How to treat a wound after suturing. Preparations for the treatment of seams

Most often, the seams after the operation are treated with iodine and potassium permanganate. In addition to iodine and manganese-sour potassium, in modern conditions, you can use various ointments to heal stitches.

On what day after the operation the stitches are removed, care of the postoperative stitch

On what day after the operation are the stitches removed and is the scar care necessary? Most operations require an incision in the patient's tissue. For older people, it will take much longer for the incision to heal (about 2 weeks). The decision of when to remove the incision should be made by the attending physician. For this, indicators of age, health, and the characteristics of a particular operation are taken into account. The stitches require processing for two weeks after the operation. If they are damaged, the skin is re-traumatized and the cosmetic suture may become more noticeable. The time for removing the stitches may vary slightly depending on various factors - the nature of the operation, the depth of the incision, the patient's health.

The process itself, inherent in the healing of stitches after surgery, is quite lengthy and not always painless. The defect in the tissue is minimized, due to collagen, the scar becomes durable. Due to epithelialization, the body's ability to resist microbes, of which there are many near the wound, increases. Usually, the stitches heal by about the fifth day, if there were no complications.

You can solve the problem with the help of ordinary hydrogen peroxide, which is soaked through the bandage, allowing it and dried blood to get thoroughly soaked. Many people are often interested in whether it is possible to treat stitches after surgery with traditional medicine.

But I will not write how and how to process the suture at home after the operation. One thing I can say, when you leave the hospital, as a rule, there are stitches that should be removed in about a week. Just add, I smeared it a couple of times - with brilliant green, despite the fact that the seam was not inflamed. I processed the seam after the operation with ordinary brilliant green. My mom recently had surgery to remove a tumor in her neck. The stitches have not yet been removed, the threads are sticking out. The next day they let me go home and told me to come back three days later to see if the stitches were removed or not. In the hospital, they were treated only with alcohol and at home they were told to treat with alcohol or vodka.

For the first few days, the care of the stitches after the operation is carried out in the hospital where it was performed. It is not difficult, the main thing is to follow the rules of asepsis, that is, wash your hands before treating the wound, do not touch the wound with your hands. Try not to stick the patch on the same places so that there are no bedsores. In cases with profuse bleeding or prolapse of internal organs into the wound, you need to call an ambulance, which in a supine position will take the patient to the department where he was previously operated on. If his immune system and other systems are strong, then the body copes with stress such as surgery and the postoperative period goes smoothly.

The threads are usually removed 6 days before discharge. While taking a shower, in no case should you press hard on the seam area and use hard sponges for washing. This can cause keloid scars to develop. Look after the outer seams, which are applied to the perineum.

Folk remedies for healing stitches after surgery

There are many traditional medicine methods that effectively affect the treatment of patients after surgery and the healing process. Chopped fruits of Japanese sophora (2 cups) must be mixed with goose or badger fat (2 cups). After thorough mixing, the ointment obtained at home should be poured into a glass or ceramic container. The crushed roots must be poured with an alcohol solution (water and alcohol equally).

One of the options is contrux ointment. Its use can be started after the wound begins to heal. It is not only applied to the skin, but also makes applications, used for washing. For a greater effect, you need to cover the top with a piece of polyethylene and a thick cloth made of natural materials.

Infected, purulent stitches cannot be treated on their own. Two to three weeks after the removal of the threads, phonophoresis with special absorbable solutions can be used. In this case, the stitches heal faster, and the scars become subtle.

If you wish, you can also use ordinary brilliant green, which must be treated every day, for 6 days. It is very convenient to do this with ordinary cotton swabs. The problem is that under this medication it is often not visible how the wound heals and whether any complications have appeared. Often after the operation, for one reason or another, the seams diverge, which causes severe pain and the appearance of unpleasant discharge. In such situations, doctors, as a rule, resort to Vishnevsky ointment. This remedy helps to remove pus from the wound and promotes its early healing.

When a person is still in the hospital, the state of the postoperative suture is monitored by the medical staff. But after being discharged home, you will have to take care of the scar care yourself. But whether it will be thin and almost imperceptible or thick and convex largely depends on caring for it. If the suture is left untreated, complications are possible.

Initial seam treatment at home

And while taking a shower, and while dressing, and at any other time, you must not touch the seam or exert any mechanical effect on it. The first time it is necessary to apply a sterile bandage to the seams. Castellani liquid or fucorcin is best suited for this.

Often, after the operation, a seal is observed under the suture in a patient, which was formed due to the accumulation of lymph. As a rule, it does not pose a threat to health and disappears over time. If you observe the listed symptoms in yourself, contact the surgeon who operated on you. Even if it later turns out that the resulting lump is not dangerous and will resolve on its own over time, the doctor must examine and give his opinion.

The more difficult the operation was, the deeper the scar can be and the more difficult the healing process is. Hypertrophic scar - appears when suppuration occurs over the formation or the suture suffers injury. To avoid such a scar, you should take care of the seam with special ointments. The advantages of this suture are that the material is not rejected by the body and is absorbed. This product should be applied in a thin layer so that the skin receives the necessary substance and can breathe. This is not an ordinary, but a special patch that should be applied to the suture site after surgery.

After hygiene, blot the seam with a bandage.

Attention, in each case, recommendations for the treatment of wounds can only be given by the operating surgeon. In situations specified by the doctor, as well as: if the seams interfere (cling to clothing) or the wound is on a rubbing surface, it is possible to conduct wounds under bandages. If you have stitches that do not dissolve, they must be removed in the surgery on the day your surgeon has appointed. Before this period, interventions for scar correction are not recommended if you do not like its appearance (laser resurfacing or surgical correction).

The main advantage of the drug is the practical absence of an allergic reaction in patients, due to which the drug can be used during pregnancy and lactation. It is applied to the immediate area of ​​the lesion every day until the discharge disappears completely. Dimexide is a solution widely used in postoperative practice. Also, be sure to read the article on how to get rid of scars after surgery.

The operation suture, which was applied with the help of threads, must be removed on time. A medical worker should remove the threads if there are special disinfected instruments. However, if it is not possible to visit a doctor, and the time has come to remove the threads, you need to remove the foreign material yourself. It is not recommended to touch the staple seams or wire on your own.

After the operation, scars and stitches 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 to speed up the regeneration process in all possible ways.

After surgical intervention on the abdomen and suturing, the process of their healing includes several stages.

1. The formation of collagen or connective tissue by fibroblasts. During the healing process, fibroblasts are activated by macrophages. Fibroblasts migrate to the site of injury, and subsequently they bind to fibrillar structures through fibronectin. At the same time, the process of active synthesis of substances of the extracellular matrix begins, among which collagen is also present. The main task of collagen is to eliminate tissue defect and ensure the strength of the emerging scar.
2. Epithelialization of the wound. This process begins as epithelial cells migrate from the edges of the wound to its surface. After the end of epithelialization, a kind of barrier for 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. In the event that this does not happen, then it is possible that the reason was the divergence of the suture after the operation.
3. Reduction of wound surfaces and wound closure. This result can be achieved due to the effect of wound constriction, which to a certain extent is 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 quickly enough, while in other patients it can take quite a long time.

Suture processing after surgery

Before answering the question of how long the suture heals after abdominal surgery, you need to figure out what influences this process. One of the conditions for a successful result is considered to be the correct therapy after the patient has been sutured. In addition, the following factors affect the duration of the postoperative period:

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

After the surgical intervention, one of the important requirements is the observance of sterility. This means that the treatment of seams is allowed only with well-washed hands using disinfected instruments.

How are stitches processed 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;
• anti-inflammatory ointments and gels.

In the event that it is necessary to process the postoperative stitches at home, then for this purpose you can use the following traditional medicine:

• butter tea tree in its pure form;
• tincture of larkspur roots from 20 grams of herbal remedy, 200 ml of water and 1 glass of alcohol;
• cream with pharmacy 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 regeneration occurs much faster than in the elderly;
• body weight - the wound healing process can slow down if a person is overweight or obese;
• nutritional characteristics - a lack of energy and plastic material can affect the quality and speed of reparative processes in the wound;
• dehydration - a lack of fluid in the body can lead to electrolyte balance, which slows down the healing of stitches 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 wound suppuration is possible.

Entering the wound the required amount oxygen is considered one of the main conditions for wound healing, as it participates in the synthesis of collagen and helps to destroy bacteria in phagocytes. Anti-inflammatory drugs can slow down the healing process in the first few days, but then they practically do not affect this process.

One of the common reasons for the deterioration of the wound after surgery and slowing down the healing process is secondary infection, which is accompanied by the formation of purulent exudate.

Processing rules

In order for the healing of stitches to take place as soon 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 the hands and tools that may be needed for its implementation;
• the applied bandage should be carefully removed, and if it is stuck to the skin, then pour over it with peroxide;
• you need to smear the seam with an antiseptic drug using a cotton swab or gauze swab;
• it is necessary to carefully apply a bandage.

It is important to remember that the seams should be treated twice a day, but if necessary, the amount can be increased. In addition, it is necessary each time to carefully examine the wound for the presence of any inflammation in it. 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. Shower carefully and do not rub the seam with an overly hard sponge. In the event that the stitches on the abdomen turn red or purulent exudate begins to stand out from them, then it is necessary to see a doctor as soon as possible.

Only a doctor can decide when the stitches are removed after abdominal surgery. Such a procedure is carried out under sterile conditions using special tools and usually 5-10 days after surgery.

Healing remedies

In order to speed up the resorption and healing of stitches after surgery, antiseptics can be used at home. Experts recommend using them not for treating wet wounds, but already when the healing process has begun. The choice of this or that ointment depends on the nature of the damage and its depth. For shallow superficial wounds, it is recommended to use simple antiseptic agents, and if complications develop, it is necessary to use drugs containing hormonal components.

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

• Vishnevsky's 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 to 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 scars.

These drugs, when used correctly, can help speed up the wound healing process after surgery and avoid infection. It is important to remember that before smearing the postoperative suture on the abdomen, it is imperative that you consult your doctor. The fact is that self-treatment postoperative sutures can result in strong suppuration of the wound and its further inflammation. Compliance with simple rules is the key to successful treatment of postoperative stitches and helps prevent scar formation.

Ointment for healing stitches and wounds after surgery is used only as directed by a doctor. Surgical wounds are divided into 2 groups. Healthy people who have been accidentally injured have clean stitches. To suppress the microflora on the surface of the injury, it is enough for them to use antiseptic fluids.

The surgical postoperative suture left after a planned operation, which was performed to remove diseased tissue, may rot. The healing of tissues in the postoperative period is delayed due to the existing chronic intoxication resulting from hormonal or metabolic changes, prolonged use medicines... Then the question arises of how to treat and how to treat the stitches after surgery in order to suppress pyogenic bacteria and speed up the regeneration processes.

What local remedies can be used for suppuration

"Baneocin" is used in surgical practice as a local antibacterial agent. The drug contains neomycin and bacitracin, which suppress different ways the growth of opportunistic microflora. The different capabilities of the two antibiotics make it possible to destroy all pathogenic microflora on the surface of the wound. The agent is active against Staphylococcus aureus, which has strains resistant to many antibiotics. This determines the great possibilities of the drug's ointment in the fight against infection. It can be used to treat a wet seam with signs of inflammatory process... The remedy is used from 5 to 10 days, then it is canceled, switching to lighter drugs.

Ointment for postoperative sutures "Stellanin PEG", containing diethylbenzimidazolium triiodide, has an antimicrobial effect, relieves inflammation and significantly accelerates tissue regeneration. It is often used in surgery to treat weeping sutures. Have active substance there are serious contraindications. Before using it, you should consult your doctor for advice. He must tell if the sick person can use it.

This ointment is often used in surgical practice. It is applied in a thin layer to the seam, and a sterile gauze bandage is applied. The pharmaceutical form is used to treat the skin around the wounds to suppress the growth of pyogenic bacteria. The duration of treatment with such a remedy is up to 14 days.

Levomekol ointment for healing postoperative sutures can be used if there is purulent content. This drug is traditionally used by doctors to treat any infected wounds. He has no contraindications, except for individual intolerance.

Eplan cream, which has the ability to shorten the duration of phases and increase the speed of regeneration processes, allows a surgical wound to heal faster. When it is applied to the place where there is suture material, swelling is removed and the feeling of pain decreases. It is advised if bacteria, microorganisms and fungi begin to multiply under the bandage.

All of these ointments should be used on the recommendation of the attending physician, who must monitor the healing process and take timely measures if the wound has festered.

How to smear the seam after surgery

If the doctor did not recommend an external remedy for early healing, then you can use the Mumiyo ointment, which is often used to accelerate the regeneration processes. It accelerates the scarring of postoperative sutures. An external agent, which contains active ingredients that stimulate collagen production, has antiseptic properties. The ointment inhibits the growth of opportunistic microflora and helps to quickly cleanse the wound from pus. When using mummy externally and internally, the healing process of surgical wounds in the elderly is significantly accelerated.

The production of collagen is facilitated by the water-soluble ointment "Solcoseryl". This drug has good wound healing properties. The active ingredient affects the functioning of cells and accelerates the regeneration processes. Its action is poorly understood, but practical use proved that the external agent improves all processes in the layers of the epidermis.

External remedy "Stellanin" has the same characteristics as "Stellanin PEG", but does not contain a moisturizing complex. It is used to speed up the healing of sutures that do not have liquid secretions.

"Kontraktubex" can be attributed to drugs that help accelerate regenerative processes. This gel is applied to clean, closed wounds. It is used to form an inconspicuous scar. The gel is applied several times a day to the seam and rubbed into the skin with a gentle movement.

Long-term use evens out the surface of the scar in relation to the healthy area of ​​the body and improves the elasticity of the epidermis. The gel softens rough fibers, reduces pain.

Calendula ointment can be referred to as healing stimulants. A few drops of tea tree oil and rosemary are independently added to its composition and used to treat stitches in the elderly during the healing period. The product has an antiseptic effect and prevents the growth of pathogenic microflora.

Why ointments do not work well

A patient who wants to recover sooner needs to know that with age, the speed of all processes slows down and the healing time increases. If practically healthy young man it takes 3 weeks for a postoperative scar to form, then an elderly person may need 2 months. All this time, you need to keep the skin clean, preserving the superficial crust and making the dressings correctly.

The use of an ointment for healing and resorption of postoperative sutures is an adjunct. For a sick person, it is more important to improve vitality and restore the function of the organs of internal secretion. This can be done with normal nutrition and correct work digestive system... To improve it, it is recommended to take cold-pressed oils, mummy and honey, pollen, royal jelly, walnuts, that are natural stimulants endocrine system.

The organs of internal secretion, having received the necessary substances for the production of hormones, will be able to start the necessary processes that will improve the recovery of damaged cells. Only in this case the sick person will be able to recover after the operation.

Stitches after surgery are a very unpleasant consequence, reminiscent of medical intervention in the body. They can pull, whine, hurt, not heal, disperse - in general, cause the former patient a lot of inconvenience.

Healing of stitches after surgery

On some, the stitches heal "like on a dog", and some suffer for a long time. In fact, everything depends, firstly, on the human body, and secondly, on the sterility of the seam. If it is performed correctly, namely, without the formation of a cavity, then a couple of weeks will be quite enough for it to heal.

How to smear the seam after the operation, the doctor will definitely tell you, but if for some reason this did not happen, then use calendula cream. You can prepare it yourself: for this you need to mix a drop with rosemary and add this elixir to the calendula cream. If the seam does not heal after the operation, you can also anoint this wonderful medicinal composition.

The cosmetic seam after the operation will become less noticeable, more elastic if used to soften it. You need to start the course of treatment immediately after the operation and continue it for a week.

The problem of a hard suture after surgery can be solved by Kontraktubex ointment or a silicone patch. These funds do not allow the scar to become tough, and if this has already happened, they soften it.

After surgery, it is imperative to monitor the condition of your seam; if blood, bile, swelling or redness appears, you must inform your doctor. If your suture has come apart after the operation, then even more so, you need to consult a doctor as soon as possible. germs and bacteria can enter the wound.

Traditional means for processing any seams are iodine and potassium permanganate. They have an antibacterial effect and help to tighten the seams quietly.

Many do not know what tools are used for the treatment or are afraid to remove the bandage. It is imperative to remove it, because the scar needs air for normal healing.

If you have a dressing, then it should only be removed in a hospital or clinic. It is advisable to perform this procedure as often as the doctor recommends. If you are allowed to handle seams at home, use sterile cotton wool, tweezers, or a cotton swab. But even at home, the first time you need to wear a bandage and, most importantly, keep the seam clean.

The patient is not always given recommendations on how to process the postoperative suture for better healing. Modern means presented in a wide variety, the main thing is not to be mistaken with the choice. Products of the same purpose may not be suitable in a variety of situations. The patient should know in which case to apply this or that method of therapy.

Why is it important to handle the seam correctly after surgery?

The attending doctor should provide information on further manipulations, but unfortunately, this does not always happen in modern clinics and hospitals. The patient returns home after long-term therapy and does not know how to properly handle the postoperative suture for its better healing. The correct tactics are important for quick and quick healing. Doctors-surgeons focus on home treatment of sutures, they become common reason complications.

If redness, swelling forms at the site of the postoperative suture, blood, pus, bile, etc. are released, you should immediately seek help from a doctor, this indicates a complication. It is necessary to carefully monitor the condition of the wound after surgery.

Conduct correct processing wounds are important for the following reasons:

• in order to avoid serious complications that can lead to reoperation;
• to maintain the sterility of the wound, in order to prevent suppuration, infection;
• for a speedy recovery;
• to prevent pain;
• to avoid inflammation.

If a person correctly manipulates the seam, recovery occurs on average after 2 weeks. It all depends on the type of operation, severity, type of suture.

How does fast healing happen?

Wound healing occurs in each patient differently, depending on the type of suture, the severity of the surgical intervention. You should never leave a wound unattended. Processing is needed in order for a quick recovery to occur, the seam tightened without complications.

Get rid of quickly unpleasant consequences after surgery on the skin, ointments and other medications of antiseptic, anti-inflammatory, regenerating action help. They are necessary in order to:

• there was a rapid tissue regeneration (recovery, wound closure);
• there was no inflammatory process due to antibacterial and antiseptic properties;
• improve the quality of the newly formed tissue;
• reduce internal intoxication.

Healing takes place in several stages, they can be clearly traced during processing manipulations. First, the wound is disinfected, which promotes healing, bacteria cannot prevent the wound from being healed. Secondly, the ointments and creams used help speed up regeneration, that is, help the skin to regenerate and improve the quality of the newly formed tissue.

In the complex, all actions lead to the fact that the seam heals soon.

Treatment - how to speed up the healing of postoperative stitches with ointments and other means

At the initial stage, each operated patient should learn the stages of processing the suture in order to understand when it is necessary to perform the necessary actions (apply ointment, clean the wound, etc.).

Seam processing at home is performed as follows:

• the bandage is carefully removed from the seam, applied in medical institution(if the dressing is dry, you should slightly soak it with hydrogen peroxide);
• analyze the condition of the postoperative wound to exclude the appearance of pus, bile, swelling, etc. (with this symptomatology, you should contact a medical institution);
• if there is a small amount of blood, it should be stopped before starting manipulation with a bandage;
• at first, you shouldn't feel sorry for the liquid, it should moisten the wound abundantly;
• it is necessary to wait until the product stops contacting the seam (stops hissing), then wipe it off gently with a sterile bandage;
• after, with the help of a cotton swab, the wound along the edges is treated with brilliant green;
• ointments should be applied only after the suture begins to heal a little, about 3-5 days after discharge.

You can speed up the healing of postoperative sutures with the help of special ointments. They are aimed at accelerated tissue regeneration, anti-inflammatory effect. The following ointments are popular:

1. Iodine is an inexpensive and easy-to-use remedy; you can call it an analogue of greenery. But it is often not recommended to use it every day, it is worth taking a changeable course with ointments, since the liquid can dry out the skin considerably, which will cause slow regeneration.
2. Dimexide is a solution widely used in postoperative practice. With the help of the drug, you can not only treat the wound, but also make lotions, compresses.
3. Miramistin is suitable as an antiseptic. It can be used instead of hydrogen peroxide. It is believed that due to its antimicrobial properties, the drug is more effective in therapy. It is applied throughout the treatment to cleanse the wound.

Possible complications - what to do if the seam is inflamed?

To begin with, the patient should understand what inflammation is, how it manifests itself and is recognized, in what situation home therapy should be performed, when to seek medical help. The following symptoms may indicate the presence of an inflammatory process in the postoperative suture:

• there is redness and swelling in the wound area;
• pain syndrome becomes stronger every day;
• during palpation, a seal is palpable, it, as a rule, does not have sharp boundaries;
• on the 4th-6th day there is a temperature, chills, symptoms of intoxication;
• the emergence of a specific substrate from the wound, suppuration.

The reasons for such complications could be factors:

• penetration of infection into the wound;
• improper care or lack of care for the postoperative suture;
• improperly installed or inadequate drainage installed after surgery;
• making a surgical error after the operation.

When the first signs of inflammation appear, it is worth carrying out hygienic treatment of the wound every day with hydrogen peroxide, iodine, greenery. Repeated manipulations may be required depending on the condition of the lesion. When there is no pus, there is redness, swelling, a one-time treatment can be used. In other cases, 2 to 4 times a day. After treatment, it is recommended to apply a sterile dressing with an ointment, which can be used in the inflammatory process.

There are typical instructions, suggesting the norms and rules of patient behavior, described for the speedy recovery of a postoperative wound. They should be observed by every patient at home. They are summarized in the following points described in the table below.

All recommendations are for general use only. It must be borne in mind that any wound has its own characteristics, which should be discussed with the attending physician. Correct therapy will help to quickly get rid of unpleasant physical and mental symptoms.