How to process seams after surgery. Instructions for processing sutures after surgery. Teaching video: Self-treatment of the surgical site and stitches How to treat stitches after surgery at home

20 Feb.,2024


7-10 days after the operation. Usually, all this time, the patient stays in hospital, and a medical worker monitors the condition. Sometimes it happens that the patient can be allowed to go home earlier, but at the same time he must be sure to process.

To care for the postoperative uninfected, various antiseptics will be needed: alcohol, iodine, potassium permanganate solution, etc. You can also use hydrogen peroxide, 10% sodium chloride solution, or ordinary brilliant green. Do not forget about the necessary tools at hand, such as adhesive plaster, tweezers, sterile napkins and bandage. It is important not only the seams, but also how to handle them correctly. This largely depends on the nature and complexity of the operation itself. For example, when it comes to caring for sutures after eye surgery, the patient must perform daily thorough external treatments under the supervision of a specialist, otherwise it can be fatal.

How to handle seams

If the operation was successful, the patient is undergoing home treatment and the stitches are not infected, their treatment should begin with a thorough rinsing with an antiseptic liquid. To do this, take a small piece of a napkin with tweezers and moisten it abundantly with peroxide or alcohol. Then with blotting movements process the seam and the area around it. The next step is to apply a sterile dressing, previously moistened with a hypertonic solution and wrung out. On top, you need to put another sterile napkin. At the end, the seam is bandaged and sealed with adhesive tape. If the wound does not fester, such a procedure can be carried out every other day.

Postoperative scar care

If the stitches were removed in the hospital, the postoperative scar will have to be treated at home. Caring for him is quite simple - daily smearing with brilliant green for a week. If nothing oozes out of the scar, and it is dry enough, you do not need to seal it with adhesive tape, since such wounds heal much faster in the air. It should be remembered that in the case of a systematic appearance of blood or fluid at the site of the scar, its independent processing is not recommended. It is better to trust a professional doctor, as this may indicate an infection in the wound. It is important to know that you should not use cotton swabs when processing seams. Their particles can linger on the seam and cause an inflammatory process. Easy-to-use gauze wipes are a great alternative.

If the operation was successful, the patient is undergoing home treatment and the stitches are not infected, their treatment should begin with a thorough rinsing with an antiseptic liquid. To do this, take a small piece of a napkin with tweezers and moisten it abundantly with peroxide or alcohol. Then with blotting movements process the seam and the area around it. The next step is to apply a sterile dressing, previously moistened with a hypertonic solution and wrung out. On top, you need to put another sterile napkin. At the end, the seam is bandaged and sealed with adhesive tape. If the wound does not fester, such a procedure can be carried out every other day.If the stitches were removed in the hospital, the postoperative scar will have to be treated at home. Caring for him is quite simple - daily smearing with brilliant green for a week. If nothing oozes out of the scar, and it is dry enough, you do not need to seal it with adhesive tape, since such wounds heal much faster in the air. It should be remembered that in the case of a systematic appearance of blood or fluid at the site of the scar, its independent processing is not recommended. It is better to trust a professional doctor, as this may indicate an infection in the wound. It is important to know that you should not use cotton swabs when processing seams. Their particles can linger on the seam and cause an inflammatory process. Easy-to-use gauze wipes are a great alternative.

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

Information about the types and process of healing of the postoperative suture. And also told what actions should be taken in case of complications. After a person has survived the operation, 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. The types of postoperative sutures depend on the nature and scale of the surgical intervention and are: bloodless, do not require special threads, and bloody glued with a special plaster, which are stitched with medical suture material through biological tissues. Depending on the method of applying bloody sutures, the following types are distinguished: simple nodular - the puncture has a triangular shape, which holds suture material well, continuous intradermal - the most common, which provides a good cosmetic effect, vertical or horizontal mattress - is used for deep extensive tissue damage, purse string - is intended for plastic tissues, entwined - as a rule , serves to connect vessels and hollow organs. The technique and tools used for suturing differ: manual ones, when applied, a conventional needle, tweezers and other tools are used. Suture materials - synthetic, biological, wire and other mechanical, carried out by means of an apparatus using special staples.

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

When suturing, 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 suture requires treatment with antiseptic or antibacterial drugs. How and what to treat the postoperative suture for better healing at home? The period of wound healing 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 the correct therapy after suture. The following factors affect the timing and nature of healing: sterility, materials for processing the suture after surgery, regularity. Sterility is one of the most important requirements for post-operative trauma care. Treat wounds only with thoroughly washed hands using disinfected tools. Depending on the nature of the injury, postoperative sutures are treated with various antiseptic agents: potassium permanganate solution (it is important to observe the dosage to exclude the possibility of burns) iodine (in large quantities can cause dry skin) brilliant green, medical alcohol , fucarcinum (it is difficult to rub off the surface, which causes a certain inconvenience) hydrogen peroxide (can cause a slight burning sensation) anti-inflammatory ointments and gels.

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

In addition, do not forget to observe the following conditions: process the wound twice a day, if necessary, and often carefully examine the wound for inflammation in order to avoid the formation of scars, do not remove dry crusts and scabs from the wound during the shower, do not rub the seam with hard sponges in case of complications (purulent discharge, edema redness) consult a doctor immediately How to remove postoperative stitches at home? A removable postoperative stitch must be removed in time, since the material used to connect the tissue acts as a foreign body for the body. In addition, if the threads are not removed in due time, they can grow into the tissue, leading to inflammation. We all know that a postoperative suture should be removed by a medical professional under suitable conditions using special instruments. 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) dressings antibiotic ointment (in case of infection in the wound)

The process of removing the suture is as follows: disinfect the instruments, thoroughly wash your hands 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, gently lift the first knot slightly while holding it, with scissors cut the suture carefully, slowly pull the suture, proceed in the same order and continue: lift the knot and pull the sutures, make sure to remove 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 stitches, in order to avoid complications, strictly observe the following requirements: you can only remove small superficial stitches on your own, do not remove surgical staples or wire at home, make sure the wound is completely healed, if blood started to flow during the process, stop the action, treat with an antiseptic and consult a doctor, protect the area of \u200b\u200bthe suture from ultraviolet radiation, as the skin there is still too thin and prone 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 the patient has a seal under the suture which was 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 seam area, redness is observed, the temperature may rise, suppuration - with a neglected inflammatory process, pus may be released from the wound, the formation of keloid scars - is not dangerous, but it has an unaesthetic view. These scars can be removed with laser resurfacing or surgery. If you observe the listed symptoms in yourself, contact the surgeon who operated on you. And in the absence of such an opportunity, - to the hospital at the 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 examine 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. Prevent bacteria from getting into the injured area, process the seam twice a day and change the dressing material in time 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 areola around it, before apply a sterile protective bandage when going outside, in no case apply compresses and do not rub with various tinctures on the advice of friends. This can lead to complications. The doctor should 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 turns red, becomes inflamed: what to do? One of a number of postoperative complications is suture inflammation. This process is accompanied by such phenomena as: swelling and redness in the suture area, pain, the presence of a seal under the suture, which is felt with fingers, an increase in temperature and blood pressure, general weakness and muscle pain. The reasons for the appearance of an inflammatory process and further non-healing of the postoperative suture can be different : infection in the postoperative wound during the operation, trauma to the subcutaneous tissues occurred, as a result of which hematomas were formed, the suture material had increased tissue reactivity in overweight patients, the wound drainage was not sufficiently low immunity in the operated patient. Often there is a combination of several of the listed factors that may occur: due to an error of the operating surgeon (the tools and materials were insufficiently 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 focus of inflammation in the body snake.

In addition, the healing of the surgical suture largely depends on the individual characteristics of the body: weight - in obese people, the wound after surgery can heal more slowly, age - tissue regeneration at a young age is faster, nutrition - a lack of proteins and vitamins slows down the recovery process, chronic diseases - their the presence prevents rapid healing. If you observe redness or inflammation of the postoperative suture, do not postpone the visit to the doctor. It is the specialist who must examine the wound and prescribe the correct treatment: if necessary, he will remove the stitches, rinse the wounds, install drainage to drain purulent secretions, prescribe the necessary drugs for external and internal use. Timely implementation of the necessary measures will prevent the likelihood of severe consequences (sepsis, gangrene). After the performed medical manipulations by the attending physician to speed up the healing process at home, follow the following recommendations: treat the seam and the area around it several times a day with the drugs prescribed by the attending physician during the shower, try not to catch the wound with a washcloth. After leaving the bath, gently blot the seam with a bandage, change sterile dressings in time, take multivitamins, include an additional portion of protein in 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 the operation: improve immunity, sanitize the mouth, identify the presence of infections in the body and take measures to get rid of them, strictly observe hygiene rules after the operation. Postoperative fistula: causes and methods of control One of the negative consequences after surgery is the postoperative fistula, which is a channel in which purulent cavities are formed. It occurs as a result 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 is not completely eliminated, rejection of the suture non-absorbable material by the body. The latter reason is the most common. The threads that connect the tissues during the operation are called ligatures. Therefore, the fistula, which has arisen due to its rejection, is called ligature. A granuloma is formed around the thread, that is, a seal consisting of the material itself and fibrous tissue. Such a fistula is formed, as a rule, for two reasons: the entry of pathogenic bacteria into the wound due to incomplete disinfection of the threads or instruments during the operation, the 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. can manifest itself in a different postoperative period: within a week after surgery, after a few months. Signs of fistula formation are: redness in the area of \u200b\u200binflammation, the appearance of seals and tubercles near or on the suture, painful sensations, swelling, pus discharge, fever.

If you observe the listed symptoms, be sure to consult a doctor. If you do not take action 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 suture, washing the wound from pus, removing the outer ends of the thread, taking antibiotics and immunostimulating agents by the patient. The surgical method includes a number of medical measures: making an incision to release pus, removing the liguture, washing the wound, when necessary, after a few days, the procedure is performed again, in the presence of multiple fistulas. You may be prescribed a complete excision of the suture, the sutures are superimposed again, a course of antibiotics and anti-inflammatory drugs is prescribed, complexes of vitamins and minerals are prescribed, and standard therapy is prescribed after surgery.

Recently, a new method of treating fistulas has appeared - ultrasonic. This is the most gentle method. Its disadvantage is the length of the process. In addition to the listed methods, healers offer folk remedies for the treatment of postoperative fistulas: dissolve the mummy 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 St. John's wort decoction (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 each. Mix everything and heat in a water bath. Dilute with rubbing alcohol or vodka. Apply the prepared mixture around the fistula, cover with a film or plaster, apply a cabbage leaf on the fistula at night.

However, do not forget that folk remedies are only an auxiliary therapy and do not cancel a visit to the doctor. To prevent the formation of postoperative fistulas, it is necessary: \u200b\u200bbefore the operation, examine the patient for diseases, prescribe antibiotics in order to prevent infection, carefully handle the instruments before the operation, avoid contamination of the suture materials. Ointments for healing and resorption of postoperative sutures. For resorption and healing of postoperative sutures, use antiseptic agents (brilliant green, iodine, chlorhexidine, etc.). Modern pharmacology offers other drugs of similar properties in the form of topical ointments. Their use for healing at home has a number of advantages: availability, a wide spectrum of action, the fatty base on the surface of the wound creates a film that prevents tissue overdrying, nourishment of the skin, ease of use, softening and lightening of scars. 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 lesions, various types of ointments are used: simple antiseptic (for shallow superficial wounds) containing hormonal components (for extensive, with complications) Next, we will consider the most popular ointments that are prescribed for the treatment of stitches after surgery: Vishnevsky's 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 seam 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 to accelerate healing, stellanin is a new generation ointment that removes puffiness and kills infection, stimulates the regeneration of the skin, eplan is one of the strongest local treatments. It has an analgesic and anti-infectious effect, solcoseryl 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 scarring and scarring. It is better to put actovegin under the bandage - a cheaper analogue of solcoseryl. It 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 \u200b\u200bthe skin - it has a bactericidal effect, has an antimicrobial and analgesic effect.

The listed remedies 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. Patch for healing postoperative sutures One of the effective means for caring for postoperative sutures is a patch made on the basis of medical silicone. It 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 pathogens from entering the wound, absorbs wound secretions, does not cause irritation, is breathable, due to which the skin under the patch breathes, helps to soften and smooth the scar, retains moisture well in the tissues, preventing drying out, prevents scar enlargement , convenient to use, when removing the patch, skin injury does not occur.

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

Any surgical intervention leaves behind a scar - a seam at the incision site of the skin and soft tissues. The more difficult the operation was, the deeper the scar can be and the more difficult the healing process is. In addition, the physiological characteristics of a person are of great importance, in particular, the ability of the skin to be supplied with a sufficient amount of blood.

Taking proper care of the scar will allow the wound to heal more gently and quickly, leaving minimal damage. Care of the postoperative suture is also needed so that it tightens well and does not give unpleasant sensations.

All seams can be divided into several types:

  • Normotrophic scar -the simplest type of scar, which is formed in most cases after a shallow surgical intervention. As a rule, such a scar is distinguished by subtle defects and has the same shade as the surrounding skin.
  • Atrophic scar - is formed in the case of removal of moles, for example, or warts. The tissue of such a scar predominates slightly on the formation itself and often resembles a fossa.
  • Hypertrophic scar - appears when suppuration occurs over the formation or the suture suffers injury. To avoid such a scar, you should take care of the seam with special ointments.
  • Keloid scar - appears on the skin poorly nourished by blood and in the case of deep surgical intervention. It often has a white or pinkish color, protrudes above the main level of the skin, and can give off a shine.

Postoperative suture

What is better to process than to smear at home?

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

The simplest remedies are:

  • Zelenka is an antibacterial and disinfectant.
  • Alcohol - removes any pollution and "kills" disease-causing bacteria.
  • Iodine, iodoperone (iodinol) - accelerates healing

Other means:

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

How to allow the suture to heal quickly and easily, without consequences?

How to remove postoperative stitches at home?

In some cases, the postoperative stitches are quite realistic and the doctor is allowed to remove them at home. But, before doing this, you should be aware that there are two types of seams:

  • Immersion seam- the seam is applied with a thread made of natural material (thin thread from sheep's intestine). The advantage of this suture is that the material is not rejected by the body and is absorbed. The disadvantage of catgut is that it is less durable.
  • Removable seam -the suture is removed when the edges of the incision grow together and show how strong the healing is. Such a seam is applied, as a rule, with silk thread, nylon or nylon, wire or staples.

Approximate timing of suture removal after surgery:

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

How to remove a seam at home:

  • The stitches should be removed carefully and carefully, keeping calm. The suture should be removed only when there is no inflammatory process.
  • To remove the seam, you need two tools: nail scissors and tweezers. These two instruments should be carefully cleaned with alcohol.
  • Before work, wash your hands thoroughly with soap and water twice and wear medical gloves, or treat your hands with an antiseptic.
  • The seams should be removed under a bright lamp in order to closely monitor the process.
  • Cut the seams, removing as much thread as possible.
  • Use tweezers to grab the edges of the protruding seams and pull gently until the piece comes out of the skin.
  • After you have completely pulled out all the pieces, treat the wound with an antiseptic ointment with an antibiotic.

IMPORTANT: Have sterile bandages and tissues with you, a furacilin solution is useful to carry out the removal safely and not to drive the infection.

How to remove the seam yourself?

Preparations for healing and resorption of postoperative sutures

You can buy any product for the care of scars and scars in a modern pharmacy. Ointments for suture resorption after surgery are especially popular. Their principle of action is to relieve inflammation, eliminate healing defects, smooth the scar with the skin, give it a light shade, nourish the skin, making it elastic and smooth.

As a rule, such products and ointments are based on silicone, which helps to cope with itching (inevitable during wound healing). Regular maintenance of the seam will help it shrink and become less visible. This product should be applied in a thin layer so that the skin receives the necessary substance and can breathe. But, several applications of the tool may not be effective and it will take at least six months of active use.

The most effective ointments:

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

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

Postoperative scar healing

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

The choice of ointment or gel to care for your scar should be based on its scale and depth. The most popular ointments are antiseptic:

  • Vishnevsky ointment - a classic healing agent with a powerful pulling property, as well as the ability to remove pus from a wound.
  • Woolnuzan - a healing ointment based on natural ingredients.
  • Levosin Is a powerful antibacterial and anti-inflammatory ointment.
  • Eplan - ointment with antibacterial and healing properties.
  • Actovegin - improves healing, relieves inflammation and improves tissue blood supply.
  • Naftaderm - relieves painful sensations and improves resorption of scars.

There is another new generation tool that can effectively fight postoperative sutures - a patch. This is not an ordinary, but a special patch that should be applied to the suture site after surgery. The plaster itself is a plate that holds the incision site together and nourishes the wound with useful substances.

Why the patch is useful:

  • Prevents bacteria from entering the wound
  • The material of the plaster absorbs the discharge from the wound
  • Does not irritate the skin
  • Allows air to the wound
  • Allows the seam to be soft and smooth
  • Retains the necessary moisture at the scar site
  • Keeps the scar from growing
  • Comfortable to use, does not injure the wound

Folk remedies for the healing and resorption of postoperative sutures

If you want to improve the condition of your skin, smooth out the seams and reduce scars, you should act on the problem area in a complex manner (using medicines and traditional medicine recipes).

What can help:

  • Essential oil -a mixture or any one oil can affect the early healing of the scar, nourish the skin and remove the effects of healing.
  • Melon seeds (melon, pumpkin, watermelon) -they are rich in essential oils and antioxidants. Fresh seeds should be made into a gruel and applied in the form of a compress to the damaged area.
  • Pea flour and milk compress -dough should be molded, which will be applied to the damaged area and held for at least an hour a day to tighten the skin.
  • Cabbage leaf -an old but very effective remedy. Applying a cabbage leaf to the wound will have anti-inflammatory and healing effects.
  • Beeswax -nourishes the skin at the site of the scar, relieves puffiness, inflammation, smoothes the skin.
  • Olive or sesame oil -nourishes and moisturizes the skin, tightens and smoothes scars, brightens them.

Seroma of a postoperative suture: what is it, how to treat it?

Seroma is a very common problem after surgery. In the place of fusion of capillaries, an accumulation of lymph forms and puffiness forms. Serous fluid begins to appear on the scar. It has an unpleasant odor and a yellowish tinge.

Seroma most often occurs in those who:

  • Suffers from high blood pressure
  • Overweight (obese)
  • Suffers from diabetes
  • Has an old and advanced age

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

What treatment can be:

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

Postoperative fistula: how to treat?

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

Why does a fistula appear:

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

How to eliminate a fistula:

  • Eliminate inflammation locally
  • Remove threads from the scar if they are not accepted
  • Take a course of antibiotics and anti-inflammatory drugs
  • Take a vitamin course
  • Rinse the wound with furacilin solution or hydrogen peroxide

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

IMPORTANT: There are situations when sutures and scars experience complications and do not heal well. The scar can turn red, be more textured to the touch, fester and even hurt.

What to do in such cases:

  • Treat the damaged area daily, depending on the magnitude of the problem, from one to several times a day.
  • When processing, it is impossible to touch or injure the scar in any way; try not to scratch or press on it.
  • If you shower, dry the seam and pat dry with sterile gauze or cloth.
  • During the treatment, hydrogen peroxide should be poured in a straight stream onto the wound, without using cotton wool or sponges.
  • After drying the scar (after taking a shower), treat the scar with brilliant green.
  • Apply a sterile dressing or postoperative patch.

IMPORTANT: Do not take any more measures yourself. Talk to your doctor about your problem, who will prescribe you antimicrobial, pain reliever and antiseptic.

The scar hurts

The postoperative suture is oozing: what to do?

If the seam oozes with blood, it should not be left. Try to care for the scar daily. Flush with peroxide or furacilin solution. Apply a loose bandage that allows air to pass through and absorbs excess secretions. If, in addition to the discharge, the seam hurts you very much, seek additional treatment from your doctor.

The postoperative suture has come apart: what to do?

Why the seam can come apart:

  • An infection has entered the wound
  • There is a disease in the body that makes tissues soft and prevents rapid fusion.
  • Too high blood pressure in a person
  • Too tight sutures
  • Scar injury
  • Human age (after 60)
  • Diabetes
  • Overweight
  • Kidney disease
  • Bad habits
  • Poor nutrition

What to do:

  • See a doctor urgently
  • The doctor prescribes treatment based on blood tests
  • The doctor puts on a postoperative bandage
  • The patient is observed more closely

IMPORTANT:You should not try to heal the wound on your own after the seam diverges. In case of improper manipulation, you risk getting more serious complications and blood poisoning.

Suture thickening and pain: what to do?

IMPORTANT: Seroma (accumulation of lymphoid fluid) is the most common cause of scar induration.

Other reasons:

  • Scar suppuration - in this case, a thorough antiseptic action follows.
  • Fistula -occurs due to the ingress of microbes in the wound. It is important to have an antibacterial and antiseptic effect.

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

Why does the postoperative suture itch?

Itching causes:

  • Reactions to stitches - they irritate the skin
  • Dirt got into the wound - the body tries to resist microbes.
  • The wound heals, tightens and dries the skin - as a result, it stretches and itches.

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

Video: "Removing stitches from a postoperative wound"

For some people who have had surgery, the suture does not heal after surgery. Few know what to do in this situation. Proper wound care depends on the location, size, individual characteristics, but in general, wound care has general rules and recommendations.

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

Sutures after surgery are processed 2 times a day

Table. Normal time for suture healing after surgery relative to localization on the body

Localization of the wound

Healing time (days)

Face, head


Front of the neck

Back of the neck

Lateral surface of the chest and abdomen

Midline abdominal wounds






Shin Foot

Treatment of seams with antiseptic solutions

Sutures after surgery are processed 2 times a day

Basic tips for quick healing of stitches after surgery:

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

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

Important to remember! Sutures after surgery are processed 2 times a day. In some more complicated cases, perhaps more often. The procedures cannot be skipped. Wash 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 dressing, as it will often stick to the wound. After that, a thin stream of hydrogen peroxide should be poured over the seam, then treated with an antiseptic solution.

Note! Do not peel off crusts, build-ups, deposits and other layers formed on the seam. This suggests that the tissue fusion process is going in the right direction.

If they are removed, then complications such as:

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

Ointments for healing stitches after surgery

Immediately after surgery, the suture and the wound are treated with ointments or gels, which do not allow inflammation to form, help to quickly cope with injuries and begin healing.


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

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


Composition Operating principle Mode of application


Levomekol methyluracil,

chloramphenicol, excipients

promotes cell regeneration, has an antimicrobial

and bactericidal effect

Applied to a sterile bandage or napkins, applied to a non-healing suture after surgery130 RUB Vishnevsky ointment Tar, aerosil, xeroform, castor oilAntiseptic, anti-inflammatory,

A local irritant that accelerates cell regeneration

Apply to the seam surface, or to a sterile bandageRUB 40 Solcoseryl deproteinized dialysate from the blood of healthy dairy calves, cetyl alcohol, cholesterol, white petrolatum, water for injectionIt has a regenerating, wound healing effect. Increases collagen productionApply a thin layer to the surface of the wound, after washing it. Use of dressings is possibleRUB 250 Contractubex Onion extract, heparin, allantoin, sorbic acid, methyl 4-hydroxybenzoate, xanthan, polyethylene glycol, purified waterAnti-inflammatory, regenerating, antithrombotic agentRub the suture into the scar tissue 2-3 times a dayRUB 700

If the seam does not heal after the operation, what to do with this will be prompted not only by an experienced doctor, but also by instructions for using the drug prescribed by the doctor.

The use of healing ointments lasts until the wound and suture are completely healed, and the scar becomes lighter.

Patch for healing postoperative sutures

Modern medicine does not stand still for the speedy safe healing of stitches after operations medical grade silicone plasters are increasingly being used.

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

Interesting fact! The silicone gel patch is a non-surgical method for tightening postoperative stitches, making it one of the most popular and affordable means of rapid skin healing.

It is very lightweight, comfortable, practical and comfortable.

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

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

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

The seam, scar or cicatrix must first be washed with soap, then firmly apply a patch and smooth it.

If there is hair in this area, then it must be shaved off for closer contact between the skin and the patch. At the first application, the patch is glued 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 the care of postoperative non-healing sutures work wonders. In a short time, if everything is done strictly according to the recommendations of the surgeons, the wounds begin to heal.

If the suture does not heal after surgery, you need to see your 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 suture does not heal after surgery. How and what to do - the instruction of the cream will tell you;
  • echinacea blackberry syrup is also great for healing wounds after surgery.

Tea tree oil

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

It is used in the following ways:

  • in pure form, it is applied to a suture or wound with a sterile napkin, cotton swab or stick;
  • dissolve 3-5 drops in a glass of clean warm water, dip gauze napkins and apply in the form of a compress to the damaged area of \u200b\u200bthe skin.

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

Cream with calendula extract

Tincture of calendula

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 the seam, wound or scar, in the absence of pain, massage. It can be used continuously when needed.

Blackberry syrup with echinacea

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

Take this agent inside before meals, 1 tablespoon per day, or 1 teaspoon 3 times a day.

Seam care in special cases

There are some special cases where the stitches do not heal properly. They need careful care. They are not very different from the processing behind conventional postoperative sutures, but they still require a little more attention.

Dry scar care

When the postoperative suture begins to form a dry scar, it should never be removed. The dry skin will fall off by itself, or with the help of medicines and folk remedies. In the shower or in the bathroom, care should be taken not to wet the scar in order to avoid bacteria and inflammation. Systematically treat the scar with aseptic agents, smear with creams or gels.

What to do if the seam gets wet

If the seam starts to get wet, it means that inflammation has formed in it. To prevent its development and speed up the healing 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 creams to the seam as needed. Apply a sterile bandage after each procedure. When the seam starts to heal more or less, you can do air baths for no more than 5 minutes.

What to do if the seam is festering

In case of suppuration of the seams, you should urgently consult a surgeon. He will examine the seam, cut it at the place of suppuration, or, if there are threads, dissolve them. Next, he will rinse the wound, treat it with antimicrobial, anti-inflammatory solutions and apply a sterile dressing lubricated with wound healing cream.

After that, the seam must be carefully monitored and looked after.otherwise the healing process will take a long time.

Long-lasting postoperative stitches cause concern for their health in many. No need to worry. It is enough to more accurately, properly process and care for the seam, do everything according to the doctor's recommendations. After a short time, the suture 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 the seam after the operation, therefore, first of all, you need to seek help from a doctor who will tell you in detail how to process the seam. 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 someone from close relatives. You will also need to purchase sterile dressings and brilliant green at the pharmacy (it is advisable that these funds are always in the home first-aid kit). You may also need to purchase special sterile cotton wool, since a simple one in this case will not work - it is needed in order to reduce the risk of infection in the wound. If desired, cotton wool can be replaced with cotton swabs or discs, but you need to be one hundred percent sure that they are sterile.

In the event that, while still in the hospital, the doctor stopped applying a bandage to the suture, 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 under it the wound will constantly get wet, and this is very harmful. In any case, it will be necessary, without fail, to consult with the attending physician again, since you need to be one hundred percent sure that if the bandage is not applied, the seam itself will not disperse (the bandage prevents infection from entering the wound). It is important to remember that you need to process the seam two to four times during the day. The seam should be treated with special care after the shower. However, it is allowed to take a shower no earlier than seven days after the operation, but this will need to be checked with your doctor.

It is very important to know how to treat the incision after taking a shower. While taking a shower, in no case should you rub the seam itself with a washcloth, since such actions can seriously harm the scar that has not yet healed and there is a risk of seriously damaging it. After all hygienic 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 intensive development of microbes occurs. Then you need to take hydrogen peroxide and pour this disinfectant solution directly onto the seam. You can also take a clean cotton pad, moisten it abundantly in this solution, then process 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 dries, it will be necessary to apply a small amount of brilliant green to the scar using a clean cotton pad or swab (you can also apply brilliant green solution using a simple cotton swab).

It is important to remember that the processing of postoperative sutures should be carried out in a sterile environment to prevent infection from entering the scar. At the end of this treatment procedure, it is necessary to apply a sterile bandage to the suture, of course, if the doctor has not allowed to no longer do the bandage. The processing of the postoperative suture should be carried out until the scar is completely healed, in some cases it 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 last 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 the operation (depending on the difficulty of the operation itself) the stitches will be removed. It will also be influenced by how quickly the postoperative scar heals. After the doctor removes all the stitches, it will be necessary to similarly process the stitch for several more days. If desired, instead of a bandage on the seam, you can stick a special patch, which can also be purchased at any pharmacy. Such a plaster should only be glued 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 removing the stitches, it is necessary to regularly visit the doctor and undergo a full medical examination in order to convince not only that the scar is properly tightened, but also that the operation was successful and no complications appeared. 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 ugly suture.

For more information Methyluracil Ointment, please get in touch with us!