Remove a post-operative scar on the abdomen. stage: “young” scar or active fibrillogenesis. Why do scars appear?

A scar formed at the site of a surgical wound very often does not look aesthetically pleasing and can sometimes cause serious aesthetic inconvenience to its owner. The only way getting rid of feelings of discomfort is effective and safe procedure– laser resurfacing of sutures after surgery.

Types of postoperative scars

• Normotrophic - thin and pale suture, formed when the skin has good wound healing ability;
• Hypotrophic - a defect located below the surface of the surrounding skin. It is most often a consequence acne(post-acne).
• Hypertrophic - a gross defect that slightly rises above the surface of the surrounding skin;
• Keloid - a purple scar, prone to pathological growth, may be accompanied by itching and pain.

Effectiveness of fractional laser on scars

Method laser correction Scars of any kind can be eliminated completely or smoothed out (made invisible). The laser beam selectively removes connective (scar) tissue from the suture. At the same time, regeneration processes are activated in the treatment area under the influence of the laser, as a result of which the synthesis of collagen and elastin is enhanced, and a new layer of young and healthy skin is formed.

Important! Specialists at the ALODERM clinic in Moscow remind you that fresh scars are removed faster and more efficiently than old, dense ones.

What you need to know about laser scar resurfacing

• This procedure is painless, but in cases hypersensitivity or, at the patient’s request, laser therapy is carried out using a special anesthetic gel;
• During the first day after the procedure, swelling and hyperemia (redness) may persist in the treatment area. Then small crusts appear, under which a layer of young skin is formed. After a week, these crusts fall off on their own;
• After the procedure, you need to carefully protect the scar area from any damage and lubricate it daily. sunscreen. A product with a high degree of protection against direct sun rays must be used for 6 weeks (at least) after the procedure.

Attention! The result of laser resurfacing of sutures after surgery is fast, lasting and non-reversible!

Laser resurfacing of sutures after cesarean section

Why hide a cesarean scar under clothing if you can get rid of it? Correction postoperative scars using a laser is a low-traumatic (gentle) procedure that is widely used to eliminate skin defects on delicate and sensitive areas of the body, including the removal of stitches after caesarean section.

Advice: If you plan to have another child in the future, you should definitely consult with the surgeon who performed the suture after the cesarean section before you decide to undergo laser resurfacing of your postoperative scar.

Laser resurfacing stitches after surgery is a procedure that does NOT require special preparation, is performed on an outpatient basis, does NOT have long period rehabilitation, today is the only method of effective removal of scar tissue without surgical intervention!

Contact a specialist to decide whether this type of treatment is appropriate in your case.

FAQ

Our PIXEL CO2 device from Alma Lasers has a unique roller attachment that produces a row of seven pixels, with a feed laser radiation only while driving. This feature speeds up the procedure and makes it less painful.

• CO2 fractional lasers work simultaneously with the superficial and deep layers of the skin.
• They have the potential for higher thermal exposure, resulting in pronounced effect rejuvenation that
reduces the number of procedures.
• Relatively short rehabilitation period.
• Controlled minimal damage to the skin, histologically and clinically proven improvements in skin quality.
• Possibility of performing the procedure on patients with thin skin.
• Minimal risk of hyperpigmentation after the procedure.
• Possibility of impact on any part of the body.

Our PIXEL CO2 device from Alma Lasers has a unique roller attachment that produces a row of seven pixels, delivering laser radiation only while moving. This feature speeds up the procedure and makes it less painful.

At the first stage, local anesthesia is administered for 30-40 minutes. Next begins the stage of leather processing itself. During the procedure, the patient feels a burning sensation.

At the first stage, local anesthesia is administered for 30-40 minutes. Next begins the stage of leather processing itself. During the procedure, the patient feels a burning sensation.

After the procedure, the skin becomes bright red and swollen. The burning sensation persists for 30-40 minutes. At this time, you can take painkillers and apply special creams recommended by your doctor.

The procedure is best carried out from October to April. But if the patient follows all the doctor’s recommendations, the procedure can be performed at any time of the year.

The procedure is best carried out from October to April. But if the patient follows all the doctor’s recommendations, the procedure can be performed at any time of the year.

Prices for laser resurfacing of sutures after surgery

This is not a public offer. You can see prices for all services of the ALODERM Expert Clinic in the section

Scars can appear not only as a result of surgery, but also due to ordinary injuries: cuts, burns; however, postoperative scars are usually the largest and densest. They look the least aesthetically pleasing and are the most difficult to get rid of, despite the fact that there are now many cosmetics. And on extreme case You can always contact a plastic surgeon who will correct any flaw in the skin.

Scars: what are they?

Even scars from operations can turn out different: it all depends on what type of surgical intervention was, how skillfully the surgeon worked, what instruments he used, and, of course, on individual characteristics body.

1. After operations performed directly on the surface of the skin (for example, removal of hemangioma on early stages– in newborns or small children), a light, flat scar remains, which is not too different from the general skin, but it can slightly change its relief, as if wrinkled. In some cases, it resolves and becomes completely invisible as the person ages and the skin stretches. This is a normotrophic scar that causes the owner least amount inconvenience.
2. A keloid scar is the same scar that can be observed on the body immediately after a “deep” operation. Often they do not change their shape, remain elastic, uneven, with a clear contour and bright color, which sharply contrasts with healthy skin. In addition, they tend to grow. They are the ones they try to get rid of first.
3. Hypertrophic scars are usually small sizes and light pink shades. They protrude slightly above the skin and, depending on their size, can pass for a large pimple. In turn, atrophic ones, on the contrary, “sink” into the skin, creating a depression.

Laser scar removal

During the procedure, the patient himself thanks local anesthesia does not feel any pain, may experience only mild discomfort. After this, no grinding or peeling is needed, in addition, the laser does not come into contact with the body, so the wound is absolutely sterile, and the risk of infection is completely eliminated.

Acid peels

Usage glycolic acid allows you to get rid of subtle scars with the help of several peeling sessions, since the product does not penetrate deep into the skin and works only on its superficial layers. During peeling, damaged keratinized areas are exfoliated, the skin is cleansed, and upper layer recovers quickly, but at the same time there are no traces of the former scar or scar. Regeneration occurs due to the activation of cells that create new tissue.

Peeling is also used to remove deeper scars; in this case, trichloroacetic or phenolic acids are used, their spectrum of action is much wider, and the procedure itself is more severe - the skin simply dies, and the process is accompanied by darkening and crusting of the area. It comes off over time, and the treated area begins to heal little by little. This type peeling can help reduce the depth of the scar, make it less noticeable and thus prepare for a more gentle past method that will completely renew the skin.

Cryodestruction - freezing treatment

Even keloid scars can be treated with this method. The essence of the procedure is to freeze the scar; it uses a coolant (usually liquid nitrogen) and a special applicator, which is applied to the scar until a drizzle of ice forms. Cryodestruction is quite painful at all stages, but very effective way remove scars, and therefore it is performed only with anesthesia. After freezing and thawing, the scar swells; If you have ever seen severely frostbitten areas of the body, then with cryodestruction the effect is similar. Such a “bubble” will last about a week (maybe a little more or less - depends on the individual properties of the body), after which it will begin to become covered with a dry crust. After a few more days, it will disappear, and only a small pinkish mark will remain from the scar, which will disappear almost completely over time.

Dermabrasion and microdermabrasion

Deep scars that span multiple layers skin tissue, can be reduced using dermabrasion and microdermabrasion. The first method is more stringent; it involves grinding down the scar with special brushes. Since not only the scar itself is removed, but also the surface of the skin, the procedure will be accompanied by painful sensations(therefore it is performed after pain relief) and slight bleeding. The result is a wound that must be carefully cared for until it crusts over.

Microdermabrasion is a gentle alternative to the previous method. True, it is applicable only to those scars that are located on the surface of the skin or affect its upper layers. The scar is polished using exfoliating powders, and the process is painless. But several procedures may be required.

Filling - scar filling

But there is also the bad side– this effect does not last forever. After a few months, maximum six months, the drug (even if it was natural adipose tissue) will completely resolve and be eliminated from the body. The procedure can be repeated, but the result will also be short-lived.

Doctors disagree on when it is best to remove scars - immediately or after some time to allow them to heal properly. It is better in each individual case to consult with your surgeon, as well as a cosmetologist whom you plan to trust.

Video: how to remove scars and scars without surgery

Any surgical intervention is stressful for the body. The skin, which feels the impact in the incision area, also reacts to it. During major operations, the blood supply is disrupted over large areas. As a result, postoperative scars appear in these areas.

Many people experience moral and physical discomfort from marks on their skin. Therefore, they go to the doctor and ask the question of how to remove the scar after surgery. You can do this using medications and cosmetic procedures.

Why do scars appear?

Scars after surgery are common. But for some people, scarring leaves very unsightly marks on the skin. Depends on the degree of damage and appearance from many factors.

• It is assessed whether the incision was made along Langer's lines. They are conditional guides for maximum skin stretching.
• The location of the post-operative scar is also considered. If it is subject to tension, healing will be problematic. Therefore, when plastic surgery, especially on the face, an incision is not made in the area of ​​the bony prominence.
• The scale of the operation affects the degree of education. The situation may become more complicated if there is intervention in internal organs, skin stretching. Scars are especially often formed when there is insufficient blood supply.
• The suturing technique may have an effect. In 99% of cases, a scar will appear when a skin tightening device is installed.
• If the wound has festered or the stitch has come apart, scar tissue will form faster.
• Patients with a genetic predisposition to the formation of keloid scars are more likely to develop them.

After surgery, scars always remain, but the extent of their development depends on many factors.

Types of scars

Before deciding to remove a scar, your doctor should evaluate the scar.

After damage to the skin, the process of formation of scar tissue begins, and its splitting also occurs. If they occur in concert, then a normotrophic scar appears. It is unnoticeable and does not differ in color from the rest of the skin.

Externally, three main types of formations can be distinguished:

• When scar tissue dissolves excessively, a pitted scar is considered atrophic. It is formed after the removal of moles, papillomas, and warts.
• If scar formation predominates to a greater extent, you can observe the appearance of a pink area above the surface of the skin - a hypertrophic formation. It is created by constant injury or suppuration. This type of scar can form during operations with big amount subcutaneous fat.
• At genetic predisposition A keloid scar is formed. It protrudes above the surface of the skin and is pink or White color, smooth and shiny surface. This appearance can be observed several months after the suture is removed.

Scars vary in appearance and nature of occurrence.

Choosing a scar removal method

Scar removal after surgery can be done in several ways. A dermatocosmetologist should select a specific one. He evaluates the appearance of the defect and the degree of blood supply to the tissues. After this, the following may be prescribed:

• external medications;
• injections into the scar area;
• physiotherapy;
• deep dermabrasion;
• chemical peeling;
• massage with vacuum and rollers;
• mini-surgical intervention in the form of cryotherapy, laser or electrocoagulation;
• Plastic surgery.

The removal method is selected depending on the location, nature and size of the scar

It's worth remembering that folk remedies will not cope with serious skin changes. As a result, you can lose time to such an extent that even a laser will not help in eliminating the trace. Therefore, it is necessary to trust the dermatologist who determines the treatment tactics.

Treatment of scars at home

They will help you cope with formations at home special means from scars. These include tissue absorbent creams, ointments and patches.

The doctor can choose a remedy for removing scars at home

Additionally, the patient can undergo physical therapy. Phonophoresis with lidase, hydrocortisone, and compression application of medications are considered effective in this situation.

There are the main drugs that are used to eliminate scars.

• Kelofibraza contains urea. It dissolves tissue, which helps stop scar formation. Under the influence of heparin, the blood thins and begins to circulate better. The product also has an anti-inflammatory effect, so it can be used to eliminate fresh scars after operations.
• The Contractubex gel contains onion serae extract. It has an anti-inflammatory effect and inhibits the growth of scar cells. Thanks to heparin, inflammation and allergic reactions are eliminated. Allantoin, the third substance in the composition, heals wounds and increases the ability to retain water.
• Kelo-Kot gels and sprays consist of silicone and polysiloxane. They create a film on the surface of the scar. As a result, the tissues do not grow, fluid accumulates in them. The products help eliminate itching and tightness of the skin.
• Dermatix contains silicon dioxide, which is abrasive particles, as well as polysiloxane. Its action is similar to the drug Kelo-kot.
• Skargard cream helps cope with scars after operations. It contains silicone, which creates a protective film. Also, the hormone hydrocortisone has a pronounced anti-inflammatory effect. Vitamin E contained in the composition softens scar tissue.
• Fermenkol gel contains enzymes that break down collagen. It is these fibers that form scar tissue. The drug can be used both in the presence of fresh and old scars. Doctors often recommend not lubricating the scar, but using it when performing electrophoresis.
• Klirvin ointment is made with natural basis. It penetrates deeply into the tissue, accelerating the healing process and displacement of the scar defect.
• Can be glued to the scar area silicone patch Mepiderm. It has a compression layer that helps heal the scar faster. Under the patch are created special conditions to create the required level of humidity. As a result, scars quickly resolve. Thanks to different sizes products can be selected required option. The flesh tone makes it invisible on the skin. Before using the patch, you need to treat the scar with water lotion and dry it.

A new medication with a special patch is effective

When is the use of medications prohibited?

The use of external medicinal preparations for scars after surgery is in some cases prohibited.

Ointments should not be used if:

• redness;
• herpetic rashes;
• red vessels;
• eczema with weeping areas, blisters, crusts.

Also, treatment is not provided in case of exacerbation chronic pathology, in the presence of an allergic reaction, especially in the skin, infectious lesion body.

One of the most progressive methods is laser resurfacing.

Dermatocosmetological procedures

If there are old scars, large scars treatment is carried out in the office of a dermatocosmetologist. He selects the treatment method taking into account the condition of the skin defect.

• During mesotherapy, a hyaluronic acid, vitamins and enzymes. The method is not effective for serious formations.
• The patient is indicated for injections with glucocorticosteroids. Triamcinolone acetate and hydrocortisone have a pronounced anti-inflammatory effect. As a result, the formation stops connective tissue, which reduces the scar. The method can be used in the presence of hypertrophic and keloid formations.
• During peeling, dead cells are exfoliated. Cosmetologists perform mechanical removal of the stratum corneum (microdermabrasion) and chemical cleansing using acids.
• In cryotherapy, the effect is achieved using liquid nitrogen. It leads to tissue necrosis, in place of which new skin is formed. Removal is carried out in several procedures. The tissue heals within two weeks. This leaves the skin moist and increases the risk of infection.
• The best option is laser resurfacing. As a result of microburns, the scar is compressed. Forms at the site of impact healthy skin. Removal is carried out over several procedures. The wound heals with the formation of a dry crust, so the likelihood of infection is eliminated. The crust will fall off on its own in two weeks.
• Large keloid or hypertrophic scars are removed surgically. Plastic surgeon excises scar tissue, after which it is applied cosmetic stitch. It is also possible to apply a skin flap.

Choose best option A doctor can remove the formation. If the method is chosen incorrectly, you can waste time and significantly aggravate the problem.

Information about the types and healing process of postoperative sutures. It also tells what actions need to be taken in case of complications.

After a person has undergone surgery, scars and stitches remain for a long time. From this article you will learn how to properly process a postoperative suture and what to do in case of complications.

Types of postoperative sutures

A surgical suture is used to connect biological tissues. Kinds after surgical sutures depend on the nature and scale of the surgical intervention and are:

• bloodless, which do not require special threads, but are glued together using a special adhesive
• bloody, which are stitched with medical suture material through biological tissues

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

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

The following techniques and instruments are used for suturing vary:

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

The depth and extent of the injury dictates the method of suturing:

• single-row - the seam is applied in one tier
• multilayer - application is made in several rows (muscle and vascular tissues are first connected, then the skin is sutured)

In addition, surgical sutures are divided into:

• removable– after the wound has healed, the suture material is removed (usually used on covering tissue)
• submersible– cannot be removed (suitable for joining internal tissues)

Materials that are used for surgical sutures can be:

• absorbable - removal of suture material is not required. Typically used for ruptures of mucous and soft tissues
• non-absorbable - removed after a certain period of time determined by the doctor

When applying sutures, it is very important to connect the edges of the wound tightly so that the possibility of cavity formation is completely excluded. Any type of surgical sutures requires treatment with antiseptic or antibacterial drugs.

How and with what should I treat a postoperative suture for better healing at home?

The healing period of wounds after surgery largely depends on the human body: for some this process occurs quickly, for others it takes longer. long time. But the key to a successful result is correct therapy after suturing. The timing and nature of healing are influenced by the following factors:

• sterility
• materials for processing the suture after surgery
• regularity

One of the most important requirements for postoperative injury care is maintaining sterility. Treat wounds only with thoroughly washed hands using disinfected instruments.

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

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

Folk remedies are often used at home for these purposes:

• oil tea tree(in its pure form)
• tincture of larkspur roots (2 tbsp., 1 tbsp. water, 1 tbsp. alcohol)
• ointment (0.5 cups beeswax, 2 cups vegetable oil cook over low heat for 10 minutes, let cool)
• cream with calendula extract (add a drop of rosemary and orange oils)

Before using these medications, be sure to consult your doctor. In order for the healing process to occur as quickly as possible short time without complications, it is important to follow the rules for processing seams:

• disinfect hands and tools that may be needed
• carefully remove the bandage from the wound. If it sticks, pour peroxide on it before applying antiseptic.
• with help cotton swab or a gauze swab, lubricate the seam with an antiseptic
• apply a bandage

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

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

How to remove postoperative sutures at home?

The removable postoperative suture must be removed in time, since the material that is used to connect the tissue is exposed to the body foreign body. Moreover, if the threads are not removed in due date, they can grow into the tissue, leading to inflammation.

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

To get started, prepare the following:

• antiseptic drugs
• sharp scissors (preferably surgical, but you can also use nail scissors)
• dressing
• antibiotic ointment (in case of infection in the wound)

Perform the seam removal process as follows:

• disinfect instruments
• wash your hands thoroughly up to the elbows and treat them with an antiseptic
• choose a well-lit place
• remove the bandage from the seam
• using alcohol or peroxide, treat the area around the seam
• Using tweezers, gently lift the first knot slightly
• holding it, use scissors to cut the suture thread
• carefully, slowly pull out the thread
• continue in the same order: lift the knot and pull the threads
• make sure to remove all suture material
• treat the seam area with an antiseptic
• apply a bandage for better healing

When self-removal postoperative sutures, in order to avoid complications, strictly follow the following requirements:

• You can remove only small superficial seams yourself
• Do not remove surgical staples or wires at home
• make sure the wound is completely healed
• if bleeding occurs during the process, stop the action, treat with an antiseptic and consult a doctor
• protect the seam area from ultraviolet radiation, since the skin there is still too thin and susceptible to burns
• avoid the possibility of injury to this area

What to do if a seal appears at the site of the postoperative suture?

Often, after the operation, a patient experiences a seal under the suture, which is formed due to the accumulation of lymph. As a rule, it does not pose a threat to health and disappears over time. However, in some cases complications may arise in the form of:

• inflammation– accompanied by painful sensations in the suture area, redness is observed, the temperature may increase
• suppuration– when the inflammatory process is advanced, pus may leak from the wound
• the formation of keloid scars is not dangerous, but has an unaesthetic appearance. Such scars can be removed using laser resurfacing or surgery.

If you observe the listed signs, contact the surgeon who operated on you. And if this is not possible, go to the hospital at your place of residence.

Even if it later turns out that the resulting lump is not dangerous and will resolve on its own over time, the doctor must conduct an examination and give his opinion. If you are convinced that the postoperative suture seal is not inflamed, does not cause pain and there is no purulent discharge, follow these requirements:

• Follow the rules of hygiene. Keep bacteria away from the injured area
• treat the seam twice a day and change the dressing material promptly
• When showering, avoid getting water on the unhealed area
• don't lift weights
• make sure that your clothes do not rub the seam and the areola around it
• Before going outside, apply a protective sterile bandage
• Do not apply compresses or rub yourself under any circumstances. various tinctures on the advice of friends. This can lead to complications. A doctor must prescribe treatment

Compliance with these simple rules is the key successful treatment seam seals and the possibility of getting rid of scars without surgical or laser technologies.

The postoperative suture does not heal, it is red, inflamed: what to do?

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

• swelling and redness in the suture area
• the presence of a seal under the seam that can be felt with your fingers
• increased temperature and blood pressure
• general weakness and muscle pain

The reasons for the appearance of the inflammatory process and further non-healing of the postoperative suture can be different:

• infection in a postoperative wound
• During the operation, the subcutaneous tissues were injured, resulting in the formation of hematomas
• suture material had increased tissue reactivity
• in patients with overweight wound drainage is insufficient
• low immunity of the patient being operated on

Often there is a combination of several of the listed factors that may arise:

• due to an error by the operating surgeon (instruments and materials were not processed sufficiently)
• due to patient non-compliance with postoperative requirements
• due to indirect infection, in which microorganisms are spread through the blood from another source of inflammation in the body

In addition, the healing of a surgical suture largely depends on the individual characteristics of the body:

• weight– y fat people the wound may heal more slowly after surgery
• age – tissue regeneration in at a young age happens faster
• nutrition – lack of proteins and vitamins slows down the recovery process
• chronic diseases – their presence prevents rapid healing

If you notice redness or inflammation of a postoperative suture, do not delay visiting a doctor. It is the specialist who must examine the wound and prescribe the correct treatment:

• remove stitches if necessary
• washes the wounds
• install drainage to drain purulent discharge
• will appoint necessary medications external and internal use

Timely execution necessary measures will prevent the possibility severe consequences(sepsis, gangrene). After medical procedures have been performed by your attending physician, to speed up the healing process at home, follow these recommendations:

• treat the suture and the area around it several times a day with the medications prescribed by the attending physician
• While showering, try not to touch the wound with a washcloth. When you get out of the bath, gently blot the seam with a bandage.
• change sterile dressings on time
• take multivitamins
• add extra protein to your diet
• do not lift heavy objects

In order to minimize the risk of an inflammatory process, it is necessary to take preventive measures before surgery:

• boost your immunity
• sanitize your mouth
• identify the presence of infections in the body and take measures to get rid of them
• strictly observe hygiene rules after surgery

Postoperative fistula: causes and methods of control

One of negative consequences after surgery is postoperative fistula, which is a channel through which purulent cavities. It occurs as a consequence of the inflammatory process when there is no outlet for purulent fluid.
The reasons for the appearance of fistulas after surgery can be different:

• chronic inflammation
• the infection is not completely eliminated
• rejection by the body of non-absorbable suture material

The last reason is the most common. The threads that connect tissues during surgery are called ligatures. Therefore, a fistula that occurs due to its rejection is called ligature. Around the thread is formed granuloma, that is, a seal consisting of the material itself and fibrous tissue. Such a fistula is formed, as a rule, for two reasons:

• entry of pathogenic bacteria into the wound due to incomplete disinfection of threads or instruments during surgery
• weak the immune system patient, due to which the body weakly resists infections, and occurs slow recovery after the introduction of a foreign body

A fistula can appear in different postoperative periods:

• within a week after surgery
• after a few months

Signs of fistula formation are:

• redness in the area of ​​inflammation
• the appearance of compactions and tubercles near or on the seam
• painful sensations
• discharge of pus
• temperature increase

In case of observation at home listed symptoms, be sure to consult a doctor. If measures are not taken in time, the infection can spread throughout the body.

Treatment postoperative fistulas determined by a doctor and can be of two types:

• conservative
• surgical

The conservative method is used if inflammatory process just started and didn't lead to serious violations. In this case, the following is carried out:

• removal of dead tissue around the seam
• washing the wound from pus
• removing the outer ends of the thread
• patient taking antibiotics and immune-boosting drugs

The surgical method includes a number of medical measures:

• make an incision to drain the pus
• remove the ligature
• wash the wound
• if necessary, perform the procedure again after a few days
• if there are multiple fistulas, you may be prescribed complete excision of the suture
• the stitches are reapplied
• a course of antibiotics and anti-inflammatory drugs is prescribed
• complexes of vitamins and minerals are prescribed
• standard therapy prescribed after surgery is carried out

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

• mumiyo dissolve in water and mix with aloe juice. Soak a bandage in the mixture and apply to the inflamed area. Keep it for several hours
• wash the wound with a decoction St. John's wort(4 tablespoons of dry leaves per 0.5 liters of boiling water)
• take 100 g of medical tar, butter, flower honey, pine resin, crushed aloe leaf. Mix everything and heat in a water bath. Dilute with medical alcohol or vodka. Apply the prepared mixture around the fistula, cover with film or plaster
• Apply a sheet to the fistula at night cabbage

However, do not forget that folk remedies are only supportive therapy and do not cancel the visit to the doctor. To prevent the formation of postoperative fistulas it is necessary:

• Before the operation, examine the patient for the presence of diseases
• prescribe antibiotics to prevent infection
• carefully handle instruments before surgery
• avoid contamination of suture materials

Ointments for healing and resorption of postoperative sutures

Used for resorption and healing of postoperative sutures. antiseptics(brilliant greens, iodine, chlorhexidine, etc.). Modern pharmacology offers other preparations of similar properties in the form of ointments for local impact. Using them for healing purposes at home has a number of advantages:

• availability
• wide spectrum of action
• the fatty base on the surface of the wound creates a film that prevents tissue from drying out
• skin nutrition
• Ease of use
• softening and lightening of scars

It should be noted that for wet wounds The use of ointments on the skin is not recommended. They are prescribed when the healing process has already begun.

Based on the nature and depth of skin damage, different kinds ointments:

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

• Vishnevsky ointment- one of the most affordable and popular pulling agents. Promotes accelerated release from purulent processes
• levomekol– has a combined effect: antimicrobial and anti-inflammatory. Is an antibiotic wide range. Recommended for purulent discharge from the seam
• vulnuzan- a product based on natural ingredients. Apply to both wound and bandage
• levosin– kills microbes, removes inflammation, promotes healing
• stellanine– a new generation ointment that removes swelling and kills infection, stimulates skin regeneration
• eplan- one of the most powerful remedies local treatment. Has an analgesic and anti-infective effect
• solcoseryl- Available in the form of a gel or ointment. The gel is used when the wound is fresh, and the ointment is used when healing has begun. The drug reduces the likelihood of scar formation. Better to put under a bandage
• actovegin– more cheap analogue solcoseryl. Successfully fights inflammation, practically does not cause allergic reactions. Therefore, it can be recommended for use by pregnant and lactating women. Can be applied directly to damaged skin
• agrosulfan– provides bactericidal effect, has an antimicrobial and analgesic effect

• naftaderm – has anti-inflammatory properties. Additionally, it relieves pain and softens scars.
• Contractubex - used when the healing of the suture begins. Has a softening, smoothing effect in the scar area
• Mederma – helps increase tissue elasticity and lightens scars

Listed medicinal products prescribed by a doctor and used under his supervision. Remember that you cannot self-medicate postoperative sutures in order to prevent wound suppuration and further inflammation.

Plaster for healing postoperative sutures

One of the effective means for caring for postoperative sutures is a patch made from medical silicone. This is a soft self-adhesive plate that is fixed to the seam, connecting the edges of the fabric, and is suitable for minor damage to the skin.
The advantages of using the patch are as follows:

• prevents pathogenic microorganisms from entering the wound
• absorbs discharge from the wound
• does not cause irritation
• breathable, allowing the skin under the patch to breathe
• Helps soften and smooth out scars
• retains moisture well in fabrics, preventing drying out
• prevents scar enlargement
• easy to use
• There is no skin injury when removing the patch

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

• cosmopore
• mepilex
• mepitak
• hydrofilm
• fixopore

For achievement positive results in the healing of postoperative sutures, this medical product must be applied correctly:

• remove the protective film
• apply the adhesive side to the seam area
• change every other day
• periodically peel off the patch and check the condition of the wound

We remind you that before using any pharmacological agent, you should consult your doctor.

Video: Treatment of postoperative suture

After surgery, a scar remains on the body - an area of ​​connective tissue. Existing methods There are many different ways to get rid of unsightly marks on the skin. Therefore, the question of how to remove a scar after surgery should be preceded by a brief excursion into the typology of scars. The reasons for differences in the effectiveness of the same products are due to different characteristics postoperative skin damage.

How are different types of scars treated?

Many methods are available to specialists in medical and cosmetic clinics. To choose a method for removing scars after surgery, you first need information about the type of damage. It is necessary to diagnose the condition of the patient’s skin and the whole body.

Features of scar correction

How to remove scars on the stomach?

Minimally invasive surgery has almost disappeared side effects surgical interventions in the form of long and wide scars. With a gentle technique, almost no traces of punctures remain. If scars after laparoscopy are properly cared for from the very beginning, the cosmetic effect will be excellent. Much depends on where the punctures are made. Typically, during laparoscopy, the doctor makes 3-4 small holes (about 1 cm or less):

• 1 - below the navel for introducing a mini-video camera into the abdominal cavity.
• 2–4 - in the lower abdomen for introducing microsurgical instruments.

Caring for punctures after laparoscopy is carried out in two stages and includes measures aimed at preventing the formation of scars:

1. Applications with a substance that stimulates healing (Curiosin gel).
2. Lubrication with a drug that softens scar tissue (Kontraktubeks gel).

Removing a scar on the abdomen after surgery

Video about keloid scars after surgery

Cicatrix cream from the Spanish company Catalysis (test results)

The most accessible ones - special creams and ointments - promote resorption and healing of scars. Such medications are varied, but their methods of use have much in common. Basically, it is necessary to apply the ointment to postoperative skin lesions 1–2 times a day and continue the course of treatment for at least 8–10 weeks.

The advantage of topical medications is: a small amount of contraindications compared to peelings, laser resurfacing, surgical removal scars.

Visible results from using the Cicatrix restorative cream from the Spanish company Catalysis appear after 3 weeks (on fresh scars). In 2007–2010 medical centers in Western Europe and Russia, they assessed the effectiveness of the use of Cicatrix cream in a group of patients with fresh scars. Here are the results of the study published by Testing Laboratory Center Central Clinical Hospital of the Russian Academy of Sciences.

Data from the testing laboratory of special dermatological products of the Central Clinical Hospital of the Russian Academy of Sciences

The researchers explained the positive results of using Cicatrix cream by the synergistic effect of the interaction of the components:

1. Asiatic and madecassonic acids in the Asian centella extract stimulate the activity of fibroblasts and improve microcirculation.
2. Pine extract (Pinus sylvestris) has antioxidant properties far superior to vitamins E and C. Prevents collagen destruction.
3. A unique lipid complex of ceramides and low molecular weight hyaluronic acid retain moisture.

According to the results of a study of Cicatrix cream, 84% of patients noted an acceleration of the regeneration process after surgical damage to the skin.

The restorative drug "Cicatrix" promotes proper healing of wounds by resorption and reducing the formation of scar tissue. The synthesis of collagen types I and III is activated, which compensates for the lack of the main building material skin. Cicatrix cream reduces chronic inflammation in damaged tissues, ensures normal epithelization.

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