How to remove surgical sutures at home. After how many days are the stitches on the arm removed?

The operations performed involve suturing the skin. Before removing them, you must follow recommendations that will be aimed at preventing infection or other complications. Eliminating these factors will help solve the problem of whether it is painful to remove sutures after surgery.

After the intervention, patients are interested in the question on what day after the operation the sutures are removed. Meeting deadlines is an important aspect of the postoperative period. Premature removal of sutures after surgery risks dehiscence and possible infection; in later procedures, the suture material grows into the skin. To determine how long after the operation the sutures are removed, it is necessary to clarify the nature of the operation performed. Among them:

The amputation performed involves removal of the sutures after 2 weeks.
Surgeries in the head area require its removal after a week, as do superficial procedures on the anterior abdominal wall or a caesarean section procedure.
Up to 14 days, the procedure is carried out after deep and traumatic operations in the abdominal cavity or chest, as well as natural childbirth.

These terms are conditional, since the attending physician decides on withdrawal on an individual basis. Reduction is possible with good recovery, absence of suppuration and quick rehabilitation. Extension of the period is possible with the development of inflammation, a difficult recovery period, the presence of complications, etc. It should be remembered that in elderly patients the time required for suture removal may be longer. In some cases, if there are infiltrates or suppuration, the doctor may decide to immediately remove them and heal the skin using the method of secondary intention.

Conditions to consider when removing sutures

Among the main factors on the basis of which the doctor determines how many days after the operation the sutures are removed are:

Body areas. Because different parts of the body have different blood supply, regeneration processes occur at different times.
The most active blood supply is rich in areas on the face or neck.
Presence of infectious factors. In some cases, if there is an infection, it is necessary to remove foreign objects from the wound within a short time.
Patient weight. The presence of a large amount of adipose tissue causes a slowdown in the healing process due to slow blood supply to these areas.
Age. Older patients experience slower healing processes.
State of the immune system. Insufficient immune forces predisposes to longer tissue healing.

Is the procedure painful?

Many people wonder whether it hurts to remove stitches after surgery.
Removing sutures is a procedure that does not cause pain. Normally, only minor discomfort may occur and does not require the use of painkillers.
It is painful to remove sutures after surgery in cases where there are signs of ingrowth of the material or there has been inflammation. In order to minimize it, you can use local anesthetics in the form of a spray.

Preparing to remove sutures

Before removing postoperative sutures at home, it is necessary to follow several basic measures that will be aimed at preventing infection, as well as the development of complications.
Among the preparatory activities are:

Before removing sutures after surgery, you need to select the necessary tools, including sharpened scissors with sharp ends, as well as tweezers.
Before the procedure, sterilize the instrument no earlier than 30 minutes. It will destroy all infectious agents that have accumulated on objects. To do this at home, just boil the tool in clean water for at least 15 minutes. After boiling, cool the products. Sutures must be removed after surgery only with clean instruments.
Before removing the sutures after surgery, it is necessary to wipe the instrument with an alcohol solution.
Prepare consumables that may be required for subsequent wound treatment. To do this, you need to use bandages and antibacterial ointment.
The wound area is cleaned with soapy water and dried with a clean towel, followed by wiping with an alcohol solution.

How to remove postoperative sutures

The need to remove sutures at home arises when it is impossible to visit a medical facility due to a serious condition, difficulty moving and other factors. In advance, how to perform the procedure yourself, you need to ask the doctor how the sutures are removed after surgery.

The patient or his relatives must remember how to remove the stitches after the operation themselves, so that there are no difficulties during the procedure.

The procedure is performed in a comfortable position where the patient or his assistant can clearly see the wound.
First, the knot is lifted with tweezers.
When sutures are removed after surgery, an incision is made with scissors just below the surface of the skin.
Next, the thread is pulled out by one of the ends; rapid movements must not be made, as well as damage to nearby tissues.
All nodes are removed sequentially.

Relatives who are not afraid of performing such procedures can also remove stitches after surgery at home.

Withdrawal rules

When removing sutures at home, you must follow several basic rules that will prevent the development of complications:
When removing the thread, do not allow the knot to pass through the surface of the skin, as this can cause not only bleeding, but also pain.
After removing all the threads, it is necessary to inspect the wound area for the presence of residual material in it, which subsequently causes inflammation.
After all manipulations are completed, the scar area is treated with a solution of brilliant green and a bandage is applied.
It is not recommended to perform wound procedures on your own. Only after consultation with a specialist will he decide how long after the operation the sutures are removed. It is also important to follow all basic recommendations. This will determine whether it hurts or not to remove stitches after surgery.

They are necessary for a jaw fracture or suppuration in periodontal tissues. Sometimes this is the only way to get rid of the accumulation of inflammatory fluid. In this case, miniature sutures on the gums are a necessity, in which the mucous membrane heals faster. It is important for patients to understand what to do if the stitches hurt and how to properly treat these areas.

Stitches on the gums after tooth extraction

Most often, such a manipulation is carried out when removing a molar or a painful “eight”. In half of the cases, if there are large branches and the nerve is deep, the dentist has to cut the gum. After this, it remains voluminous and can easily become infected. By applying several neat stitches, the specialist tries to prevent possible complications:

entry of dangerous microbes and microorganisms into the cut;
improvement of socket fusion;
decreased blood secretion;
prevents particles of food and liquid from penetrating into the inflamed area.

Observations and studies show that with suturing, the risk of unpleasant consequences is reduced to only 10%. This greatly simplifies daily handling and hygiene. It is important for the doctor to reduce the operated area to a minimum so that pathogenic microflora does not provoke sepsis and periodontal necrosis.

There is a slight difference in what kind of sutures the dentist places on the gums: regular and self-absorbing. The latter are most effective for use in the oral cavity, where there is a large amount of saliva. The optimal material for such work:

Catgut: has long been used in any field of medicine. It stays well on the mucous membrane for at least 10–14 days. Natural amino acids gradually dissolve the thread and leave no trace. The only problem is the protein base of the material. Some patients experience a negative reaction and even inflammation to this protein, so dentists are using it less and less in their practice.
Vicryl: a more modern and completely synthetic material that is absolutely safe for the patient due to its hypoallergenicity. It tightly holds the edges of the hole in the required position, is easy to disinfect and retains its properties for 3–4 months. If there is no exact time limit for removing the sutures on the gums, you should not worry: they will definitely dissolve under the influence of moisture.

When a fistula forms on the mucous membrane or a painful lump occurs, only a specialist decides how the operation will be performed and what types of threads need to be used.

After complex manipulations, the patient should carefully follow all the surgeon’s instructions. Typically, complete healing and restoration of soft tissues takes at least 7-10 days. During this period, the wound and sutures are treated with antiseptics, lubricated with special solutions and ointments to improve blood circulation (,). Sometimes antibiotics are required to treat possible health complications.

The final decision on when to remove the sutures on the gums is made differently in each case. Healing occurs in patients purely individually and depends on age, hormonal levels and general immunity. Threads can be removed if the following positive changes are observed upon visual inspection:

the mucous membrane is not swollen and has no signs of suppuration;
the person does not have shooting pain, fever or itching inside the jaw;
there is no discharge from the wound when pressed;
periodontal tissues have a uniform pink color.

When using self-absorbable material, in most cases the specialist still removes the threads and does not leave them for a long period. If you do this before a clot forms in the socket, inflammation may begin. The dentist will need to open the inflamed area, clean it again, and apply new stitches.

Is it painful to remove stitches on the gums?

According to statistics, more than half of people are very afraid of going to the dentist and experience real stress even during a standard filling or professional cleaning of plaque with an ultrasonic device. Therefore, they are concerned with the question: is it painful to remove sutures on the gums? How to remove unpleasant sensations and discomfort?

If the dentist performed the operation correctly and no complications arose, the gums heal quickly. All wounds are covered with a new layer of epithelium and become less sensitive to irritants. Therefore, the doctor calmly removes the remaining suture material. Typically, patients do not experience pain, and the procedure itself takes no more than a minute. People who are panicky about pulling out catgut can ask the dentist to numb the hole by spraying an anesthetic spray (Lidocaine or Novocaine).

If the healing period is difficult and the gums are very achy, the person complains of the inability to chew food normally, analgesics may be prescribed. They are used orally in tablet form using Ibuprofen, Ketanov, Nise or Tempalgin. Gels with a “freezing” effect that relieve tension in the wound are more effective: , Dentol, or.

How to remove sutures on the gums

When removing wisdom teeth, a floss is almost always used, which itself dissolves over time. A seam in such a place is not noticeable when talking to others, does not spoil the smile and does not interfere with the patient’s chewing. Therefore, it is not removed unless absolutely necessary. In other cases, on days 7–10, a person comes for a re-examination and the doctor must carry out the following manipulations:

the oral cavity is treated with an antiseptic to eliminate the risk of infection;
With a special sharp tool, the dentist cuts the threads in several places, cutting the stitches in half;
Using tweezers or fingers, carefully pull out the remaining material, check the density of the scar and its condition.

After the sutures on the gums are removed, the patient thoroughly rinses his mouth again. During the day, it is normal to experience slight discomfort when moving the jaw. If the discomfort increases, the hole at the stitching site begins to swell and hurt, you should see a dentist: he must rule out infection of the wound.

How to care for your gums after sutures are removed

Miramistin solution

After removing the thread, you should not stop the prescribed treatment. The patient must follow all recommendations of the treating dentist and pay special attention to oral hygiene. Daily cleaning is carried out with a soft brush that does not scratch the mucous membrane. It is important to avoid a sudden rush of blood to the teeth, for which it is better to give up alcohol, coffee and smoking. At this time, a gentle rinsing solution without alcohol is selected.

Every day after each meal, the scar is treated with compounds such as Furacilin or Miramistin. An application with aloe pulp, sea buckthorn or tea tree berry oil is applied to the wound. It is useful to wash the mucous membrane with a warm infusion of calendula, sage or yarrow. If you combine traditional and medical methods, the gums will quickly recover and there will be no trace left of the wound.

This method of surgical intervention, such as laparoscopy, is very popular due to the presence of many advantages over traditional intervention. One of these advantages is the absence of scars after wound healing. To speed up the healing process of wounds after laparoscopy, you cannot do without suturing. Despite the fact that the size of the wounds during laparoscopic surgery is small (no more than 10 mm), they must be sutured in order to avoid hemorrhage. Laparoscopy is a technique of surgical intervention in the abdominal and pelvic cavity for the purpose of diagnosis and treatment. Most often, the technique includes both measures, through which it is possible to diagnose the pathology and, if possible, eliminate it.

Why is laparoscopy needed?

Surgical intervention using special equipment allows timely diagnosis and treatment of serious types of diseases. Laparoscopy is a simplified and gentle surgical technique. The main difference between laparoscopic surgery and traditional surgery is that there is no need to make an incision. Instead of an incision, three or four small punctures are made through which the treatment is carried out.

With the help of surgical laparoscopic intervention, the following types of ailments can be cured:

uterine appendages;
endometriosis;
pathological abnormalities in the fallopian tubes;
subserous uterine fibroids;
suspicion of ovarian apoplexy;
removal of cystic neoplasms.

It is important to know! Laparoscopy allows you to cure female infertility, which is the main advantage of surgical intervention.

Features of the operation

Before laparoscopic surgery, the patient should undergo all necessary tests. You can find out in detail about the list of necessary tests from your attending physician. In addition to taking tests, you need to visit a therapist, anesthesiologist and dentist. As soon as good test results are obtained, the doctor will set a date for the operation. The date of the operation is influenced by such an indicator as the female menstrual cycle. During menstruation, surgery is strictly prohibited.

On the eve of the operation, the intestines are cleansed using an enema. Once the patient is ready for surgery, the anesthesiologist administers anesthesia, causing her to fall asleep.

It is important to know! During laparoscopy, endotracheal anesthesia is used, since other types of drugs are prohibited with this method.

During laparoscopic surgery, carbon dioxide is supplied into the abdominal cavity, which puts pressure on the diaphragm. This causes the lungs to lose their ability to breathe on their own. After the anesthesia takes effect, 3-4 punctures are made in the abdominal area. One puncture is placed above the navel, which measures 10 mm, and two/three others are made slightly lower on the sides. Surgical intervention is performed through these punctures.

As soon as the operation is completed, the doctor sews up the puncture sites. Each puncture requires no more than two stitches. After this, the patient is revived and transferred to the ward.

Postoperative recovery stage

If the operation was successful and there are no prerequisites for the development of complications, then the patient is allowed to get out of bed and eat on the second day. For suturing, threads from various materials are used. Most often, ordinary threads are used, which need to be removed after a while. On what day should sutures be removed after laparoscopy? This is a very important question, since regular threads should be removed at a certain period after the operation. The sutures must be removed on the fifth day, for which the woman must come to the hospital where this procedure will be performed. Removing sutures on the fifth day is a standard approach, which is not always suitable in practice.

When to remove the sutures is decided by the doctor who performed the operation. After all, the period of suture removal is influenced by such an indicator as the speed of wound healing. If wounds heal too slowly, the period may increase to 2-3 weeks. Throughout the healing period, wounds need to be properly cared for.

Depending on what suture material the doctor used, it is necessary to carry out proper care of the wounds. If self-absorbable threads were used, there is no need to remove them, as they will dissolve on their own. Regular threads must be removed, otherwise they will fuse with the skin, which can subsequently provoke the development of pathologies. To prevent harmful bacteria from appearing on the seams, it is imperative to care for wounds with the help of special medications: brilliant green, peroxide, iodine, bandage.

Features of scar care

To avoid scar formation on the body after surgery, proper wound care is required. After the doctor removes the stitches (or they dissolve), you will need to continue caring for your scars for a week.

After each bath or shower, you need to treat the wounds with peroxide and brilliant green. This will prevent infection from entering wounds that have not yet fully healed. If you do not treat wounds that have not completely healed, then an infection can get inside, causing the development of inflammatory processes.

It is important to know! If, during the healing of wounds, pus is released from them, you should immediately go to the hospital.

Return to normal life

You can return to normal activities after some time, when the wounds have healed. Sexual activity can be carried out one month after the operation after the first menstruation. After laparoscopy, the likelihood of becoming pregnant increases, so it is important to use contraception during sexual intercourse.

It is important to know! The postoperative period of laparoscopic intervention is the best time to conceive a baby.

On the third day, if there are no contraindications, the doctor discharges the patient. In this case, the woman needs to visit the hospital every day so that the doctor can monitor the wound healing process. You can engage in heavy physical labor no earlier than after 1-2 months, which depends on the speed of wound healing. You should consult a doctor if the following ailments develop:

increased body temperature;
the appearance of vomiting and nausea;
deterioration of health;
increased heart rate.

Complications after laparoscopy occur in rare cases, which may be due to improper wound care. Considering the fact that the operation is the most gentle, but no less effective than the traditional method, it requires careful preparation of the patient, both the day before and at the end of the process.

The timing of suture removal varies widely depending on the location and dynamics of wound healing. As a rule, interrupted sutures from linear wounds are removed using the “halving” method on the 5th, 7th and 9th days. When removing sutures from a wound of complex configuration, they are removed from the tops of the flaps first (5th day), every second suture - on the 7th day, and the remaining sutures - on the 9th day.

To improve the healing of the wound edges and facilitate the removal of sutures, the nodes should be shifted to one side of the wound line.

Surgical tweezers and pointed scissors should be used to remove sutures. The use of a scalpel blade for this purpose is unacceptable.

Technique for removing interrupted sutures

1. After pre-treatment of the edges of the wound (suture area) with an antiseptic solution, the knot is fixed with surgical tweezers.
2. The seam is pulled up by 2-3 mm so that the part of the thread that was under the skin appears. At the same time, its characteristic whitish coloring is visible.
3. Using pointed scissors, cross the thread in the area of characteristic staining under the knot.
4. The thread is removed and placed on a napkin or gauze ball.

1. To make this action as non-traumatic as possible, the surgeon’s hands must be supported.
2. After crossing the thread with the slightly open tips of the scissors, you can hold the skin while pulling the thread.

Removal of adapting interrupted sutures

1. Using tweezers, pull up that part of the thread that is on the surface of the skin on the side opposite to the knot.
2. The part of the thread that passes intradermally is crossed at the surface of the skin.
3. Cut the thread passing through the subcutaneous fatty tissue.
4. Having grabbed the knot, the threads are pulled out.

Use a gauze ball to hold or even slightly pull the skin along the suture line in the direction opposite to the movement of the thread.

When removing continuous double-row sutures over 10 cm in length, pull up and cut both threads under one of the knots. While pulling up the remaining knot, separately grab the subcutaneous thread, pull it out and cross it directly at the knot. The remaining intradermal thread is pulled out at a later date, holding the skin with a gauze ball and carefully pulling it with your hand in the opposite direction.

Finally, the skin scar is treated with an antiseptic.

G.M. Semenov, V.L. Petrishin, M.V. Kovshova

Sometimes a person cannot avoid surgery. In this case, an incision is made on the body, which is then sutured. Next comes the process of restoration and regeneration. On what day after surgery are sutures removed and is scar care necessary?

Features of removing postoperative sutures

Most require cutting into the patient's tissue. In order for the wound to heal, a suture is necessary. Although this process is very unpleasant, it is very important.

Of course, no one removes the stitches themselves. All manipulations should be performed only by a doctor. He will also assess the condition of the incision site and may adjust the time for removing the threads. As for the materials with which wounds are sutured, the following are used.

Fixed

Resorbable materials that do not need to be removed include catgut. Made from animal intestines. Used in surgery and internal organ transplantation. Convenient for superficial shallow wounds and cuts (perineal rupture after childbirth).

Removable

These are silk threads, nylon, nylon and even staples or wire. Such materials reliably fix the wound, and the likelihood of sutures coming apart is minimal. Requires mechanical removal.

So on what day are the stitches removed? This usually happens 7-10 days later. This period also depends on the type of operation and the characteristics of the patient. For surgery on the abdominal cavity, face, chest, the healing period will be approximately 7 days. After delivery by cesarean section, the process will take up to 8-10 days.

The sutures are removed only when the edges of the wound have already grown together. It’s also not worth overexposing. This threatens that the threads begin to grow into the skin and a fairly noticeable mark may remain.

Before removing the threads, the physician treats the surgical site. For manipulation, tools such as tweezers and scissors (or a scalpel) are needed. When several stitches are applied, they may not all be removed at once, but gradually.

This procedure can hardly be called pleasant, but at the same time it is practically painless. This is an important and necessary step on the path to recovery.

What determines the timing of thread removal?

What determines the time for suture removal? It depends on various factors, the most common are:

Part of the body. Different parts of the body are supplied with blood differently. Somewhere the regeneration process is faster, somewhere slower. The first thing to do is remove connecting materials from the face and neck area (sometimes 4-5 days). Later - from the feet and legs (on days 10-12).
Availability. If the incision is infected, the threads can be removed as early as the next day. Sometimes it is necessary to keep the wound open.
Body mass. The larger the fat layer, the worse the tissues grow together, and the slower the blood circulation.
Dehydration. Lack of fluid in the body negatively affects electrolyte metabolism and inhibits important processes.
Age. With age, the ability to regenerate decreases. For humans, the incision will take much longer to heal (about 2 weeks).
Presence of chronic diseases and status. Unfavorable processes in the body (HIV infection, chemotherapy) slow down the healing rate and increase the risk of complications after surgery.

The decision about when to remove the postoperative suture should be made by the attending physician. To do this, indicators of age, health, and the characteristics of a particular operation are taken into account. Despite the accepted standards, deadlines may vary.

Processing and required materials

Sutures require treatment for two weeks after surgery. This is necessary in order to prevent infection and suppuration of the incision site.

The following materials may be needed for manipulation:

hydrogen,
brilliant green, fucorcin,
hypertonic solution,
sterile napkins, bandages,
alcohol, tweezers.

An approximate processing algorithm is as follows:

Moisten a sterile bandage with hydrogen and blot the desired area. Use tweezers. If you have a seam, the treatment should be delicate. No need to rub or press hard.
You can lightly cauterize the wound with alcohol (especially if the seam is inflamed in some places).
You need to apply a sterile bandage. Before this, the material is moistened in a solution of sodium chloride (10%) and wrung out. Another napkin is placed on top and secured with a bandage and adhesive tape.
If the seam is in good condition and there is no suppuration, it is enough to repeat the procedure every two days.

There is no need to remove crusts and whitish deposits of the epithelium yourself. If they are damaged, the skin is re-injured and the cosmetic seam may become more noticeable. It is impossible to completely get rid of it and the scar will accompany you for the rest of your life.

Scar follow-up care

If upon examination the doctor confirms that everything is fine with the incision site, no special care is required. It is enough to treat the scar with brilliant green once a day. It is better not to take cotton wool, its fibers can get caught on fabrics, and removing them will be quite problematic.

If the scar does not ooze, then there is no need to tape it. On the contrary, air access is needed for speedy healing.

The very next day after the stitches are removed, you are allowed to take a shower. The water temperature should be comfortable and close to the body. It is best to use a piece of gauze and baby soap for the area around the scar. After a shower, this area is lubricated with baby cream (not the scar itself).

Remember to monitor the condition of your skin even after the stitches are removed. If you notice the appearance of discharge or discharge, you need to inform your doctor. Sometimes the processing has to be entrusted to medical personnel.

The time for removing sutures may vary slightly depending on various factors - the nature, depth of the incision, and the health of the patient. The doctor decides when this should be done. Self-removal of threads is excluded. It is also important to remember to properly care for your scar at home. Report any suspicious changes to your doctor.

About caring for a postoperative suture after a cesarean section - on video:

Surgical suture material - Wikipedia

Surgical suture material- is a thread used to connect tissues to form a scar, or epithelization.

Suture materials have been used for several millennia. The first mention of suture material was found 2000 BC in a Chinese treatise on medicine. Mention was made of intestinal and skin sutures using threads of plant origin. In ancient times, various materials were used for seams: horse hair, cotton, scraps of leather, tree fibers and animal tendons.

In 175 BC, Galen first described catgut. Interestingly, the literal translation of this word from English is “cat gut.” In the mid-19th century, Joseph Lister described methods for sterilizing catgut threads and since then they have come into widespread practice as the only material. Another modern suture material is silk. Its use in surgery was first described in 1050 AD. In 1924, in Germany, Hermann and Hochl first produced polyvinyl alcohol, which is considered the first synthetic suture material. In 1927, in America, Corotes repeated the discovery and named the resulting material nylon. In the 30s, two more synthetic suture materials were created in Western laboratories: nylon (polyamide) and lavsan (polyester). Already in the late 30s and 40s, these materials began to be widely used in surgery.
In 1956, a fundamentally new material appeared: polypropylene.
In 1971, synthetic absorbable sutures were first used.

In appearance, surgical sutures can be interrupted (Fig. 1.1), continuous (Fig. 1.2), purse-string (Fig. 1.3), Z-shaped (Fig. 1.4) and wrapping. After applying the sutures, they are pulled together so that the edges of the wound touch and tied with a non-unraveling straight (sea) knot (Fig. 1.5). Some suture materials (nylon, nylon) are tied with a double (Fig. 1.6) or triple knot due to the fact that otherwise they are easily untied.
For suturing, needle holders and curved or straight needles of various curvatures and cross-sections are used. The thread is threaded into the eye of the needle from above (Fig. 2). Mechanical sutures using stitching machines (see) are becoming more and more widely used, and the suture material is metal staples (mostly tantalum).

A self-employed paramedic can apply stitches for accidental cut, uncontaminated wounds of the skin, face, lips, and fingers. Sutures accompanied by surgical treatment of the wound are performed only by a doctor. The removal of sutures is often entrusted to a paramedic or dressing nurse. It is performed on the 7-10th day after application (earlier - on the face, neck, in the absence of tissue tension and good wound healing, later - in elderly and senile patients). After lubricating the suture line with an alcohol solution of iodine, take one of the ends of the suture with anatomical tweezers and pull it so that a part of the thread not stained with iodine tincture appears below the knot (Fig. 3). It is crossed with scissors and the entire seam is removed by pulling. After secondary lubrication of the suture line with an alcohol solution of iodine, a cleol bandage is applied. Preparation of material for sutures - see Sterilization in surgery.
On some tissues and organs, special types of surgical sutures are used - intestinal suture (see), neural suture (see), vascular suture (see), tendon suture (see). Surgical sutures connecting bones - see Osteosynthesis.

Yes, sure. The condition of the wound and the degree of tension of its edges is one of many factors that determine the timing of suture removal. So, why is it that when low-energy tissue is removed with a scalpel during surgery for carpal tunnel syndrome, it is advised to remove the sutures on the 14th postoperative day, and for a wound inflicted with a circular saw, you can remove the sutures on the 7th day? Is there no difference in the condition of even the edges of these two compared wounds?

I see no reason for serious disagreement.
The sutures should be removed when the edges of the wound have more or less reliably grown together. I don’t think that those who suggested removing sutures on the abdomen a week after the operation, and those who advise removing sutures on the hand for 10-14 days, simply took these dates out of thin air. But serious disagreements will arise when the edges of the wound separate and a protruding bone fragment is discovered at the bottom, the closure of which will then have to be done for several additional weeks. Best case scenario.

I didn't understand the aggression. You provided quotes on removing sutures in several other clinical situations, this is the first thing. No one saw the wound at the top starter - that’s second. I see no reason for disagreement, no topic for discussion at all.

I didn't understand the aggression.

But there is no aggression. A harsh explanation of the situation - yes.

You provided quotes on removing sutures in several other clinical situations, this is the first thing. No one saw the wound at the top starter - that’s second.
Well, yes. I provided quotes from what caught my eye. Clinical situations are indeed different. You won’t mind that when a wound is inflicted with a circular saw, the condition of the soft tissues is much worse than when a skin incision is made with a scalpel as planned in a “clean” operating room? So, for some reason, with such a “clean” surgical wound, the sutures are not removed after 7 days. And there is only one explanation: the seams can come apart with the ensuing troubles. There are explanations for such timing of suture removal, but I didn’t come up with all this, so I won’t explain it. I focus on those specialists who wrote about such deadlines in smart books. I trust these authors, they are much smarter than me personally and they have more experience than I do. By the way, if you are interested, ask hand surgeons about the timing of suture removal. The latter encounter such pathology every day.

I see no reason for disagreement, no topic for discussion at all.
And there are disagreements, and all the more reason for discussion. It’s just that everyone has their own personal opinion and no one can force each other to do it this way and not differently. Everyone is responsible for themselves. But everyone can also express their opinion at the Forum.

Immersed and removable seams. Sutures in the depths of the tissues, which remain in the tissues forever, are made mainly from absorbable material, mainly catgut, or from absorbable material, for example, silk, linen threads. These seams are called submersible seams.

To stitch the skin and general surface tissues, non-absorbable material (staples) is used, as well as silk, linen threads or, in more rare cases, catgut. This type of seam is called a superficial or removable seam.

The timing of suture removal depends on many factors:

the presence of local complications of the surgical wound
regenerative features of the body
the patient's condition
his age
anatomical region and its trophism
the nature of the surgical intervention
features of the disease.

The average time for removal of surgical sutures is 6-9 days after application, but usually the time frame differs depending on various factors.

The timing of suture removal depends on a number of factors:

Sutures should be removed only when the edges of the wound have fused securely. However, if the suture is not removed on time, this can also lead to problems. The stitches may fester and the threads may grow into the skin, leaving a more noticeable mark from the wound.

In any case, the decision on the need or possibility of removing sutures should be made by the surgeon after examining the wound.

Home " Postpartum period » How to remove stitches from a wound. Does it hurt to remove stitches?

Surgical sutures are the most common method today for connecting biological tissues: the walls of organs or the edges of wounds of various locations, which is used to stop bleeding or during surgery. For suturing, a variety of medical suture materials are used: non-absorbable or absorbable threads of synthetic or biological origin, as well as metal wire.

Sutures are divided depending on the timing of application: primary, delayed primary, provisional, early secondary and late secondary suture, as well as removable and embedded sutures.

A removable suture is a type of surgical suture when the suture material is removed from the tissues after healing of the wound, and when performing a submerged suture, the suture material remains in the tissues, is absorbed and encapsulated in the lumen of a hollow organ.

Primary suture - applied to the surgical wound immediately after the end of surgery or to a random wound immediately after its surgical treatment. A delayed primary suture is applied within a period of 24 hours to 7 days, before granulation develops in a random wound, and after its growth in the wound, an early secondary suture is applied after 8-15 days. A provisional suture is one of the varieties of a delayed primary suture, when the threads are applied during surgery and tied two to three days after surgery. And a late secondary suture is applied within a period of 15 to 30 days or more when scar tissue develops in the wound.

It is important to remember that removable sutures must not only be applied correctly, but also removed in time, since inflammation may begin due to the fact that the suture fixing material is foreign to the body, and if synthetic threads grow into biological tissues, it will be very difficult to remove them later . It should also be noted that it is not recommended to remove suture material at home - there is a very high risk of infection and the development of inflammation or divergence of the edges of the wound if surgical sutures are removed early. It is necessary to avoid a situation in which the suture festers. The timing of suture removal depends on various factors: the regenerative characteristics of the body, the anatomical area of the wound and its trophism, the age and condition of the patient, the nature of the surgical intervention and the presence of local complications of the wound. On average, the time required to remove removable sutures from the skin or mucous membranes ranges from six to fourteen days. If you decide to remove these sutures at your own risk, then you need to understand how to remove the sutures correctly.

But there are situations when, for some reason, it is impossible to go to a medical institution to remove the stitches, and if you are confident that the wound has completely healed, they can be removed on your own. But this is only possible if sterility and safety conditions are fully observed (you should not remove sutures in the face area or in an inconvenient location yourself). To do this, you need to carefully remove the bandage or plaster applied to the area where the stitches are located and be sure to treat them with medical alcohol or iodine. To directly remove sutures, you need to take tweezers, scissors and a sterile napkin (instruments must also be treated with disinfectants and sterile). Using tweezers, one end of the thread is pulled up, and then it is carefully cut near the skin and pulled out with tweezers. You need to be careful that the thread located on the outside does not get inside, otherwise it may infect the wound. Don't forget to be aware of how to treat sutures after surgery. After removing all the sutures, it is necessary to treat the scar with an antiseptic and apply a sterile bandage.