A bump on a scar after a caesarean section. Seal at the seam after caesarean section. Our video. Facial scar treatment

In the hospital
home care
Complications
Subsequent pregnancies

A caesarean section is a delivery surgery in which the baby is removed through an incision in the uterus. Despite all its advantages and sufficient popularity today, young mothers are worried about how after a while the suture after a cesarean section will look (isn't it ugly?), how much will it be noticeable and how long will the healing process take. It depends on what kind of incision was made by the surgeon, whether there will be complications in the postpartum period, and how competently the woman takes care of the operated area of her body. The better a woman is aware, the less problems she will have in the future.

Kinds

The reasons why a doctor decides to do a caesarean section can be very different. Depending on the delivery process and the complications that have arisen in its course, incisions can be made in different ways, and as a result, unequal types of sutures are obtained that require special care.

vertical seam

If acute fetal hypoxia is diagnosed or the woman in labor begins to bleed profusely, a caesarean section is performed, which is called corporal. The result of such an operation is a vertical seam, starting from the navel and ending in the pubic area. It does not differ in beauty and in the future will spoil the appearance of the body quite strongly, since the scars are nodular in nature, very noticeable against the background of the abdomen, prone to thickening in the future. This type of operation is performed quite rarely, only in emergency cases.

Horizontal seam

If the operation is planned, a Pfannenstiel laparotomy is performed. An incision is made transversely, above the pubis. Its advantages are that it is located in a natural skin fold, the abdominal cavity remains unopened. Therefore, a neat, continuous (special overlay technique), intradermal (so that there are no external manifestations) cosmetic suture after a cesarean section on the body is invisible.

Internal seams

The internal sutures on the wall of the uterus in both cases are varied in the way they are applied. The doctor is guided here by the fact that to achieve the best possible conditions for faster wound healing without complications, to reduce blood loss. Here you can not make mistakes, since the course of the next pregnancies depends on this. During a corporal operation, a longitudinal internal suture is made after a caesarean section, with a Pfannenstiel laparotomy - a transverse one:

the uterus is stitched with a continuous single-row suture made of a synthetic, very durable, self-absorbable material;
the peritoneum, like muscles, after cesarean is sutured with continuous catgut stitches;
aponeurosis (connective tissue of muscles) is sutured with absorbable synthetic threads.

The speed of healing, features of care, various complications - all these important points directly depend on which incision was made during the caesarean section. After childbirth, doctors advise patients on all issues that cause them doubts, anxieties and fears.

About personalities. Hermann Johannes Pfannenstiel (1862-1909) - German gynecologist, first introduced the surgical transverse incision into practice, which received his name.

Features of the recovery period

It will depend on the type of incision made how long the suture heals after a cesarean section in terms of pain and other consequences of the operation. It will take longer to tinker with the longitudinal one, and the risk of complications will be much higher than with the transverse one.

Pain

After childbirth, a wound remains on the uterus, as well as on the anterior wall of the peritoneum, so it is not surprising that after a cesarean section, the seam hurts (even severely) in the first weeks, or even months. This is a natural reaction of tissues to the incision made, so that the pain syndrome can be blocked with the most common painkillers:

immediately after the operation, analgesics (narcotic) are prescribed: morphine and its varieties, tramadol, omnopon;
in the subsequent period, analgin supplemented with ketanovy, diphenhydramine and other anti-inflammatory nonsteroidal drugs can be used.

At the same time, do not forget that the painkillers used should be prescribed by a doctor, taking into account the lactation period. As for the question of how long the seam hurts after a cesarean section, it depends on its type. Longitudinal will disturb about 2 months, transverse - 6 weeks with proper care and without complications. However, even during the year, a woman may feel pulling, discomfort in the operated area.

Hardness

Many are concerned about the fact that after a cesarean section, the seam is hard and hurts: within 2 months, this is quite normal. Tissue healing occurs. In this case, the scar does not immediately become soft and invisible. You need to come to terms with the fact that some time must pass, which can be calculated not even in months, but in years.

A vertical (longitudinal) hard scar lasts 1.5 years. Only after this period, the tissues will gradually begin to soften.
The horizontal (transverse) cosmetic heals faster, so hardness and thickening over the seam (adhesions, scarring of tissues) should go away within a year.
Many people notice that over time a characteristic fold forms over the seam, which, in the absence of pain and suppuration, does not present a problem. This is how scarring of nearby tissues occurs. To avoid unpleasant consequences, it is recommended to do an ultrasound.
It is much more serious if, after a cesarean section, a bump appears above the seam. Someone notices it already in the first year, for some it manifests itself much later. Sizes can be completely different: from a small pea to a walnut. Most often it is purple or purple. In this case, a visit to the doctor and ultrasound are required. It can be either harmless scarring of tissues, or fistula, inflammation, suppuration, and even cancer formation.

The hardness of the scar, all kinds of folds and seals around it in the first year after the operation is a fairly common phenomenon. If all this is not accompanied by severe pain and suppuration, you should not worry. But as soon as a bump appears on the seam and the above symptoms, consultation with a specialist and treatment are inevitable.

Allocations

If the suture after a caesarean section oozes ichor (clear liquid) in the first week, no need to worry. This is how healing happens, it's a natural process. But as soon as the discharge becomes purulent or bleeding, begins to emit an unpleasant odor, or flows for too long, you should immediately contact a specialist.

Itching

For everyone who has had a caesarean section, the scar is very itchy after a week, which scares some. In fact, this indicates wound healing and nothing more. This is an indicator that everything is going its own way. However, touching and combing the stomach is strictly prohibited. Now, if the scar does not just itch, but already burns and bakes, causing suffering, you must definitely tell the doctor about it.

In order for the recovery period after cesarean to proceed without undesirable consequences and complications, a woman needs to learn how to properly care for the operated area.

Read more about recovery after caesarean section in our separate article.

through the pages of history. The name of the caesarean section goes back to the Latin language and literally translates as "royal incision" (caesarea sectio).

In the hospital

The first suture treatment after a caesarean section is done in the hospital.

After the examination, the doctor decides how to treat the seam: in order to avoid infection, antiseptic solutions are prescribed (the same green stuff belongs to them).
All procedures are performed by a nurse.
The dressing is changed daily after the caesarean.
All of this takes place over the course of about a week.
After a week (approximately) the sutures are removed, unless, of course, they are absorbable. First, the knot that holds them is plucked from the edge with a special tool, and then the thread is pulled out. As for the question of whether it hurts to remove stitches after a caesarean section, the answer is unlikely to be unambiguous. It depends on the level of pain threshold. But in most cases, the procedure is comparable to plucking the eyebrows: at least the sensations are very similar.
In some cases, an ultrasound scan of the suture is prescribed after the operation in order to understand how the healing is going, whether there are any deviations.

But even in the hospital, before discharge, no one can tell you exactly how long the suture heals after a cesarean section: the process is definitely individual for everyone and can follow its own, separate trajectory. Much will also depend on how high-quality and competent the home care for the operated area will be.

home care

Before being discharged home, a young mother needs to learn from a doctor how to care for a suture after a cesarean section without medical assistance, at home, where there will be no qualified medical personnel and professional aids.

Do not lift heavy things (anything that exceeds the weight of the newborn).
Avoid strenuous exercise.
Do not lie down after a cesarean all the time, walk as much and as often as possible.
If there are any complications, it will be necessary to treat the seam at home with brilliant green, iodine, but this can only be done with the permission of the doctor if the scar gets wet and oozes even after discharge from the hospital.
If necessary, watch a special video or ask your doctor to tell you in detail how to process a stitch at home. At first, it is not the scar itself that is wetted, but only the area of the skin around it, so as not to burn a fresh wound.
As for the timing, how much the suture needs to be processed after a cesarean section, this is determined by the nature of the discharge and other features of the healing of the scar. If everything is in order, a week after discharge will be enough. In other cases, the time is determined by the doctor.
To prevent the divergence of the seam, wear a bandage that fixes the stomach.
Avoid mechanical damage after cesarean: so that the scar is not subjected to pressure and rubbing.
Many doubt whether it is possible to wet the seam: after discharge from the hospital, you can take a shower at home without a doubt. However, you do not need to rub it with a washcloth.
Eat right for faster tissue repair and faster healing of scars.
By the end of the 1st month, when the wound heals and the scar forms, you can ask the doctor how to smear the seam after a cesarean section so that it is not so noticeable. Pharmacies now sell all kinds of creams, ointments, patches and films that improve skin recovery. Ampoule vitamin E can be safely applied directly to the scar: it will speed up healing. A good suture ointment that is often recommended for use after a caesarean is Contratubex.
Several times a day (2-3) for at least half an hour, expose the stomach: air baths are very useful.
Constantly see a doctor. It is he who will tell you how to avoid complications, what can and cannot be done, when to do an ultrasound of the seam and whether there is a need for this.

So caring for a suture after a cesarean section at home does not require any special efforts and supernatural procedures. If there are no problems, you just need to follow these simple rules and pay attention to any, even minor deviations from the norm. They should be reported to the doctor immediately: only he can prevent complications.

It is interesting! Not so long ago, scientists concluded that if the peritoneum is not sutured during cesarean delivery, then the risk of speck formation is reduced to almost zero.

Complications

Complications, serious problems with a suture after a cesarean section in a woman can occur at any time: both during the recovery period and several years later.

Early Complications

If a hematoma has formed on the suture or it bleeds, most likely, medical errors were made during its application, in particular, the blood vessels were poorly sutured. Although often such a complication occurs with improper processing or inaccurate dressing change, when a fresh scar was roughly disturbed. Sometimes this phenomenon is observed due to the fact that the removal of the sutures was performed either too early or not very carefully.

A fairly rare complication is the divergence of the seam, when the incision begins to creep in different directions. This can happen after a cesarean on days 6-11, since the threads are removed within this period. The reasons for the seam to open may be an infection that prevents the full fusion of tissues, or the weight of over 4 kg that the woman lifted during this period.

Inflammation of the suture after caesarean section is often diagnosed due to insufficient care or infection. Alarming symptoms in this case are:

elevated temperature;
if the seam is festering or bleeding;
his swelling;
redness.

So what to do if the seam after a cesarean section is inflamed and festering? Self-medication is not only useless, but also dangerous. In this case, it is necessary to consult a doctor in a timely manner. In this case, antibiotic therapy (ointments and tablets) is prescribed. Advanced forms of the disease are eliminated only with the help of surgical intervention.

Late Complications

Ligature fistulas are diagnosed when inflammation begins around the thread, which is used to sew blood vessels during cesarean section. They form if the body rejects the suture material or the ligature is infected. Such inflammation appears months later as a hot, reddened, painful lump, from a small hole in which pus may flow. Local processing in this case will be ineffective. The ligature can only be removed by a doctor.

Hernia is a rare complication after cesarean. Occurs with a longitudinal incision, 2 operations in a row, several pregnancies.

A keloid scar is a cosmetic defect, does not pose a threat to health, and does not cause discomfort. The reason is the uneven growth of tissue due to the individual characteristics of the skin. It looks very unaesthetic, like an uneven, wide, rough scar. Modern cosmetology offers women several ways to make it less noticeable:

conservative methods: laser, cryo-impact (liquid nitrogen), hormones, ointments, creams, ultrasound, microdermabrasion, chemical peeling;
surgical: excision of the scar.

Cosmetic suture plastic surgery is selected by the doctor in accordance with the type of incision and individual characteristics. In most cases, everything goes fine, so that no external consequences of a caesarean become practically visible. Any, even the most serious complications, can be prevented, treated and corrected in time. And you need to be especially careful for those women who will give birth after the COP.

Blimey! If a woman no longer plans to have children, the scar after a planned cesarean can be hidden under ... the most ordinary, but very elegant and beautiful tattoo.

Subsequent pregnancies

Modern medicine does not prohibit women from giving birth again after a cesarean. However, there are certain nuances regarding the seam that you will have to face when carrying subsequent children.

The most common problem - the seam after a cesarean section hurts during the second pregnancy, especially in its corners in the third trimester. Moreover, the sensations can be so strong, as if it is about to disperse. For many young mothers, this causes panic. If you know what this pain syndrome is dictated by, fears will go away. If a period of 2 years was maintained between caesarean and subsequent conception, the discrepancy is excluded. It's all about the adhesions that form during the restoration of wounded tissues. They are stretched by an enlarged belly - hence the unpleasant, pulling pain sensations. You will need to inform your gynecologist about this so that he can examine the condition of the scar on an ultrasound scan. He can advise some pain-relieving and softening ointment.

You need to understand: the healing of the suture after a cesarean section is very individual, it happens differently for everyone and depends on many factors: the process of childbirth, the type of incision, the state of health of the mother, proper care in the postoperative period. If you keep in mind all these nuances, you can prevent many problems and avoid unwanted complications. After all, at this stage it is so important to give all your strength and health to the baby.

After caesarean section, the main complaints of patients relate to the state of the suture. Complications can arise for various reasons. The most common complication is the seal on the seam, but this complication is not always dangerous and in most cases does not require additional treatment. In order to understand whether the compaction is dangerous or not dangerous, it is necessary to seek the advice of a surgeon. Self-treatment can only aggravate the situation and lead to the need for urgent surgical intervention.

Danger signs

Among the dangerous signs of a developing complication after a caesarean section, one can single out compaction and suppuration of the sutures. This is a fairly common occurrence, which is noticeable to the naked eye when examining the seams. Stitch problems can occur for a variety of reasons, including:

seam infection,
low quality suture material,
insufficient qualification of the surgeon,
rejection of the suture material by the woman's body.

Every woman should understand that the suture must be carefully monitored for several more months after the operation, and if such phenomena as seals, soreness, redness or suppuration are found, it is necessary to immediately seek the advice of a surgeon.

Ligature fistula

This complication is the most common after caesarean section. After the operation, the incision is sutured with special threads - ligatures. These threads can be absorbable and non-absorbable. The healing time of the scar depends on the quality of the ligature. If the material was of high quality, used within acceptable expiration dates, in accordance with the norms and rules of treatment, complications are unlikely.

But if the ligature was used after the specified expiration date or an infection got into the wound, an inflammatory process begins to develop around the thread, which can form a fistula a few months after cesarean.

The fistula is very easy to detect. It has such signs as a non-healing wound, from which a certain amount of pus is periodically released. The wound may be covered with a crust, but then it opens again and pus is released again. This phenomenon may be accompanied by fever, chills and general weakness.

If a fistula is found, the help of a surgeon is necessary. Only a doctor will be able to detect and remove the infected thread. Without removing the ligature, the fistula will not go away, but will only increase. Local treatment will not bring positive results. After the thread is removed, additional care is required for the suture, which the surgeon will prescribe for you.

If the infection process has been delayed, or several fistulas have formed on the scar, an operation may be required to remove the scar with repeated suturing.

Seroma

Seroma is also a common complication after caesarean section. But unlike the ligature fistula, this complication can go away on its own, without additional treatment. A seroma is a seal on a seam filled with fluid. It occurs at the intersection of the lymphatic vessels, which cannot be sutured after the incision. At the intersection of the lymphatic vessels, a cavity is formed, which is filled with lymph.

Without additional danger signs, a seroma does not require treatment and resolves on its own within a few weeks.

If a seroma is detected, you should immediately visit a surgeon to determine the exact diagnosis and exclude suppuration.

Keloid scar

Another most common complication after caesarean section is the formation of a keloid scar. Recognizing it is also not difficult.

The seam becomes rough, hard and often protrudes above the surface of the skin.

At the same time, there is no pain, redness around the scar and pus.

A keloid scar does not pose a risk to the health of patients and is only an aesthetic problem. The causes of scarring are considered to be the individual characteristics of the organism.

Today, there are several methods of treating this unsightly phenomenon:

Laser therapy is based on the resurfacing of the scar with a laser. Several sessions of therapy can make the scar less noticeable.
Hormonal therapy includes the use of special medications and ointments containing hormones. Using creams will help reduce scar tissue and make the scar less pronounced.
Surgical treatment consists in the complete excision of scar tissue, followed by the application of new sutures. This method does not guarantee that a normal scar will form at the site of the removed scar.

In order to avoid all these and other complications in the postoperative period, it is necessary to carefully care for the suture and follow all the recommendations of doctors. If any signs of complications develop, visit a doctor immediately, in which case you can avoid surgical treatment.

Many patients are faced with such a problem as sealing the seam after cesarean. Pathology can develop under the influence of various reasons. To determine if a bump on the seam is dangerous, a woman must be examined at a medical center. Only then can a treatment method be chosen. You also need to understand that the problem is not always pathological. In many cases, the seal does not pose a danger to the life and health of the patient.

Common causes of pathology

A caesarean section is performed by cutting tissue in the abdominal region. The postoperative incision is fastened with medical materials. The muscle tissue is sutured with a ligature. A silk thread is applied to the skin. The uterus is held together with various materials. The choice of material depends on the type of section and the characteristics of the operation. After a caesarean, there is a recovery period. At this time, the sutures should be covered with scar tissue. But the process doesn't always go smoothly. Some patients complain that the seam turned red after a cesarean section. Seal on the abdomen after cesarean may appear for the following reasons:

development of a purulent process;
tissue infection;
use of low-quality material;
postoperative hematoma;
autoimmune reaction.

A common cause of seam sealing is a purulent process. Suppuration is observed under the influence of various factors. The process is common due to improper processing of the postoperative field. Damaged tissue is accompanied by the death of some cells. Dead cells accumulate on the surface of the wound. To enhance healing, the incision is covered with leukocyte cells. Mixing of dead tissue, leukocytes and keratinized skin particles leads to the formation of pus. Pus leads to inflammation of the seam. The tissues begin to thicken.

There is a seal on the seam after cesarean due to infection. Many infections depend on the activity of pathogenic microorganisms. Bacteria can get into the wound during poor-quality surgery or after a cesarean with rare treatment. Pathogenic microorganisms multiply rapidly and cause a change in the structure of the tissue. Bacteria feed on tissue cells. The area of tissue affected by pathogenic microbes becomes inflamed. The aggravation of the process is accompanied by compaction. A woman discovers bumps on a wound. Bacterial infection is also determined by additional signs. The patient notices severe burning and itching. An ichor may appear on the surface of the seam. In order for the doctor to quickly select an effective treatment, it is necessary to undergo an additional examination.

Additional factors

The seam after caesarean section can be sealed when using low-quality medical material. The seal appears due to expired threads. Such material causes the formation of a seal. To get rid of the problem, a second surgical intervention should be performed.

In the first days after a caesarean section, a seal is formed due to a hematoma. Hematoma after caesarean section is a common problem. The bruise appears due to internal bleeding. The area of the abdominal region, on which there is a bruise, is hard and dense on palpation. This problem in most patients does not require additional intervention. A few days after the surgical intervention, it resolves.

An autoimmune reaction is rare in women. It is impossible to determine the disease in advance. Pathology is characterized by the rejection of medical material by the human body.

For unknown reasons, the body perceives the threads as a foreign body. This leads to the appearance of antibodies in the blood. These are special particles designed to capture foreign microorganisms. The response of the autoimmune system is unpredictable. This problem can be solved only by selecting another material or prescribing a drug to eliminate the activity of the system.

Formation of postoperative fistula

Ligature fistulas are a common problem after surgery. Pathology gradually appears in the muscular layer of the abdominal cavity. The name of the problem was due to the peculiarities of its appearance. The culprit of the disease is the ligature that has not been completely decomposed. The threads on the muscle layer should completely decompose a few weeks after the caesarean section. But under the influence of various negative reasons, this does not happen. Part of the ligature is preserved in the abdominal region.

The ligature causes inflammation in the damaged tissue. The process is accompanied by the death of the cells of the muscle layer surrounding the thread. Dead cells accumulate on the surface of the ligature. The body responds to pathology by producing a large number of white blood cells. Together with the tissue, leukocytes form pus.

Suppuration causes further death of the layers of the abdominal cavity. The problem cannot be detected immediately. The woman notices that a small bump appears on the surface of the seams.

Compaction is accompanied by the appearance of a small swelling like a boil. Some time after the operation, a purulent head forms on the upper part of the tumor. The skin is torn. Pus begins to be removed from the fistulous canal.

Ligature fistula is accompanied by additional symptoms. A woman should pay attention to the following signs:

throbbing pain in the suture area;
redness of the skin;
feeling of fullness in the area of the scar.

The main sign of developing internal suppuration is throbbing pain in the suture area. Pulsating pain occurs due to the gradual death of tissues. You should also pay attention to the feeling of bursting of scar tissue. It is also provoked by purulent fluid.

The doctor establishes the diagnosis after the initial treatment of the fistulous canal. An antiseptic solution is injected into the lumen. Hydrogen peroxide has a good effect. Peroxide breaks down pus and removes it from the canal. After a thorough cleaning of the fistula, the doctor examines the cavity. The rest of the ligature is found in the muscle layer. You can't leave content in a channel. It will cause further tissue destruction.

Treatment is by surgical intervention. The doctor removes the remnants of the threads from the canal. A new suture is not applied to the wound. After the intervention, the woman remains in hospital. This is necessary to further track the rate of healing. It is also necessary to ensure that a new fistula does not form.

Neoplasm with lymph

Seal over the seam after caesarean section may form due to the formation of a lymphatic cavity. This happens against the background of dissection of the lymphatic channels.

All layers of tissues are fed by the lymphatic system. During a caesarean section, several layers of tissue are cut. Channels are also damaged. After the operation, the tissues are held together with threads. Lymphatic channels and vessel walls remain in a damaged state. In most women, the vessels and canals heal on their own. In some cases, the internal lymphatic canal does not grow together. The liquid that moves through the channel enters the free space. A small cavity filled with lymph is formed in the peritoneum.

Such a neoplasm is called a seroma. To determine its presence, you need to pay attention to the following signs:

round neoplasm on the skin;
redness of the skin in the affected area;
burning sensation.

The main sign of seroma is the formation of a rounded red neoplasm on the skin. In most cases, seroma does not require treatment. She is able to heal on her own. If the seroma persists for a long time, it is necessary to open the surface of the seroma and release excess lymph. The wound is washed with a solution of chlorhexidine or sterile liquid furacilin. Gradually, the damage will heal on its own.

Uncharacteristic scar tissue

The seam after a caesarean section can be sealed for other reasons. The surface of the wound after the operation is covered with a thin film, which forms a scar. Normal scar tissue should not rise above the skin. Immediately after formation, the tissue has a red color. After a while, the seam brightens and becomes less noticeable to others. But sometimes the scar is formed incorrectly. Under the influence of negative factors, the rumen cells begin to multiply actively. A keloid scar forms on the wound. The causes of a keloid scar are as follows:

transferred infection;
violation of the update process.

Keloid tissue cannot harm the health of the patient. There is a psychological problem. The scar ruins the look. Doctors recommend treating a keloid scar with cosmetic techniques.

A hard scar can be removed with a laser. The laser beam has a warming effect on the tissue. She melts. A burn forms on the scar. It is not recommended to remove the burn crust on your own. It should fall off completely after a while.

You can resort to grinding. The working surface of the grinder rotates at high speed. Under the influence of friction, the convex part of the scar is gradually eliminated. Several treatments may be needed to achieve a good result.

Preventive measures

To avoid problems, you must follow the advice of a doctor. To get a good result, you need to properly transfer the recovery period. The first days after a caesarean section, you must follow the rules for processing the incision. For several days, the treatment of sutures is carried out by medical personnel. The procedural nurse can teach the patient how to clean the wound on her own. In order for the sutures to heal properly, it is necessary to use an antiseptic solution and a drying drug.

Initially, the suture is washed with an antiseptic liquid. Processing is carried out until the complete removal of contaminants. After removing the crust, the edges of the wound should be lubricated with a drying agent. For this purpose, you can use brilliant green or fukortsin. Processing should be carried out at least once a day. This will help prevent infection or inflammation.

It is also necessary to seal the surface of the seam with a postoperative bandage. Bandages can be purchased at the pharmacy. Manufacturers offer a wide range of dressings from various materials.

After the formation of thin scar tissue, a woman should carefully monitor her health. The following should be of concern:

the appearance of redness around the seam;
the appearance of blood or ichor from the wound;
changes in the characteristics of vaginal discharge;
pain in the area of the incision.

Redness of the tissues surrounding the sutures may be due to the development of inflammation or infection of the wound. The appearance of blood and ichor from the wound is dangerous a few weeks after a cesarean section. Such a phenomenon can occur with the initial form of suppuration.

A caesarean section is a complex and traumatic operation for a woman. After surgery, it is recommended to carefully monitor the characteristics of the suture. If a hard scar is found on palpation, it is necessary to visit a doctor. The specialist will determine the cause of the seal and select an effective treatment.

vertical seam

through the pages of history. The name of the caesarean section goes back to the Latin language and literally translates as "royal incision" (caesarea sectio).

In the hospital

The first suture treatment after a caesarean section is done in the hospital.

After the examination, the doctor decides how to treat the seam: in order to avoid infection, antiseptic solutions are prescribed (the same green stuff belongs to them).
All procedures are performed by a nurse.
The dressing is changed daily after the caesarean.
All of this takes place over the course of about a week.
After a week (approximately) the sutures are removed, unless, of course, they are absorbable. First, the knot that holds them is plucked from the edge with a special tool, and then the thread is pulled out. As for the question of whether it hurts to remove stitches after a caesarean section, the answer is unlikely to be unambiguous. It depends on the level of pain threshold. But in most cases, the procedure is comparable to plucking the eyebrows: at least the sensations are very similar.
In some cases, an ultrasound scan of the suture is prescribed after the operation in order to understand how the healing is going, whether there are any deviations.

home care

Do not lift heavy things (anything that exceeds the weight of the newborn).
Avoid strenuous exercise.
Do not lie down after a cesarean all the time, walk as much and as often as possible.
If there are any complications, it will be necessary to treat the seam at home with brilliant green, iodine, but this can only be done with the permission of the doctor if the scar gets wet and oozes even after discharge from the hospital.
If necessary, watch a special video or ask your doctor to tell you in detail how to process a stitch at home. At first, it is not the scar itself that is wetted, but only the area of the skin around it, so as not to burn a fresh wound.
As for the timing, how much the suture needs to be processed after a cesarean section, this is determined by the nature of the discharge and other features of the healing of the scar. If everything is in order, a week after discharge will be enough. In other cases, the time is determined by the doctor.
To prevent the divergence of the seam, wear a fixing belly.
Avoid mechanical damage after cesarean: so that the scar is not subjected to pressure and rubbing.
Many doubt whether it is possible to wet the seam: after discharge from the hospital, you can take a shower at home without a doubt. However, you do not need to rub it with a washcloth.
Eat right for faster tissue repair and faster healing of scars.
By the end of the 1st month, when the wound heals and the scar forms, you can ask the doctor how to smear the seam after a cesarean section so that it is not so noticeable. Pharmacies now sell all kinds of creams, ointments, patches and films that improve skin recovery. Ampoule vitamin E can be safely applied directly to the scar: it will speed up healing. A good suture ointment that is often recommended for use after a caesarean is Contratubex.
Several times a day (2-3) for at least half an hour, expose the stomach: air baths are very useful.
Constantly see a doctor. It is he who will tell you how to avoid complications, what can and cannot be done, when to do an ultrasound of the seam and whether there is a need for this.

It is interesting! Not so long ago, scientists concluded that if the peritoneum is not sutured during cesarean delivery, then the risk of speck formation is reduced to almost zero.

Complications

Complications, serious problems with a suture after a cesarean section in a woman can occur at any time: both during the recovery period and several years later.

Early Complications

Inflammation of the suture after caesarean section is often diagnosed due to insufficient care or infection. Alarming symptoms in this case are:

elevated temperature;
if the seam is festering or bleeding;
his swelling;
redness.

Late Complications

Hernia is a rare complication after cesarean. Occurs with a longitudinal incision, 2 operations in a row, several pregnancies.

conservative methods: laser, cryo-impact (liquid nitrogen), hormones, ointments, creams, ultrasound, microdermabrasion, chemical peeling;
surgical: excision of the scar.

Blimey! If a woman no longer plans to have children, the scar after a planned cesarean can be hidden under ... the most ordinary, but very elegant and beautiful tattoo.

Subsequent pregnancies

Modern medicine does not prohibit women. However, there are certain nuances regarding the seam that you will have to face when carrying subsequent children.

A caesarean section is a rather complicated delivery operation, which is necessary to extract the baby through the front wall of the mother's abdomen. Naturally, after it there is a seam.

Its size and shape depend on many factors - the complexity of the operation, the skill of the surgeon, competent postpartum care, and the physique of the woman. Often a roller forms over the scar, which is difficult to hide even under clothing. It causes discomfort to young mothers, so they are interested in how to get rid of this annoying flaw.

What is in the roller and how to get rid of it?

Often women complain about the “roller” after a cesarean section, not understanding at all what it is and what is in it. There are many reasons for the formation of a fold in the seam area. Therefore, it is very important to determine the cause of the trouble. If the abdomen is too large and protrudes, this may be due to weakness of its muscles or diastasis of the white line. Occasionally, women after cesarean are also worried about a hernia. But in such situations, the stomach rarely resembles a fold. And characteristic rollers are usually formed from fat, skin, or due to swelling of the suture after surgery. Depending on the causes of the problem, the ways to solve it will differ.

Hard roller around the scar

Many women complain that after the operation, the suture looks like a hard roller and does not want to dissolve. This is completely normal. The transverse suture, which is now used everywhere, heals completely within a year. All this time he can remain dense. A small fold is also often formed above the seam. This is how scarring of surrounding tissues occurs.

In most cases, in the absence of severe pain and suppuration, some hardness and the presence of a roller are not dangerous and pass on their own over time. If a woman is worried, you can undergo an ultrasound.

A dangerous sign is the appearance of a bump above the seam. It can be as small as a pea or as large as a walnut. This can manifest itself as harmless scarring of tissues, as well as inflammation, fistula suppuration, etc. In this situation, a visit to the doctor is mandatory. In other cases, the roller resolves on its own.

Skin roller over the scar after cesarean

Try squeezing the roller over the seam with your hand. If it is very thin, then most likely it is just skin. In this case, it makes sense to wait a bit and let the body deal with the problem on its own. Loose skin often stretches on its own, especially at a young age. A light and contrast shower will help speed up the process. You can also try special cosmetics to improve skin elasticity, although its effectiveness is highly questionable from a medical point of view.

If in a year and a half the roller has not disappeared, it makes sense to contact a plastic surgeon. Perhaps during the caesarean section, the surgeon made a mistake somewhere, or the woman's skin is not elastic enough.

Fat fold after caesarean

If, when pinched, the fold turns out to be thick and elastic enough, there is. You must try to remove it yourself, but it is very important to choose the right methods. Do not think that fat folds are only plump ladies. Even at normal weight, the percentage of adipose tissue in the body can be increased if a woman has little muscle. Therefore, it is very important not just to start eating less, but to make the right diet and start exercising.

With a body fat percentage of 21-24% and a normal amount of muscle, the fat roller disappears in most cases.

In order not to make mistakes and not harm yourself, you should consult a doctor before starting training. It is also better to conduct them under the guidance of a professional trainer, at least for the first time. You should not immediately cut down on your diet, as a woman needs energy to restore the body after pregnancy. The calorie deficit should be minimal.

If you decide to get rid of the fat roll over the seam after cesarean section with the help of exercises, follow these simple rules:

The first workouts can be started no earlier than six months after the operation, and intensive exercises for the press - a year later.
As soon as the state of health allows, it is necessary to start moving, walking with the baby and walking as much as possible.
The first exercises for a flat stomach are household tilts. Try to wash the floors by hand and lean towards the baby more often.
As soon as your health allows, start regularly doing abdominal pulls - this is one of the most effective exercises for strengthening your stomach.
Do not rush to lose weight so that the fat fold does not turn into a skin fold. Give your body time to slowly adjust to the new weight.

If something doesn’t work right away, don’t get discouraged and don’t give up. It takes time for the body to recover. Do not set yourself unrealistic plans and do not demand the impossible from the body. You can evaluate the results of work on yourself not earlier than one and a half to two years after the operation.

Types Features of the recovery period In the hospital Home care Complications Subsequent pregnancies

Kinds

vertical seam

Horizontal seam

Internal seams

the uterus is stitched with a continuous single-row suture made of a synthetic, very durable, self-absorbable material; the peritoneum, like muscles, after cesarean is sutured with continuous catgut stitches; aponeurosis (connective tissue of muscles) is sutured with absorbable synthetic threads.

About personalities. Hermann Johannes Pfannenstiel (1862-1909) - German gynecologist, first introduced the surgical transverse incision into practice, which received his name.

Features of the recovery period

Pain

immediately after the operation, analgesics (narcotic) are prescribed: morphine and its varieties, tramadol, omnopon; in the subsequent period, analgin supplemented with ketanovy, diphenhydramine and other anti-inflammatory nonsteroidal drugs can be used.

Hardness

A vertical (longitudinal) hard scar lasts 1.5 years. Only after this period, the tissues will gradually begin to soften. The horizontal (transverse) cosmetic heals faster, so hardness and thickening over the seam (adhesions, scarring of tissues) should go away within a year. Many people notice that over time a characteristic fold forms over the seam, which, in the absence of pain and suppuration, does not present a problem. This is how scarring of nearby tissues occurs. To avoid unpleasant consequences, it is recommended to do an ultrasound. It is much more serious if, after a cesarean section, a bump appears above the seam. Someone notices it already in the first year, for some it manifests itself much later. Sizes can be completely different: from a small pea to a walnut. Most often it is purple or purple. In this case, a visit to the doctor and ultrasound are required. It can be either harmless scarring of tissues, or fistula, inflammation, suppuration, and even cancer formation.

Allocations

Itching

In order for the recovery period after cesarean to proceed without undesirable consequences and complications, a woman needs to learn how to properly care for the operated area.

Read more about recovery after caesarean section in our separate article.

through the pages of history. The name of the caesarean section goes back to the Latin language and literally translates as "royal incision" (caesarea sectio).

In the hospital

The first suture treatment after a caesarean section is done in the hospital.

After the examination, the doctor decides how to treat the seam: in order to avoid infection, antiseptic solutions are prescribed (the same green stuff belongs to them). All procedures are performed by a nurse. The dressing is changed daily after the caesarean. All of this takes place over the course of about a week. After a week (approximately) the sutures are removed, unless, of course, they are absorbable. First, the knot that holds them is plucked from the edge with a special tool, and then the thread is pulled out. As for the question of whether it hurts to remove stitches after a caesarean section, the answer is unlikely to be unambiguous. It depends on the level of pain threshold. But in most cases, the procedure is comparable to plucking the eyebrows: at least the sensations are very similar. In some cases, an ultrasound scan of the suture is prescribed after the operation in order to understand how the healing is going, whether there are any deviations.

home care

Do not lift heavy things (anything that exceeds the weight of the newborn). Avoid strenuous exercise. Do not lie down after a cesarean all the time, walk as much and as often as possible. If there are any complications, it will be necessary to treat the seam at home with brilliant green, iodine, but this can only be done with the permission of the doctor if the scar gets wet and oozes even after discharge from the hospital. If necessary, watch a special video or ask your doctor to tell you in detail how to process a stitch at home. At first, it is not the scar itself that is wetted, but only the area of the skin around it, so as not to burn a fresh wound. As for the timing, how much the suture needs to be processed after a cesarean section, this is determined by the nature of the discharge and other features of the healing of the scar. If everything is in order, a week after discharge will be enough. In other cases, the time is determined by the doctor. To prevent the divergence of the seam, wear a bandage that fixes the stomach. Avoid mechanical damage after cesarean: so that the scar is not subjected to pressure and rubbing. Many doubt whether it is possible to wet the seam: after discharge from the hospital, you can take a shower at home without a doubt. However, you do not need to rub it with a washcloth. Eat right for faster tissue repair and faster healing of scars. By the end of the 1st month, when the wound heals and the scar forms, you can ask the doctor how to smear the seam after a cesarean section so that it is not so noticeable. Pharmacies now sell all kinds of creams, ointments, patches and films that improve skin recovery. Ampoule vitamin E can be safely applied directly to the scar: it will speed up healing. A good suture ointment that is often recommended for use after a caesarean is Contratubex. Several times a day (2-3) for at least half an hour, expose the stomach: air baths are very useful. Constantly see a doctor. It is he who will tell you how to avoid complications, what can and cannot be done, when to do an ultrasound of the seam and whether there is a need for this.

It is interesting! Not so long ago, scientists concluded that if the peritoneum is not sutured during cesarean delivery, then the risk of speck formation is reduced to almost zero.

Complications

Complications, serious problems with a suture after a cesarean section in a woman can occur at any time: both during the recovery period and several years later.

Early Complications

Inflammation of the suture after caesarean section is often diagnosed due to insufficient care or infection. Alarming symptoms in this case are:

elevated temperature; if the seam is festering or bleeding; his swelling; redness.

Late Complications

Hernia is a rare complication after cesarean. Occurs with a longitudinal incision, 2 operations in a row, several pregnancies.

conservative methods: laser, cryo-impact (liquid nitrogen), hormones, ointments, creams, ultrasound, microdermabrasion, chemical peeling; surgical: excision of the scar.

Blimey! If a woman no longer plans to have children, the scar after a planned cesarean can be hidden under ... the most ordinary, but very elegant and beautiful tattoo.

Subsequent pregnancies

Modern medicine does not prohibit women from giving birth again after a cesarean. However, there are certain nuances regarding the seam that you will have to face when carrying subsequent children.

Danger signs

infection of the suture, poor quality of the suture material, insufficient qualification of the surgeon, rejection of the suture material by the woman's body.

Ligature fistula

If the infection process has been delayed, or several fistulas have formed on the scar, an operation may be required to remove the scar with repeated suturing.

Seroma

Without additional danger signs, a seroma does not require treatment and resolves on its own within a few weeks.

If a seroma is detected, you should immediately visit a surgeon to determine the exact diagnosis and exclude suppuration.

Keloid scar

Another most common complication after caesarean section is the formation of a keloid scar. Recognizing it is also not difficult.

The seam becomes rough, hard and often protrudes above the surface of the skin.

At the same time, there is no pain, redness around the scar and pus.

A keloid scar does not pose a risk to the health of patients and is only an aesthetic problem. The causes of scarring are considered to be the individual characteristics of the organism.

Today, there are several methods of treating this unsightly phenomenon:

Laser therapy is based on the resurfacing of the scar with a laser. Several sessions of therapy can make the scar less noticeable. Hormone therapy includes the use of special medications and ointments containing hormones. The use of creams will help reduce scar tissue and make the scar less pronounced. Surgical treatment consists in the complete excision of scar tissue, followed by new sutures. This method does not guarantee that a normal scar will form at the site of the removed scar.

Girls, exactly 40 days ago I had an emergency c-section. I was so happy that the recovery and healing was going so fast that, probably, I jinxed myself (((It will be about this ... I noticed a seal, at the very beginning of the suture, subcutaneous, like a ball, 2-3 cm in size (((and in the middle of the seam, another one is the same, a little smaller .. It doesn’t really bother if you don’t press. What could it be ??? I haven’t had time to go to the doctor yet. menstruation came, very plentiful at once.

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