How to soften a suture after surgery. How to treat a postoperative suture for better healing? What treatment can there be?

If the suture gets wet after surgery, this is considered a complication that requires a special approach and treatment. Because in normal condition, postoperative sutures should gradually dry out with the formation of a crust. A weeping wound is a sign of incipient inflammation. What to do with such a problem to avoid even more severe consequences?

Possible reasons for a wet seam

If you observe the postoperative wound, for the first few days it will be a little damp and even hot. The first few hours the suture may bleed. Then the blood coagulates and dries, but shiny droplets are still visible on the wound - transudate. This is a natural transparent moisture secreted by the serous membranes as a result of fluid filtration by blood vessels.

Over time, the serous fluid no longer flows so abundantly, because the condition of the tissue returns to normal. Otherwise, the amount of transudate may increase. This speaks of the beginning inflammatory process, the reasons for its development are different.

Incorrectly installed or removed drainage system too early.
Low quality suture and dressing materials.
Dressing under non-sterile conditions.
The intervals between dressings are too long.
Incorrectly chosen treatment tactics with antibiotics and local remedies.
Reduced immunity of the patient.

Abundant secretion of serous fluid is a kind of protective reaction of tissues to inflammatory reaction. But it turns out that the situation is only getting worse: a humid environment leads to the fact that the suture festers after the operation, i.e. inflammation develops more rapidly. Transudate is transformed into exudate - a liquid of inflammatory nature.

In addition to serous fluid, transparent or whitish ichor may ooze from the postoperative suture - this is lymph that is released from small capillaries. With the ichor flowing out of the wound, toxins and microbes are “washed out”, so this process is natural for the first few days. If he doesn't stop, then bloody discharge can also cause the wound to get wet and not heal for a long time.

Treatment of postoperative sutures

In most cases, the patient spends the first 7-10 days after surgery in the hospital, where his wound is regularly bandaged under the supervision of the attending physician. And if any problems are discovered, measures are taken immediately. The patient is discharged from stitches removed and only with normal condition wounds. But literally the next day after discharge, the suture may begin to get wet and then fester.

The goals of treating a weeping suture after surgery are as follows: it is necessary to relieve inflammation by destroying pathogenic microflora, and also to dry the wound to avoid recurrence of suppuration. What to do, what measures to take, and what means to use?

Attention! If the suture gets wet and suppurates, you should go to the hospital! Self-medication is last resort, which you can resort to if you are unable to see a doctor.

Local remedies

External preparations will help cope with wetting and inflammation of the seam. In the case of a weeping wound, you need to use gels. They, unlike ointments and creams, do not leave a greasy film and allow the skin to breathe, which is very important for drying the wound. Of the most effective gels Solcoseryl is used for postoperative wounds.

If postoperative suture continues to get wet, you can also use powders. They also have a drying property because they absorb moisture while promoting healing. For example, Baneocin powder. It has a pronounced antimicrobial effect and is able to effectively heal wet wounds.

The gel or powder should be applied to a clean wound, so it must be treated first. First, remove dead skin and dirt using hydrogen peroxide. Then blot the seam with a sterile napkin, drying it in this way, and only then apply the gel.

By the way! Wet wounds heal better in the open air. Therefore, the patient can apply bandages only at night or when leaving home.

There are cases when the suture bleeds for a long time after surgery. This also cannot be left like this, because bleeding indicates damage. blood vessels through which infection can enter the body. In this case, in addition to antibacterial and anti-inflammatory agents, you also need to use antiseptics. For example, brilliant green or Betadine (iodine solution).

Medicines

When the seam simply gets wet, it cannot be treated with pills. Another thing is the development of inflammation. Antibiotics may be needed here. What kind of drug it will be, as well as its dosage and duration of administration will be determined by the doctor. Usually this antibacterial drugs wide spectrum.

If the suture does not heal after surgery

It is necessary to resort to surgery in case of accumulation of exudate inside the wound. The formation of an abscess is indicated not only by the wetting of the seam and bad smell from it, but also an increase in the patient’s temperature.

The operation to evacuate purulent contents is performed under local anesthesia(injection). This is a shallow opening of the abscess, probing it and installing drainage. If the excision was extensive, additional sutures are applied. In some cases, a sterile bandage is sufficient. After such an intervention, the patient remains in the hospital for a couple of days. He is prescribed rest, antibiotics and physiotherapy.

How to avoid getting the seam wet

Preventing the postoperative suture from getting wet is easier than treating a festering wound later. Therefore, patients must take proper care of their sutures. The rules of care are elementary and logical, but for some reason some people still neglect them.

Change the bandage according to the regimen prescribed by the doctor. Minimum – once a day. If bandages quickly become wet and leak, you should increase the frequency of dressings.
Changing the dressing should be done with clean hands and without unauthorized persons or animals in the room.
All dressings(bandages, plasters, cotton wool) must be sterile.
The seam should not be subjected to mechanical stress: friction against clothing, scratching, picking.
Do not wet postoperative wounds until they are completely healed.
If there is any suspicion of pathology (the wound is oozing, the suture has changed color, has festered, become inflamed), you should consult a doctor.

A suture that gets wet after surgery is not only an unpleasant problem that ruins bed linen and clothing, but also a risk of complications in the form of ulcers and necrosis. This also extends the healing time and quality of the suture, which as a result can turn into an unsightly colloidal scar. Therefore, you need to properly care for postoperative wounds and consult a doctor on time.

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Sutures remaining on the body after any operation are always an object that requires special attention not only from the outside medical personnel, but also the patient himself.

It is important to strictly follow the doctor’s instructions, following all recommendations and not showing self-will during the treatment process, since only in this case the recovery will be complete and will occur on time.

Stages of healing of postoperative sutures

Healing of postoperative sutures occurs in three main stages:

Suture healing factors

The healing process of sutures after surgery is influenced by many factors, in particular:

The age of the patient, the younger it is, the faster the healing occurs.
Patient weight. If a person is obese to any degree, then suturing any wounds becomes difficult, and their healing process is significantly prolonged, since there is an excess amount of fatty tissue under the skin. The blood supply to adipose tissue is very weak, so the healing of any wound becomes lengthy. Besides, adipose tissue very susceptible to infection, which often leads to complications.
Human nutrition. After operations, the human body needs to consume certain products in order to additional security tissues with plastic and energetic material. Malnutrition or insufficiency often leads to a decrease in the rate of healing.

Treatment of the wound after removal of sutures

How can I treat the wound after the stitches are removed? In most cases, postoperative sutures for better healing treated with a solution, furatsilin, or liquid antiseptics, for example, a solution. The skin around the postoperative wound and the location of the suture material in the tissues is usually treated with solutions or iodine, preventing their penetration into the fresh wound.

It is important to remember that penetration into fresh wounds leads to the appearance of areas of necrosis in them, which significantly complicates the healing process.

In addition, in modern medicine Various are also used to speed up the healing of wounds after surgery, with a special effect. But there is also important point, which cannot be ignored. If a person strong immunity and there is no infection in the postoperative sutured wound, that is, there are no signs of suppuration or inflammation, then there is no need to use ointments.

The use of ointments in the treatment of postoperative wounds is justified only in cases where there is a serious threat of complications and inflammatory-purulent processes.

In this case, specialized ointments are used to prevent the formation of suppuration or to treat it, but only when the applied suture material will be removed. Such ointments usually include: Solcoseryl, and other drugs. It should be remembered that caring for the wound after suture removal requires special attention, so before using any products you should consult your doctor.

Folk remedies

Traditional medicine offers many various methods treatment of postoperative sutures, which are highly effective and allow accelerating wound healing processes.

Most often, the following remedies are used at home to heal sutures after surgery:

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 for treating affected areas.

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

The healing process depends on human 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 drugs 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:

Potassium permanganate solution - it is important to strictly adhere to the dosage. This will help avoid getting burned.
Medical alcohol.
Zelenka.
Fucarcin - the drug is wiped off the surface with great difficulty. This may cause discomfort.
Hydrogen peroxide – may cause a slight burning sensation.
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;
using a gauze pad or cotton swab apply an antiseptic to the seam;
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 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 help solve the problem. Their use has a number of advantages:

availability;
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 consider 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. To the most effective means include the following:

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

A patch for healing postoperative sutures also helps to achieve good results.. This tool 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:

To speed up the healing process of postoperative sutures, it is very important to ensure good care behind 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.

One stitch, two stitches, it will be fun! - the obstetrician said with a needle at the feet of the happy woman in labor. For some, this black humor becomes an unfunny reality and causes a lot of trouble and trouble. We'll tell you about situations that inspire obstetricians to take up the needle, ways fast healing and pain relief.

When to apply stitches and causes of ruptures

Childbirth does not always go smoothly, and sometimes you have to pay for the happiness of having children with birth injuries - tears and cuts in the genital tract, which are covered with external and internal sutures after childbirth. Injuries can be internal - ruptures in the cervix and vagina, and external - ruptures and cuts in the perineum.

After the birth occurred naturally, the obstetrician must check for ruptures and, if detected, they are sutured. Otherwise, if suturing is not carried out, postpartum period threatens to end in a hospital bed due to bleeding in injured tissues and the addition of infection to them, and in the future even provoke prolapse internal organs and urinary and fecal incontinence.

The process of applying external and internal sutures lasts a long time and requires high qualifications of the doctor, and in the case of ruptures in the cervix that extend to the vagina and uterus, and some virtuosity due to inaccessibility and the danger of damage to the nearby Bladder and ureters.

Internal sutures after childbirth on the cervix, vagina and uterus itself are applied using absorbable threads made of biological or semi-synthetic material. If only the cervix is affected, then anesthesia is usually not required - after childbirth it is insensitive. In all other cases, local or general anesthesia is used - anesthesia or epidural anesthesia.

The muscle layers in case of ruptures and cuts of the perineum are also sutured with absorbable threads, and the skin is often made of non-absorbable silk, nylon and other materials, which are removed in the maternity hospital or in antenatal clinic usually 3-7 days after birth, when the suture has scarred. The procedure is quite painful and therefore anesthesia is required.

The reasons for ruptures can be different. This includes not following the advice of the obstetrician during the pushing period, and the presence of scars from sutures placed in previous births (the scar consists of inelastic connective tissue), rapid, prolonged, premature and instrumental labor (forceps), anatomical features pelvic structure, large baby's head, breech presentation, low skin elasticity at the time of birth.

How long does it take for a scar to heal after caesarean section

Obstetricians have different attitudes toward episiotomy—dissection of the perineum. For some, this is a routine procedure that is performed en masse to avoid the risk of perineal rupture. Other doctors strive for the most natural course of the birth process, intervening when it is already quite obvious that a rupture cannot be avoided. If instrumental delivery is performed with forceps or a vacuum extractor, then preliminary dissection of the perineum is recommended.

Episiotomy does not help prevent third-degree tears when the anal sphincter is involved in the violation of the perineal integrity and may even contribute to such injury. Still, surgical dissection has a number of advantages over rupture. Dissected tissues are technically easier to repair than torn ones. The resulting wound has smooth edges, healing occurs faster and a more aesthetic scar is formed.

Healing and treatment of sutures

As unfortunate as it may be, what happened happened, and as a result, after giving birth, you needed stitches. At internal seams If the suturing procedure is performed correctly and carefully, it will hurt for about 2 days. They do not require special care and do not need to be removed, since they are made of absorbable thread.

Self-absorbing sutures after childbirth made from natural material - catgut - completely dissolve in about a month, and from synthetic ones - after 2-3 months. Internal ones heal faster and can diverge in extremely rare and exceptional cases.

The outer crotch seams are a completely different matter. With such a postpartum reward, it’s painful to move, it’s difficult to go to the toilet, and you can’t sit down at all because the stitches can come apart.

Ban on sitting position lasts two weeks, after which you can gradually try to sit on hard surfaces.

If catgut sutures were placed on the perineum, then do not be alarmed if after a week pieces of threads appear that have fallen off - during this period the material loses its strength and breaks. The seams will no longer come apart, unless, of course, you start dancing. How long it will take for the material to dissolve depends on the speed of metabolic processes in the body. Sometimes there are cases when the catgut does not dissolve even six months after suturing.

Can women take oscillococcinum while breastfeeding?

Non-absorbable thread sutures from the perineum are removed 3–7 days after birth. If this was not done in the maternity hospital, then the sutures are removed by a gynecologist in the antenatal clinic. During the removal procedure itself, it is a little unpleasant, but in most cases it does not hurt, or the pain is quite tolerable.

How long it takes for sutures to heal after childbirth is influenced by the individual healing rate of damage received by the body - both from minor scratches and from more serious injuries.

Usually this process does not take more than a month, but on average is 2 weeks.

Both before and after removal of sutures, it is necessary to regularly treat them. This is especially important since postpartum discharge and the constantly moist environment of the perineum contribute to the proliferation of various microorganisms on the wound surface. As a result, the sutures may fester and healing will be delayed indefinitely.

How and with what to treat stitches after childbirth at home? Just like in the maternity hospital, you need to carry out treatment two to three times a day. antiseptic solutions and/or antibacterial ointments, suppressing uncontrolled growth causing inflammation bacilli The most available funds- this is the well-known brilliant green, hydrogen peroxide, potassium permanganate, chlorhexidine, etc. Ointments include levomekol and others. Treatment should be carried out avoiding a sitting position.

If you provide air access to the perineum, healing will go much faster. To do this, you need to use “breathable” pads made from natural materials and refrain from wearing tight underwear. The ideal option is to provide “ventilation” during sleep, when you can completely abandon underwear and sleep on a special absorbent diaper, or an oilcloth with a regular fabric diaper.

To speed up regeneration it is also necessary good nutrition, supplying construction material to the site of injury. From folk remedies oil accelerates healing tea tree, sea buckthorn oil. And of course, hygiene rules and maintaining cleanliness are welcome on the path to rapid healing.

Causes of various seals on the seam after cesarean section

How to relieve pain

During the healing process of the sutures, tissue contraction occurs - the wound surfaces contract and the wound is closed with a scar. Therefore, it is quite normal that the sutures hurt after childbirth, like any other injuries that violate the integrity of muscle and epithelial tissue. Discomfort – pain and itching in the perineum may be experienced up to 6 weeks after birth.

If the pain is of a different nature, and even more so when the sutures begin to fester, you need to consult a doctor.

If the pain is severe, which happens in the first days after childbirth, then applying cold to the perineum and painkillers can help cope with it. In the maternity hospital they give injections, at home you can take ibuprofen (Nurofen), which is not contraindicated for breastfeeding and has an anti-inflammatory effect. To feel less pain when urinating, you can try urinating while standing in the bathroom with your legs apart.

What to do if the seams come apart

It is rare, but it happens that the seams partially or completely come apart. This can happen due to heavy lifting, early start sexual relations after childbirth, sudden sitting down and other awkward sudden movements, increased pressure on the genitals due to constipation.

Ointment for healing sutures after surgery - important element rehabilitation. Proper care behind the scar helps to minimize the time it takes for the skin to heal and improve the patient’s well-being. Regular care is needed so that the seam is well tightened and no adhesions form.

Types of scars

Medicinal products have additional action. Selection of ointments for speedy recovery carried out by the attending physician. The remedy is selected on an individual basis, taking into account all the characteristics of the disease and the operation performed. The type of scar formed after the intervention also plays an important role in the choice of ointment.

There are several types of scars:

Processing at home

For quick and easy healing, special wound care is needed. It includes the use of several groups of medications. At the first stage - This is a mandatory treatment of the surgical site with antiseptics.. Most often used:

brilliant green (quickly disinfects and gets rid of microbial agents);
alcohol (removes contaminants, destroys bacteria);
iodine, iodinol (accelerate healing).

A special antiseptic ointment is often used for postoperative sutures. Mainly used:

Levomekol (accelerates healing, deeply nourishing the skin elements);
Panthenol (helps the scar tighten);
Contractubes, Mederma (even out skin color and tighten the edges of the seam).

You can buy absorbable ointments at the pharmacy. They need to be smeared to minimize the consequences surgical intervention. The principle of influence is to reduce inflammatory changes, eliminate defects, smooth out scars. From the first days of using the products, the scar becomes lighter in color, the skin becomes elastic and smooth.

Almost all modern ointments contain silicone. Due to this, the drugs effectively combat the itching that accompanies healing. Regular use of these products has a beneficial effect on the seam itself: it is minimized in size and becomes less noticeable. The product is applied to the affected area in a thin layer.

In severe, advanced cases, at least 6 months of regular use may be required. The most popular and effective ointments with absorbable action are Contractubex and Mederma.

Drugs for rapid healing

Experts advise using other medications to combat scars. An effective remedy for scars should contain onion extract. This component is able to penetrate deeply into the skin elements, soothe and relieve inflammation.

Antiseptic ointments are most often used:

Vishnevsky ointment is a remedy that promotes wound healing.
Vulnuzan is a natural drug.
Levosin is an antibacterial agent.
Naftaderm is a pain reliever.

Medicines used for complications

If the wound is not taken care of and appropriate remedies are not used, serious complications. The wound will heal slowly. There are certain time intervals for healing of each type of suture.

In the presence of chronic intoxication postoperative sutures are processed local antibiotics. The patient may be prescribed Baneocin ointment. Due to the presence of neomycin in the drug bacitracin, it is possible to completely suppress opportunistic microflora.

Stellanin PEG ointment is especially popular. It is based on diethylbenzimidazolium triiodide. Due to this, the ointment exhibits pronounced antimicrobial, anti-inflammatory and regenerating abilities. This remedy is the main way to combat weeping sutures in surgery. The duration of therapy is 14 days. For suppuration of wounds, Levomekol ointment is used.

If in postoperative period Following all the doctor’s recommendations can significantly reduce your recovery time.