Irritation of the skin around the suture after surgery. After surgery, skin irritation. Nicotine patch helps overcome cigarette addiction

Few people manage to live a lifetime without getting a single scar. And the very first of them - from BCG - we acquire almost immediately after birth. Then everything will depend on luck and personal history: injuries, appendicitis, caesarean, plastic surgery ... certain marks on our face or body will inevitably remain.

Usually they heal safely and do not cause much trouble. But sometimes things go wrong and postoperative scar becomes inflamed- this can happen to both young and old scars, both at the initial stage of their formation, and many months and years later. Why do such problems happen and what should those who encounter them do? Is it dangerous? Is it possible to manage with conservative methods or will a second operation be required? The site analyzes the causes and treatment options:

Purulent complications - much more often than we would like

The most likely cause of inflammation of a young scar is infection in the wound. According to medical statistics, during operations on the abdominal cavity, this happens in 5-35 people out of every hundred patients. The likelihood of such a development of events will be lower with less extensive interventions, but much higher with household, industrial and other similar injuries, when the damaged area is initially non-sterile.

Also, infection can also occur hematogenously - that is, with blood flow from foci of chronic inflammation, such as tonsils, sinuses, and even carious teeth. In addition, sometimes the fault lies with the surgeon, who did not provide the proper level of asepsis in the operating room. Symptoms in all cases are approximately the same:

the seam continues to hurt even 3-5 days after the operation;
the wound itself and the skin around it is red, swollen, hot;
there are signs of general intoxication - fever, headache, weakness;
signs of inflammation appear in the blood: ESR accelerates, the number of leukocytes increases.

The infection can get into any emerging scar at the stage of epithelization - be it a large postoperative suture or a tiny BCG trace. This condition requires immediate medical attention:

As a basic method of treatment, antibiotics are usually used, which are administered once before or immediately after surgery.
If this does not help, and the scar becomes even more inflamed (with an early discharge, this can happen at home), the first thing to do is to immediately contact the surgeon. Perhaps he will limit himself to prescribing an additional course of antibiotics in tablets or injections and treating the wound surface with antiseptics.
If the purulent process has gone far enough, then the wound is opened, the pus is removed and thoroughly washed. Perhaps after that it will not be sewn up tightly, but a drainage will be left - a tube or an elastic band, which will not allow the edges to close so that the resulting pus can freely flow out. Specific actions will depend on the condition of the suture and the individual characteristics of the patient's body.

Ligature fistula as a cause of inflammation

Another unpleasant scenario: the postoperative wound seems to have healed normally, the patient safely left the walls of the clinic, and after a few days - or months, and sometimes even years - the scar area turns red and swells, a granuloma (limited inflammation) forms on it. After some time, it breaks through, and inside is pus, or ichor, which constantly leak from the formed cavity.

Such a pathology is called a ligature fistula and happens when the body rejects the superimposed suture material due to individual intolerance or because the surgical threads themselves turned out to be a source of contamination or pathogenic bacteria. Usually this reaction occurs within the first week, especially when an infection occurs, but it can also appear on old scars. There are even cases when a complication of this type occurred almost 35 years after the operation!

The optimal situation for the patient will be when the suture material that caused the appearance of the ligature fistula is torn out of the wound, after which the state of the scar, as a rule, normalizes (including externally) and no longer causes problems. But it also happens that the inflammation becomes chronic, and if the initial surgical incision took place near the abdominal cavity, it can spread to the internal organs. Here you can not do without the help of a surgeon:

In uncomplicated cases, the doctor prescribes drugs that accelerate the “breakthrough” of the fistula: lotions with hypertonic solution, enzyme preparations, or ichthyol ointment and the like. After the granuloma is opened, the ligature often becomes visible - it is removed with tweezers. Then the wound is treated with antiseptics until complete healing. Sometimes this whole process fits in a few days, but sometimes you have to wait weeks and even months for disclosure.
In cases where the ligature inflammation of the scar worsens and begins to affect the general condition of the patient - the temperature rises, changes in the composition of the blood appear - urgent hospitalization is needed. In the hospital, the fistula is opened and they try to extract the problematic surgical threads.
In more complex cases, the purulent area is excised entirely, along the edge of healthy tissues.
For re-suturing the wound, modern materials are selected that do not cause rejection, but even they, alas, do not guarantee a complete recovery - according to statistics, more than half of the patients experience a recurrence of the ligature fistula over the next 2 to 5 years.

Impaired scar formation: hypertrophy or keloid

The postoperative scar "ripens" within 1 year - normally, during this time, an even thin strip of connective tissue forms at the incision site. If it grows too much, it appears - rough, protruding above the surface of the skin. If the growth is so large that it goes beyond the original wound, it is called. In both cases, there is a sluggish chronic inflammation inside. The causes of these pathologies can be different, the most common of them:

heredity;
hormonal changes in the body (puberty, pregnancy);
1st blood group;
dark skin (4 - 6 phototype);
friction and other mechanical effects on the scar during its maturation.

Visually, such deviations become noticeable approximately 1-3 months after the operation. The seam thickens and thickens, begins to protrude above the surface, in addition to this, the keloid sometimes actively itches and hurts.

According to statistics, such pathological scarring occurs in 1.5-4.5% of patients. The main way to deal with it is prevention.- that is why plastic surgeons actively use dressings and coatings with silicone gel. But with interventions performed for health reasons, such security measures are often overlooked. However, special hypoallergenic silicone patches and plates are recommended for all patients without exception, it is advisable to start using them immediately after removing the sutures.

If this is not enough, therapy is supplemented with local steroid injections, which can significantly slow down and even completely stop the uncontrolled growth of connective tissue. After a year, when the scar is considered "mature", only mechanical effects can give a noticeable effect: or surgical excision. They are necessarily combined with a new course of prevention and conservative treatment, since the removal of a keloid without the use of additional therapies in half of the cases leads to relapses.

Remember: what to do with inflammation of the scar?

Any changes in appearance or sensation associated with a developing scar should be consulted with a surgeon. Ideally - to the one who performed the operation. The most likely "culprits" of the problem and how to solve it:

Cause of inflammation	Treatment
Infection - occurs during the first few days after surgery/injury, manifested by a characteristic reddening of the scar and a general deterioration in well-being	A course of antibiotics or surgical opening and cleaning of the wound with re-suturing
Ligature fistula - is formed only after the application of external or internal sutures, most often when using non-absorbable threads. As a result, a granuloma with purulent contents forms on the scar	Opening or surgical removal of the fistula, the imposition of repeated sutures from hypoallergenic materials
Overgrowth of connective tissue - formation of a hypertrophic or keloid scar	Preventive measures aimed at maintaining normal scarring (silicone sheets, ointments, etc.) Steroid injections. Mechanical peeling of the protruding area of the connective tissue. Surgical excision.

In the case of an old scar, additional studies may be needed to determine the exact cause of the problem - ultrasound, biopsy, etc.

Inflammation of the stitches after surgery is a problem that makes people nervous. Indeed, often problems with a healing scar begin after discharge from the hospital, and it is not possible to immediately consult a doctor. Why can the seam become inflamed when you should sound the alarm, and what to do in this case?

When the surgeon connects the edges of the wound and fixes them with suture material, the healing process begins. Gradually, at the border, a new connective tissue and fibroblasts are formed - special cells that accelerate regeneration. At this time, a protective epithelium is formed on the wound, which prevents microbes and bacteria from penetrating inside. But if an infection gets into the wound, the seam begins to fester.

Inflammation of the postoperative suture may begin due to a violation of the sequence and completeness of this process. If sterility is violated at the stage of wound stitching, pathogenic microorganisms will already develop in it and sooner or later provoke an inflammatory process.

Divergence of sutures due to insufficient tightening of knots or overstressing the patient is also a common factor in postoperative wound problems. It opens, begins to bleed, and microbes get inside. The same can happen if the patient accidentally (or on purpose - there are such precedents) breaks the crust from the protective epithelium.

By the way! Sometimes the sutures (scars) after surgery become inflamed even in the most conscientious and responsible patients for no apparent reason. For example, due to low immunity, old age, the presence of chronic diseases. All these factors increase the risk of problems with postoperative wounds.

Some impressionable patients are frightened if the seam turns a little red, and immediately try to anoint or bandage it with something. There is also a category of patients who, on the contrary, do not pay attention to any changes, believing that everything is fine. Therefore, each person who has undergone surgery should know the main symptoms of suture inflammation:

skin redness;
tissue swelling;
local pains (aching, bursting, aggravated by skin tension);
bleeding that does not stop;
suppuration of the postoperative suture: the release of a white or yellow foul-smelling plaque;
fever, fever, chills;
increased heart rate;
increase in pressure.

You can talk about inflammation only if 5 or more of the listed symptoms are found. Fever without redness and suppuration is a sign of another disease. As well as slight bleeding and swelling without an increase in temperature, it may turn out to be just a temporary phenomenon caused by mechanical damage to the seam (they pulled off the bandage sharply, touched the wound with clothes, accidentally combed it, etc.).

If all the symptoms are present, and this is really an inflammatory process, you should immediately contact a surgeon. If you have a high temperature, call an ambulance. If there are no signs of intoxication yet, you can contact the doctor who performed the operation, or the surgeon at the place of residence.

Before going to the clinic, you need to put a bandage on the seam to avoid even more inflammation. To do this, first the wound is washed with hydrogen peroxide. But in no case should you rub it: just pour it on the seam and remove the resulting foam with a sterile bandage with blotting movements. Then you need to apply a bandage with an anti-inflammatory agent. If the wound gets wet, it is advisable to use a gel (for example, Solcoseryl, Actovegin); if it dries - ointment (Levomekol, Baneocin).

Attention! Before going to the clinic, it is not recommended to use fukortsin and brilliant green, because. these antiseptics stain the skin, and the doctor will not be able to visually assess the intensity of hyperemia or determine the color of the discharge from the wound.

So that the postoperative suture does not turn red, does not fester and does not become inflamed, you must strictly follow the rules for caring for it. The doctor talks about it; nurses also give advice during dressings. There is nothing complicated about this, besides, after discharge from the hospital, the postoperative sutures already have a completely “human” appearance, and the patient can only maintain them in a normal state.

Use only those external agents prescribed by the doctor. Because, depending on the nature of the wound and its location, not all ointments and gels can be used.
The use of folk remedies should be discussed with the doctor.
Avoid overstressing the part of the body where the stitches are applied.
Take care of the seam: do not rub it with a washcloth, do not comb it, do not rub it with clothes.
Carry out home dressings with clean hands using sterile materials.

If problems nevertheless appear, and within 1-2 days there is no improvement (the blood does not stop, pus continues to be released, weakness appears), you should immediately consult a doctor. This will help to avoid infection and the development of complications in the form of ugly scars, an increase in the wound surface, necrosis, etc.

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Often a problem arises when the seam gets wet after the operation, which many do not know what to do. If an inflammatory process has begun and such symptoms have appeared, then measures must be taken immediately, since such infections slow down or completely stop healing and sometimes cause severe complications.

In addition, this problem delivers not only physical inconvenience, but also worsens the mental state. Seam care measures include not only their treatment with disinfectants, but also diet and proper physical activity. The main task is to accelerate healing and prevent infection. First, let's figure out why the suppuration of the seam occurs.

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

Penetration into the wound of the infection during the operation or after its completion.
Injuries to the subcutaneous adipose tissue and resulting hematomas and necrosis.
Poorly provided drainage.
Poor quality of materials used for suturing.
Reduced immunity and its weakening due to surgery.

In addition to the listed reasons, inflammation of the sutures can occur due to unskilled work of surgeons or incorrect actions of the patient himself.

The causative agents are usually Pseudomonas aeruginosa and staphylococcus aureus. Infection can be direct and indirect. In the first case, microorganisms get along with tools and materials that have not undergone sufficient processing. In the second case, infection occurs from another source of infection, which is carried by the blood, for example, from a diseased tooth.

You can see that the seam has become inflamed already on the third day after its application. If the stitches get wet after the operation, only a doctor can tell what to do. It notes:

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

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

Connective tissue with fibroblasts is formed. These are cells that accelerate recovery and eliminate tissue defects.
The epithelium on the wound is formed, which prevents the penetration of pathogenic microorganisms.
Tissue contraction: the wound shrinks and closes.

Age. At a young age, recovery is faster and much easier, and the likelihood of complications is less. This is due to the body's immunity and its resources.
weight factor. The wound will heal much more slowly in overweight or thin people.
Food. Recovery will depend on the amount of substances coming from food. After operations, a person needs proteins as a building material, vitamins and trace elements.
Water balance. Dehydration negatively affects the functioning of the kidneys and heart, slowing down healing.
Weak immunity can lead to complications: suppuration, various discharges, skin irritation and redness.
The presence of chronic diseases. Particularly affected are diseases of the endocrine nature, blood vessels and tumors.
The work of the circulatory system.
Restriction of oxygen access. Under its influence, recovery processes occur faster in the wound.
Anti-inflammatory drugs slow recovery.

After discharge from the hospital, you already need to take care of them yourself. For this you need: hydrogen peroxide, brilliant green, sterile bandages, cotton wool, cotton pads and sticks.

If the stitches get wet after the operation, what to do, consider step by step.

Daily processing. Sometimes it is needed several times a day. Particular attention should be paid to processing after taking a shower. When washing, do not touch the seam with a washcloth. After a shower, you need to wet the seam with a swab from a bandage. Hydrogen peroxide can be poured in a thin stream directly onto the scar, and then applied brilliant green to the seam.
After that, make a sterile bandage.
Processing is carried out until the scar is completely healed. Sometimes even after three weeks it gets wet, bleeds and ichor is released. Threads are removed after about 1-2 weeks. After that, it takes some more time to process the seams. Sometimes doctors allow you not to bandage the suture. If a dressing needs to be done, then the old dressing must be carefully removed before treatment, as the seam will get wet and the bandage will stick to the wound.

Everyone who has encountered this problem is wondering what to do if the seams get wet. If the seam is inflamed, then there is reddening of the place of application, irritation. This happens due to active healing.

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

He will select an adequate treatment, aimed not only at stopping suppuration, but also increasing immunity for the speedy healing of the wound.

If necessary, he will remove the sutures, wash the wound with an antiseptic solution and install drainage so that purulent discharge comes out, and in the future the suture does not get wet.

If necessary, the doctor will prescribe antibiotics and immunostimulating drugs, since complications most often occur in people with weakened immune systems. As additional methods, ointments, solutions, vitamins, anti-inflammatory drugs and even traditional medicine can be used.

anti-inflammatory;
painkiller;
antimicrobial;
accelerating regeneration;
enhancing liver function.

The method of herbal medicine in this case consists in taking the fees inside (infusions, extracts) and for topical application (ointments).

The goals of this treatment are:

improvement of the state of the internal environment of the body and the work of the excretory system, the weakening of intoxication;
normalization of digestion and prevention of negative effects of drugs;
normalization of immunity;
processing of postoperative sutures.

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

With the timely implementation of therapeutic measures in 95% of cases, it is possible to achieve a quick and complete cessation of the infection. It is important to drain the wound in a timely manner to change the antibiotic. In an unfavorable course, the consequences can be very serious. There is a possibility of developing gangrene or sepsis.

Preparation for surgery involves identifying infections in the body and getting rid of them. That is, to cure all existing diseases, to sanitize the oral cavity.

After the operation, it is necessary to strictly monitor the observance of hygiene, properly carry out antiseptic treatment and, at the first symptoms of inflammation, take measures to eliminate it.

In order for the sutures to heal faster, follow all the rules, do not lift weights to avoid the divergence of the suture, do not remove the resulting crust, eat well and raise the level of immunity. Only then will it be possible to significantly reduce the risk of complications. That is why it is so important to follow all the recommendations.

After surgery, patients often complain about the condition of the suture. Complications arise for various reasons. A hard bump on the seam after surgery is the most common of them.

It is not always dangerous to health, and special treatment is usually not required. In order to identify the cause of the appearance of the seal, you must consult a doctor.

Self-treatment leads to the development of complications and the need for repeated surgical intervention.

A dangerous symptom is the appearance of a bump on the seam, accompanied by the release of pus. This is a frequent phenomenon, it can be noticed during an independent examination of the area in which the intervention was carried out.

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Problems can arise for various reasons, including: improper suturing, the addition of a bacterial infection, rejection of the threads by the human body, the use of low-quality materials.

You should remember the importance of proper treatment of the surgical area, and if you experience bumps, pain or suppuration, you should immediately consult a doctor.

Seal or bump on the seam after caesarean may be a ligature fistula. This is the most common complication of abdominal operations. Upon completion of the surgical intervention, the incision is sutured with special threads - ligatures. They are absorbable and regular.

The healing time of the seam depends on the quality of the material. With proper use of high-quality material, the risk of complications is minimized. If an expired thread was used, or in a cut
pathogenic microorganisms have got in, then an inflammatory process develops, as a result of which a fistula forms in a few weeks.

It is not difficult to detect this complication. It is a non-healing dense wound, from which purulent contents are constantly released.

The wound may become overgrown with a crust, but after a while it reopens, and the discharge appears again. The formation of a fistula is accompanied by fever, general weakness, headaches.

If there is a bump and suppuration, you should consult a doctor.

Only he will be able to detect and remove the infected thread. If this procedure is not carried out, the seal will constantly grow. Means of external use in this case are ineffective.

After removing the ligature, you will need some care for the seam, the rules of which will be told to you by the surgeon.

If the inflammatory process is present for a long time and is accompanied by the appearance of several fistulas, it is necessary to remove scar tissue with repeated suturing.

Seroma is an equally common complication that occurs after surgery. Unlike a fistula, it can disappear spontaneously. Specific treatment is usually not required.

A seroma is a lump filled with fluid. It appears in places where lymphatic vessels lie, the integrity of which cannot be restored after dissection. At the intersection of the vessels, a cavity is formed, which is filled with lymph.

A seroma that does not have signs of suppuration is not dangerous to health and does not require treatment. If it is detected, you need to visit a surgeon who will make an accurate diagnosis and exclude the presence of infection.

A keloid scar is an equally common complication of abdominal operations. It is not difficult to recognize him.

The seam roughens and hardens, its surface becomes bumpy, which is normal! Pain, redness and suppuration are absent.

A keloid scar is not dangerous to health, it is only a cosmetic defect that can be eliminated if desired. The reasons for its appearance are considered to be the structural features of the skin.

There are several ways to eliminate such a defect, it all depends on its type. Laser resurfacing is used to get rid of keloid scars. Several procedures make the scar less noticeable.

Hormone therapy is based on the use of external and general agents. Creams help soften scar tissue, they make the seam lighter. Surgical treatment consists in removing the scar, followed by a new suture.

This method does not guarantee that the keloid scar will not reappear after the operation.

In order to avoid the appearance of seals at the incision site and some other complications, it is necessary to properly care for the suture in the postoperative period. If a bump or suppuration appears, you should immediately consult a doctor.

Prevention of any complication is easier than cure. The wound healing process takes about a month. During the stay in the hospital, all necessary measures will be carried out by health workers. After discharge, the patient must learn to perform all procedures independently. This is not as difficult as it might seem at first glance.

The first thing to remember is to prevent infection. Timely dressing and proper treatment of the skin will speed up the healing process. If the lump still appears, do not try to get rid of it yourself. Seromas usually resolve spontaneously. Keloid scars are not so easy to get rid of.

Antiseptic solutions should be used to disinfect the skin in the incision area. When using soap, allergic reactions can occur, making the healing process longer.

Some patients try to get rid of the seal with compresses and lotions. It is strictly forbidden to wet the seam, as high humidity prevents its healing.

Such procedures contribute to skin irritation and infection of the wound.

The shower in the first weeks after the operation should take a person no more than 10 minutes. Water should not be too hot or too cold, temperature changes slow down the process of skin recovery. It is recommended to take a bath not earlier than one month after the operation.

Patients of surgical departments often note the unsatisfactory condition of the postoperative suture. Seals that occur in the first days and weeks after surgery usually disappear on their own and do not require additional treatment. Most often, such a temporary complication looks like a bump on the seam.

To understand why there was a seal under the seam after the operation, you should see your doctor.

If the bump does not hurt and pus is not released from it, you just need to follow the recommendations for caring for the suture and do not try to self-medicate. If even a meager purulent discharge is found, a visit to a doctor is necessary.

Untimely adoption of measures or attempts to resolve the issue on their own can lead to serious complications, which can only be eliminated surgically.

The main causes of suppuration of postoperative sutures:

Improper suture care, which can lead to a bacterial infection.
Non-compliance with the recommendations given by the doctor upon discharge from the hospital.
Poor quality stitching.
Rejection by the body of the threads used to stitch the incision.
The use of poor quality materials.

Whatever the reason for the appearance of the bump after the operation, you should not delay visiting the surgeon in the hope that everything will go away on its own. Suppuration can lead to sepsis and death.

Occur after any surgical intervention and are of varying severity. It all depends on how neatly the seams were applied and what materials were used. Mild complications go away on their own, but if a bacterial infection has joined in the healing process, the help of a surgeon is needed. Self-medication is strictly contraindicated due to the complexity of the wound and the risk of sepsis.

The most common postoperative complications:

adhesive process;
seroma;
ligature fistula.

This is the name of the fusion of tissues during the healing of the postoperative suture. Adhesions consist of scar tissue and during palpation are felt under the skin as small seals. They accompany the process of healing and scarring of the sutures, being an integral, natural step on the way to the restoration of tissues and skin after an incision.

In the presence of pathology during wound healing, excessive growth of connective tissues is observed, the seam thickens.

Most often this happens if the wound heals by secondary intention, when the process of tissue repair after surgery was accompanied by suppuration due to an attached bacterial infection.

In such cases, keloid scars form at the site of suturing. They do not pose a health hazard, but are considered a cosmetic defect, which, if desired, can be eliminated later.

Another complication that occurs after suturing. A seroma is a fluid-filled lump on a suture. It can occur as a consequence of caesarean section, and after laparoscopy or any other operation.

This complication usually resolves on its own and does not require additional therapy. Occurs at the site of damage to the lymphatic vessels, the connection of which after the incision is impossible.

As a result, a cavity is formed, which is filled with lymph.

If there are no signs of suppuration, the seroma on the scar does not pose a threat to health, but to make sure that there is no inflammatory process, it is worth visiting a surgeon who can make an accurate diagnosis.

This complication most often occurs on the seam after a caesarean section. For suturing, a special thread is used - a ligature. This material is self-absorbable and conventional. The duration of wound healing depends on the quality of the thread. If a ligature that meets all requirements was used during suturing, complications appear extremely rarely.

If an expired material was used or an infection entered the wound during suturing, an inflammatory process develops around the thread. Initially, a seal appears under the seam after a cesarean or other operation, and after a few months, a ligature fistula forms at the site of the seal.

It is easy to detect pathology. A fistula is a non-healing channel in soft tissues, from which pus periodically oozes. Depending on which infection caused the inflammation, the discharge may be yellow, greenish, or maroon-brown.

From time to time, the wound may be covered with a crust, which periodically opens. Purulent discharge can change its color from time to time. Also, the inflammatory process is often accompanied by fever and a feeling of chills, weakness, drowsiness.

A ligature fistula can only be removed by a surgeon. The specialist will find and remove the infected thread. Only then is healing possible. While the ligature is in the body, the fistula will only progress. After the thread is removed, the doctor will treat the wound and give instructions for further care of the suture at home.

There are cases when, with untimely seeking medical help, several fistulas formed along the seam. In such a situation, the surgeon may decide to perform an operation to remove the scar and apply repeated sutures.

After returning from the hospital, the patient must remember and follow a few simple rules that will help him recover faster after surgery. Basic Precautions:

Don't take contrast showers. Sudden changes in water temperature slow down the process of skin regeneration.
Shower time should not exceed 10 minutes.
You can take a bath no earlier than a month after surgery. It is best to additionally ask your doctor about the possibility of this water procedure.
If a lump appears above the seam, tell your doctor immediately.

While the patient is in the hospital, the treatment of his stitches is carried out by health workers, but by the time of discharge, the patient must learn to process them independently. In case of inaccessibility of the scar, doctors recommend using the help of relatives or health workers of the clinic.

Any complication is easier to avoid than to treat. To do this, you must follow all the instructions of the surgeon, carefully care for the postoperative wound. As a rule, without complications, the healing of the sutures takes about a month.

Edema after surgery: legs, joints, face, hands, eyes, feet, lungs, chest - how to remove, what to do, how long it lasts, causes, ointment, treatment

Edema after surgery is very common and can cause inconvenience. If these phenomena are not eliminated in time, they can cause complications, so you need to know how to deal with them.

The likelihood of swelling exists not only after surgery, but also with any violation of the integrity of body tissues. But during surgical intervention, damage can be significant, therefore, very often they cause such a reaction of the body.

Edema is nothing more than a fluid that accumulates in the tissues of organs or in the interstitial space.

After the operation, local edema is formed, caused by the influx of lymph to the damaged tissues. This is due to the stimulation of the immune system, the work of which is aimed at maintaining the normal state of the body after a violation of its integrity.

Sometimes swelling after surgery may appear due to inflammatory processes. In this case, it is characterized by a local increase in temperature and reddening of the skin.

Postoperative swelling may be slight or pronounced. It depends on such factors:

state of the body;
the duration and complexity of the operation;
characteristics of the body and immunity;
compliance with the rules established by the doctor during the rehabilitation period.

It is necessary to remove the swelling as soon as possible, because there is no prevention of this phenomenon. To speed up recovery, it is very important to follow the advice of doctors. Do not self-medicate and use advertised drugs. If the swelling increases over time, it can be caused by a serious complication.

It is possible to remove a postoperative defect on the legs only by restoring normal blood flow. Medicines and manipulations are used for this task.

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Drug treatment can be carried out with drugs for external and internal use. External ointments include ointments that improve local blood flow, such as Lyoton, Bruise-off, etc. Diuretic drugs are also used: Lasix, Furosemide. The treatment is supplemented with vitamins and minerals. When pain occurs, doctors prescribe non-steroidal anti-inflammatory drugs.

To relieve postoperative swelling in the legs, doctors resort to lymphatic drainage - alternating light stroking of the skin and deep massage of the lymph nodes. The procedure should only be performed by a specialist.

During rehabilitation, it is recommended to wear compression stockings and limit the consumption of tea and water to eliminate swelling of the legs.

The most unpleasant are swelling in the scrotum. If they are not accompanied by an increase in temperature, the situation is considered normal, you can limit yourself to physiotherapy.

Swelling of the nose appears after operations on the face. If it causes difficulty in breathing, you should immediately consult a doctor. Dental operations also sometimes cause such phenomena, which can last quite a long time. Physiotherapy is used to speed up rehabilitation. Compresses with Malavit are also shown.

Separately, it is worth highlighting the swelling of the cornea of the eye, which often cannot be noticed without the help of an ophthalmologist. To avoid complications, you need to be under the supervision of a doctor. It is not recommended to use eye drops, even if they have a very mild effect.

Alternative medicine prescriptions can only be used after consulting a doctor. In most cases, folk remedies are used in conjunction with conservative methods. To speed up rehabilitation, the following means are used:

Lotions and compresses from tincture of mountain arnica.
Aloe leaves to be applied to the affected area of the skin.
Knotweed tincture. It is consumed a few hours after preparation, 150 ml three to four times a day.
Decoctions of string and chamomile. They are used in the form of compresses, placed on problem areas for 15 minutes once a day.

After removing the plaster, you can use a product of 20 g of spruce resin, onions, 15 g of copper sulfate and 50 ml of olive oil. To prepare the drug, you need to grind all the ingredients, pour them with olive oil and put on a slow fire. Remove immediately after boiling and use as a compress.

To ensure that rehabilitation does not take much time, it is necessary to follow the advice of specialists.

First of all, you should reduce the amount of salt and liquid consumed - products that contribute to the formation of edema. It is also recommended to give up taking hot baths and visiting the sauna for a while. It is better to replace them with a contrast shower, which improves blood flow.

In order to quickly remove a postoperative leg defect, it is necessary to limit the load on the operated limb. You can place it on a hill. When sleeping, it is best to put your foot on a pillow or cushion.

To speed up recovery after facial surgery, it is recommended not to stay outdoors for a long time and avoid exposure to sunlight.

An important factor for recovery is the adjustment of lifestyle. Experts recommend eliminating alcohol from the diet and doing physical therapy. Clothing should be chosen so that it sits freely on the body and does not hinder movement.

Edema after surgery usually does not pose a serious danger to human life and health. But in order to avoid complications and other negative effects, you need to get rid of this problem as soon as possible. This will help tips that can be combined with the use of sparing traditional medicine.

One of the common phenomena after surgical treatment is edema, which can cause a lot of inconvenience to the patient.

Edema can appear even after a minor surgical intervention due to a violation of the integrity of the tissues.

In the absence of timely treatment, many complications may develop, so it is important to know how to deal with swelling after surgery.

Edema can form both after the operation, and with any damage to the integrity of body tissues. However, after surgery, the damage is usually quite serious, so the body's reaction is a strong swelling of the tissues.

Edema is the accumulation of fluid in the tissues of the body or between the tissue space.

After surgery, local edema is predominantly formed, provoked by the influx of lymph to the destroyed tissues.

The reason for the appearance of postoperative edema is the active work of the immune system, the functioning of which is aimed at maintaining the normal state of the body after the destruction of its integrity.

In some cases, the cause of edema after surgery is inflammatory processes that progress in the human body. In such a situation, there is a rise in body temperature and staining of the skin in red. The severity of edema after surgery may be insignificant, or, conversely, quite bright. This is determined by the following factors:

the duration of the operation and its complexity;
individual characteristics of the organism;
the state of the immune system;
compliance with the rules of the rehabilitation period.

It is necessary to remove the swelling after the operation as soon as possible, and there are no preventive measures against such an unpleasant phenomenon. In order to speed up the recovery of the patient after surgery, it is necessary to follow all the recommendations of the doctor and refuse self-medication.

Most often, edema appears 2-3 days after surgery and begins to decrease over time.

How long the swelling will subside after surgery depends both on the complexity of the surgical intervention and the individual characteristics of the organism.

If edema persists for a long time, it is necessary to seek help from a qualified specialist who will identify the causes of such a pathological condition and prescribe the necessary treatment.

In order to understand how to relieve swelling after surgery, it is necessary to identify the cause of this condition and exclude thrombosis.

With such a pathology, blood seals accumulate in the venous vessels and arteries, and in the absence of effective treatment, side effects may develop. To confirm thrombosis, ultrasound and, in particular, scanning are performed.

After assessing the patient's condition, if necessary, medications are prescribed that cause blood thinning and relieve swelling.

To eliminate swelling of the legs, the following procedures can be prescribed:

Compression jersey. After the operation, it is recommended to wear special knitted tights or stockings, thanks to which it is possible to relieve swelling.
lymphatic drainage. After surgery, a specialist performs a manual massage, which includes light stroking of the feet and lower extremities, as well as a deep effect on the lymph nodes.
Diet. Many specialists in the postoperative period recommend following a special diet, which is based on reducing the amount of water and drinks in the diet. Compliance with such a strict diet can reduce the risk of swelling of the legs and speed up the recovery of the patient.
Taking medications. With increased swelling of the lower extremities and feet due to varicose veins, specialists can prescribe special diuretic drugs, with the help of which it is possible to eliminate the resulting dysfunction. When asked by patients how to relieve swelling after surgery, doctors most often prescribe Lasix and Furosemide, thanks to which the body manages to get rid of the accumulated fluid.

It is important to remember that only a doctor should select any measures to eliminate swelling of the legs. Any self-treatment can not only not eliminate the pathology, but also aggravate the patient's condition even more.

To get rid of swelling of the face after surgery, you can use some recommendations:

Limit the use of hot water. After the operation, it is not allowed to take a hot bath or shower, and you will also have to refuse to wash with too warm water.

A contrast shower is considered an effective remedy, thanks to which it is possible to free the tissues from the accumulation of fluid.

After surgery, it is not allowed to be outdoors for a long time, as this can provoke an increase in swelling.

Use of cold compresses. A few days after surgery, it is recommended to apply cold compresses to the face or its individual zones for several hours. As an alternative to relieve swelling after surgery, you can use chilled cabbage leaves.
Complete nutrition. In the postoperative period, it is necessary to exclude from the patient's diet those products that can provoke the appearance of tissue swelling. It is not allowed to consume large amounts of liquid and eat salty food at night. You will have to stop drinking alcoholic beverages, as they impair blood circulation and thereby cause an increase in edema.
Control of physical activity. After surgery, it is necessary to abandon any physical and emotional stress on the body. The fact is that any stress or severe overwork can provoke a further increase in edema.
Rest and rest. After surgery, you need to take care of proper rest and complete rest. It is important to remember that during sleep you need to keep your head slightly elevated. In addition, you need to avoid facial tension and give up training in the gym. For some time, you will have to postpone morning jogging and other types of physical activities.

In the event that it was not possible to get rid of the postoperative swelling of the soft tissues of the face, then it is necessary to seek the advice of a specialist.

Perhaps, to solve such a problem, additional exercises or massages will be required, thanks to which it turns out to reduce puffiness.

To eliminate the pathology, a specialist may prescribe a diuretic to remove the fluid accumulated in the body. In advanced cases, hormonal drugs can be used, but under the supervision of a doctor.

You can get rid of tissue edema after surgery both with the help of conservative therapy and folk remedies. It must be remembered that resorting to the help of such prescriptions is allowed after consultation with a specialist.

You can remove the swelling of the lower extremities using the following means:

use infusions of chamomile or St. John's wort;
rub the inflamed areas of the skin with tincture of valerian;
rub olive oil into swollen tissues;
apply vinegar compresses.

You can quickly get rid of postoperative swelling of the face at home using proven methods:

wipe the entire face or its individual parts with a piece of ice, which is prepared from infusion of tea or chamomile;
make a face mask by brewing a few tablespoons of green tea, and wipe the inflamed tissues with the resulting solution;
Cucumber or raw potatoes help relieve postoperative swelling.

Edema after surgery does not pose a serious danger to human health and life. However, it is necessary to quickly get rid of this problem, which will prevent the development of dangerous complications in the future. Before removing swelling after surgery, you should consult with a specialist.

Following them, discharges may appear from the sutured wound, which are of a diverse nature: purulent, bloody, sanious, etc.

which indicates the development of complications of an inflammatory nature, such as suppuration of the sutures and their possible divergence.

Why are the stitches inflamed?

There are several main reasons for the development of the inflammatory process: - infection in the wound; - improper drainage of the wound after surgery in obese patients; - injury during the operation of the subcutaneous fat, which led to the formation of hematomas and areas of necrosis (necrosis) of the tissue; - the use of materials with high tissue reactivity (sensitivity) for a suture made on a layer of subcutaneous adipose tissue;
In the development of inflammatory complications, the above causes may be involved singly or in combination with each other.
Symptoms of the development of inflammatory infiltration in the area of the postoperative suture appear after 3-6 days from the moment of surgical intervention and are as follows: - an increase in the soreness of the suture over time; - redness and swelling appear around the wound (looks like swelling); - after a while, discharge appears from the wound (purulent or bloody, may have an unpleasant odor);

Gradually, due to increasing intoxication, the general condition of the body worsens, which is manifested by an increase in body temperature, muscle aches, general weakness, etc .;

If the above signs appear, you should not self-medicate, since only a doctor, knowing the nature of the operation and the suture, what materials were used for this and how the healing process proceeded, and also taking into account the general condition of the person, will be able to choose a treatment corresponding to the severity of the process.

If the development of inflammatory infiltration is detected in a timely manner, it can be treated with the use of physiotherapy (UHF, UVR, etc.). If purulent inflammation is detected in the postoperative area, urgent wound cleansing is required, which in some cases may require the removal of sutures. This is done in stationary (hospital) conditions, followed by the installation of drainage and antibiotic therapy.

Causes of inflammation of the seam

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

Penetration into the wound of the infection during the operation or after its completion.
Injuries to the subcutaneous adipose tissue and resulting hematomas and necrosis.
Poorly provided drainage.
Poor quality of materials used for suturing.
Reduced immunity and its weakening due to surgery.

In addition to the listed reasons, inflammation of the sutures can occur due to unskilled work of surgeons or incorrect actions of the patient himself.

The causative agents are usually Pseudomonas aeruginosa and staphylococcus aureus. Infection can be direct and indirect. In the first case, microorganisms get along with tools and materials that have not undergone sufficient processing. In the second case, infection occurs from another source of infection, which is carried by the blood, for example, from a diseased tooth.

Symptoms of inflammation of the seam

You can see that the seam has become inflamed already on the third day after its application. If the stitches get wet after the operation, only a doctor can tell what to do. It notes:

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

Seam healing mechanism

Connective tissue with fibroblasts is formed. These are cells that accelerate recovery and eliminate tissue defects.
The epithelium on the wound is formed, which prevents the penetration of pathogenic microorganisms.
Tissue contraction: the wound shrinks and closes.

Many factors influence the healing process:

Age. At a young age, recovery is faster and much easier, and the likelihood of complications is less. This is due to the body's immunity and its resources.
weight factor. The wound will heal much more slowly in overweight or thin people.
Food. Recovery will depend on the amount of substances coming from food. After operations, a person needs proteins as a building material, vitamins and trace elements.
Water balance. Dehydration negatively affects the functioning of the kidneys and heart, slowing down healing.
Weak immunity can lead to complications: suppuration, various discharges, skin irritation and redness.
The presence of chronic diseases. Particularly affected are diseases of the endocrine nature, blood vessels and tumors.
The work of the circulatory system.
Restriction of oxygen access. Under its influence, recovery processes occur faster in the wound.
Anti-inflammatory drugs slow recovery.

Treatment of inflammation of postoperative sutures

While the patient is in the hospital, a nurse will take care of the stitches for the first five days. Care consists of changing the dressing, treating the sutures and, if necessary, installing a drain. After discharge from the hospital, you already need to take care of them yourself. For this you need: hydrogen peroxide, brilliant green, sterile bandages, cotton wool, cotton pads and sticks. If the stitches get wet after the operation, what to do, consider step by step.

Daily processing. Sometimes it is needed several times a day. Particular attention should be paid to processing after taking a shower. When washing, do not touch the seam with a washcloth. After a shower, you need to wet the seam with a swab from a bandage. Hydrogen peroxide can be poured in a thin stream directly onto the scar, and then applied brilliant green to the seam.
After that, make a sterile bandage.
Processing is carried out until the scar is completely healed. Sometimes even after three weeks it gets wet, bleeds and ichor is released. Threads are removed after about 1-2 weeks. After that, it takes some more time to process the seams. Sometimes doctors allow you not to bandage the suture. If a dressing needs to be done, then the old dressing must be carefully removed before treatment, as the seam will get wet and the bandage will stick to the wound.

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

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

Phytotherapy in the fight against complications of postoperative sutures

The study of the benefits of medicinal plants and the preparation of fees was also carried out by N. And Pirogov in a military hospital. Modern medicine has long scientifically confirmed the medicinal effects of folk recipes. Phytotherapy is best used as an auxiliary treatment, which is carried out in conjunction with the main methods. The essence of phytotherapy is the selection of the optimal combination of medicinal plants, the action of which is aimed at eliminating one symptom. According to this principle, for example, breast fees, kidney teas, anti-inflammatory fees, and so on are formed. Treatment with herbs and preparations is still not a panacea, especially with such inflammatory processes. By itself, this technique is ineffective, but in combination with traditional medicine, it can be a good help and speed up recovery. For example, phyto-ointment can be used if the old seam suddenly becomes inflamed, which also happens quite often. Plants used as additional medicines for healing sutures have a number of useful properties:

anti-inflammatory;
painkiller;
antimicrobial;
accelerating regeneration;
enhancing liver function.

The method of herbal medicine in this case consists in taking the fees inside (infusions, extracts) and for topical application (ointments).

The goals of this treatment are:

improvement of the state of the internal environment of the body and the work of the excretory system, the weakening of intoxication;
normalization of digestion and prevention of negative effects of drugs;
normalization of immunity;
processing of postoperative sutures.

Such therapy may well be prescribed by the attending physician. If the scar is festering, then the features of the professional selection of such funds are that the compositions are selected individually, the diagnosis and personal characteristics of the patient are taken into account, the specialist determines the duration of the course, phytohealth is well suited to other methods of treatment and rehabilitation and determines an integrated approach for the recovery of the patient.

Prevention of suppuration of sutures

In addition, the prevention of suppuration of the postoperative suture should include compliance with a number of aseptic and antiseptic rules. They consist in preparing the patient before the operation and caring for him after it. Preparation for surgery involves identifying infections in the body and getting rid of them. That is, to cure all existing diseases, to sanitize the oral cavity. After the operation, it is necessary to strictly monitor the observance of hygiene, properly carry out antiseptic treatment and, at the first symptoms of inflammation, take measures to eliminate it.

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Causes and treatment of wound suppuration after surgery

Any surgical intervention, for whatever reason it is not performed, inflicts a wound on the patient, which then requires care until the moment of healing.

Quite often, unfortunately, in the process of restoring damaged tissues, various complications arise, the most common of which is suppuration. This happens regardless of how carefully and correctly the operation was performed, even after the perfect performance of all actions, the postoperative wound may begin to fester.

Causes of suppuration of the postoperative wound

Most often, the appearance of suppuration of postoperative wounds occurs due to:

Penetration into the wound infection. Harmful microorganisms can enter the postoperative wound in various ways, for example, if the operation is performed due to the presence of a purulent process inside the body. Such cases include operations to remove purulent appendicitis or purulent lesions of the lungs, as well as inflamed uterine appendages and some other pathological processes. When carrying out such operations, some of the harmful bacteria can also get into the area of the tissue incision, which will later cause suppuration. But the infection can also penetrate due to simple non-compliance with the rules for the treatment of postoperative wounds, when using non-sterile materials during surgery and during dressings.
The body is highly sensitive. Of course, modern medicine has a variety of natural suture and dressing materials, as well as high-quality implants, prostheses and other elements that do not harm the body. But, nevertheless, in some cases, the patient's body rejects these foreign objects, including suture material, which leads to the appearance of suppuration.
Suppuration of the postoperative wound appears in patients with a weakened immune system, in those who have various serious diseases of a chronic nature, for example, in the system of the heart and blood vessels, kidneys, and lungs. In addition, wounds are always difficult to heal and suppurate in patients with diabetes.

Seam processing and dressing

Treatment of sutures after surgery is carried out with each change of dressings using antiseptic solutions and special preparations.

Before starting the dressing procedure, you should thoroughly wash your hands with soap and water (it is recommended to do this up to the elbow), dry them with a paper towel and put on gloves. After that, you need to remove the applied dirty bandage. If the gauze has dried up in some places to the incision site, you should not tear it off, you just need to moisten the bandage with hydrogen peroxide in these places and wait a bit.

After removing the bandage, gloves must be changed or thoroughly washed and treated with a disinfectant solution. The seams and the tissue incision line should be shed with hydrogen peroxide or Chlorhexidine solution, blot with a sterile napkin and allow the skin to dry. If there is no suppuration, and blood does not ooze anywhere, then it is possible to treat the wound and the surface of the skin around it, as well as the sutures with ordinary brilliant green, applying it in a thin layer once a day when changing the bandage.

If the postoperative injury has not yet dragged on, it is necessary, after treatment with antiseptics, to apply brilliant green only to the area of \u200b\u200bthe skin around the incision line, and an ointment should be applied to the wound itself to prevent suppuration or eliminate it when inflammation has already begun.

Scabs and plaque formation indicate that the process of formation of new tissues and epithelium has already begun at the site of damage. An attempt to remove the scab and such a plaque hello to the formation of serious scars in the future.

Removal of stitches is carried out, as a rule, in the period from the 7th to the 14th day after the operation, which depends on the scale of the incision and its complexity. The procedure is carried out without any anesthesia, since it causes pain to patients only in rare cases. Before and after the removal of sutures, the skin and the incision site are treated with antiseptics.

Treatment of inflammation

If signs of suppuration of the postoperative wound appear, it is necessary to start its treatment as soon as possible. Treatment of such a wound is carried out according to the same scheme as any other purulent wound and consists in frequent dressing changes with proper treatment with antiseptics, disinfectants and anti-inflammatory drugs.

The action of modern ointments is long-lasting, and the effects are pronounced, which allows you to heal postoperative wounds much faster and eliminate inflammatory processes, with virtually no side effects. Such indicators of many drugs make it possible to use them for the treatment of wounds and for a long time, if necessary.

Applying ointments has many advantages. In particular, the ointment has a fairly thick but soft structure, which allows it to be applied to any part of the body without fear of dripping (unlike liquid preparations). The special formula of such agents allows them to quickly penetrate deep into damaged tissues, while creating a protective film on the surface of the wound.

The use of ointments is safer than injections or oral antibiotics, since ointments have only a local effect, without creating a systemic effect.

Ointment for the elimination of suppuration of postoperative wounds and the treatment of other purulent wounds should solve certain problems:

Fight infection inside the resulting wound.
Contribute to the removal of dead tissue and cleansing of purulent formations.
Eliminate the inflammatory process, stopping its development.
Do not create obstacles for the exit of pus.
Protect the wound from the penetration of harmful microorganisms into it.

The first stage of wound healing after surgery usually begins on the third day. During this period, you can use water-based ointments that promote faster healing of damage, eliminate inflammation, prevent the penetration of infection or suppress its development. These drugs include ointments: Levomekol, Sulfamekol, Ichthyol, Dioxin, Zinc.

Ointments that activate regeneration processes and eliminate bacterial infections should be applied to the cleaned surface of postoperative injuries for faster recovery of injured tissues.

You can also use universal ointments with a combined composition. Such agents are highly effective in eliminating the inflammatory process and accelerating wound healing. The drugs of this group include Vishnevsky ointment, Oxycyclozol, Solcoseryl, Levomethoxin.

Folk remedies

The treatment of sutures after operations with traditional medicine can significantly speed up the process of restoring injured tissues and avoid many complications. Traditional medicine has a wide variety of recipes.

The most effective folk remedies for the treatment of wounds after surgery:

Special healing cream. To prepare it, you need to mix 1 - 2 drops of natural oils of orange and rosemary with 3 tablespoons of a pharmacy cream based on calendula extract. The cream is recommended to be applied to postoperative wounds after they have been healed.
Natural tea tree oil. This unique healing agent is recommended to treat wounds immediately after operations during the first week.
Healing ointment based on natural goose fat and Japanese Sophora fruit. This tool can significantly speed up the healing process of wounds. To prepare it, you should mix the main components (fat and berries) in a 1: 1 ratio, for example, 2 cups each. If you replace goose fat with natural badger, then the effectiveness of the ointment will increase significantly. The mixture of components should be put in a saucepan and heated in a water bath for at least 2 hours, after which the heating of the composition should be repeated over the next three days, 1 time per day. On the 4th day, the composition must be quickly brought to a boil and, without letting it boil, remove from heat. The mass should be filtered, cooled and transferred to a glass container with a tight lid. When treating wounds, a small amount of this ointment should be applied to a bandage applied to damaged tissues and sutures.
Special tincture from live cost. In folk medicine, such a remedy is considered very effective in the treatment of sutures. For cooking, scroll the roots of the plant through a meat grinder, take 2 tablespoons of the resulting mass and pour them with a glass of alcohol (250 ml) and the same amount of pure water. The mixture should be infused for about 2 - 3 days, then strain and use it to treat sutures when changing dressings.

Complications and consequences

The main complication after surgery is wound suppuration, which must be dealt with by all means.

Often, after the stitches are removed and the patient is discharged home, the inflammatory process begins again and re-suppuration occurs. This happens during secondary infection of a protracted wound, for example, in cases where a person begins to peel off the crusts formed along the incision line, thereby injuring new tissues. With such actions, harmful microorganisms can enter small wounds and cause a new inflammatory process.

After being discharged home, special attention should be paid to the condition of the sutures and the resulting scar. If a pronounced reddening of the skin, swelling, swelling of tissues, new purulent formations appear around it, you should immediately consult a doctor.

Wet seams after surgery

Local complications in the area of the postoperative wound are not so rare, but fortunately they occur for the most part without serious consequences. Often, pain and redness are noted in the area of the postoperative suture. Following them, discharges of a diverse nature may appear from the sutured wound: purulent, bloody, sanious, etc., which indicates the development of inflammatory complications, such as suppuration of the sutures and their possible divergence.

Why are the stitches inflamed?

There are several main reasons for the development of the inflammatory process:

Infection in the wound;

Improper wound drainage after surgery in obese patients;

Injury during the operation of the subcutaneous fat, which led to the formation of hematomas and areas of necrosis (necrosis) of the tissue;

Application for a seam made on a layer of subcutaneous adipose tissue, materials with high tissue reactivity (sensitivity);

In the development of inflammatory complications, the above causes may be involved singly or in combination with each other.

Symptoms of the development of inflammatory infiltration in the area of the postoperative suture appear 3-6 days after the surgical intervention and are as follows:

Increase over time soreness of the seam;

Redness and swelling appear around the wound (looks like swelling);

After some time, discharge appears from the wound (purulent or bloody, may have an unpleasant odor);

Gradually, due to increasing intoxication, the general condition of the body worsens, which is manifested by an increase in body temperature, muscle aches, general weakness, etc .;

If the development of inflammatory infiltration is detected in a timely manner, it can be treated with the use of physiotherapy (UHF, UVR, etc.).

If purulent inflammation is detected in the postoperative area, urgent wound cleansing is required, which in some cases may require the removal of sutures. This is done in stationary (hospital) conditions, followed by the installation of drainage and antibiotic therapy. It is necessary to understand how to process the stitches after the operation correctly.

If it is determined that an anaerobic infection is the cause of the festering suture, surgeons excise (cut out) the affected tissue, prescribe antibiotic treatment, and drain and clean the wound daily. When the inflammatory process subsides, secondary sutures are applied or limited to ointment dressings.

Wet stitches may or may not be associated with inflammation. In some cases, the so-called seroma develops in the postoperative area, which means a local accumulation of serous fluid. Its formation is due to the fact that during the operation the lymphatic capillaries intersect, and the lymph flowing from them accumulates under the loose subcutaneous fat. The development of such a postoperative complication is more typical for obese people with excessively developed adipose tissue.

The resulting seroma outwardly manifests itself as the release of a straw-colored liquid from the postoperative wound.

If the development of a seroma is suspected, on the second or third day after the operation, the serous discharge from the wound is evacuated once (less often twice), after which the formation of the seroma ends.

How long does the seam heal after cesarean

A caesarean section is a major abdominal operation. With it, not only the skin, subcutaneous tissue and the muscle layer underlying them are dissected, but also a large muscular organ - the uterus. These incisions are quite large, because obstetricians need to comfortably remove the baby from the uterine cavity, and do it very quickly.

Postoperative suture care

The first few days after the operation, the sutures are cared for in the hospital where it was performed. The doctor every day removes a sterile gauze bandage, which will first be saturated with ichor, treats the edges of the seam with brilliant green (iodine is almost never used, given the abundance of allergic reactions), reapplies the bandage, which is fixed with a plaster. During this period (it usually ranges from 1 to 5 days), the doctor does not recommend that you wash yourself so that water does not fall on the area of \u200b\u200bthe postoperative wound.

How to handle stitches after childbirth

In childbirth, circumstances may develop in such a way that stitches may be required. If the puerperal has stitches, then she must follow certain precautions, be sure to process them so as not to infect.

Seam split after episiotomy

Often in obstetric practice there are situations when it is necessary to suture the perineum. The presence of seams requires a certain care for the perineum from a young mother, but a woman who suddenly has a lot of worries about caring for a baby often forgets about herself. The result of improper care may be the divergence of the seams on the perineum.

The postoperative suture blushed and got sick, what should I do?

Is it necessary to smear the postoperative suture with something if it suddenly turns red again and starts to ache a month after the operation? What ointment can help?

Suppuration of a postoperative scar, a month old, after abdominal surgery on the anterior abdominal wall, is quite real. A postoperative hematoma located under the muscular aponeurosis can serve as a source of suppuration. In this situation, in the evenings there should be temperature jumps up to 38 degrees and above, pulling pains in the scar at night. Redness and soreness of individual sections of the scar, may indicate the formation of ligature fistulas, knots of threads used during surgery to ligate bleeding vessels may not be encapsulated, but rejected by the body. Until the situation is clarified, you can use compresses with a solution of magnesia from ampoules, on the scar. Expected result, resorption of the inflammatory infiltrate.

The answer, as always, is simple, do not self-medicate. Such a picture can be with an abscess (suppuration) of the suture, and then it will need to be opened and treated with antibiotics. But only a surgeon can say this, so do not delay visiting the hospital.

Surgeon - online consultations

Irritation near the stitches after surgery, what to do?

No. Surgeon 10.11.2013

Hello! Two weeks ago, I had an operation to remove the gallbladder using laparoscopy. Everything was fine, I treated the seams with brilliant green, but then a rash appeared and irritation around the seams, especially around the navel, began to itch. Why it can be: irritation on the brilliant green? The dermatologist said it was just an irritation and prescribed zinc ointment and some kind of antibiotic ointment. I have been smearing for the 3rd day, but there is no relief yet. What should I do? So what's this?

Tsurikova Svetlana, Yelnya

Dear Svetlana! What you are describing is allergic dermatitis, which has developed, in this case, on the "brilliant green". In this case, any hormonal ointment will help you well: Fluorocort, Oxycort, Lorinden, etc. And in the future, if necessary, replace the brilliant green with solutions of Chlorhexidine, Miramistin or other half-alcohol solutions. Be healthy!

Clarifying question October 21, 2014 Zapaschikova Olga, p. Perelyub of the Saratov region

Hello. I had an operation to remove my gallbladder 2 weeks ago. All sutures heal normally. But one is very bad, red and itchy. In the clinic, the doctor said to smear with zinc ointment and treat with vodka. Tell me something please.

Perhaps you have allergic contact dermatitis: http://www.dermatolog-gtn.ru/dermatit.html But paratraumatic eczema cannot be ruled out. Post a photo of the rashes here or on the VK group page: http://vk.com/public

Hello! Three weeks ago, I had an operation to remove the gallbladder using laparoscopy. Everything was fine, I treated the seams with alcohol, then with brilliant green and sealed with a cosmopor plaster. I took off the patch and in those places where it stuck there was a rash and irritation around the seams, especially around the navel, it began to itch a lot around all the seams, even those where it had not been glued. In addition, the seam near the navel began to get wet. I sprinkle it with baneocin, I smear irritation with akriderm. Am I doing the right thing? .

Good afternoon! Need your help! A couple of months ago, on the upper eyelids (closer to the bridge of the nose) and in the navel, some kind of rash appeared, the itching was insignificant, sometimes it flaked. I went to a dermatologist, the only thing they checked was for fungi, they were not there and immediately prescribed L-cet tablets and Pimafukort ointment. To my question, what do I have - “yes, ordinary dermatitis, an allergy to something, don’t worry. » I drank the pills, but we didn’t have such an ointment in the pharmacy and I bought Hyoxysone. After a 10-day course, none.

Two weeks ago, they performed a surgery to remove the gallbladder a week ago, a rash appeared around the seam and it itched, what should I do?

Good afternoon! There was an itch on a shin in front in 2 places, after scratching - rough sores. I turned to dermatologists, tests for fungi were not confirmed, they prescribe drugs that do not relieve irritation. On the last day of the vacation, urticaria began, the antihistamines were all removed, but the urticaria recurred. I went back to the dermatologist, he prescribed an ultrasound of the abdominal cavity. Conclusion: abnormal structure of the gallbladder (kink), diffuse changes in the liver parenchyma (echogenicity is moderately increased). .

Hello, 14. 12. 2015 I had my gallbladder removed. The extract says - "cholecystectomy. Drainage of the common choledoch according to Visnevsky. Drainage of the abdominal cavity. The postoperative course is smooth. The drainage was removed, the sutures were removed, the healing of the p / o wound by primary intention. After discharge, they left another drainage tube (choledochostomy), they said they would remove it on January 12, 2016. But as of 01.02.2016 They never take it off, the attending physician says that this is normal, everyone is different. The doctor says h.

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What can be used for redness of the skin after surgery?

The article will tell you why and why reddening of the skin occurs after surgery, what it may be connected with, and also about what can be taken in order to get rid of redness of the skin after surgical interventions.

If redness of the skin after surgery causes discomfort, how can these effects be cured? Why does the skin turn red in the postoperative area? Are there remedies for redness of the skin that can be applied independently?

Many patients of surgical clinics after operations complain of redness of the skin in those areas where the surgical intervention was performed. Most often, the skin turns red if laser removal of moles, papillomas, plastic surgery of the nose, face, mammary glands, joint arthroplasty or another type of operation was done: blepharoplasty, gallbladder surgery, hernia removal.

The skin turns red from the fact that blood rushes to the site where the surgical intervention was, and often edema develops. If you do not take action in time and do not tell the doctor about it, the consequences can be very serious, up to suppuration and blood poisoning.

Here are some tips on how to relieve swelling and reduce redness after surgery.

If the area of the skin turns red after laser removal of the mole, and a dark crust appears in its place, this crust should not be torn off. It is better to treat it with disinfectants and drying agents, such as brilliant green, potassium permanganate (potassium permanganate) or ointments that the attending physician will prescribe. Chlorhexidine can be used. Calendula tincture is also suitable, which should be smeared on the skin around the operation area.

Redness of the skin after removal of a mole can remain for up to two months. Especially if a tumor of this type was removed by a laser beam, the scar after the operation heals for a rather long time. It is necessary to carefully care for the scar so that it does not become inflamed. To do this, you need to apply sunscreen on it every day if you have to go outside, and the area where the scar is located will be exposed to sunlight. The protection level of the cream must be at least 60 so that the ultraviolet does not harm the scar tissue.

After the crust falls off, a pink, tender skin will appear in its place. This is a new skin, which also needs to be treated with extreme care: protected from mechanical influences, the sun and cosmetics, especially those based on fruit acids. For the period of complete tissue repair, creams and body lotions are prohibited.

After bathing, the scar does not need to be strongly rubbed with a towel. It is enough to slightly wet it with a napkin or gauze.

When the scar becomes white, it can be smeared with regenerating preparations so that the connective tissue dissolves.

All these recommendations also apply to skin care after removal of scars, papillomas and spider veins with a laser. Regularly it is worth being observed by an oncologist, especially in cases where the crust was accidentally peeled off or began to bleed.

If the skin turns red after the operation to remove varicose veins, and there is also a rise in body temperature and pain in the area of incisions on the skin, you should consult a doctor.

Also, redness of the skin can occur after laser resurfacing of the face. In this case, you need to avoid the sun, smear the laser-treated areas with sunscreen and do not use decorative cosmetics. From reddening of the skin and its peeling, ointments and creams based on panthenol and vitamin E can be used.

The mastectomy procedure (partial or complete removal of the mammary gland) also brings inconvenience. This is the immobility of the shoulder joint, and swelling at the sites of surgery, and pain. Therefore, it is better to spend the rehabilitation period in the clinic, where doctors will quickly provide assistance in case of complications.

Swelling and redness in areas adjacent to the wound surface indicate that lymphorrhea has begun. Since the lymph nodes are removed along with part of the breast, lymph flow to the surgical site begins. Do not be afraid, since lymphorrhea occurs in all women after a mastectomy. In this case, a special drainage is installed. It is removed a week or ten days after the operation.

But sometimes lymphorrhea develops into gray. This is a more serious complication, and it also depends on the physique of a woman: the fuller she is, the more lymph is released. With the appearance of seroma, the skin turns red, there is an increase in temperature, pain and swelling. In this case, you need to undergo an ultrasound examination, which will help identify the gray. Then the doctor will make a puncture with a syringe. Sometimes several such punctures are required to completely pump out the lymph.

The limb that is adjacent directly to the site of the mastectomy should be at rest for some time so that edema does not occur. Then it must be slowly, gradually developed. It is forbidden to wear weights, tight-fitting clothes and bracelets on the arm. To fix a limb at home, it is better to put it on a pillow or sofa cushion so that lymph does not accumulate in the tissues. You can not injure the hand, otherwise inflammation, called erysipelas, may occur.

Redness and swelling at the site where the postoperative sutures are located can signal an infection and the development of a disease such as erysipelas. The postoperative area of the skin must be cared for in such a way as to prevent this. Namely: wash with care, do not comb the scars, even if they itch a lot, treat the seam zones with hydrogen peroxide or brilliant green. If the temperature rises, pain begins, then you need to urgently go to the hospital.

After a cesarean section in women, with improper care of the suture or violation of hygiene requirements, redness and swelling in the incision area may also occur. Usually in hospitals, special patches are used to protect the postoperative area, but sometimes there is nowhere to buy them, and the seam begins to swell and redden. If you do not pay attention to these signs, suppuration may begin. That is why it is worth strictly following all the instructions of the surgeon and gynecologist and contacting them immediately if the seam has parted or started to hurt. This complication is early and manifests itself 5-7 days after the operation.

There are also late complications: for example, fistulas, which can manifest themselves a couple of months after a cesarean. They arise from the fact that the ligatures begin to be rejected by the tissues. Reddening of the skin begins in the area of the seam, swelling, and after - a breakthrough of fistulas and purulent discharge. Medical intervention is necessary to prevent infection.

In case of acute inflammation of the postoperative areas, doctors prescribe antibiotics, both in the form of ointments and tablets. It is impossible to start antibiotic treatment on your own until the type of causative agent of inflammation and redness of the skin is determined. It can be various bacteria and viruses for which the antibiotic. purchased without an appointment will be useless.

But in general, after the operation, redness of the skin indicates that an active recovery process is underway in the tissues. In order not to harm your health after the operation, you need to carefully listen and follow all medical instructions for caring for sutures and general therapy of the body. All disinfectants for the treatment of stitches and wounds left after the intervention should be used only after consultation with doctors. Properly chosen methods of skin treatment in the postoperative period will help relieve redness, swelling and other unpleasant symptoms left over from the operation, and will facilitate the patient's rehabilitation period.

Redness of the skin at the sites of surgery is unpleasant, but not fatal. The knowledge of doctors and the right ways to care for scars on the skin contribute to the rapid healing of tissues and the reduction of discomfort in a patient who has undergone surgery.

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

Why is it important to properly process the suture after surgery?

The attending physician should provide information about further manipulations, but unfortunately, this does not always happen in modern clinics and hospitals. The patient returns home after long-term therapy and does not know how to properly process the postoperative suture for better healing. The correctness of tactics is important for quick and quick healing. Surgeons focus on home treatment of sutures, they become a frequent cause of complications.

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

Proper wound care is important for the following reasons:

to avoid serious complications that may lead to a second operation;
to maintain the sterility of the wound, to prevent suppuration, infection;
for a speedy recovery;
to prevent pain;
to avoid the inflammatory process.

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

How does rapid healing happen?

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

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

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

Healing occurs in several stages, they are clearly visible during processing manipulations. Firstly, the wound is decontaminated, which promotes healing, bacteria cannot prevent the wound from healing. Secondly, the ointments and creams used help speed up regeneration, that is, help the skin recover and improve the quality of the new tissue that is formed.

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

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

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

Seam processing at home is performed as follows:

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

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

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

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

complication of postoperative suture in the photo

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

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

The following factors could be the cause of such complications:

penetration into the wound infection;
improper care or lack thereof for the postoperative suture;
improperly installed or inadequate drainage installed after surgery;
surgical error after surgery.

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

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

Type of load	Rules for the care of the postoperative suture
General recommendations	eat right, follow the diet prescribed by the doctor;
	To wash the wound, use only water, baby soap;
	observe the hygiene of the wounded area, wash and clean every day;
	Do not use ointments, creams, gels, rubbing without consulting a specialist.
Shower	It is worth taking a shower only when the wound begins to heal, becomes dry and gradually heals. The duration of the procedure should not exceed 10 minutes. Bath or shower water should not be too hot or cold.
Physical exercise	In the first 2-3 months, you should follow the recommendations:
	Do not stand in one place for more than 15 minutes, you can only do homework of a light nature;
	increase the load gradually;
	· take daily walks in the fresh air;
	Try not to load the area where the seam is located;
	It is worth including daytime sleep in therapy if there are minor loads;
	Perform exercises only with your own weight, refuse to lift weights;
	Only walking is considered acceptable.
Sex	Doctors recommend waiting for a full recovery, then start sexual activity. You should not experiment and take risks when intimacy brings shortness of breath, excessive sweating, fatigue. This indicates the need for a temporary renunciation of sex.
Sex	After recovery, it is worth gradually picking up the pace and rhythm in sexual relations.
Trip abroad	Trips abroad can be carried out after agreement with the attending doctor.
Diet	After the operation it is recommended:
	Exclude junk food (smoked, overly salty, fried, canned);
	plant foods should predominate in the diet;
	Take extra vitamins
	include bran in the menu;
	meat and fish - low-fat varieties.
Emotions	All negative emotions are contraindicated. They will adversely affect the state of the nervous system, which will lead to a long recovery.

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

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. In addition, the physiological characteristics of a person are of great importance, in particular, the ability of the skin to be supplied with a sufficient amount of 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.

The simplest means are:

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 intestine). 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 of the 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, removing as much thread as possible.
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 with an antiseptic antibiotic ointment.

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 relieve inflammation, eliminate healing defects, smooth the scar with the skin, give it a 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. Such a tool should be applied in a thin layer so that the skin receives the necessary substance and can 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 skin blood supply.
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. This is not an ordinary, but a special patch that 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 out the seams and reduce scars, you should act on the problem area in a complex way (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 in 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. Applying a cabbage leaf to a wound 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. A serous fluid begins to appear on the scar. It has an unpleasant odor and a 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 with 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 delayed
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, seek additional treatment from a 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 high blood pressure
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"

Possible causes of inflammation of the seams

By the way! Sometimes the sutures (scars) after surgery become inflamed even in the most conscientious and responsible patients for no apparent reason. For example, due to low immunity, old age, the presence of chronic diseases. All these factors increase the risk of problems with postoperative wounds.

Symptoms of inflammation of the seam

skin redness;
tissue swelling;
local pains (aching, bursting, aggravated by skin tension);
bleeding that does not stop;
suppuration of the postoperative suture: the release of a white or yellow foul-smelling plaque;
fever, fever, chills;
increased heart rate;
increase in pressure.

What to do with inflammation of the seam

Attention! Before going to the clinic, it is not recommended to use fukortsin and brilliant green, because. these antiseptics stain the skin, and the doctor will not be able to visually assess the intensity of hyperemia or determine the color of the discharge from the wound.

Prevention of inflammation of the seams after surgery

Use only those external agents prescribed by the doctor. Because, depending on the nature of the wound and its location, not all ointments and gels can be used.
The use of folk remedies should be discussed with the doctor.
Avoid overstressing the part of the body where the stitches are applied.
Take care of the seam: do not rub it with a washcloth, do not comb it, do not rub it with clothes.
Carry out home dressings with clean hands using sterile materials.

In a patient who has had a normal operation, as a rule, the worst is left behind. And in order to fully restore 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 brilliant green is applied to the seam with a cotton swab.

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 the individual biological characteristics of 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 are almost invisible.

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

The surgical suture, which was superimposed with the help of threads, must be removed in time. Any thread, except for absorbable, is considered foreign to the body. If you miss the moment of removing the suture, the threads can grow into the tissues, which will lead to inflammatory formations.

Threads should be removed by a medical worker in the presence of special disinfected tools. However, if it is not possible to visit a doctor, and the time has come to remove the threads, you need to remove the foreign material yourself.

You need to follow the instructions:

Prepare all the necessary materials for processing: antiseptic, scissors, bandages for dressing, antibiotic ointment
Process metal tools. Wash your hands up to the elbow and also process
Gently remove the bandage from the scar and treat the wound and the area around. Lighting should be as comfortable as possible in order to examine the scar for the presence of inflammatory processes.
Using tweezers, lift the knot from the edge and cut the thread with scissors
Slowly pull the thread and try to pull it out completely. When the suture is removed, make sure that all suture material is removed.
Treat the scar with an antiseptic. Close the seam with a bandage for further healing
When the threads are withdrawn, micro-wounds are formed. Therefore, the first time you need to continue processing, applying a bandage.

How to get rid of the seal on the seam?

The seal on the scar appears due to accumulation. Usually it is not dangerous to health, but sometimes it can cause serious harm:

with inflammation. Pain symptoms, redness appear, t rises
purulent formations
the appearance of keloid scars - when the scar becomes more pronounced

Benefits of using patches:

prevents infection from entering the wound
sucks purulent formations from the scar
does not cause allergic reactions
excellent breathability, which allows the wound to heal faster
softens and nourishes young skin, helps to smooth the scar
does not dry out
protects the scar from injury and stretching
easy to use, easy to remove

List of the most effective patches after surgery:

spaceport
Mepilex
Mepitak
Hydrofim
Fixopor

To effectively tighten the scar, medications can be applied to the surface of the shepherd:

Antiseptics. Have a wound healing effect, protect against infection
Analgesics and nonsteroidal drugs - have an analgesic effect
Gel - help the scar to dissolve

Rules for the use of patches:

Remove the packaging, release the adhesive side of the patch from the protective film
Apply the adhesive side of the patch to the body so that the soft pad is on the scar
Use once every 2 days. Throughout this period, the patch should be on the scar
It is important to periodically check the status by unfastening the shepherd

We must not forget that the restoration of the seam after surgery depends on sterility. It is important that microbes, moisture, dirt do not get on the wound. An ugly seam will gradually heal and resolve only if you properly care for the scar. Before using any remedy, a mandatory consultation with a surgeon is necessary.

Here are some tips on how to relieve swelling and reduce redness after surgery.

After bathing, the scar does not need to be strongly rubbed with a towel. It is enough to slightly wet it with a napkin or gauze.

When the scar becomes white, it can be smeared with regenerating preparations so that the connective tissue dissolves.

If the skin turns red after the operation to remove varicose veins, and there is also a rise in body temperature and pain in the area of incisions on the skin, you should consult a doctor.