are recommended. For the procedure, you can use cotton swabs. After moistening them in antiseptic, you need to carefully treat the entire seam. You can also purchase a special attachment for treating wounds at the pharmacy. The procedure is performed daily, best time It will be morning for it to take place.

Usually, upon discharge, the doctor informs the patient how long to process the suture after a cesarean section. Traditionally, manipulations are required within two weeks after the sutures are removed.

In addition, you need to know how to treat a suture after a cesarean section for effective resorption and healing of the scar. Treating the suture skin with vitamin E greatly contributes to its greater elasticity and the formation of an inconspicuous scar. A qualified specialist will help you choose an effective drug for scar resorption.

Wearing special postpartum devices

In order to protect the postoperative incision from friction and reduce discomfort, it is recommended to use a special postoperative bandage or tightening postpartum panties. In addition to protection, they will ensure a faster restoration of the previous abdominal shape.

The bandage does not need to be worn 24 hours a day; you should remember the benefits of regular air baths for the seam.

Moderate physical activity

The internal seam requires no less care. Its healing occurs quite quickly, within a month. At first, a woman should not lift more than 4 kg or make sudden movements, and if discomfort occurs, she should definitely consult a doctor.

Performing special exercises

Six months after surgery, physical exercise poses a threat to the body of a woman who has given birth. In addition, they can affect breast milk production. However, in the future, sport will become an excellent way to restore and improve physical fitness.

At first, it will be useful to sleep in a prone position on your stomach. This will not only help speed up postpartum uterine contractions, but will also strengthen the abdominal muscles.

After cesarean section, the following lightweight gymnastic exercises are allowed:

• alternating tension and relaxation of the pelvic muscles;
• abdominal retractions and pelvic elevations;
• flexion, extension, rotational movements of the arms and feet of the lower extremities;
• body turns and shallow squats

The main focus should be on exercises that do not involve the abdominal muscles. Even the lightest physical exercises are recommended only for those women who have not experienced any unwanted complications during the postoperative period.

If pain or pulling sensations appear during physical exercise, they must be stopped immediately.

During the recovery period, it is necessary to carefully monitor the correct formation of the scar. Healing of the suture after a cesarean section proceeds gradually. At first, the surface of the wound is covered with a thin film of newly formed skin cells. Over time, this layer becomes thicker. The pronounced purple tint of the scar begins to change color after several months.

As the color of the scar changes, it becomes acceptable to use cosmetics, helping to reduce external signs of scarring and healing of the suture after cesarean section. To clearly demonstrate the correct procedures for caring for sutures, we suggest that you familiarize yourself with the useful video material.

Treatment of postoperative suture (caesarean section) - video

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.

Pay attention! 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	Directions for use	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 an experienced doctor will tell you what to do, but also instructions for using 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 tissue 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 protective film on 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. In 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 the folk remedies used, the most popular are:

• tea tree oil;
• Calendula extract is considered one of the most effective remedies if the stitch 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 in a glass of clean warm water, dip gauze napkins and apply 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.

Calendula tincture

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 for patients with diabetes.

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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Information about the types and healing process of postoperative sutures. It also tells what actions need to be taken in case of complications.

After a person has undergone surgery, scars and stitches remain for a long time. From this article you will learn how to properly process a postoperative suture and what to do in case of complications.

Types of postoperative sutures

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

• bloodless, which do not require special threads, but are glued together using a special adhesive
• bloody, which are stitched with medical suture material through biological tissues

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- most common which provides a good cosmetic effect
• vertical or horizontal mattress - used for deep, extensive tissue damage
• purse string – intended for plastic fabrics
• entwining - as a rule, serves to connect vessels and hollow organs

The following techniques and instruments are used for suturing:

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

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

• single-row - the seam is applied in one tier
• multilayer - application is made in several rows (muscle and vascular tissues are first connected, then the skin is sutured)

In addition, surgical sutures are divided into:

• removable- after the wound has healed, the suture material is removed (usually used on covering tissue)
• submersible- cannot be removed (suitable for joining internal tissues)

Materials that are used for surgical sutures can be:

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

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 should I 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 it takes a longer time. But the key to a successful result is proper therapy after suturing. The timing and nature of healing are influenced by the following factors:

• sterility
• materials for processing the suture after surgery
• regularity

One of the most important requirements for postoperative injury 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 may cause dry skin)
• brilliant green
• medical alcohol
• fucarcin (difficult to wipe off from the surface, which causes some inconvenience)
• hydrogen peroxide (may cause a slight burning sensation)
• anti-inflammatory ointments and gels

Folk remedies are often used at home for these purposes:

• tea tree oil (pure)
• tincture of larkspur roots (2 tbsp., 1 tbsp. water, 1 tbsp. alcohol)
• ointment (0.5 cups of beeswax, 2 cups of vegetable oil, cook over low heat for 10 minutes, let cool)
• cream with calendula extract (add a drop of rosemary and orange oils)

Before using these medications, be sure to consult your doctor. In order for the healing process to occur as quickly as possible short terms without complications, it is important to follow the rules for processing seams:

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

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

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

How to remove postoperative sutures at home?

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

We all know that the postoperative suture should be removed medical worker V suitable conditions using special tools. However, it happens that there is no opportunity to visit a doctor, the time to remove the stitches has already come, and the wound looks completely healed. In this case, you can remove the suture material yourself.

To get started, prepare the following:

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

Perform the seam removal process as follows:

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

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

• You can remove only small superficial seams yourself
• do not remove surgical staples or wires at home
• make sure the wound is completely healed
• if bleeding occurs during the process, stop the action, treat with an antiseptic and consult a doctor
• protect the seam area from ultraviolet radiation, as the skin there is still too thin and susceptible to burns
• avoid the possibility of injury to this area

What to do if a seal appears at the site of the postoperative suture?

Often, after the operation, a patient experiences a seal under the suture, which is formed due to the accumulation of lymph. As a rule, it does not pose a threat to health and disappears over time. However, in some cases complications may arise in the form of:

• inflammation- accompanied by painful sensations in the suture area, redness is observed, and the temperature may rise
• suppuration- when the inflammatory process is advanced, pus may leak from the wound
• the formation of keloid scars is not dangerous, but has an unaesthetic appearance. Such scars can be removed using laser resurfacing or surgery.

If you observe the listed signs, contact the surgeon who operated on you. And if this is not possible, go to the hospital at your place of residence.

If you see a lump, consult a doctor

Even if it later turns out that the resulting lump is not dangerous and will resolve on its own over time, the doctor must conduct an examination and give his opinion. If you are convinced that the postoperative suture seal is not inflamed, does not cause pain and there is no purulent discharge, follow these requirements:

• Follow the rules of hygiene. Keep bacteria away from the injured area
• treat the seam twice a day and change the dressing material promptly
• When showering, avoid getting water on the unhealed area
• don't lift weights
• make sure that your clothes do not rub the seam and the areola around it
• Before going outside, apply a protective sterile bandage
• Do not under any circumstances apply compresses or rub yourself with various tinctures on the advice of friends. This can lead to complications. A doctor must prescribe treatment

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.

The postoperative suture does not heal, it is red, inflamed: what to do?

One of a number of postoperative complications is inflammation of the suture. This process accompanied by such phenomena as:

• swelling and redness in the suture area
• the presence of a seal under the seam that can be felt with your fingers
• increased temperature and blood pressure
• general weakness and muscle pain

The reasons for the appearance of the inflammatory process and further non-healing of the postoperative suture can be different:

• infection in a postoperative wound
• During the operation, the subcutaneous tissues were injured, resulting in the formation of hematomas
• suture material had increased tissue reactivity
• in overweight patients, wound drainage is insufficient
• low immunity of the patient being operated on

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

• due to an error by the operating surgeon (instruments and materials were not processed sufficiently)
• due to patient non-compliance with postoperative requirements
• due to indirect infection, in which microorganisms are spread through the blood from another source of inflammation in the body

If you see redness in the suture, consult a doctor immediately

In addition, the healing of a surgical suture largely depends on the individual characteristics of the body:

• weight- in obese people, the wound after surgery may heal more slowly
• age - tissue regeneration occurs faster at a young age
• nutrition - lack of proteins and vitamins slows down the recovery process
• chronic diseases - their presence prevents rapid healing

If you notice redness or inflammation of a postoperative suture, do not delay visiting a doctor. It is the specialist who must examine the wound and prescribe the correct treatment:

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

Timely implementation of the necessary measures will prevent the likelihood of severe consequences (sepsis, gangrene). After medical procedures have been performed by your attending physician, to speed up the healing process at home, follow these recommendations:

• treat the suture and the area around it several times a day with the medications prescribed by the attending physician
• While showering, try not to touch the wound with a washcloth. When you get out of the bath, gently blot the seam with a bandage.
• change sterile dressings on time
• take multivitamins
• add extra protein to your diet
• do not lift heavy objects

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

• boost your immunity
• sanitize your mouth
• identify the presence of infections in the body and take measures to get rid of them
• strictly observe hygiene rules after surgery

Postoperative fistula: causes and methods of control

One of the negative consequences after surgery is postoperative fistula, which is a channel in which purulent cavities are formed. It occurs as a consequence of the inflammatory process when there is no outlet for purulent fluid.
The reasons for the appearance of fistulas after surgery can be different:

• chronic inflammation
• the infection is not completely eliminated
• rejection by the body of non-absorbable suture material

The last reason is the most common. The threads that connect tissues during surgery are called ligatures. Therefore, a fistula that occurs due to its rejection is called ligature. Around the thread is formed granuloma, that is, a compaction consisting of the material itself and fibrous tissue. Such a fistula is formed, as a rule, for two reasons:

• entry of pathogenic bacteria into the wound due to incomplete disinfection of threads or instruments during surgery
• patient's weak immune system, due to which the body weakly resists infections, and there is a slow recovery after the introduction of a foreign body

A fistula can appear in different postoperative periods:

• within a week after surgery
• in a few months

Signs of fistula formation are:

• redness in the area of ​​inflammation
• the appearance of compactions and tubercles near or on the seam
• painful sensations
• discharge of pus
• temperature rise

After the operation, a very unpleasant phenomenon may occur - a fistula.

If you experience any of the above symptoms, be sure to consult a doctor. If measures are not taken in time, the infection can spread throughout the body.

Treatment of postoperative fistulas is determined by the doctor and can be of two types:

• 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:

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

The surgical method includes a number of medical measures:

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

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:

• mumiyo dissolve in water and mix with aloe juice. Soak a bandage in the mixture and apply to the inflamed area. Keep it for several hours
• wash the wound with a decoction 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 plaster
• Apply a sheet to the fistula at night cabbage

However, do not forget that folk remedies are only auxiliary therapy and do not cancel a visit to the doctor. To prevent the formation of postoperative fistulas it is necessary:

• Before the operation, examine the patient for the presence of diseases
• prescribe antibiotics to prevent infection
• carefully handle instruments before surgery
• avoid contamination of suture materials

Ointments for healing and resorption of postoperative sutures

For resorption and healing of postoperative sutures, antiseptic agents (brilliant, iodine, chlorhexidine, etc.) are used. Modern pharmacology offers other drugs of similar properties in the form of ointments for local use. Using them for healing purposes at home has a number of advantages:

• availability
• wide spectrum of action
• the fatty base on the surface of the wound creates a film that prevents tissue from drying out
• skin nutrition
• ease of use
• softening and lightening of scars

It should be noted that the use of ointments for wet wounds of the skin is not recommended. They are prescribed when the healing process has already begun.

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

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

• Vishnevsky ointment- 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. Apply to both wound and bandage
• levosin- kills microbes, removes inflammation, promotes healing
• stellanine- a new generation ointment that removes swelling and kills infection, stimulates skin regeneration
• eplan- one of the most powerful means of local treatment. Has an analgesic and anti-infective effect
• solcoseryl- Available in the form of a gel or ointment. The gel is used when the wound is fresh, and the ointment when healing has begun. The drug reduces the likelihood of scar formation. Better to put under a bandage
• actovegin- more cheap analogue solcoseryl. Successfully fights inflammation and practically does not cause allergic reactions. Therefore, it can be recommended for use by pregnant and lactating women. Can be applied directly to damaged skin
• agrosulfan- has a bactericidal effect, has an antimicrobial and analgesic effect

Ointment for treating seams

• naftaderm - has anti-inflammatory properties. Additionally, it relieves pain and softens scars.
• Contractubex - used when the suture begins to heal. Has a softening, smoothing effect in the scar area
• mederma - helps increase tissue elasticity and lightens scars

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

Plaster for healing postoperative sutures

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

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

• cosmopore
• mepilex
• mepitak
• hydrofilm
• fixopore

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

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

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

Women's Beauty and Health Club