What to do if the seam fester after surgery. Why does the postoperative suture itch? Inflammatory process after surgery: treatment

Any surgical intervention is a great test for the patient's body. This is due to the fact that all its organs and systems experience increased load It doesn't matter if the operation is small or large. Especially "gets" the skin, blood, and if the operation is performed under anesthesia, then the heart. Sometimes, after everything seems to be over, a person is diagnosed with a “seroma of the postoperative suture”. What it is, most patients do not know, so many are afraid of unfamiliar terms. In fact, seroma is not as dangerous as, for example, sepsis, although it also does not bring anything good with it. Consider how it turns out, what is dangerous and how it should be treated.

What is it - postoperative suture seroma

We all know that many surgeons perform "miracles" in the operating room, literally bringing a person back from underworld. But, unfortunately, not all doctors conscientiously perform their actions during the operation. There are cases when they forget cotton swabs in the patient's body, do not fully ensure sterility. As a result, in the operated person, the suture becomes inflamed, begins to fester or diverge.

However, there are situations when problems with a suture have nothing to do with the negligence of doctors. That is, even if 100% sterility is observed during the operation, the patient in the incision area suddenly accumulates a liquid that looks like an ichor, or pus of a not very thick consistency. In such cases, one speaks of a seroma of the postoperative suture. What it is, in a nutshell, we can say this: it is education in subcutaneous tissue cavity in which serous effusion accumulates. Its consistency can vary from liquid to viscous, the color is usually straw yellow, sometimes supplemented with blood streaks.

At-risk groups

Theoretically, seroma can occur after any violation of the integrity of the lymphatic vessels, which do not "know how" to quickly thrombose, as they do blood vessels. While they are healing, lymph moves through them for some time, flowing from the places of ruptures into the resulting cavity. According to the ICD 10 classification system, the seroma of the postoperative suture does not have a separate code. It is put down depending on the type of operation performed and on the cause that influenced the development of this complication. In practice, it most often happens after such cardinal surgical interventions:

abdominal plastic;
caesarean section (for this seroma of the postoperative suture, ICD code 10 “O 86.0”, which means suppuration of the postoperative wound and / or infiltrate in its area);
mastectomy.

As you can see, the risk group is mainly women, and those of them who have solid subcutaneous body fat. Why is that? Because these deposits, when their integral structure is damaged, tend to flake off from the muscle layer. As a result, subcutaneous cavities are formed, in which fluid begins to collect from the lymphatic vessels torn during the operation.

The following patients are also at risk:

suffering diabetes;
aged people (especially overweight);
hypertension.

The reasons

To better understand what it is - postoperative suture seroma, you need to know why it is formed. The main causes do not depend on the competence of the surgeon, but are a consequence of the body's reaction to surgical intervention. Those reasons are:

Fat deposits. This has already been mentioned, but we add that in overly obese people whose body fat is 50 mm or more, seroma appears in almost 100% of cases. Therefore, doctors, if the patient has time, recommend performing liposuction before the main operation.
Large area of the wound surface. In such cases, too many lymphatic vessels are damaged, which, accordingly, release a lot of fluid, and heal longer.

Increased tissue trauma

It was mentioned above that the seroma of the postoperative suture depends little on the conscientiousness of the surgeon. But this complication directly depends on the skills of the surgeon and the quality of his surgical instruments. The reason why a seroma can occur is very simple: the work with tissues was too traumatic.

What does it mean? An experienced surgeon, performing an operation, works with damaged tissues delicately, does not squeeze them unnecessarily with tweezers or clamps, does not lack, does not twist, the cut is performed quickly, in one precise movement. Of course, such jewelry work largely depends on the quality of the instrument. An inexperienced surgeon can create the so-called vinaigrette effect on the wound surface, which unnecessarily injures the tissues. In such cases, the postoperative suture seroma code ICD 10 can be assigned as follows: "T 80". It means "complication surgical intervention, not noted in other headings of the classification system.

Excessive electrocoagulation

This is another reason that causes a gray suture after surgery and to some extent depends on the competence of the doctor. What is coagulation in medical practice? This is a surgical intervention not with a classic scalpel, but with a special coagulator that produces electricity high frequency. In fact, this is a point cauterization of blood vessels and / or cells with a current. Coagulation is most often used in cosmetology. She excels in surgery as well. But if it is performed by a physician without experience, he may incorrectly calculate the required amount of current strength or burn excess tissue with them. In this case, they undergo necrosis, and neighboring tissues become inflamed with the formation of exudate. In these cases, the seroma of the postoperative suture in ICD 10 is also assigned the code "T 80", but in practice such complications are recorded very rarely.

Clinical manifestations of seroma of small sutures

If the surgical intervention was on a small area of \u200b\u200bthe skin, and the suture turned out to be small (respectively, the traumatic manipulations of the doctor affected a small amount of tissue), the seroma, as a rule, does not manifest itself. In medical practice, there are cases when patients did not even suspect about it, but such a formation was discovered during instrumental research. Only in isolated cases causes minor pain small seroma.

How to treat it and should it be done? The decision is made by the attending physician. If he deems it necessary, he can prescribe anti-inflammatory and pain medications. Also for more fast doctor may prescribe a number of physiotherapy procedures.

Clinical manifestations of seroma of large sutures

If the surgical intervention affected a large volume of the patient's tissues or the suture turned out to be too large (the wound surface is extensive), the occurrence of seroma in patients is accompanied by a number of unpleasant sensations:

redness of the skin in the area of the seam;
pulling pains, aggravated in the standing position;
during operations in the abdominal region, pain in the lower abdomen;
swelling, bulging of the abdomen;
temperature rise.

In addition, suppuration of both large and small seroma of the postoperative suture may occur. Treatment in such cases is carried out very seriously, up to surgical intervention.

Diagnostics

We have already examined why a seroma of a postoperative suture may occur and what it is. The methods of treating seroma, which we will discuss below, largely depend on the stage of its development. In order not to start the process, this complication must be detected in time, which is especially important if it does not declare itself in any way. Diagnostics is carried out by such methods:

Examination by the attending physician. After the operation, the doctor is obliged to examine the wound of his patient daily. Upon detection adverse reactions skin (redness, swelling, suppuration of the seam) is palpated. If there is a seroma, the doctor should feel fluctuation (flow of liquid substrate) under the fingers.

ultrasound. This analysis perfectly shows whether or not there is fluid accumulation in the seam area.

AT rare cases a puncture is taken from the seroma to clarify qualitative composition exudate and decide on further actions.

Conservative treatment

This type of therapy is practiced most often. In this case, patients are assigned:

antibiotics (to prevent possible further suppuration);
anti-inflammatory drugs (they relieve inflammation of the skin around the suture and reduce the amount of fluid released into the formed subcutaneous cavity).

More often appointed nonsteroidal drugs such as Naproxen, Ketoprofen, Meloxicam.

In some cases, the doctor may prescribe anti-inflammatory steroids, such as Kenalog, Diprospan, which block inflammation as much as possible and accelerate healing.

Surgery

According to indications, including the size of the seroma and the nature of its manifestation, it can be prescribed surgery. It includes:

1. Punctures. In this case, the doctor removes the contents of the resulting cavity with a syringe. Positive sides such manipulations are as follows:

can be performed on an outpatient basis;
painless procedure.

The disadvantage is that you will have to do a puncture more than once, and not even two, but up to 7 times. In some cases, it is necessary to perform up to 15 punctures before the tissue structure is restored.

2. Installation of drainage. This method is used for seromas that are too large in size. When setting up a drain, patients are given antibiotics in parallel.

Folk remedies

It is important to know that, regardless of the reasons for which the seroma of the postoperative suture has arisen, this complication is not treated with folk remedies.

But at home, you can perform a number of actions that promote the healing of the seam and are the prevention of suppuration. These include:

lubrication of the seam with antiseptic agents that do not contain alcohol ("Fukortsin", "Betadine");
application of ointments ("Levosin", "Vulnuzan", "Kontraktubeks" and others);
inclusion in the diet of vitamins.

If suppuration has appeared in the seam area, it is necessary to treat it with antiseptic and alcohol-containing agents, for example, iodine. In addition, antibiotics and anti-inflammatory drugs are prescribed in these cases.

Traditional medicine recommends making compresses with alcohol tincture live cost. Only the roots of this herb are suitable for its preparation. They are well washed from the ground, crushed in a meat grinder, put in a jar and poured with vodka. The tincture is ready for use in 15 days. For a compress, you need to dilute it with water 1: 1 so that the skin does not burn.

For wound healing and surgery there are many folk remedies. Among them are sea buckthorn oil, rosehip oil, mummy, beeswax melted together with olive oil. These funds must be applied to gauze and applied to the scar or seam.

Seroma of the postoperative suture after caesarean section

Complications in women who delivered by caesarean section are common. One of the reasons for this phenomenon is the body of a woman in labor, weakened by pregnancy, unable to provide rapid regeneration of damaged tissues. In addition to seroma, there may be ligature fistula or keloid scar worst case suppuration of the seam or sepsis. Seroma in parturients after caesarean section is characterized by the fact that a small tight ball with exudate (lymph) inside. The reason for this is the damaged vessels at the incision site. As a rule, it does not cause anxiety. Seroma of the postoperative suture after cesarean treatment does not require.

The only thing a woman can do at home is to treat the scar with rosehip or sea buckthorn oil to heal it as soon as possible.

Complications

The seroma of the postoperative suture does not always and not all pass by itself. In many cases, without a course of therapy, it is able to fester. This complication can be caused chronic diseases(for example, tonsillitis or sinusitis), in which pathogenic microorganisms through the lymphatic vessels penetrate into the cavity formed after the operation. And the liquid that collects there is an ideal substrate for their reproduction.

Another unpleasant consequence seroma, which was not paid attention to, is that it does not fuse with muscle tissue, that is, the cavity is always present. This leads to abnormal mobility of the skin, to tissue deformation. In such cases, it is necessary to apply repeated surgical intervention.

Prevention

From the medical staff preventive measures consist in strict observance surgical rules carrying out the operation. Doctors try to perform electrocoagulation sparingly, injuring tissues less.

On the part of patients, preventive measures should be as follows:

Do not agree to an operation (unless there is an urgent need for it) until the thickness of the subcutaneous fat reaches 50 mm or more. This means that first you need to do liposuction, and after 3 months to carry out the operation.
After surgery, wear high-quality compression stockings.
At least 3 weeks after the operation, exclude physical activity.

In a patient who has had a normal operation, as a rule, the worst is left behind. And for full recovery strength and performance, the patient now needs to follow the recommendations of doctors and monitor the condition of his wound and sutures.

We will talk about how care is taken (when returning home) in today's article.

What is needed for the seam to heal well

It all depends on where the seam is. The larger the area it occupies, the more serious the operation, the longer it will take to heal.

First, get the necessary improvised means:

brilliant green (iodine dries out the wound);
gauze pads, cotton pads or sticks;
sterile dressings (if you removed the bandage from the seam while still in the hospital, then you do not need this item).

How and how to process stitches after surgery

Processing the seam should be done several times a day, it is especially important to perform this procedure after a shower. You can wash yourself after a week (of course, you need to check this with your doctor), sometimes you can take a shower a day after the operation. The main thing is not to touch the seam with a washcloth, so as not to damage the slightly healed scar.

And now let's consider the process itself: you need to blot the scar with a gauze cloth abundantly moistened with hydrogen peroxide and wait until the skin dries. Then it is applied to the seam with cotton swab brilliant green.

If this is necessary, then at the end of the procedure it is applied. It is needed to prevent the infection from entering the wound, however, the healing time is somewhat delayed, since the seam can get wet under the bandage.

In difficult cases, and also if the wound begins to ooze, the patient is required to go to the clinic or hospital for dressings daily. Under such conditions, the risk of infection or injury to the wound is minimized.

What to do if the seam is inflamed

If inflamed areas are found, they must be carefully wiped with medical alcohol diluted to 40 degrees. The seam is not completely lubricated (to protect it from drying out). If the inflammation appears again, it is urgent to consult a doctor who will tell you how to process the stitches.

After the operation, crusts form on the scar. They need to be removed, as this can lead to a thickening of the seam line, which will make it even more noticeable.

After the threads are removed, the seam must be processed as before for several more days (the doctor will specify the period), until everything is completely healed.

What does the stitch look like after surgery?

The scar left after surgery looks different. It all depends on how and with what it was sewn up, as well as on individual biological features the patient's body.

As a rule, it acquires its final one in a year, or even in two. The timing also varies depending on the part of the body on which the operation was performed. The scar tissue is most active in the first weeks after the operation: at this time, it is usually red and hard. Then there is a gradual softening, and the seam turns pale. Some traces ( we are talking about plastic surgery) after three months is almost invisible.

Knowing how and with what to process stitches after surgery, you can minimize all external manifestations surgical intervention. Be healthy!

The article will tell you about how to care for scars after surgery.

Any surgical intervention leaves behind a scar - a seam at the site of the incision of the skin and soft tissues. The more complex the operation, the deeper the scar can be and the more difficult the healing process. Besides, great importance have physiological features human, in particular, the ability of the skin to be supplied enough blood.

Proper scar care will allow the wound to heal more gently and quickly, leaving minimal damage behind. Care for the postoperative suture is also necessary so that it tightens well and does not give discomfort.

All seams can be divided into several types:

Normotrophic scar - the simplest type of scar, which is formed in most cases after a non-deep surgical intervention. As a rule, such a scar is distinguished by subtle defects and has the same shade as the surrounding skin.
atrophic scar- is formed in the case of removal of moles, for example, or warts. The tissue of such a scar slightly dominates the formation itself and often resembles a hole.
Hypertrophic scar- appears when suppuration occurs over the formation or the seam is injured. To avoid such a scar, you should take care of the seam with special ointments.
Keloid scar- appears on the skin, poorly nourished by blood and in the case of deep surgical intervention. Often has a white or pinkish color, protrudes above the main level of the skin, may give off shine.

Postoperative suture

What is better to process than to smear at home?

In order for postoperative sutures and scars to heal quickly and easily, without leaving pain and complications, it should be looked after. Basic care includes antiseptic treatment.

Most simple means- this is:

Zelenka is an antibacterial and disinfectant.
Alcohol - eliminates any pollution and "kills" pathogenic bacteria.
Iodine, iodoperone (iodinol) - accelerates healing

Other means:

Fukortsin or Castellani - high-quality skin treatment and postoperative scar care.
Levomekol ointment - accelerates healing, nourishes the skin
Ointments with panthenol - help shrink scars
Ointment "Kontraktubes" (or "Mederma") - are used in the second or third month after surgery to smooth the skin and tighten the suture.
Oils (milk thistle, sea buckthorn) - nourishes the skin, heals wounds and promotes smoother contraction of the scar.

How to let the suture heal quickly and easily, without consequences?

How to remove postoperative sutures at home?

In some cases, postoperative sutures are quite realistic and are allowed by the doctor to be removed at home. But, before you do this, you should be aware that there are two types of seams:

Dipped seam- the seam is applied with a thread made of natural material (thin thread from sheep's intestines). The advantages of this suture are that the material is not rejected by the body and is absorbed. The disadvantage of catgut is that it is less durable.
Removable seam the suture is removed when the edges of the incision grow together and show how strong the healing is. Such a seam is superimposed, as a rule, with a silk thread, nylon or nylon, wire or staples.

Approximate timing of suture removal after surgery:

In case of amputation - 2-3 weeks
Head surgery – 1-2 weeks
Opening abdominal wall– 2-2.5 weeks (depending on the depth of penetration).
On the chest– 1.5-2 weeks
Seam in an elderly person - 2-2.5 weeks
Postpartum - 5-7 days, up to 2 weeks
Caesarean section - 1-2 weeks

How to remove a seam at home:

Stitches should be removed carefully and carefully, while maintaining calm. The suture should be removed only when there is no inflammatory process.
To remove the seam, you will need two tools: manicure scissors and tweezers. These two tools should be carefully treated with alcohol.
Before work, wash your hands thoroughly with soap and water twice and put on medical gloves, or treat your hands with an antiseptic.
Stitches should be removed under a bright lamp to closely monitor the process.
Cut the seams by removing maximum amount threads.
With tweezers, grab the edges of the protruding seams and gently pull until the piece comes out of the skin.
After you pull out absolutely all the pieces, treat the wound antiseptic ointment with an antibiotic.

IMPORTANT: Carry sterile bandages and tissues with you, a solution of furacilin will come in handy to remove it safely and not drive the infection.

How to remove the seam yourself?

Preparations for healing and resorption of postoperative sutures

You can buy any remedy for the care of scars and scars in a modern pharmacy. Especially popular are ointments for resorption of sutures after surgery. The principle of their action is to remove inflammation, eliminate healing defects, smooth the scar with the skin, give it light shade, nourish the skin, making it supple and smooth.

As a rule, such products and ointments are based on silicone, which helps to cope with itching (inevitable during wound healing). Regular care of the seam will help it shrink in size and become less noticeable. This remedy should be applied thin layer so that the skin gets necessary substance and was able to breathe. But, several applications of the tool may not be effective and it will take at least six months of active use.

The most effective ointments:

Gel "Kontraktubeks" - softens and smoothes the skin, accelerates cell regeneration, improves blood circulation to the skin.
Gel "Mederma" - dissolves scar tissue improves it by moisturizing and blood supply.

IMPORTANT: You can also use other means that accelerate the resorption of sutures. This medicine contains onion extract. It is this component that penetrates deep into the tissues, has a sedative and anti-inflammatory effect.

Scar healing after surgery

Ointment, cream, gel, patch for healing and resorption of postoperative sutures

Choosing an ointment or gel for caring for your scar should be based on its scale and depth. The most popular ointments are antiseptic:

Vishnevsky ointment- a classic healing agent with a powerful pulling property, as well as the ability to remove pus from a wound.
Vulnuzan- Healing ointment based on natural ingredients.
Levosin- A powerful antibacterial and anti-inflammatory ointment.
eplan- ointment of antibacterial and healing properties.
Actovegin– improves healing, relieves inflammation and improves blood supply to tissues.
Naftaderm– relieves pain and improves the resorption of scars.

There is another new generation tool that can effectively deal with postoperative sutures - a patch. It's not ordinary, but special plaster, which should be applied to the suture site after the operation. A plaster is a plate that fastens the incision site and nourishes the wound with useful substances.

What is the use of the patch:

Prevents bacteria from entering the wound
The material of the patch absorbs the discharge from the wound
Does not irritate the skin
Allows air to enter the wound
Allows the seam to be soft and smooth
Retains the necessary moisture in the place of the scar
Prevents the scar from growing
Comfortable to use, does not injure the wound

Folk remedies for healing and resorption of postoperative sutures

If you want to improve the condition of your skin, smooth the seams and reduce scars, work on problem area should be complex (using medicines and traditional medicine recipes).

What can help:

Essential oil - a mixture or any one oil will be able to influence the speedy healing of the scar, nourish the skin and remove the effects of healing.
Melon seeds (melon, pumpkin, watermelon) - they are rich essential oils and antioxidants. From fresh seeds, gruel should be made and applied as a compress to the damaged area.
Compress of pea flour and milk - a dough should be molded, which will be applied to the damaged area and kept for at least an hour a day to tighten the skin.
cabbage leaf - old but very effective remedy. Attachment to the wound cabbage leaf will have an anti-inflammatory and healing effect.
Beeswax - nourishes the skin at the site of the scar, relieves swelling, inflammation, smoothes the skin.
Olive or sesame oil - nourishes and moisturizes the skin, tightens and smoothes scars, brightens them.

Seroma of the postoperative suture: what is it, how to treat?

Seroma is a very common problem after surgery. In the place of fusion of capillaries, an accumulation of lymph is formed and puffiness is formed. On the scar begins to appear serous fluid. She has bad smell and yellowish tint.

Seroma most often occurs in those who:

Suffering from high blood pressure
Is overweight (obese)
Suffering from diabetes
Has an advanced age

IMPORTANT: If you notice gray in yourself, you should wait for it to disappear on its own in a period of one to three weeks. If this does not happen, be sure to consult a doctor for treatment.

What can be the treatment:

vacuum aspiration- suction of liquid with a special apparatus.
Drainage- it is also produced by a special device, pumping the liquid out.

Postoperative fistula: how to treat?

A fistula is a kind of channel connecting the body cavity (or an organ). It is lined by the epithelium, which brings out purulent discharge. If the pus does not come out, then inflammation is formed that can affect the internal tissues.

Why does a fistula appear:

The wound got infected
The infection was not completely removed
If the inflammatory process is prolonged
Foreign body in the body (suture threads) and thread rejection

How to fix a fistula:

Eliminate inflammation locally
Remove the threads from the scar if they were not accepted
Take a course of antibiotics and anti-inflammatories
Take a vitamin course
Wash the wound with a solution of furacilin or hydrogen peroxide

The postoperative suture turned red, inflamed, festering: what should I do?

IMPORTANT: There are situations when stitches and scars experience complications and do not heal well. The scar can turn red, be more textured to the touch, fester and even hurt.

What to do in such cases:

Treat the damaged area daily, depending on the magnitude of the problem, from one to several times a day.
When processing, it is impossible to touch or injure the scar in any way, try not to scratch it or put pressure on it.
If you take a shower, dry the seam and dry it with sterile gauze or cloth.
During treatment, hydrogen peroxide should be poured in a direct stream onto the wound, without using cotton and sponges.
After drying the scar (after taking a shower), treat the scar with brilliant green.
Make a sterile dressing or stick a post-operative patch.

IMPORTANT: Do not take any further measures yourself. Contact your doctor with your problem, who will prescribe you an antimicrobial, analgesic and antiseptic.

Scar hurts

The postoperative suture oozes: what to do?

If the seam oozes ichor, it cannot be left. Try to take care of the scar every day. Rinse with a solution of peroxide or furacilin. Apply a loose bandage that allows air to pass through and absorbs excess secretions. If, in addition to discharge, the seam is very painful for you, contact additional treatment to the doctor.

The postoperative suture has parted: what to do?

Why the seam may come apart:

The wound got infected
There is a disease in the body that makes tissues soft and prevents rapid fusion.
Too much high pressure in humans
Too tight stitches
Scar injury
Person's age (after 60)
Diabetes
Overweight
kidney disease
Bad habits
Poor nutrition

What to do:

Urgently consult a doctor
The doctor prescribes treatment based on blood tests
The doctor applies a postoperative bandage
The patient is observed more closely

IMPORTANT: It is not worth trying to heal the wound on your own after the divergence of the seam. In case of incorrect manipulations, you risk getting more serious complications and blood poisoning.

Consolidation of the postoperative suture and pain: what to do?

IMPORTANT: The most common cause of compaction in the scar is a seroma (accumulation of lymphoid fluid).

Other reasons:

Scar suppuration- in this case, a thorough antiseptic action follows.
Fistula - occurs due to the entry of microbes in the wound. It is important to have an antibacterial and antiseptic effect.

IMPORTANT: Any complication and induration in the scar is not normal. The wound should be treated regularly, eliminating suppuration.

Why does the postoperative suture itch?

Causes of itching:

Reaction to fastening threads - they irritate the skin
Dirt got into the wound - the body tries to resist microbes.
The wound heals, tightens and dries the skin - as a result, it stretches and itches.

IMPORTANT: When healing a scar, do not scratch the tissue, as this will not bring pleasant sensations or relief, but can only aggravate the situation.

Video: "Removal of sutures from a postoperative wound"

The birth of a child is often accompanied by certain difficulties. During pregnancy, the elasticity of the skin becomes worse and stretch marks appear, and during the birth of the baby - tears and cuts. In order to eliminate such severe consequences, doctors superimpose shovchiki: inside and outside.

Otherwise, inflammation of the sutures after childbirth may occur due to infection. On the recommendation of the doctor, it will be forbidden to sit and strain the muscles.

A woman’s body prepares for the process of having a baby for 40 weeks: the pituitary gland releases oxytocin, the cervix prepares for opening, becomes soft and loose. But in some cases, the doctor determines the unavailability of the uterus for disclosure. Often the child is pushed out prematurely and ruptures of the uterus itself and the muscles of the vagina occur. Internal damage require stitching with special natural threads that are safely absorbed after healing.

When sewing up tears on the walls of the cervix, the doctor does not use anesthesia. There are no pain receptors in this area immediately after delivery.

Internal seams after childbirth have some features of the speed and specifics of overgrowth. A cut injury can heal faster than a lacerated one. With the use of special absorbable threads, healing lasts about 2 weeks, with the usual ones - a week longer. Influence also has due, timely care. Patients suffering from diabetes mellitus, impressive blood loss and muscle flabbiness are at risk for a long non-fusion of the injury.

How to care

What to do after the doctor has performed this type of operation? Internal seams after childbirth do not need special care. Often, absorbable materials are used there, which should completely disappear after 3 months after application. If a girl sees pieces of thread on her underwear, don't let that alarm her. This is a natural process.

Despite the absence special care, it is worth adhering to several rules for effective treatment:

carefully observe the rules of personal hygiene;
gently go to the toilet (try not to strain your muscles);
avoid sudden movements, do not lift weights and, if possible, do not sit down;
avoid intimacy for two months.

External discrepancies on the perineum or after a cesarean section must be treated several times a day with a solution of potassium permanganate or brilliant green, and also adhere to particularly thorough body hygiene, wash with boiled warm water without the use of soap and shower gel.

Special gaskets should be changed very often. It is recommended to attend the procedure of treatment with special solutions in the clinic, they are usually carried out by a midwife. If you follow the prescribed recommendations of the attending physician, everything will heal quickly, the discomfort will pass, and the pain will not bother you later.

What complications can be

If the main advice is neglected, the likelihood of inflammation of the sutures after childbirth is very high. Unpleasant symptoms: sharp pain, suppuration and divergence. When the discrepancy occurs after a few days, no additional procedures are required for recovery. If the trouble occurred after healing, a second incision is needed in the same place. Due to such manipulations, re-healing will occur much more slowly and longer.

Often new moms are harassed pain and itching after tissue stitching. Such signs make themselves felt within a few days. You should not worry, thinking that the scars have become inflamed. This is quite normal.

But if the sensations are unbearable, you should immediately consult a doctor and do not self-medicate.

When the seams fester, they should be treated different ointments. After washing, intimate areas are treated with a disinfectant or antiseptic preparation, then apply the desired cream, gel or ointment with a strip of bandage (or a clean cloth). If the damaged areas secrete fluid or pus, you should consult a gynecologist. He will tell you what to do.

What should you pay special attention to

A woman who has become a mother needs to take special care of herself and her health. At the slightest discomfort or suspicion that the seam has become inflamed after childbirth, it is worthwhile, without delay, to go and consult a doctor.

Pain during the first days are familiar signs that you just need to endure. But, if the ailment has complications or an impressive duration, he will apply for qualified help won't be redundant. Consultation with a professional is able to deliver accurate diagnosis improve therapy and eliminate the risk of complications.

Indirect manifestations also indicate tissue damage. Among them:

Heat.
A strange kind of selection.
Aches and chills.
Weakness.
Dizziness.
Aching pains.

With similar signals own organism it's not worth joking. You need to immediately inform a specialist in order to get help in a timely manner.

According to individual case, therapy prescribed by the diagnostician may include: the use of healing creams, the application of cold compresses with ice, a course of antibiotics, or additional surgery.

The usual length of the scar is 2 or 3 cm, and despite this, it brings discomfort. When everything is removed, it becomes easier, the usual pain subsides, and the movements become lighter and smoother. Such damage will disturb for a long time, aching and cutting sensations.

Some cases confirm that even with complete healing, the operated area may react to the weather or any changes in the woman's body.

On the general recovery The body of a woman takes at least six months. During this period of time, even in the absence of complaints, you should regularly visit a gynecologist, undergo examinations and ultrasound.

Prevention

With the onset of pregnancy, the expectant mother is advised to carefully monitor her health and well-being. Experts strongly advise taking vitamin complexes and fish fat eat right and lead active image life. You need to eat food that has a beneficial effect on the condition of the skin:

fish fatty varieties and seafood (salmon, salmon, mackerel);
olive, linseed and sesame oil;
seeds and nuts (almonds are the most useful option for the female body);
lean meat and poultry;
cottage cheese, yoghurts without additives and hard cheeses;
fruits, vegetables and greens (citrus fruits, bananas, mangoes and spinach);
eggs ( high value yolk is different).

Also drink a lot clean water, fresh juices and herbal decoctions.

By following such a diet, it is likely to improve well-being, increase skin elasticity and supply the body with the necessary substances. By making the skin more elastic and healthy, you can avoid damage during gestation and the birth of the baby.

There are also a number of products from which the cover loses collagen, becomes flabby, dry, with rashes. Prohibited:

sugar and sugar-containing products (cakes, sweets, chocolate, jams, preserves);
flour products (pasta, bread, pancakes, pies, buns and pies);
salt;
fried foods;
fatty meats and poultry (pork, lamb, duck meat);
alcohol;
margarine;
sausage, sausages and smoked fish;
juices in packages and bottles.

Watching your diet for a pregnant woman may seem daunting task. Indeed, in this period of time there is a desire to eat the most delicious, harmful and large quantities. But high-calorie types of treats not only spoil health and appearance future mother, but also make her skin flabby and saggy, increasing the risk of stretch marks and damage in the future.

In order not to provoke any diseases, complications and ailments, you need to visit a specialist on time, follow a suitable diet, do not forget to drink enough water, and keep clean intimate areas and do not ignore the alarming manifestations of the body.

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 organism, the characteristics skin and other factors. The main task in the postoperative period is to prevent the development of infection, and to accelerate the regeneration process in all possible ways.

After surgery on the abdomen and suturing, the healing process includes several stages

The formation of collagen or connective tissue 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 extracellular matrix substances begins, among which collagen is also present. The main task of collagen is to eliminate tissue defects and ensure the strength of the emerging scar.
epithelialization of the wound. This process begins as epithelial cells migrate from the edges of the wound to its surface. After the end of epithelization, 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 restores its resistance to infection. In the event that this does not happen, then the cause may have been the divergence of the seam after the operation.
Reduction 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 the suture heals after abdominal surgery, it is necessary to understand what affects this process. One of the conditions for a successful outcome is correct therapy after the patient is sutured. In addition, for the duration postoperative period influenced by the following factors:

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

After surgery, one of the important requirements is the observance of sterility. This means that only well-washed hands using disinfected tools can be used to treat seams.

How are sutures processed after abdominal surgery, and what disinfectants are the most efficient? In fact, the choice of this or that 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 action.

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

oil tea tree in its purest form;
tincture of larkspur roots from 20 grams 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 influences healing?

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

the age of the patient - in young people, tissue repair occurs much faster than in the elderly;
body weight - the wound healing process can slow down with overweight a person or with obesity;
nutritional features - lack of energy and plastic material may 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 stitches after surgery;
state of blood supply - wound healing occurs much faster if there is a large number of vessels;
chronic pathologies can slow down the recovery process and cause various complications;
state of immunity - with a decrease defensive forces the prognosis of surgical intervention worsens and suppuration of wounds is possible.

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 to destroy bacteria by phagocytes. Anti-inflammatory drugs can slow down the healing process in the first few days, but subsequently have little effect on this process.

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

Processing rules

In order for the healing of the sutures 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 hands and tools that may be needed for its implementation;
you should carefully remove the applied bandage, and if it sticks to the skin, then pour it with peroxide;
you need to smear the seam with an antiseptic preparation using cotton swab or gauze swab;
must be carefully bandaged.

It is important to remember that the seams should be treated twice a day, but if necessary, the number 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 scarring of the skin. Take a shower with care and do not rub the seam with a too hard sponge. In the event that the seams on the abdomen turn red or start to stand out from them purulent exudate you need to see a doctor as soon as possible.

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

Means for healing

In order to speed up the resorption and healing of sutures after surgery, antiseptic agents 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 one or another ointment depends on the nature of the damage and its depth. For shallow superficial wounds it is recommended to use simple antiseptics, and with the development of complications, 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 when treating sutures?

Vishnevsky's ointment accelerates the removal of pus from the wound;
Levomekol has a combined effect;
Vulnuzan contains natural ingredients, and 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.

Such medicines when used correctly, it helps to speed up the wound healing process after surgery and avoid infection. It is important to remember that before smearing a postoperative suture on the abdomen, it is imperative to consult a doctor. The fact is that self-treatment postoperative sutures can result in severe suppuration of the wound and its further inflammation. Compliance simple rules is a pledge successful treatment postoperative sutures and helps prevent scarring.