What to smear on the stitches healed faster. Scar Treatment Products

Treatment of sutures after surgery is the most important condition that ensures a speedy recovery and restoration of the skin. Postoperative healing of surgical wounds depends on the patient himself and the quality of his care. For the first 8-10 days, a person should not strain the part of the body that was subject to surgery so that the stitches do not come apart. And during the rehabilitation period, medical workers carefully monitor the sterility of the wound.

How to treat sutures after surgery

It is not without reason that so many different antiseptics have been invented (iodine, potassium permanganate, ointments Baneocin, Levomekol, etc., hydrogen peroxide, sodium chloride, etc.). The choice depends on the type of postoperative sutures, the complexity of the operation performed and the sensitivity of the skin.

Attention! You cannot choose an antiseptic yourself (at your own discretion, on the advice of a pharmacy pharmacist or according to the principle “what is in your home medicine cabinet”). You must strictly follow the doctor's instructions. Otherwise, you can burn the skin or get infected due to insufficient wound disinfection.

In addition to antiseptics, materials are required for processing postoperative sutures. These are bandages, gauze wipes, bandages (stickers). Of course, everything must be strictly sterile. In the hospital, sterility is maintained by default. But the patient must continue to follow this regimen outside the hospital. At the pharmacy you should only buy materials marked “sterile”. Cotton pads and swabs will not work. By the way, it is not recommended to use cotton wool, because... it leaves lint. An alternative would be a bandage folded several times.

Treatment of postoperative sutures at home

This is only possible if the wound is not infected. Because the hospital regularly carries out quartz treatment, and there are minimal microbes in the air. At home, it is difficult to maintain sterility conditions, so the first few days after the operation, until the wound has healed, the patient remains in the hospital.

But situations are different, and sometimes a person has to handle his own stitches. This implies adherence to a certain algorithm of actions.

1. Carefully remove the bandage from the wound. If it is dry and does not come off, you can soak it with hydrogen peroxide. Don't tear it down!
2. Before treating the wound, you should evaluate the condition of the seam. If it bleeds, you can temporarily apply a sterile bandage to the wound to stop the bleeding.
3. Then you need to moisten a piece of sterile bandage in an antiseptic and, using blotting movements, treat the seam and the skin around it within about 2-3 cm.
4. Apply a bandage (if necessary). You can use a bandage or special sterile dressings. They look like huge adhesive plasters.

Attention! Under no circumstances should you wash a wound with water, no matter how dirty it (the wound) may be! For rinsing, special solutions are used, which must be prescribed by a doctor. Usually this is hydrogen peroxide or Miramistin.

Seam processing is usually carried out every day at the same time of day. Those. There should be approximately 24 hours between dressings. Sometimes the time interval can be shortened or increased at the discretion of the doctor. In any case, the specialist will schedule a follow-up examination 8-10 days after discharge, so he will be able to adjust the treatment of the sutures.

Scar Treatment Products

Even when the suture material has already been removed (or it has dissolved), you need to continue to care for the wound. This comes down to caring for the formed scar, which can have a different character: atrophic, keloid, hypertrophic, tight. For treatment, special ointments are used, which play the role of both an antiseptic and a connective tissue regenerator.

Bepanten

Not to be confused with Baneocin. Baneocin ointment is used as a local antibacterial agent. And Bepanten (the active ingredient is dexpanthenol) is known specifically as a means for healing scars. Although it is also a good antiseptic. Average price: 400 rubles.

Contractubex

The active substance is allantoin. An ointment that smoothes the surface of the scar, as if polishing it. Softens hard tissues, reduces pain, improves tendon mobility, and regenerates the outer layers of the skin. Treatment of the suture after a cesarean section in the first 5-7 days is usually carried out with liquid antiseptics, and Contractubex is used to get rid of scars.

Methyluracil

The active ingredient is methyluracin. Helps wounds heal and sutures dissolve. The ointment stimulates the maturation of red blood cells, which promotes rapid regeneration of all tissues, incl. connecting. Methyluracil can even be used to treat internal gynecological sutures that women have to place due to ruptures during childbirth.

Folk remedies can also contribute to the healing of sutures and scars after surgery. They should be used only if you are fully convinced that there is no allergy to the components of the recipe, and after consulting a doctor. Children's cream (10 g) in combination with calendula, orange and rosemary oils (1 drop each) heals seams and scars quite well. Another popular method: lubricate the seams with tea tree oil.

It is better when a specialist handles postoperative sutures. During rehabilitation, the patient gets used to daily dressings and learns some skills from the nurses. Then, after discharge, having received prescriptions and recommendations, the person can complete recovery after abdominal surgery and heal his stitches completely. The main thing is not to deviate from medical orders.

Many people, by choice or necessity, end up on the surgeon's table. After the procedure, it is necessary to pay considerable attention to the successful healing of postoperative sutures. Regardless of the complexity and location of the operation, the skin tissue is seriously damaged, therefore, first of all, you need to take care of their speedy healing.

It is important to prevent infections from entering the wound, which can trigger the onset of the inflammatory process. In such cases, medications come to the aid of patients, in particular ointments for the speedy healing of sutures after surgery.

Modern medicine has many methods and technologies designed to increase the speed of healing of sutures after surgery. Some patients use laser, hardware restoration procedures, or resort to injections.

However, most people treat postoperative wounds outside the hospital walls - with creams and gels, since modern methods are quite expensive. You can buy a medical product in the form of an ointment without a prescription at a pharmacy and treat the wound in accordance with the instructions.

Different types of ointments are used depending on the degree of damage to the skin. To soften and quickly dissolve sutures after minor wounds, use regular creams, and for deeper injuries, use products that contain hormones. In addition to hormonal components, pharmaceutical anti-inflammatory drugs also contain vitamins, mineral components, oil extracts and other active ingredients.

Any ointments that are used to heal sutures after surgery do not have any effect on the patient’s body, only on the skin. As a result of the use of gels, scars after surgery become lighter.

During the treatment of postoperative sutures, there are certain conditions so that damaged skin heals faster and the scars look more aesthetically pleasing:

1. Applying ointment and dressing should be done at least twice a day.
2. It is necessary to treat the sore spot with clean and dry hands, with a special disinfectant applied to them.
3. Before changing the dressing, it is necessary to treat the wound with an antiseptic and determine the degree of healing: when the damaged area is wet and redness is present, the inflammatory processes on the skin are considered unfinished; If a small crust forms on the seam, the healing process can be considered almost complete.

Postoperative special ointments are used depending on the condition of the wound. If the seam is considered wet, it must be treated with a preparation of gel-like consistency; ointment for healing a sutured wound after surgery is strictly prohibited in such situations!

If you ignore this recommendation, after applying the ointment, a greasy formation in the form of a film will appear on the damaged area of ​​the skin, which prevents the penetration of air into the tissue and slows down the processes of natural recovery.

Means for rapid wound healing

The most common drug for treating wounds after surgery is. This medication contains components that promote the production of collagen, which is responsible for the restoration processes and normalization of the skin.

Solcoseryl can be purchased in pharmacies in two forms: gel and ointment. The first option is used when the inflammatory processes have not yet completed, and the ointment is applied to a dry wound after surgery. In this case, the product covers the seam with a film that protects the sore spot from viruses and bacteria. The cost of Solcoseryl does not exceed 200 rubles.

It is possible to use a cheaper analogue -. The composition of this drug is practically no different from Solcoseryl and is also an excellent ointment - an assistant in the fight against postoperative sutures. Actovegin should be applied only once a day, in the form of a bandage. At the pharmacy, its price varies from 100 to 150 rubles.

Doctors also recommend using ointment to heal postoperative sutures. The effectiveness of this drug is known, in addition, Levomekol has antibiotic properties. The product is often purchased to treat festering lesions, eczema and inflamed skin rashes. Another advantage of Levomekol is the ability to use it for pregnant girls. The cost of such a drug does not exceed 100 rubles.

Do not forget that caring for the damaged area of ​​skin after surgery must be carried out in accordance with the instructions of the doctor, who, in addition to a special ointment, will recommend several more treatment methods in combination.

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

So that they do not spoil the appearance, dictate the style of the clothes worn and do not cause an uncomfortable feeling of tightness in the surrounding tissues, they must be removed. We'll talk about ways in which this can be done.

Why do postoperative scars appear?

The formation of such defects depends on many factors:

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

Types of postoperative scars

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

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

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

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

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

Scar removal methods

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

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

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

How to treat postoperative scars at home

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

Kelofibrase

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

Contractubex

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

Gel and spray Kelo-kot

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

Dermatix

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

Skargard

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

Gel Fermenkol

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

Clearvin

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

Mepiderm scar patch

This is a silicone patch combined with a compress

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

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

Contraindications to treatment at home

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

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

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

Treatment in a dermatocosmetologist's office

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

Mesotherapy

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

Administration of glucocorticoid hormones

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

This is how hypertrophic and keloid scars are treated.

Peelings

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

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

Scar removal using deep mechanical dermabrasion

Cryotherapy

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

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

Laser resurfacing

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

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

Scar correction using laser resurfacing

Surgical treatment

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

Contents [Show]

Undoubtedly, all people sooner or later encounter various diseases. Some of them necessarily require surgical intervention. Such treatment never goes away without leaving a trace. The manipulation always leaves a person with a postoperative suture. You need to know how to properly care for such a scar, and in what cases to seek help from a specialist.

Depending on the scale of the operation, the size of the suture may vary significantly. Some interventions, for example, after laparoscopy, leave a person with small centimeter incisions. Sometimes such seams do not require the use of special threads and are simply glued together with adhesive tape. In this case, you need to ask your doctor how to properly care for the damaged area and when to remove the patch.

Also, the postoperative suture can be of impressive size. In this case, the fabrics are sewn together in layers. First, the doctor combines the muscles, tissues of blood vessels, and only after that makes an external suture, with the help of which the skin is combined. Such scars take longer to heal and require careful care and special attention.

The postoperative suture always needs treatment. From the moment your doctor places the sutures on your skin, the medical staff will wash your sutured tissue daily. In some cases, treatment must be carried out several times a day. The doctor will definitely notify you about this after the procedure. If complications occur or germs enter the wound, it may be necessary to use additional antiseptic and antibacterial agents for treatment.

The suture is removed after surgery in about a week. If tissue healing is slow, this period can increase to two weeks or even one month. During this time, it is necessary to properly handle postoperative sutures. The healing of the wound is determined by the attending physician. It is he who sets the deadline when the threads can be removed.

In some cases, suture removal is not required after surgery. Sometimes doctors use special self-absorbing threads. They are applied in most cases to soft tissues and mucous membranes. This method of tissue bonding is often used in gynecology and plastic surgery. Despite the fact that such threads are not removed, it is also necessary to process these postoperative sutures. Wound healing occurs when the tail of the protruding stitching material simply falls off.

In some cases, the postoperative suture must be removed much later than the patient is discharged from the medical facility. In such a situation, a person needs to be told and shown how to care for sewn fabrics. After removing the threads, postoperative sutures should be processed for some time. So, how can you care for a wound yourself?

First you need to purchase all the necessary materials. This can be done at any pharmacy chain located near your home. If you have difficulty walking, ask your relatives or neighbors to buy everything you need.

Treatment of a postoperative suture requires the presence of ordinary brilliant green, 3% hydrogen peroxide, an alcohol solution and hypertonic fluid. You will also need sterile bandages, tweezers, postoperative patches of suitable sizes and cotton swabs.

In some cases, postoperative sutures are treated with cotton wool. When independently caring for damaged tissue, it is better to avoid using this material. When rubbing the skin, small pieces of cotton wool can cling to the applied threads and remain on the wound. As a result, inflammation may occur. That is why you should give preference to sterile bandages or special dressings.

Before treating the wound, it must be opened. Wash your hands with soap and disinfect them with an antiseptic solution. Carefully remove the bandage and inspect the skin. There should be no liquid on the rumen. If ichor or pus oozes from the wound, you should consult a doctor as soon as possible. This means that there is an inflammatory process in the wound.

Treatment of the surface of the scar In the event that the surface of the tissue is completely dry, you can begin to process the seam yourself. To do this, take a comfortable position and prepare all the necessary materials.

To begin, roll up a small piece of sterile bandage and soak it in an alcohol solution. Gently wipe the scar with a damp cloth. Make sure that all wounds and holes on the body are moistened with liquid. After this, let the skin dry and proceed to the next step.

If pain, pulsation or burning occurs in the suture area, the following must be done. Roll the gauze bandage into four layers and soak it in a hypertonic solution. Place the fabric over the seam and seal it with adhesive tape. This compress will help relieve pain and swelling in the wound area. If you are not bothered by unpleasant sensations, then skip this point and proceed further according to the instructions.

Take a cotton swab and soak it in brilliant green. Carefully treat all wounds that were caused by the suture, as well as the scar itself. After this, apply a sterile bandage to the cleaned area and cover with a bandage.

If the doctor allows it, then you can leave the stitch open. All wounds heal faster in the air. Remember that in this case you must be careful not to damage the scar.

If you have already had your stitches removed, this does not mean that you do not need to take care of your scar. Remember that after water procedures it is necessary to treat the injured surface. Ask your surgeon how long scar treatment should take. On average, doctors recommend caring for the damaged surface for about one more week.

After taking a shower, pour hydrogen peroxide into the grout in a thin stream. Wait until the reaction occurs and the liquid hisses. After this, blot the seam with a sterile bandage and proceed to the next step.

Soak a cotton swab in brilliant green and treat the seam and existing postoperative wounds. Repeat this procedure after each bath.

Carefully monitor the condition of your postoperative sutures. You can see photos of properly healing scars in this article. Upon discharge, ask your doctor for detailed recommendations. Let your doctor tell you and show you how to properly care for damaged tissue. Remember that from the moment of discharge, your health is solely in your hands. That is why ask the medical staff about everything that interests you. This will help avoid various unpleasant consequences.

If you have any complications or questions, please contact your local doctor. In emergency situations, call an ambulance. Remember that tissues that are not yet fused may separate. That is why be careful, avoid unnecessary stress and get plenty of rest. Be healthy!

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

Any surgical intervention leaves behind a scar - a suture at the site of the incision of the skin and soft tissues. The more complex the surgery, the deeper the scar may be and the more difficult the healing process. 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.

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

All seams can be divided into several types:

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

Postoperative suture

What is better to treat than to smear at home?

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

The simplest means are:

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

Other means:

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

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

How to remove postoperative sutures at home?

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

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

Approximate timing of suture removal after surgery:

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

How to remove a seam at home:

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

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

How to remove a seam yourself?

Preparations for healing and resorption of postoperative sutures

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

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

The most effective ointments:

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

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

Healing of scars after surgery

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

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

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

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

Why the patch is useful:

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

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

What can help:

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

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

Seroma most often occurs in those who:

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

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

What can be the treatment:

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

Postoperative fistula: how to treat?

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

Why does a fistula appear:

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

How to eliminate a fistula:

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

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

What to do in such cases:

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

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

The scar hurts

Postoperative suture is oozing: what to do?

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

Why the seam may come apart:

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

What to do:

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

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

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

Other reasons:

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

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

Causes of itching:

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

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

Treatment of postoperative sutures at home is a very important procedure that ensures rapid restoration of the dermis.

To get a good result, you need to provide adequate care to postoperative wounds.. To do this, the doctor selects medications to heal damaged areas.

• sterility;
• regularity of procedures;

Depending on the nature of the damage, the seams are treated with the following antiseptics:

1. Medical alcohol.
2. Zelenka.

To speed up the healing process, it is necessary to follow the wound treatment algorithm:

• apply a bandage.

Caring for a postoperative suture requires compliance with certain conditions:

• accessibility;
• broad spectrum of action;
• nutrition of the dermis;
• ease of use;

Depending on the nature and degree of damage to the dermis, the following types of drugs are used:

1. Vishnevsky ointment– is considered one of the most accessible stretching drugs. With its help, it is possible to speed up the recovery process after purulent processes.
2. Levomekol– has a combined effect. Thanks to the use of the product, it will be possible to achieve antimicrobial and anti-inflammatory effects. The substance is a broad-spectrum antibiotic. The product can be used for purulent discharge.
3. Vulnuzan– the substance is made on the basis of natural ingredients. It can be applied to the wound and to the bandage.
4. Levosin– helps cope with microbes, eliminate inflammation and stimulate the healing process.
5. Stellanin- a new generation product. With its help, it is possible to eliminate swelling and cope with infection. The drug perfectly restores the structure of the epithelium.
6. Eplan– is considered one of the most powerful local remedies. The substance has pronounced analgesic properties and helps cope with infection.
7. Solcoseryl- Produced in the form of gel and ointment. The gel is applied to a fresh wound, and the ointment is applied after the healing process has begun. The product minimizes the risk of scars and cicatrices. The substance is recommended to be applied under a bandage.
8. Actovegin– is considered a cheaper analogue of Solcoseryl. With its help, it is possible to cope with inflammation and avoid allergies. Therefore, the drug can be used even during pregnancy and lactation. The product can be applied directly to the affected area of ​​the dermis.
9. Agrosulfan– has bactericidal properties, has antimicrobial and analgesic effects.

1. Naftaderm– has anti-inflammatory properties. With the help of this substance it is possible to cope with pain and soften scars.
2. Contractubex– used during the healing stage. With its help, it is possible to achieve a softening effect in the area of ​​scars.
3. Mederma– increases skin elasticity and helps lighten scars.

A patch for healing postoperative sutures also helps to achieve good results.. This product is a plate that holds the incision area together and supplies the wound with the necessary substances.

All medications must be prescribed by a doctor. The specialist will definitely tell you how to care for the affected area.

1. Healing cream. To make it, you need to take 2-3 tablespoons of nourishing cream, add 1 drop of rosemary oil and the same amount of orange oil. Treat the affected areas of the dermis with the resulting composition.
2. Tea tree oil. This product should be lubricated on the wound immediately after the intervention. Subsequently, the procedure is performed within a week.
3. Ointment based on goose fat and Japanese sophora berries. This remedy significantly accelerates wound healing. To make it, you need to mix a couple of glasses of dry fruits with 2 glasses of fat. Instead of goose fat, you can use badger fat. It is recommended to heat the resulting composition in a steam bath for 2 hours. Then the product needs to be heated once for 3 days. On day 4, the composition is brought to a boil and removed from the stove. It is recommended to mix the finished ointment thoroughly and place it in a glass container. A small amount of the composition is applied to the bandage and applied to the seams.
4. Larkspur tincture. A couple of tablespoons of crushed plant roots should be mixed with a glass of water and the same amount of alcohol. It is recommended to treat damaged areas with the resulting product.
5. Beneficial beeswax ointment. To make it, you need to mix 100 g of wax and 400 g of sunflower oil. Place the mixture on the stove and cook for at least 10 minutes. When the composition has cooled, it is applied to a bandage and applied to the affected area.

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How to treat a postoperative suture for better healing?

Treatment of postoperative sutures at home is a very important procedure that ensures rapid restoration of the dermis.

To speed up the wound healing process, you need to strictly follow the doctor’s recommendations.

The specialist will prescribe effective medications to treat the affected areas.

So, what should you apply to the skin around the stitches?

The healing process depends on the individual body. In some people, skin regeneration occurs quite quickly, while in others it takes a long period of time.

To get a good result, you need to provide adequate care to postoperative wounds. To do this, the doctor selects medications to heal damaged areas.

The speed and characteristics of recovery are influenced by the following factors:

• sterility;
• regularity of procedures;
• materials used for processing seams.

One of the key rules for caring for damaged areas of the dermis is compliance with the rules of sterility. Treatment of wounds is carried out exclusively with well-washed hands. For this purpose, carefully disinfected instruments must be used.

Depending on the nature of the damage, the seams are treated with the following antiseptics:

1. Potassium permanganate solution - it is important to strictly adhere to the dosage. This will help avoid getting burned.
2. Medical alcohol.
3. Zelenka.
4. Fucarcin - the drug is wiped off the surface with great difficulty. This may cause discomfort.
5. Hydrogen peroxide – may cause a slight burning sensation.
6. Anti-inflammatory ointments or gels.

In addition, you can treat the wound with an effective antiseptic - Chlorhexidine. In any case, you should definitely consult a doctor before starting therapy.

To speed up the healing process, it is necessary to follow the wound treatment algorithm:

• disinfect hands and equipment that will be used;
• carefully remove the bandage from the wound;
• Apply an antiseptic to the seam using a gauze swab or a cotton swab;
• apply a bandage.

Caring for a postoperative suture requires compliance with certain conditions:

• treatment should be performed 2 times a day, but if necessary, this amount can be increased;
• it is important to systematically check the wound for inflammation;
• to avoid the formation of scars, do not remove dry crusts;
• During water procedures, you should avoid using hard sponges
• If complications occur in the form of redness, swelling or purulent secretion, you should immediately consult a doctor.

Many people are interested in how to treat a postoperative suture for better healing. A variety of means can be used for this purpose.

Today you can find many effective local drugs that can cope with the problem. Their use has a number of advantages:

• accessibility;
• broad spectrum of action;
• creating a film on the surface of the wound - this avoids excessive tissue dryness;
• nutrition of the dermis;
• ease of use;
• softening and lightening of scar defects.

It is important to remember that wet wounds should not be treated with ointments. They are prescribed after the healing process has begun.

Depending on the nature and degree of damage to the dermis, the following types of drugs are used:

• simple antiseptics - suitable for treating shallow wounds;
• medications with hormonal ingredients - used for extensive injuries that are accompanied by complications.

Correctly selected ointment for healing postoperative sutures allows you to achieve excellent results. The most effective means include the following:

1. Vishnevsky ointment is considered one of the most accessible stretching drugs. With its help, it is possible to speed up the recovery process after purulent processes.
2. Levomekol – has a combined effect. Thanks to the use of the product, it will be possible to achieve antimicrobial and anti-inflammatory effects. The substance is a broad-spectrum antibiotic. The product can be used for purulent discharge.
3. Vulnuzan is a substance made from natural ingredients. It can be applied to the wound and to the bandage.
4. Levosin - helps cope with microbes, eliminate inflammation and stimulate the healing process.
5. Stellanin is a new generation remedy. With its help, it is possible to eliminate swelling and cope with infection. The drug perfectly restores the structure of the epithelium.
6. Eplan is considered one of the most powerful local remedies. The substance has pronounced analgesic properties and helps cope with infection.
7. Solcoseryl - produced in the form of a gel and ointment. The gel is applied to a fresh wound, and the ointment is applied after the healing process has begun. The product minimizes the risk of scars and cicatrices. The substance is recommended to be applied under a bandage.
8. Actovegin is considered a cheaper analogue of Solcoseryl. With its help, it is possible to cope with inflammation and avoid allergies. Therefore, the drug can be used even during pregnancy and lactation. The product can be applied directly to the affected area of ​​the dermis.
9. Agrosulfan – has bactericidal properties, has antimicrobial and analgesic effects.

In addition, you can choose an effective ointment or cream for resolving postoperative sutures. The most effective remedies in this category include the following:

1. Naftaderm – has anti-inflammatory properties. With the help of this substance it is possible to cope with pain and soften scars.
2. Contractubex – used during the healing stage. With its help, it is possible to achieve a softening effect in the area of ​​scars.
3. Mederma – increases skin elasticity and helps lighten scars.

A patch for healing postoperative sutures also helps to achieve good results. This product is a plate that holds the incision area together and supplies the wound with the necessary substances.

Thanks to the use of a special patch, the following results can be achieved:

• prevent the penetration of bacterial microorganisms into the wound;
• absorb discharge from the damaged area;
• ensure air flow to the seam area;
• make the seam softer and smoother;
• retain the necessary moisture in the scar area;
• prevent seam growth;
• avoid subsequent damage to the injured area.

All medications must be prescribed by a doctor. The specialist will definitely tell you how to care for the affected area.

Any self-medication options are strictly prohibited, as there is a risk of wound suppuration and progression of inflammation.

To speed up the healing process of affected areas, you need to use folk recipes. Today there are quite a few effective means:

1. Healing cream. To make it, you need to take 2-3 tablespoons of nourishing cream, add 1 drop of rosemary oil and the same amount of orange oil. Treat the affected areas of the dermis with the resulting composition.
2. Tea tree oil. This product should be lubricated on the wound immediately after the intervention. Subsequently, the procedure is performed within a week.
3. Ointment based on goose fat and Japanese sophora berries. This remedy significantly accelerates wound healing. To make it, you need to mix a couple of glasses of dry fruits with 2 glasses of fat. Instead of goose fat, you can use badger fat. It is recommended to heat the resulting composition in a steam bath for 2 hours. Then the product needs to be heated once for 3 days. On day 4, the composition is brought to a boil and removed from the stove. It is recommended to mix the finished ointment thoroughly and place it in a glass container. A small amount of the composition is applied to the bandage and applied to the seams.
4. Larkspur tincture. A couple of tablespoons of crushed plant roots should be mixed with a glass of water and the same amount of alcohol. It is recommended to treat damaged areas with the resulting product.
5. Useful beeswax ointment. To make it, you need to mix 100 g of wax and 400 g of sunflower oil. Place the mixture on the stove and cook for at least 10 minutes. When the composition has cooled, it is applied to a bandage and applied to the affected area.

To speed up the healing process of postoperative sutures, it is very important to provide good care for the damaged areas of the dermis. For this purpose, medications and folk remedies are actively used.

Always consult a physician before using any product. Self-medication can lead to dangerous consequences in the form of serious inflammation.

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All information provided on this site is for informational purposes only and is not intended as a guide to action. Before using any product, ALWAYS consult your doctor. The site administration is not responsible for the practical use of recommendations from articles.

Source: necessary for processing

Postoperative sutures are usually removed 7–10 days after surgery. Usually during this time the patient remains in hospital, and the condition of the wound is monitored by a medical professional. Sometimes it happens that the patient can be sent home earlier, but he must always handle the stitches himself.

If the operation was successful, the patient is receiving home treatment and the sutures are not infected, their treatment should begin with thorough rinsing with an antiseptic liquid. To do this, you need to take a small piece of napkin with tweezers and moisten it generously with peroxide or alcohol. Then use a blotting motion to work the seam and the area around it. The next step is to apply a sterile bandage, previously soaked in a hypertonic solution and wrung out. You need to put another sterile napkin on top. At the end, the seam is bandaged and sealed with adhesive tape. If the wound does not fester, this procedure can be carried out every other day.

If the stitches were removed in the hospital, you will have to treat the postoperative scar at home. Caring for it is quite simple - daily lubrication with brilliant green for a week. If nothing is oozing from the scar and it is dry enough, there is no need to cover it with an adhesive plaster, since such wounds heal much faster in the air. It should be remembered that in case of systematic appearance of blood or fluid at the site of the scar, its independent treatment is not recommended. It is better to trust professional doctors, as this may indicate an infection in the wound. It is important to know that when processing seams you should not use cotton swabs. Their particles can linger on the seam and cause an inflammatory process. Easy-to-use gauze pads are an excellent alternative.

• - hydrogen peroxide;
• - brilliant green;
• - sterile bandage;
• - cotton wool, cotton swabs or disks.

• how to treat with hydrogen peroxide

Timing for removing suture material

The time when sutures can be removed depends on many factors: postoperative complications, the condition of the patient and the wound, the age of the patient, the nature of the injury and many others. Only the attending physician can determine the timing of suture removal; such decisions should not be made independently.

Preparations for treating seams

Source: doctor Krivega M.S.

For the first few days, suture care after surgery is carried out in the hospital where it was performed. Every day, the doctor removes the sterile gauze bandage, which will first be soaked in ichor, treats the edges of the seam with brilliant green (iodine is almost never used, given the abundance of allergic reactions), and reapplies the bandage, which is secured with a plaster. During this period (it usually ranges from 1 to 5 days), the doctor does not recommend that you wash so that water does not get on the area of ​​the postoperative wound.

If the sutures are applied to the mucous membrane, for example, they were used to sew up perineal tears after childbirth or after an episiotomy, then such wounds are usually treated several times a day during the first two to three days. For this, a 3% solution of hydrogen peroxide is used (peroxide is not only an antiseptic, it gently cleanses the wound of dead cells, dried blood and foreign substances), a solution of chlorhexidine digluconate, and a solution of furatsilin. After treatment with the above agents, such a wound is lubricated with alcohol and a sterile bandage is applied to it.

If the postoperative period goes well and no complications have occurred, on the 4-5th day, after treating the skin wound with peroxide and a solution of brilliant green, the surgeon can remove the bandage. This is called open wound management. At this stage, a person can already wash himself, but still try not to get the seam wet. After taking water procedures, it is recommended to blot (do not wipe) the suture area with sterile gauze, then dip a cotton swab in alcohol or a solution of brilliant green and use it to treat the edges of the wound.

Sutures on the mucous membrane can also be washed after a few days, but many obstetricians recommend doing this with soap containing an antiseptic, for example, Safeguard. After washing, the seam is also blotted with gauze, but is not treated with anything else unless necessary. In the future, such stitches (almost always these wounds are sutured with catgut) dissolve on their own, while the person is at home at this time.

The skin suture is usually removed by 7-14 days, having previously treated it with alcohol and brilliant green. Before this, a few days before the sutures are completely removed, they can be removed one at a time. The person is discharged home, with the recommendation not to forget about the stitch yet, not to get it too wet, and to treat it with fucorcin or alcohol once a day. Treatment of postoperative sutures is an essential component of treatment. To speed up healing, you can apply water-soluble ointments such as Levomekol, Dioxyzol, Bepanten-cream (sea buckthorn oil is best used when the seam looks like a dry dark stripe).

Sometimes it happens that the sutures are not removed, but the person is discharged with recommendations and told when he should visit the surgeon at his place of residence to have the sutures removed. Then the person has to treat the postoperative wound site himself. This is not difficult, the main thing is to follow the rules of asepsis, that is, wash your hands before treating the wound, do not touch the wound with your hands.

You will need to buy 3% hydrogen peroxide, brilliant green, sterile gauze, cotton swabs and alcohol, and a roll of paper plaster. Water the previous bandage with peroxide to easily remove it. Then you remove it, treat the edges of the wound with a cotton swab and alcohol, then do the same with brilliant green, apply a sterile gauze bandage folded in 4-6 layers, and secure it with a paper bandage. Try not to stick the patch on the same places so that bedsores do not occur there. If within two to three days the wound is dry and nothing comes out of it, continue to treat it with brilliant green and alcohol, but do not put a bandage on top. Use wound healing ointments after the stitches are removed.

Sometimes, unfortunately, the postoperative suture does not heal so well. If the suture does not heal after surgery, then urgent measures should be taken. The following complications may occur:

Suppuration of the wound, when the discharge becomes whitish, yellow, greenish, sometimes with an unpleasant odor;

Bleeding from the surgical wound;

Infiltration (compaction) at the site of the postoperative suture;

Redness and looseness of tissue near the seam;

The appearance of a hematoma at the suture site;

Dehiscence of the suture with prolapse of a portion of the internal organ into the wound;

Repeated (later than 5 days) onset of bleeding from the wound;

A rise in body temperature with a deterioration in general well-being, weakness, chills.

In all these cases, an urgent visit to the hospital where the operation was performed is necessary. In cases of heavy bleeding or prolapse of internal organs into the wound, you need to call an ambulance, which will take the patient in a supine position to the department where he was previously operated on.

In case of such complications, the patient will be given antibiotics and drugs that improve blood clotting. If the wound suppurates or its sutures melt, as well as in the presence of infiltration, the sutures are removed, drainage is placed in the wound (often just a piece of a sterile glove or a small tube), the wound is washed twice a day with hydrogen peroxide, chlorhexidine, and furatsilin. If air bubbles or contents with an unpleasant odor appear in the wound, the wound is also washed with potassium permanganate. When a seam festers, urgent measures are required.

Repeated hospitalization may be necessary, especially in the case of organ prolapse into the wound.

The postoperative wound is sterile and only in this case is there a guarantee of wound healing under the sutures, the so-called “primary intention”. The healing of sutures depends largely on the human body as a whole. There are people for whom everything heals quickly, be it post-operative stitches, or just a cut or wound, and there are those for whom this process drags on for many months.

In his life, any person has injured his skin to a greater or lesser extent. Therefore, it is important to know the basic rules for the primary treatment of the wound surface.

A bandage is a special dressing material that is used to close a wound.

The process of applying a bandage to the wound surface is called dressing.

There are quite a huge number of different dressings. These dressings are classified according to three main points: by type of dressing material, by the method of fixing the dressing and by purpose

This is a surgical procedure, otherwise called medical sterilization. During this operation, the tubes are blocked, cut or tied. The operation is considered one of the most effective, guaranteeing 99% absence of pregnancy. Only for a few people it can occur when there is still a passage for sperm to enter, as well as due to an incorrectly performed operation.

The normal desire of every pregnant woman is to give birth easily, quickly and without tearing. But alas, this happens extremely rarely. 95% of women who have experienced the joy of motherhood have perineal ruptures, which complicate the already far from easy postpartum period.

Often, after surgery with a violation of the integrity of the skin, surgeons resort to applying a surgical suture. There are countless varieties of these sutures, and there is even an expression: as many surgeons as there are, so many sutures, since each surgeon applies a suture, albeit according to the generally accepted method, but still adapting the technique to suit himself and the characteristics of the patient.

The doctor removes the sutures after the operation, but we will talk about what it is and how the process itself occurs. There are also threads that do not need to be removed; they dissolve on their own. This is a suture material such as catgut, vicryl and others. Catgut usually begins to dissolve within 7-10 days. Vicryl usually dissolves within a day, but there are situations when the wound heals much earlier and there is no need for threads, so it is better to remove them. If the wound has healed, but the threads are not removed, then a feeling of tension appears, which causes discomfort.

Childbirth is the long-awaited hours of waiting for the baby to be born. Almost all women want to give birth on their own through the birth canal, but for certain indications, operative delivery by cesarean section is performed either planned or emergency.

Source: VPROK (188)

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Postoperative suture care at home

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.

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, not requiring special threads, but glued together using a special plaster
• bloody, which are stitched with medical suture material through biological tissue

Depending on the method of applying bloody sutures, the following types are distinguished:

• simple knotted - the puncture has a triangular shape that holds the suture material well
• continuous intradermal - the most common, which provides a good cosmetic effect
• vertical or horizontal mattress – used for deep, extensive tissue damage
• purse string - intended for plastic fabrics
• entwining - as a rule, serves to connect vessels and hollow organs

The following techniques and instruments are used for suturing vary:

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

Sutures can be applied in different ways

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 – not 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

Various materials are used for suturing

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.

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 trauma care is maintaining sterility. Treat wounds only with thoroughly washed hands using disinfected instruments.

Depending on the nature of the injury, postoperative sutures are treated with various antiseptic agents:

• potassium permanganate solution (it is important to follow the dosage to avoid the possibility of burns)
• iodine (in large quantities can cause dry skin)
• brilliant green
• medical alcohol
• fucarcin (difficult to wipe off from the surface, which causes some inconvenience)
• hydrogen peroxide (may cause a slight burning sensation)
• anti-inflammatory ointments and gels

Sutures must be treated after surgery

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 without complications, it is important to follow the rules for processing sutures:

• 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

Maintain sterility

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

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

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

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

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

But it's better to leave this matter to a professional.

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

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

Maintain hygiene after surgery

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.

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

• swelling and redness in the suture area
• 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 your doctor
• 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

Take vitamins to help the stitch heal better

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

One of the negative consequences after surgery is a 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. A granuloma forms around the thread, that is, a compaction consisting of the material itself and fibrous tissue. Such a fistula is formed, as a rule, for two reasons:

• entry of pathogenic bacteria into the wound due to incomplete disinfection of threads or instruments during surgery
• the patient’s weak immune system, due to which the body weakly resists infections, and 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 increase

After surgery, 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:

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

Often the fistula has to be removed surgically

Recently, a new method of treating fistulas has appeared - ultrasound. This is the most gentle method. Its disadvantage is the length of the process. In addition to the methods listed, healers offer folk remedies for the treatment of postoperative fistulas:

• Dissolve 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 a decoction of St. John's wort (4 tablespoons of dry leaves per 0.5 liters of boiling water)
• take 100 g of medicinal 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 cabbage leaf to the fistula at night

Fistula can also be removed using folk remedies

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

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, different types of ointments are used:

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

• Vishnevsky ointment is one of the most affordable and popular pulling agents. Promotes accelerated release from purulent processes
• levomekol – has a combined effect: antimicrobial and anti-inflammatory. It is a broad spectrum antibiotic. Recommended for purulent discharge from the suture
• Vulnuzan is a product based on natural ingredients. Apply to both wound and bandage
• levosin – kills microbes, eliminates inflammation, promotes healing
• stellanin is a new generation ointment that removes swelling and kills infection, stimulates skin regeneration
• eplan is one of the most powerful local treatments. 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 is used when healing has begun. The drug reduces the likelihood of scar formation. Better to put under a bandage
• actovegin is a cheaper analogue of 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

• 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

Excellent absorbent agent

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.

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

Postoperative patch

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

To achieve positive results in the healing of postoperative sutures, this medical product must be used 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.

When all the fears associated with the operation are behind you, you should think about... Treatment of sutures should begin immediately after surgery. When a person is still in the hospital, the medical staff monitors the condition of the postoperative suture. But after being discharged home, you will have to take care of scar care yourself.

Will there be a scar? Of course it will remain. But whether it will be thin and almost unnoticeable or thick and convex largely depends on how you care for it. If the suture is not treated, complications are possible.

First postoperative days

After the operation, you must carefully observe the suture; there should be no discharge from it. In the first days after surgery, the seam must be lubricated with brilliant green, iodine or vodka. A bandage is applied to the wound before the stitches are removed.

Fact! In places with an active blood supply and a large accumulation of blood vessels, for example on the face, healing of the postoperative suture occurs faster.

Due to microorganisms entering the seam, the wound may fester. Infection also occurs from hematomas, because blood is a good breeding ground for bacteria. At the first signs of suppuration, the suture should be lubricated with hydrogen peroxide or chlorhexidine solution, this will reduce the risk of further infection.

Advice! To avoid serious consequences, it is better to consult a doctor.

Medicines will relieve the consequences

After discharge from the hospital, the doctor must give clear instructions on what to do with the stitches and provide a list of recommended medications. But if for some reason this did not happen, then do not worry. In pharmacies there is a huge selection of suture care that will help the skin heal without complications, you just need to make the right choice.

Contractubex ointment

Before using the ointment, you should consult your doctor. The fact is that the suture after surgery can begin to be lubricated with ointment only 2 weeks after the operation. But if there is a tendency to form keloid scars, then Contractubex should be started as early as possible, because within 2 weeks the keloid will be fully formed.

The ointment contains:

• allantoin;
• onion extract;
• heparin sodium.

Thanks to this composition, Contractubex ointment improves blood circulation, which promotes rapid healing. It has anti-inflammatory, fibrinolytic and antiproliferative effects. In order to minimize the formation of scars after wound healing, the ointment must be applied daily for at least 3 months. Excellent for treating and.

Solcoseryl gel (ointment)

Available in the form of a gel or ointment. The gel contains deproteinized dialysate from the blood of dairy calves - this is an active substance that enhances blood circulation in damaged tissues.

The active substance of the gel stimulates cells to regenerate and repair, due to which the wound healing process occurs faster and tissue scarring occurs without pathologies.

Important! The ointment can only be applied to dry wounds. But the gel, on the contrary, has proven itself well in working with weeping wounds.

Solcoseryl gel is applied to freshly disinfected seams 2 times a day. Apply until a crust forms and the wound dries.

Solcoseryl ointment can be applied using a bandage, since, unlike the gel, the ointment is quite oily. Apply to dry seams at least 2 times a day until scar tissue forms.

There are no serious contraindications for use. In rare cases, slight redness of the skin may occur. In this case, it is better to stop using the drug or reduce the number of procedures.

Acerbine spray

Available in the form of a liquid solution. A convenient sprayer allows you to evenly apply the solution to the wound. The composition includes malic, salicylic and benzoic acids. It has a noticeable antiseptic and analgesic effect. Prevents the formation of fluid in the wound. Malic acid removes excess carbon dioxide in the wound, has an excellent drying effect and the wound quickly epithelializes.

Acerbine spray is applied 1-2 times a day. When a crust forms, the number of procedures can be reduced to once a day. It has no contraindications, but sometimes allergic reactions may occur. A slight burning sensation at the time of application quickly passes and is a normal reaction of the wound to the drug.

Traditional medicine to help

Of course, it is better to use pharmacological drugs to care for postoperative wounds. But if it is not possible to purchase drugs at the pharmacy, you can resort to simple ones.

Important! When using folk remedies, strictly observe sterility so that the wound does not fester.

Traditional recipes do not have a serious therapeutic effect, but they certainly make the scar less noticeable. Making wound treatment products at home is very easy and does not take much time. Here are some simple recipes:

1. Aloe juice has effective wound healing properties and is also an excellent antiseptic. Aloe juice should be smeared on a fresh seam regularly, this will help scar tissue and prevent inflammation of the seams. Effectively treats fresh wounds on the face.
2. Onion juice is good for healing wounds. To do this, you need to chop the onion until a paste forms, wrap it in gauze and apply to the wound 1-2 times a day. Onion juice kills all kinds of microbes, the stitches will not fester, the wound will heal quickly, and the scar will be less noticeable.
3. A mixture of garlic and honey will help kill harmful bacteria, tissue epithelization will occur much faster. In addition, honey improves blood supply to tissues, which helps avoid severe scarring. The mixture must be smeared on the seam 1-2 times a day, after the honey is absorbed, the residue must be carefully removed with a sterile damp cloth.

Procedures using medications and home care products must be done while the skin is scarring in order to be effective. If treated diligently and systematically, it will not cause complications and will be less noticeable in the future.

To eliminate an already formed scar, it will be possible to use more serious methods, such as mesotherapy. But this is only a year after the formation of the scar. With proper care of the wound after removal of the sutures, there will be no need to resort to radical methods of scar removal.

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