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

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

Patients after the intervention are interested in the question on what day after the operation the sutures are removed. Compliance with the terms is an important point of the postoperative period. Premature removal of sutures after surgery threatens with divergence and possible infection, with late procedures, the suture material grows into the skin. To determine how long the stitches are removed after the operation, it is necessary to clarify the nature of the operation performed. Among them:

The amputation performed involves the removal of sutures after 2 weeks.
Operations in the head area require its removal after a week, as well as superficial procedures on the anterior abdominal wall or a caesarean section.
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, as the attending physician decides on the withdrawal on an individual basis. Reduction is possible with good recovery, absence of suppuration and rapid rehabilitation. The lengthening 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 at which suture removal occurs may be lengthened. In some cases, in the presence of infiltrates or suppuration, the doctor may decide to remove them immediately and heal the skin by secondary intention.

Conditions to consider when removing sutures

Among the main factors on the basis of which the doctor determines how many days to remove stitches after surgery, there are:

Areas of the body. Due to the fact that 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.
The presence of infectious factors. In some cases, in the presence of infection, it is required to remove foreign objects from the wound within a short time.
The weight of the patient. 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. In older patients, the healing process is slower.
The state of the immune system. Insufficiency of immune forces causes the prerequisites for a longer healing of tissues.

Is the procedure painful?

Many people wonder if it hurts to remove stitches after surgery.
The removal of sutures is a procedure that does not cause pain. Normally, only minor discomfort may occur, which 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 inflammation has been tolerated. In order to minimize it, you can use local anesthetics in the form of a spray.

Preparation for suture removal

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 the stitches after the operation, it is required 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, it is enough to boil the tool in clean water for at least 15 minutes. After boiling, cool the products. It is necessary to remove the stitches after the operation only with clean instruments.
Before removing the stitches after the operation, it is necessary to wipe the instrument with an alcohol solution.
Prepare consumables that may be required for subsequent wound care. To do this, you need to use bandages and an antibacterial-based ointment.
The wound area is cleaned with soapy water and dried with a clean towel, followed by rubbing 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 institution due to a serious condition, difficulties in movement and other factors. In advance, how to perform the procedure yourself, you need to ask the doctor how the sutures are removed after the operation.

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

The procedure is performed in a comfortable position, when the patient or his assistant clearly sees the wound.
The knot is first lifted with tweezers.
When stitches are removed after surgery, an incision is made with scissors directly at the surface of the skin.
Next, the thread is pulled out at one of the ends, it is impossible to make quick movements, as well as damage to adjacent 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 stitches at home, you must follow a few basic rules that will prevent the development of complications:
When removing the thread, the knot should not be allowed 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 material residues in it, which subsequently cause inflammation.
After the end of all manipulations, the scar area is treated with a brilliant green solution and a bandage is applied.
It is not recommended to perform procedures with a wound on your own. Only after consulting with a specialist, he will decide how long the sutures are removed after the operation. It is also important to follow all the basic recommendations. This will determine if it hurts or not to remove stitches after surgery.

They are necessary for a fracture of the jaw 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 mucosa heals faster. It is important for patients to understand what to do if the stitches hurt and how to properly treat these areas.

Seams on the gum after tooth extraction

Most often, such a manipulation is carried out when a molar tooth or a painful "eight" is removed. In half of the cases, in the presence of large branches and a deep nerve, the dentist has to cut the gum. After that, it remains voluminous and can easily become infected. By imposing a few neat stitches, the specialist tries to prevent possible complications:

entry of dangerous microbes and microorganisms into the cut;
improved fusion of the hole;
decrease in blood secretion;
prevents particles of food and liquid from penetrating into the inflamed area.

Observations and studies show that when 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 site to a minimum so that the pathogenic microflora does not provoke sepsis and periodontal necrosis.

There is a slight difference in what kind of sutures the dentist puts on the gum: conventional and absorbable. The latter are most effective for use in the oral cavity, where there is a large amount of saliva. The best material for such work:

Catgut: has long been used in any field of medicine. It perfectly keeps 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 have a negative reaction and even inflammation to this protein, so dentists are using it less often in their practice.
Vicryl: a more modern and fully 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 when to remove the sutures on the gum, you should not worry: under the influence of moisture, they will surely dissolve.

When a fistula forms on the mucosa or a painful seal occurs, only a specialist decides how the operation will take place and what types of threads should be used.

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

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

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

Does it hurt to remove the stitches on the gum

According to statistics, more than half of people are very afraid of going to the dentist, experiencing real stress even with a standard filling or professional cleaning of plaque with an ultrasonic device. Therefore, they are concerned about the question: does it hurt to remove the stitches on the gum? How to remove discomfort and discomfort?

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

If the healing period is difficult and the gum hurts a lot, the person complains of the inability to chew food normally, he may be prescribed analgesics. They are used orally in the form of tablets, using Ibuprofen, Ketanov, Nise or Tempalgin. More effective are gels with a "freezing" effect that relieve tension in the wound:, Dentol, or.

How to remove stitches on the gum

When removing wisdom teeth, a thread is almost always used, which itself resolves over time. The seam in such a place is not noticeable when talking to others, does not spoil the smile and does not prevent the patient from chewing. Therefore, it is not removed unless absolutely necessary. In other cases, on the 7-10th day, a person comes for a second examination and the doctor must perform 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;
carefully pulls out the remnants of the material with tweezers or fingers, checks the density of the scar and its condition.

After the stitches on the gum are removed, the patient rinses his mouth thoroughly again. During the day, there is normal slight discomfort during jaw movements. If discomfort increases, the hole at the stitching site begins to swell and hurt, you should see a dentist: he must exclude infection of the wound.

How to care for your gums after stitches are removed

Miramistin solution

After removing the thread, do not quit the prescribed treatment. The patient must follow all the recommendations of the attending dentist and monitor oral hygiene with special attention. Daily cleaning is carried out with a soft brush that does not scratch the mucous membrane. It is important to avoid a sharp 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 oil is applied to the wound. It is useful to wash the mucous membrane with warm infusion of calendula, sage or yarrow. If you combine folk and medical methods, the gum will quickly recover and there will be no trace of the wound.

Such a method of surgical intervention as laparoscopy is very popular due to the presence of many advantages over traditional intervention. One of these advantages is the absence of scarring after wound healing. To speed up the healing process of wounds after laparoscopy, suturing is indispensable. 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 surgical procedure 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.

What is laparoscopy for?

Surgical intervention with the help of special equipment allows you to diagnose and cure serious types of diseases in time. Laparoscopy is a simplified and gentle surgical technique. The main difference between laparoscopic intervention 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 laparoscopic surgery, the following types of ailments can be cured:

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

It is important to know! Laparoscopy can cure female infertility, which is the main advantage of surgery.

Features of the operation

Before laparoscopic intervention, the patient should pass all the necessary tests. You can find out in detail about the list of necessary tests from your doctor. In addition to taking tests, you need to visit a therapist, an anesthesiologist and a 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 menstruation cycle. During menstruation, the operation is strictly prohibited.

On the eve of the operation, the intestines are cleaned with an enema. After the patient is ready for surgery, the anesthesiologist injects anesthesia, causing her to fall asleep.

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

During laparoscopic intervention, 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 performed in the abdomen. One puncture is placed above the navel, the size of which is 10 mm, and two / three others are made slightly lower on the sides. Through these punctures, surgical intervention is performed.

As soon as the operation ends, the doctor sews up the puncture sites. No more than two stitches are required for each puncture. After that, the patient is brought to her senses and transferred to the ward.

Stage of postoperative recovery

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 after a while need to be removed. On what day should stitches be removed after laparoscopy? This is a very important question, since ordinary threads should be removed at a certain period after the operation. It is necessary to remove the stitches on the fifth day, for which the woman must come to the hospital where this procedure will be performed. Removal of sutures on the fifth day is a standard approach that is not always suitable in practice.

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

Depending on the type of suture used by the doctor, proper wound care must be carried out. If self-absorbable threads were used, then they do not need to be removed, as they will dissolve themselves. Regular threads must be removed, otherwise they will grow together with the skin, which can subsequently provoke the development of pathologies. To prevent harmful bacteria from appearing at the seams, it is imperative to take care of wounds with the help of special medicines: brilliant green, peroxide, iodine, bandage.

Features of scar care

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

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

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

Return to normal life

You can return to normal life after a while, when the wounds heal. Sexual life can be conducted one month after the operation after the passage of the first menstruation. After laparoscopy, the chance of getting pregnant increases, so it is important to use contraceptives 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, in the absence of contraindications, the doctor discharges the patient. At the same time, a woman needs to visit the hospital every day so that the doctor has the opportunity to control the wound healing process. You can engage in heavy physical labor no earlier than 1-2 months later, which depends on the speed of wound healing. Seek medical attention if you develop the following ailments:

rise in body temperature;
the appearance of vomiting and nausea;
deterioration of well-being;
increased heart rate.

Complications after laparoscopy occur in rare cases, which may be due to improper wound care. Given 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 before and after 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 by the “halving” method on the 5th, 7th and 9th days. When removing sutures from a wound of complex configuration, they are first removed from the tops of the flaps (5th day), every second suture - on the 7th, and the remaining sutures - on the 9th day.

To improve the healing of the wound edges and facilitate the removal of sutures, the knots 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 preliminary treatment of the wound edges (suture zone) with an antiseptic solution, the knot is fixed with surgical tweezers.
2. The seam is tightened by 2-3 mm so that that part of the thread that was under the skin appears. At the same time, its characteristic whitish coloring is visible.
3. With pointed scissors, the thread is crossed in the area of \u200b\u200bthe characteristic staining under the knot.
4. The thread is removed and placed on a napkin or gauze ball.

1. For maximum atraumaticity of this action, the surgeon's hands must be supported.
2. After crossing the thread with the slightly open ends of the scissors, you can hold the skin while pulling the thread.

Removal of adaptive interrupted sutures

1. With tweezers, pull up that part of the thread that is on the surface of the skin on the side opposite to the knot.
2. Cross at the surface of the skin part of the thread that passes intradermally.
3. Cut the thread passing through the subcutaneous adipose tissue.
4. Having captured the knot, the threads are pulled out.

With a gauze ball, the skin is held or even slightly pulled along the seam line in the direction opposite to the movement of the thread.

When removing continuous two-row sutures over 10 cm long, both threads are pulled up and cut under one of the knots. Pulling up the remaining knot, the hypodermic thread is seized separately, pulled out and crossed directly at the knot. The remaining intradermal thread is pulled out at a later date, holding the skin with a gauze ball and gently 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 the operation are the sutures removed and is scar care necessary?

Features of removing postoperative sutures

Most require an incision in the patient's tissues. In order for the wound to grow together, a suture is needed. Although this process is very unpleasant, it is very important.

Of course, no one removes the stitches on their own. All manipulations should be carried out only by a doctor. He will also evaluate the condition of the incision site, and may adjust the time of extraction of 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. Produced from the intestines of animals. They are used in surgery and transplantation of internal organs. Convenient for superficial shallow wounds and incisions (rupture of the perineum after childbirth).

Removable

These are silk threads, nylon, nylon and even staples or wire. Such materials securely fix the wound, and the likelihood of suture divergence is minimal. Requires mechanical removal.

So on what day are the stitches removed after? This usually happens 7-10 days later. This period also depends on the type of operation and the characteristics of the patient. With surgery on the abdomen, face, chest, the healing period will be approximately 7 days. After delivery by caesarean 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 overdoing. This threatens that the threads begin to grow into the skin and a rather noticeable mark may remain.

Before removing the threads, the physician processes the site of the operation. For manipulations, tools such as tweezers and scissors (or a scalpel) are needed. When applying several stitches, they can be removed not all at once, but gradually.

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

What determines the period of removal of the threads

What is the timing of suture removal? It depends on various factors, the most common are:

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

The decision on when to remove the postoperative suture should be made by the attending physician. For this, indicators of age, health, and the characteristics of a particular operation are taken into account. Despite accepted norms, terms may vary.

Processing and required materials

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

For manipulations, the following materials may be needed:

hydrogen,
Zelenka, fukortsin,
hypertonic solution,
sterile wipes, bandages,
alcohol, tweezers.

An example processing algorithm looks like this:

Moisten a sterile hydrogen bandage and blot the affected area. Use tweezers. If you have a seam, the processing 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 wetted in a solution of sodium chloride (10%) and squeezed out. Another napkin is superimposed on top and fixed with a bandage and adhesive plaster.
With a good condition of the seam and the absence of suppuration, it is enough to repeat the procedure every two days.

You do not need to remove the crusts, whitish coating of the epithelium on your own. 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.

Aftercare of the scar

If during the examination the doctor confirmed that everything is fine with the incision site, special care is not 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 catch on fabrics, and it will be quite problematic to remove them.

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

The very next day after removing the stitches, it is allowed to wash in the 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 smeared with baby cream (not the scar itself).

Do not forget to monitor the condition of the skin even after the stitches are removed. If you notice the appearance of discharge or, you need to inform the doctor. Sometimes the processing has to be entrusted to medical personnel.

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

About the care of the postoperative suture after cesarean section - on the video:

Surgical suture - Wikipedia

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

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, skin patches, tree fibers and animal tendons.

In 175 BC, Galen first described catgut (ketgat - cat gut). Interestingly, the literal translation of this word from English is “cat’s gut”. In the middle of the 19th century, Joseph Lister described methods for sterilizing catgut threads, and since then they have entered 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 obtained polyvinyl alcohol, which is considered the first synthetic suture material. In 1927 in America, Corotes repeated the discovery and called the resulting material nylon. In the 1930s, two more synthetic suture materials were created in Western laboratories: kapron (polyamide) and lavsan (polyester). Already in the late 1930s and 1940s, 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 nodal (Fig. 1.1), continuous (Fig. 1.2), purse-string (Fig. 1.3), Z-shaped (Fig. 1.4) and twisted. After suturing, they are pulled together so that the edges of the wound are in contact, and tied with a non-dissolving straight (marine) knot (Fig. 1.5). Some suture materials (kapron, 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 curvature and section are used. The thread is threaded into the eye of the needle from above (Fig. 2). More and more widely used is a mechanical seam with the help of staplers (see), and metal brackets (mainly tantalum) serve as suture material.

Stitches for accidental incised, non-contaminated wounds of the skin, face, lips, fingers can be independently working paramedic. Suturing, accompanied by surgical treatment of the wound, is 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 (at an earlier date - 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 alcoholic solution of iodine, one of the ends of the suture is taken with anatomical tweezers and pulled so that a part of the thread that is not stained with iodine tincture appears below the knot (Fig. 3). It is crossed with scissors and the entire seam is removed by sipping. After secondary lubrication of the suture line with an alcoholic solution of iodine, a glue 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), nerve suture (see), vascular suture (see), tendon suture (see). Surgical sutures connecting the bones - see Osteosynthesis.

Yes, sure. The condition of the wound and the degree of tension of its edges is one of the many factors that determine the timing of suture removal. So, why is it recommended to remove the sutures on the 14th postoperative day in case of low-energy tissue separation with a scalpel during an operation for carpal tunnel syndrome, and in case of a wound caused by a circular saw, sutures can be removed on the 7th day? Is there no difference in the condition even of 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 the stitches on the stomach a week after the operation, and those who advise removing the stitches on the hand for 10-14 days, took these terms simply “out of the blue”. And serious disagreements will arise when the edges of the wound part and a protruding bone fragment is found at the bottom of it, the closure of which will then have to be dealt with for several additional weeks. Best case scenario.

I don't understand aggression. You gave quotes on the removal of stitches in several other clinical situations, this is the first. No one saw the wound at the topikstarter - this is second. I see no reason for disagreement, no topic for discussion at all.

I don't understand aggression.

And there is no aggression. Hard explanation of the situation - yes.

You gave quotes on the removal of stitches in several other clinical situations, this is the first. No one saw the wound at the topikstarter - this is second.
Well, yes. I gave quotes from what caught my eye. Clinical situations are indeed different. Wouldn't you 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 in a planned manner in a "clean" operating room with a scalpel? So, with such a "clean" surgical wound, the sutures are removed for some reason not 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. I focus on those specialists who wrote about such terms in smart books. I trust these authors, they are much smarter than me personally and they have more experience than I do. And you, by the way, if you are interested, take an interest in the timing of the removal of sutures from hand surgeons. The latter meet with a similar pathology every day.

I see no reason for disagreement, no topic for discussion at all.
And there are disagreements, and even 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 in another way. Everyone is responsible for himself. But everyone can also express their opinion at the Forum.

Immersion and removable seams. Seams in the depths of the tissues, remaining in the tissues forever, are applied mainly from absorbable material, mainly catgut, or from an accumulating material, for example, silk, linen threads. These seams are called submersible.

For stitching the skin and generally superficial tissues, non-absorbable material (brackets), as well as silk, linen threads or, in more rare cases, catgut are used. Such a seam is called superficial, or removable.

The timing of suture removal depends on many factors:

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

The average term for removing surgical sutures is 6-9 days after application, but usually the terms differ depending on various factors.

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

The sutures should be removed only when the edges of the wound are firmly fused. However, if the seam is not removed on time, this also threatens with problems. The seams can fester, and the threads can grow into the skin, then a more noticeable trace will remain 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, today, method of connecting biological tissues: the walls of organs or the edges of a wound of various localization, which is used to stop bleeding or during surgery. For suturing, a variety of medical suture material is used: non-absorbable or absorbable threads of synthetic or biological origin, as well as metal wire.

The sutures are divided depending on the timing of the imposition: primary, delayed primary, provisional, early secondary and late secondary suture, as well as removable and immersed sutures.

A removable suture is a type of surgical suture when the suture material is removed from the tissues after the wound heals, and when a submerged suture is performed, the suture material remains in the tissues, dissolves and encapsulates in the lumen of a hollow organ.

Primary suture - is applied to the surgical wound immediately after the end of the surgical intervention or to an accidental wound immediately after its surgical treatment. A delayed primary suture is applied within 24 hours to 7 days, before the development of granulations in an accidental wound, and after its growth in the wound, an early secondary suture is applied after 8-15 days. A provisional suture is a type of delayed primary suture where sutures are applied during surgery and tied two or three days after surgery. A late secondary suture is applied within 15 to 30 days or more with the development of scar tissue in the wound.

It is important to remember that removable sutures must not only be applied correctly, but also removed in time, as 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 subsequently be very difficult to remove them . 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, with the early removal of surgical sutures. It is necessary to avoid a situation in which the seam fester. The timing of suture removal depends on various factors: the regenerative characteristics of the body, the anatomical region 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 removal of removable sutures from the skin or mucous membranes averages from six to fourteen days. If you decide at your own risk to remove these sutures, 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 sure that the wound has completely healed, they can be completely removed on your own. But this is possible only if the conditions of sterility and safety are fully observed (you should not remove the stitches in the face area or in an inconvenient location yourself). To do this, you need to carefully remove the bandage or patch applied to the suture area and be sure to treat them with medical alcohol or iodine. To directly remove the stitches, you must take tweezers, scissors and a sterile napkin (the instruments must also be treated with disinfectants and sterile). With the help of tweezers, one of the ends of the thread is pulled up, and then it is carefully cut near the skin itself and pulled out with tweezers. Care must be taken to ensure that the thread located on the outside does not get inside, otherwise it may infect the wound. Do not forget to be aware of how to handle stitches after surgery. After removing all the sutures, it is necessary to treat the scar with an antiseptic and apply a sterile bandage.