How to smear a surgical suture for faster healing. The suture does not heal after surgery. Healing of postoperative sutures without scars

A suture is an irreversible consequence after surgery. For some it heals very quickly, but for others it causes a lot of inconvenience: it hurts, it tugs, it aches, it doesn’t heal for a long time. It all depends on the body, on the experience of the doctor who performed the operation, and on how correctly the suture is cared for. Healing usually occurs over a period of several weeks to a month. But there are times when pathologies arise and the suture does not heal. To speed up healing, you need to take the following measures.

How to speed up the healing of a seam

  • Remove the bandage as often as possible and keep the suture in the open air, because, as you know, it dries out wounds well.
  • Ointments “Levosin”, “Levomekol”, “Stellanin”, “Sinaflan” help relieve inflammation.
  • If the seam festers, you need to wash it with hydrogen peroxide and treat it with an antiseptic: a solution of brilliant green or iodoperone, Kostellani's liquid.
  • To help the wound heal from the inside, you can take vitamins, enzymes, and anti-inflammatory drugs.
  • Physiotherapy helps a lot. If there are no contraindications to it, then this method is very effective.
  • After the doctor removes the threads, you can treat the seam with sea buckthorn oil and essential oils that stimulate skin regeneration, for example, patchouli, tea tree.

How to get rid of complications

In some cases, the seam does not heal for a long time, becomes inflamed and oozes. To speed up healing, it is necessary to carry out the correct aftercare measures:

  • If during the rehabilitation period the patient lifts weights and does not limit himself in physical activity, the seam may come apart, which is not re-sutured; it gradually tightens itself. Such a wound requires careful care: it must be regularly treated with hydrogen peroxide and a solution of brilliant green, and then applied with an alcohol or demixide bandage. The following ointments speed up the healing process well: sea buckthorn, with panthenol, Levomekol.
  • If proper care is not followed, complications such as infection may occur. At the same time, a high temperature rises and liquid is released from the seam. You should immediately consult a doctor. As a rule, antibiotics and antibacterial ointments and a hypertonic solution for topical use are prescribed for this condition. After a week, the condition stabilizes and the stitch begins to heal.

Traditional methods for healing postoperative sutures

  • Calendula-based cream, to which you need to add a drop of orange oil and rosemary oil. Not only does it promote healing, but it is also used to prevent scarring.
  • Oil for seam healing: add a drop of tea tree and lavender oil to a teaspoon of functional oil.
  • You can take blackberry syrup with echinacea internally. It can be purchased at a pharmacy. The course of treatment is 2-3 weeks.

If the scar does not heal for a long time, and there are obvious complications, an in-person examination by a doctor is required, who will prescribe treatment in order to avoid negative consequences in the future.

sovetclub.ru

What to do if the suture does not heal after surgery. Ointments, patches for healing

Some people who have undergone surgery do not have stitches that heal after surgery. Few people know what to do in this situation. Proper wound care depends on the location, size, and individual characteristics, but in general, wound care has general rules and recommendations.

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


Sutures after surgery are processed 2 times a day

Healing time (days)

Face, head

3-4

Anterior surface of the neck

Back of the neck

Lateral surface of the chest and abdomen

Abdominal wounds along the midline

Forearm

Shin Foot to contents

Treating seams with antiseptic solutions

Basic tips for fast healing of stitches after surgery:

  • correct sterile treatment of a postoperative suture or wound;
  • use only those solutions prescribed by the doctor to treat the seam;
  • regular inspection and treatment of the seam several times a day.
  • Proper treatment of the wound allows the suture to heal much faster after surgery. Antiseptics such as iodine, alcohol, hydrogen peroxide, potassium permanganate, and chlorhexidine help with this. It is also possible to use brilliant green or its substitute - fucorcin.

    After each treatment, it is necessary to change the sterile dressing. This is done until the threads are removed.

    You must be extremely careful when removing the bandage, as it often sticks to the wound. After this, pour a thin stream of hydrogen peroxide over the seam, then treat it with an antiseptic solution.

    Note! Do not peel off crusts, growths, deposits and other layers formed on the seam. This suggests that the process of tissue fusion is proceeding in the right direction.

    If they are removed, complications such as:

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

      Ointments for healing sutures after surgery

      Immediately after surgery, the suture and wound are treated with ointments or gels that prevent inflammation from forming and help to quickly cope with damage and begin healing.


      Levomekol

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

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

      Name

      Compound Operating principle Mode of application
      Levomekol methyluracil,

      chloramphenicol, excipients

      promotes cell regeneration, has antimicrobial

      and bactericidal effect

      Apply to a sterile bandage or napkins, applied to a non-healing suture after surgery 130 rub.
      Vishnevsky ointment Tar, aerosil, xeroform, castor oil Antiseptic, anti-inflammatory,

      Local irritant that accelerates cell regeneration

      Apply to the surface of the seam or to a sterile dressing 40 rub.
      Solcoseryl deproteinized dialysate from the blood of healthy dairy calves, cetyl alcohol, cholesterol, white petrolatum, water for injection Has a regenerating, wound-healing effect. Increases collagen production Apply a thin layer to the surface of the wound, after rinsing it. Possible use of bandages 250 rub.
      Contractubex Onion extract, heparin, allantoin, sorbic acid, methyl 4-hydroxybenzoate, xanthan, polyethylene glycol, purified water Anti-inflammatory, regenerating, antithrombic agent Rub the suture into the scar tissue 2-3 times a day 700 rub.

      If the suture does not heal after surgery, not only an experienced doctor will tell you what to do, but also instructions for using the drug prescribed by the doctor.

      The use of healing ointments lasts until the wound and stitch are completely healed and the scar begins to lighten.

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

      It is very light, convenient, practical and comfortable.

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

      • causes softening of scar tissue, reducing its density, due to moisture retention in the skin;
      • compression tension occurs and the scar is smoothed using the sticky base of the patch;
      • improving the structure of the skin, increasing its elasticity, preventing scarring and hardening of the skin.
      • Before using a patch based on medical silicone gel, remove the protective film from the sticky side.

        The seam, scar or scar must first be washed with soap, then the patch must be tightly applied and smoothed out.

        If there is hair in this area, it must be shaved to ensure closer contact between the skin and the patch. When first used, the patch is applied for no more than 2 hours.

        In complex treatment, such procedures for caring for postoperative non-healing sutures work wonders. In a short time, if you do everything strictly according to the surgeons’ recommendations, the wounds begin to heal.


        If the suture does not heal after surgery, you need to consult a doctor to find out what to do.

        Among the folk remedies used, the most popular are:


2017-05-06

ideales.ru

If the seam gets wet after surgery, what to do - Treatment at home

A problem often arises when the seam gets wet after surgery, which many people don’t know how to do. If the inflammatory process begins and symptoms of this kind appear, then it is necessary to take action immediately, since such infections slow down or even stop healing and sometimes cause serious complications.

In addition, this problem not only causes physical inconvenience, but also worsens the mental state. Measures for caring for sutures include not only their treatment with disinfectants, but also diet and proper physical activity. The main goal is to speed up healing and prevent infection. First, let's figure out why the suture suppurates.

Causes of suture inflammation

Inflammation of the sutures after surgery can begin for several reasons:

  • Penetration of infection into the wound during surgery or after its completion.
  • Injuries to the subcutaneous adipose tissue resulted in hematomas and necrosis.
  • Poor drainage.
  • Poor quality of materials used for suturing.
  • Reduced immunity and its weakening due to surgery.
  • In addition to the listed reasons, inflammation of the sutures can occur due to unskilled work of surgeons or incorrect actions of the patient himself.

    The causative agents are usually Pseudomonas aeruginosa and Staphylococcus. Infection can be direct or indirect. In the first case, microorganisms enter along with tools and materials that have not been sufficiently processed. In the second case, infection occurs from another source of infection, which is carried by blood, for example, from a diseased tooth.

    Return to suture Symptoms of suture inflammation

    You can see that the suture is inflamed already on the third day after its application. If the stitches become wet after surgery, only a doctor can tell you what to do. In this case the following are indicated:

    • skin redness;
    • swelling of the tissue around the seam;
    • temperature increase;
    • suppuration;
    • pain in the area of ​​application;
    • bleeding.
    • general reaction:
    • fever;
    • chills;
    • migraine;
    • high heart rate;
    • increased blood pressure.

    If these symptoms begin to appear, then a diagnosis can be made - inflammation of the sutures. To relieve suppuration, it is necessary to take measures to treat the complication that has arisen.

    Return to repair Mechanism of suture healing

  • Connective tissue with fibroblasts is formed. These are the cells that accelerate recovery and eliminate tissue defects.
  • Epithelium is formed in the wound, which prevents the penetration of pathogenic microorganisms.
  • Tissue contraction: the wound contracts and closes.
  • Many factors influence the healing process:

  • Age. At a young age, recovery is faster and much easier, and the likelihood of complications is less. This is due to the body’s immunity and its resources.
  • Weight factor. The wound will heal much more slowly in obese or thin people.
  • Food. Recovery will depend on the amount of substances supplied with food. After operations, a person needs proteins as building materials, vitamins and microelements.
  • Water balance. Dehydration negatively affects kidney and heart function, slowing healing.
  • Weak immunity can lead to complications: suppuration, various discharges, skin irritation and redness.
  • Presence of chronic diseases. Diseases of an endocrine nature, blood vessels and tumors are especially affected.
  • Function of the circulatory system.
  • Restriction of oxygen access. Under its influence, recovery processes occur faster in the wound.
  • Anti-inflammatory drugs slow down recovery.
  • Return to the place of treatment Inflammation of postoperative sutures

    While the patient is in the hospital, a nurse will care for the stitches for the first five days. Care consists of changing the bandage, treating the sutures and, if necessary, installing drainage. After discharge from the hospital, you need to take care of them on your own. For this you need: hydrogen peroxide, brilliant green, sterile bandages, cotton wool, cotton pads and swabs. If the stitches become wet after surgery, we will consider what to do step by step.

  • Daily processing. Sometimes it is needed several times a day. Particular attention should be paid to treatment after taking a shower. When washing, do not touch the seam with a washcloth. After a shower, you need to blot the seam with a bandage swab. Hydrogen peroxide can be poured in a thin stream directly onto the scar, and then brilliant green can be applied to the seam.
  • After this, apply a sterile dressing.
  • Treatments should be carried out until the scar is completely healed. Sometimes even after three weeks it gets wet, bleeds and ichor comes out. The threads are removed after about 1-2 weeks. After this, it is necessary to process the seams for some more time. Sometimes doctors allow the stitch to be left untied. If a bandage must be made, then before treatment the old bandage must be carefully removed, since the seam becomes wet and the bandage sticks to the wound.
  • Everyone who has encountered this problem is wondering what to do if the seams get wet. If the seam is inflamed, then redness of the application site and irritation are observed. This happens through active healing.

    But if there are clear signs of complications, then the first thing to do is go to a doctor who will perform manipulations to stop the development of the infection.

    He will select adequate treatment, aimed not only at stopping suppuration, but also at increasing immunity for speedy healing of the wound. If necessary, he will remove the stitches, wash the wound with an antiseptic solution and install drainage so that purulent discharge comes out and the stitch does not become wet in the future. If necessary, the doctor will prescribe antibiotics and immunostimulating drugs, since complications most often occur in people with weakened immune systems. Ointments, solutions, vitamins, anti-inflammatory drugs and even traditional medicine can be used as additional methods.

    Return to place Phytotherapy in the fight against complications of postoperative sutures

    N. I. Pirogov was also involved in studying the benefits of medicinal plants and compiling a collection in a military hospital. Modern medicine has long scientifically confirmed the medicinal effects of traditional recipes. Herbal medicine is best used as an auxiliary treatment, which is carried out in interaction with the main methods. The essence of herbal medicine is to select the optimal combination of medicinal plants, the action of which is aimed at eliminating one symptom. This principle is used to formulate, for example, breast infusions, kidney teas, anti-inflammatory infusions, and so on. Treatment with herbs and herbs is still not a panacea, especially for such inflammatory processes. By itself, this technique is ineffective, but in combination with traditional medicine it can be a good help and speed up recovery. For example, Phytomaz can be used if an old seam suddenly catches fire, which also happens quite often. Plants used as additional medicines for healing sutures have a number of beneficial properties:

    • anti-inflammatory;
    • pain reliever;
    • antimicrobial;
    • accelerates regeneration;
    • improves liver function.

    The method of herbal medicine in this case consists of taking preparations internally (infusions, extracts) and for topical use (ointments).

    The goals of this treatment are:

    • improving the state of the internal environment of the body and the functioning of the excretory system, reducing intoxication;
    • normalization of digestion and prevention of negative effects of medications;
    • normalization of immunity;
    • processing of postoperative sutures.

    A doctor may well prescribe such therapy. If the scar has festered, then the features of the professional selection of such remedies are that the compositions are selected individually, the diagnosis and personal characteristics of the patient are taken into account, the specialist determines the duration of the course, herbal health is well suited to other methods of treatment and rehabilitation and determines an integrated approach to the patient’s recovery.

    You can use it if an old scar is festering, this also happens sometimes. This happens due to decreased immunity or damage to the scar. If old scars itch, you can make applications that will relieve these symptoms.

    The happiness that engulfs a woman cannot be expressed in words; all the pain, all the torment experienced just a few minutes ago is forgotten. But in order to calmly hold the baby in your arms, you will have to work a little and suffer.

    The most unpleasant, painful and long time takes first when the cervix dilates. But the second one - the birth of a baby - is a matter of minutes, which, however, can be overshadowed by or (even worse) a rupture of the perineum. Some women resist the cut as best they can: they are indignant and even scream. But you need to understand that this manipulation is sometimes simply necessary.

    The birth canal may be narrow for the baby, and if the doctor does not make the incision, the child himself will do it. Then it will already be irregularly shaped tear with torn edges, and it will be quite difficult to sew it up, not to mention the fact that it will heal for a long time and painfully.

    But the cut made with a scalpel is smooth and neat, will allow just a few stitches to bring the edges together. Such a seam will heal quickly and will not cause much trouble if it is properly cared for and treated.

    External (external) and internal sutures after childbirth

    Internal seams are applied when the cervix and vaginal walls are ruptured. Since the cervix loses sensitivity after childbirth, When stitches are applied, the woman in labor feels almost nothing.

    But when stitches are placed on the vagina, this is quite noticeable, so local anesthesia is given. Internal seams are made with self-absorbing threads, which do not require additional care or removal of seams.

    To external seams include stitches on the perineum, and here everything is a little more complicated. A woman can tear on her own and the stitches on the tears take longer to heal.

    However, Mostly doctors manage to make an even (and absolutely painless) incision towards the anus. Putting stitches in this place is a little painful, so local anesthesia is given here too.

    You should take special care of the sutures in the perineum after childbirth, because this is a place where you cannot apply a sterile bandage, and the sutures come into contact with the external environment and can easily become inflamed.

    Self-absorbing sutures

    Recently, almost all stitches are applied using self-absorbing threads. This is very convenient: you don’t need to remove them, and already in 7-10 days there will be no trace left of them.

    The only thing a woman can notice is pieces of threads or knots on the pad. Don't be alarmed, know that these remnants of thread mean that the stitches have almost dissolved. In a month, during an examination with a doctor, you will be able to verify this.

    Let's look at some features

    In order for the stitches to heal quickly and not become inflamed, they need to be properly cared for. Internal seams during normal course are not processed at all, since sterile self-absorbable sutures are used. There is enough hygiene care here.

    And here if the internal seams are inflamed or festered, then use tampons with levomikol or any other anti-inflammatory ointments.

    External seams require special care.. They should be processed 2 times a day. In the maternity hospital this is done by a nurse.

    First, the seams are treated with hydrogen peroxide, and then brilliant green or iodine. In addition to this, physiotherapy procedures are carried out to promote speedy healing.

    The woman in labor should change sanitary pad every 2 hours, in the maternity hospital they use sterile disposable panties. You should wash yourself at least 2 times a day and after each act of defecation (and do this long after discharge). After washing (with potassium permanganate), the seams should be carefully blotted with a towel., but under no circumstances rub it with it, then treat it with peroxide, and then with brilliant green or iodine.

    A woman always has a lot of troubles after giving birth. And problems with seams are only a small part of them. But believe me A healthy baby snoring sweetly in your arms will atone for all your hard work and make you forget about all the difficulties associated with childbirth.

    Many women who encounter stitches for the first time after childbirth do not know how to behave correctly so that the seams do not come apart.

    The most important thing is a woman in labor with stitches should not sit for 7-10 days in no case. That is, eating, feeding the baby, swaddling and doing other work can only be done while lying down or standing.

    At first it will be difficult to get used to this, and the desire to sit down will appear all the time. It is important not to do such a stupid thing, otherwise the seams will come apart.

    Previously, it was much simpler, because the baby was brought only for feeding and immediately taken away, so the woman in labor could rest and get used to her new position. Women in labor with stitches were generally forbidden to stand up unless necessary, which is why the healing of the stitches after childbirth occurred much faster.

    But now, when the baby is brought in on the first day and left with the mother until discharge, it is quite difficult to maintain bed rest, because you need to get up and swaddle the baby, wash him, and feed him. Well, how can you not forget and sit down out of habit?

    Remember: You will be able to sit down no earlier than after 10 days (and this is provided that the stitches heal well without causing complications), and then only on a hard chair, and after another 10 days - on a soft chair, bed or sofa.

    Since the woman in labor is being discharged for 5-7 days, then the trip home will not be very comfortable, you will have to ride in a reclining position in the car. Warn your relatives in advance that only one passenger can travel with you in the car, since you will need more space.

    There is one more point: in the first week after suturing, you need to go to the toilet correctly “in large quantities”. It is best to give an enema at the first urge, otherwise the sutures may also come apart due to tension in the pelvic muscles.

    What to do, if…

    The seams have come apart

    If the seams do come apart, it is important to determine this quickly.

    Internal seams come apart in very exceptional cases. It is simply impossible to notice this on your own. This can only be seen by a doctor during an examination. Such seams, as a rule, are no longer touched.

    Most often this occurs with external seams in the crotch.. Sudden movements, improper defecation, or if a woman sits down can cause the stitches to come apart.

    If this happens literally the next day after birth, then repeated stitches are applied. It’s a different story if the edges of the wound have already healed and the stitches have come apart. Then the doctor decides on re-suturing.

    If it is just a couple of stitches and there is no threat to life, then the seams can be left as they are. But it also happens that the seam comes apart completely. Then the edges of the wound are excised and the sutures are reapplied.

    While the woman is in the maternity hospital, the doctor examines her every day, and if he finds that the seams are starting to come apart, he will take action. But if, after discharge, the young mother feels that the stitches have come apart, then she should immediately contact the antenatal clinic, where the gynecologist, after an examination, will tell you what to do.

    The stitches hurt

    The stitches may hurt for the first couple of days, then the pain should go away. Internal stitches heal much faster, and the pain is felt weakly, going away after a couple of days. But the external seams can bother you for a long time if you do not follow the regime.

    Painful sensations when trying to sit down are quite natural, but if the pain appears in a calm state, this may signal an inflammatory process.

    That's why you must not endure the pain, but consult a doctor. If you manage it in time, the inflammatory process can be easily eliminated, but if you delay it, the stitches will fester, and treatment will have to be long and tedious.

    When are sutures removed?

    The situation is more complicated with ordinary stitches that need to be removed. This can only be done after the wounds have healed. Best case scenario this happens on day 6-7.

    But if the sutures become inflamed after childbirth or the sutures fester, then healing is delayed and you have to fight the inflammatory process and only then remove the sutures.

    So when are stitches removed after childbirth? All this is decided individually. Before being discharged from the maternity hospital, the woman is examined by a doctor and, if all is well, the stitches are removed (the process is almost painless). If it’s too early, the doctor will tell you when you need to go for an examination at a consultation.

    After surgery, scars and sutures appear on the skin, which persist for a long time. The duration of their healing is determined by the general resistance of the body, the characteristics of the skin and other factors. The main task in the postoperative period is to prevent the development of infection and speed up the regeneration process in all possible ways.

    After abdominal surgery and suturing, the healing process includes several stages

    1. Formation of collagen or connective tissue by fibroblasts. During the healing process, fibroblasts are activated by macrophages. Fibroblasts migrate to the site of damage, and subsequently they bind to fibrillar structures through fibronectin. At the same time, the process of active synthesis of extracellular matrix substances begins, among which collagen is present. The main task of collagen is to eliminate tissue defects and ensure the strength of the emerging scar.
    2. Epithelization of the wound. This process begins as epithelial cells migrate from the edges of the wound to its surface. After epithelization is complete, a kind of barrier to microorganisms is formed, and fresh wounds are characterized by low resistance to infections. A few days after the operation, in the absence of any complications, the wound regains its resistance to infection. If this does not happen, then perhaps the cause was a suture dehiscence after surgery.
    3. Reduction of wound surfaces and wound closure. This result can be achieved due to the effect of wound contraction, which is to a certain extent caused by the contraction of myofibroblasts.

    The healing period after surgery is largely determined by the characteristics of the human body. In some situations, this process occurs quite quickly, while in other patients it can take quite a long time.

    Treatment of sutures after surgery

    Before answering the question of how long it takes for a suture to heal after abdominal surgery, you need to understand what affects this process. One of the conditions for a successful result is the implementation of correct therapy after the patient is sutured. In addition, the following factors influence the duration of the postoperative period:

    • sterility;
    • materials for processing seams;
    • regularity of the procedure.

    After surgery, maintaining sterility is considered one of the important requirements. This means that seam treatment is only allowed with well-washed hands using disinfected instruments.

    How are sutures treated after abdominal surgery, and what disinfectants are the most effective? In fact, the choice of a particular drug is determined by the nature of the injury, and for treatment you can use:

    • medical alcohol;
    • hydrogen peroxide;
    • iodine;
    • potassium permanganate solution;
    • brilliant green;
    • ointments and gels with anti-inflammatory effects.

    If it is necessary to treat postoperative sutures at home, then for this purpose you can use the following traditional medicine:

    • pure tea tree oil;
    • tincture of larkspur roots from 20 grams of herbal remedy, 200 ml of water and 1 glass of alcohol;
    • cream with calendula extract, to which you can add a drop of orange or rosemary oil.

    Before using such folk remedies at home, it is recommended to first consult with a specialist.

    What affects healing?

    The duration of wound healing after suturing depends on the following factors:

    • the age of the patient - in young people tissue restoration occurs much faster than in older people;
    • body weight - the wound healing process can slow down if a person is overweight or obese;
    • nutritional features - lack of energy and plastic material can affect the quality and speed of reparative processes in the wound;
    • dehydration - lack of fluid in the body can lead to electrolyte imbalance, which slows down the healing of sutures after surgery;
    • state of blood supply - wound healing occurs much faster if there are a large number of vessels near it;
    • chronic pathologies can slow down the recovery process and cause various complications;
    • state of immunity - with a decrease in the body’s defenses, the prognosis of surgical intervention worsens and wounds may fester.

    The supply of the required amount of oxygen to the wound is considered one of the main conditions for wound healing, since it participates in the synthesis of collagen and helps phagocytes destroy bacteria. Anti-inflammatory drugs can slow down the healing process in the first few days, but subsequently have virtually no effect on this process.

    One of the common reasons for the deterioration of a wound after surgery and a slowdown in its healing process is considered to be secondary infection, which is accompanied by the formation of purulent exudate.

    Processing rules

    In order for the healing of sutures to take place as quickly as possible without the development of complications, it is necessary to adhere to the following rules:

    • before starting the procedure, it is necessary to disinfect hands and instruments that may be needed to carry it out;
    • You should carefully remove the applied bandage, and if it is stuck to the skin, pour peroxide on it;
    • you need to smear the seam with an antiseptic using a cotton swab or gauze swab;
    • the bandage must be carefully applied.

    It is important to remember that seams should be treated twice a day, but if necessary, the amount can be increased. In addition, it is necessary to carefully examine the wound each time for the presence of any inflammation. It is not recommended to remove dry crusts and scabs from the wound, as this can lead to the appearance of scars on the skin. You should shower with care and do not rub the seam with a sponge that is too hard. If the sutures on the abdomen turn red or purulent exudate begins to ooze from them, you should see a doctor as soon as possible.

    Only a doctor can decide when sutures are removed after abdominal surgery. This procedure is carried out under sterile conditions using special instruments and usually 5-10 days after surgery.

    Healing products

    In order to speed up the resorption and healing of sutures after surgery, you can use antiseptics at home. Experts recommend using them not to treat wet wounds, but only when the healing process has begun. The choice of one or another ointment depends on the nature of the damage and its depth. For shallow superficial wounds, the use of simple antiseptics is recommended, and if complications develop, it is necessary to use drugs containing hormonal components.

    How to remove a scar after abdominal surgery, and what ointments are considered the most effective for treating sutures?

    • Vishnevsky ointment accelerates the removal of pus from the wound;
    • Levomekol has a combined effect;
    • Vulnuzan contains natural ingredients and is easy to use;
    • Levosin destroys bacteria and stops the inflammatory process;
    • Stellanin helps get rid of tissue swelling and destroy infections, and also accelerates skin regeneration;
    • Argosulfan has a pronounced bactericidal effect and helps to achieve an analgesic effect;
    • Actovegin successfully fights the inflammatory process in the wound;
    • Solcoseryl minimizes the risk of scars and cicatrices.

    Such medications, when used correctly, help speed up the healing process of the wound after surgery and avoid infection. It is important to remember that before smearing a postoperative suture on the abdomen, you must consult a doctor. The fact is that independent treatment of postoperative sutures can result in severe suppuration of the wound and its further inflammation. Compliance with simple rules is the key to successful treatment of postoperative sutures and helps prevent the formation of scars.

    Wound healing after surgery is the most important physiological process, the success of which determines the patient’s recovery rate and his future health. Indeed, sometimes even after a successful surgical intervention during the rehabilitation period, complications arise that are associated precisely with imperfect wound care.

    How does a wound heal after surgery?

    The first and most important thing that the surgeon does to speed up the healing of the wound after surgery is to bring its edges together using suture material. In other words, it puts stitches. Thanks to natural regeneration processes, over time the wound grows together and is covered with new tissue.

    If you go deeper into biology, you can identify three sequential healing processes.

    The first is epithelization. The resulting squamous epithelial cells cover the most affected areas (with the deepest tissue damage).

    The second process is convergence or contraction of the wound, when the edges join together, completely hiding the exposed mucosa. And then the third, final mechanism of postoperative wound healing occurs - collagenization, when collagen fibers cover the delicate skin of the wound, providing it with lasting protection.

    Important! If a person is healthy, then everything happens quite quickly and efficiently. A weakened or sick body sometimes does not have enough biological capabilities for this, so it is necessary to select special auxiliary drugs for wound healing and care for it more carefully.

    Preparations for wound healing after surgery

    It is sometimes possible to determine from a person's first aid kit that he has recently undergone surgery. Because in this case, not only plasters and bandages appear at his home, but also all kinds of solutions, gels and ointments for healing. Some were recommended by a doctor, others were recommended by a neighbor or colleague, and others were purchased as a result of advice from Internet forums. And often half of what is purchased is wasted, because the choice of drug largely depends on the type of wound and the stage of its treatment.

    External preparations

    A good external agent should have the following properties:

    • disinfectant (prevents the formation of harmful microbes and destroys old ones);
    • anti-inflammatory (stops and prevents inflammatory processes);
    • anesthetic (relieves pain);
    • regenerating (promotes speedy healing).

    But you don’t have to buy 4 different medications to heal a wound faster. Modern products usually have two, three or even all four properties, which makes their use convenient. So, how to speed up wound healing after surgery.

    Primary processing

    Caring for the wound and the skin around the wound should be regular. The frequency of dressings or simply applying an external agent not under a bandage is determined by the attending physician. But before using the gel or ointment, the wound must be treated with an antiseptic, which will clean it of dirt and particles of dead skin, preparing the tissue for the main healing agent.

    Of these antiseptics, you can use the “good old” cheap remedies: hydrogen peroxide, potassium permanganate solution, furatsilin, chlorhexidine. Depending on the specifics of the wound and its location, the doctor will recommend which drug is best.

    The main remedy for rapid wound healing

    This can be an ointment or gel. They differ not only in their consistency, but also in their purpose. The ointment is applied to dry wounds that tighten and tear, and therefore do not heal. And the gel is better suited for weeping wounds, because it does not form a film and allows the skin to breathe.

    Salicylic ointment

    An ointment with antibacterial properties known since Soviet times. Apply under a sterile dressing after pre-treating the wound with peroxide. You can buy salicylic ointment for only 20-30 rubles (25 g).

    Despite the fact that this is an ointment, it does a good job of drying wet wounds and healing them. Contains zinc, a useful mineral that promotes cell division and skin regeneration.

    Previously, zinc ointment was produced in dark glass jars. Today you can buy it in tubes, 30-40 rubles per 30 g.

    Levomekol

    A popular antibiotic ointment that can draw pus and other dirt from the wound. It also has regenerating properties. A must have in the surgical department of any hospital. It is relatively inexpensive: 120-130 rubles for 40 g.

    Eplan

    Also a fairly well-known external remedy for wound healing, used in pregnant women and children. It has bactericidal, regenerating and anesthetic properties. Costs 100-110 rubles for 30 g.


    A modern product based on calf blood extract. It heals well and is usually used in cases where cheap drugs do not help. Available in the form of ointment and gel. The approximate cost of a 20-gram tube is 280-300 rubles.

    Argosulfan

    Or its analogue – Sulfargin. This is an ointment with silver extract, which perfectly disinfects the wound in addition to its healing and regenerating properties. It is especially good for purulent postoperative wounds. For 40 g you will have to pay 350-370 rubles.

    In addition to gels and ointments, another type of external preparation is actively used today - powders (powders). They are ideal for wet postoperative wounds because they have not only healing, but also absorbent properties - they absorb excess moisture. This is, for example, Ambulance, Baneocin. Of the powder preparations of the Soviet era, many remember Streptocide. You can buy tablets and crush them, or immediately purchase a package of powder for 30-40 rubles per 2 g.

    Preparations for oral administration

    The human body is a single whole. And in order for a postoperative wound to heal faster, it is not enough just to smear it with a good remedy. You also need to help yourself from the inside, strengthening your immune system and creating all the conditions for rapid healing. Vitamin-mineral complexes will help with this, in which the percentage of vitamins A and C, as well as zinc and omega-3 fatty acids should be increased.

    Nutrition for fast wound healing after surgery

    Instead of vitamin-mineral complexes (or simultaneously with them), you can simply eat right. A balanced diet also has a positive effect on recovery after surgery in general, and on wound healing in particular. And it also implies the presence of the previously listed components in the products. Let's make it more specific.

    If the products listed above contribute to the speedy regeneration of the skin, then seasonings can be added to dishes to disinfect it from the inside. Turmeric, ginger, cloves and even regular black or red pepper have antibacterial properties and help speed up wound healing.

    Rules for treating wounds

    In order for the wound to heal faster, complete sterility is necessary. Even the simplest abrasion requires compliance with this condition, not to mention a complex open postoperative wound. Therefore, the hands of the person who will carry out the treatment should be washed with soap or wiped with alcohol. In the room where fresh wounds are treated, everything should also be sterile. Therefore, dressings in hospitals are done in dressing rooms, in which quartz treatment is periodically carried out. At home, you can use a portable quartz lamp.

    Treatment of a postoperative wound begins with its cleansing. Peroxide, pink solution of potassium permanganate or chlorhexidine should be poured over the wound or wiped with a sterile bandage soaked in one of the products.

    Attention! When treating postoperative wounds, it is not recommended to use cotton pads and swabs. Firstly, they are non-sterile. Secondly, the villi can remain inside the wound and cause suppuration.

    After treatment, the wound should dry out a little. If necessary, you can speed up the process using a sterile bandage. Then you can take the ointment or gel and apply the product according to the instructions, under or without a bandage.

    The next time you change the dressing, you need to remove the old bandage carefully so as not to damage the tissue. If the bandage is dry, it needs to be soaked by watering it with chlorhexidine, for example. It is not recommended to use ordinary water.

    Surgical operations are quite common nowadays. Most patients agree to them without the slightest fear or doubt, some even undergo “optional” operations at their own expense - we are, of course, talking about plastic surgery. And yet, many people are not even concerned about how the intervention will go, but how noticeable the stitches will be after the operation. Do not forget that how quickly and how well the incisions heal largely depends on the care they take during the recovery period.

    Basic rules for caring for sutures during the recovery period

    Surely you will be told about how to care for sutures after surgery upon discharge, but if the medical staff forgot about this or you don’t remember, we will remind you. The main rule is to always keep the seam clean and dry. If the incision has already healed well enough and there is no open wound, you can wash it with plain water and laundry soap. After each hygiene procedure, it is imperative to apply an antiseptic. Brilliant greens, iodine or a solution of potassium permanganate will do. But you should avoid regularly using alcohol or cologne for washing - the whole point is that these compositions dry the skin too much. If there is even the slightest suspicion that the sutures have become contaminated after surgery, they should be washed with hydrogen peroxide. The same procedure is necessary for festering sutures.

    Should I wear a bandage or not?

    The issue of dressings during the rehabilitation period after surgery should be decided by a doctor. It all depends on the depth and length of the incision, where it is located, how well it heals, and other factors. The patient must listen to his own feelings. For example, if surgeries catch on clothing, the bandage should be applied at least during periods of physical activity. Another pressing question: should the stitches be treated with special ointments that speed up healing, or is it easier to let everything take its course? You should use folk remedies with caution, but among pharmacological products there are many compounds that have proven themselves to be positive. The most popular remedy is Levomekol ointment; you can also use any panthenol-based products. After removing the threads, you can treat the scars with special oils and various compounds that accelerate cell regeneration and moisturize the skin.

    Time of surgery: will the stitches heal soon?

    The question of the duration of rehabilitation after surgery is more than individual. On average, sutures are removed within 7-10 days. In some situations, this period can be extended to two weeks; more is rare, as the risk of threads growing into the skin increases. Remember: Your doctor or nurse should remove your sutures after surgery unless you were instructed otherwise upon discharge. After removing the threads, scar care must be continued. Regardless of how the rehabilitation after the operation goes, the incision site is considered to be completely healed approximately one month after the intervention. Namely, when a clear scar forms.