How long are the stitches tightened after childbirth. How to process internal and external seams after childbirth. Removal of stitches. When to remove stitches after childbirth

The need for suturing during childbirth occurs quite often. This is indispensable after episiotomy, rupture of the perineum and vagina. Most women are interested in the question of whether it hurts to remove stitches after childbirth, and how this happens. It is equally important to know about proper care for them. So, we arm ourselves with useful information.

About the procedure for removing postpartum sutures

Even if a woman is patient and strong, childbirth is always a big stress for her. And when stitches are applied after them, it means that everything was not going so smoothly. Therefore, women do not want to experience additional discomfort during the removal of stitches. But you should not worry too much about this, because compared to childbirth, this procedure is a trifle, not worth the trouble. And if you consider that in most cases today obstetricians-gynecologists suture with absorbable threads, for example, catgut, then they do not need to be removed. They dissolve themselves, that is, there is nothing to worry about at all. It is with these threads that the incision on the abdomen is sewn up after the procedure. caesarean section.

If the doctor used ordinary threads for suturing external and internal tears, then he will tell you when they need to be removed.

The suture removal procedure delivers, rather, severe discomfort than pain. Many women compare the sensations during its implementation with plucking their eyebrows. That is, it looks like point and sharp tingling. The whole manipulation takes about 5-10 minutes, taking into account the period of preparation and treatment of wounds after removing the threads. The last woman feels burning and light tingling. Everything is not so scary, tolerable and not too painful.

Seam care and precautions

Main condition proper care- cleanliness and good hygiene. How and with what to process the seams, the gynecologist will tell. He will also tell you when to take them off if everything is in order. For processing external seams after childbirth, it is often recommended to use sea buckthorn and rosehip oil. They contain vitamins A and E in their composition, perfectly soften the skin, disinfect it and, thus, accelerate healing. You should not use iodine, a solution of potassium permanganate and brilliant green for processing, as was done in Soviet times. Such disinfection only dries out the skin, mucous membranes, and causes severe pain to a woman. Processing turns into real torture.

In the process of wound healing after childbirth, it is necessary to wash the genitals every time after visiting the toilet using baby soap. After that, be sure to dry them gently with an ironed towel. It should be cotton, without lint.

It is impossible to sit on the buttocks in the presence of internal and external seams. After all, the pressure of the torso creates a load, and sewn tears can suffer: the seams will disperse. It is better to lie on your side and change the position of the body, choosing a comfortable support.

How long do stitches take to heal

The duration of suture healing depends on the place of their application and the type of suture material used by the doctor. If these were non-absorbable threads, then they are removed on the fourth or fifth day after childbirth. And the seam itself heals completely no earlier than after 14 or even 30 days. Wounds that have been sutured with catgut heal in about 1-2 weeks. They completely dissolve after a month.

To speed up the healing process of sutures, obstetrician-gynecologists advise performing Kegel exercises, which most women have been familiar with since the period of bearing a baby. This exercise improves blood circulation in the perineal area. Exercises are recommended to be repeated several times during the day.

So healing and recovery reproductive organs depends on the care of the personal hyena, the implementation of the doctor's recommendations, the state of the woman's immunity, the absence of problems with circulatory system, the age of the woman in labor, her emotional state.

During childbirth, it is not uncommon for a woman to have a rupture of the vagina, uterus, or perineum. This situation is not difficult, because doctors skillfully and quickly sew up such gaps, without focusing on this special attention.

In fact, all this is very unpleasant. First, the sewing process is enough painful procedure. Secondly, stitches after childbirth can bring a lot of worries and troubles to a young mother. You need to know how to minimize and reduce them undesirable consequences no breaks. Correct postpartum care behind these "battle" scars will largely depend on where they are located.

Depending on where exactly the rupture occurred, there are external (on the perineum) and internal seams after childbirth (on the cervix, in the vagina). They are made with threads different materials, which means they require special care about which the young mother must be informed.

Stitches on the cervix

• reason: large fruit;
• anesthesia: not performed, since the cervix loses sensitivity for some time after childbirth;
• suture materials: catgut, which allows you to apply self-absorbable sutures that do not have to be removed later; as well as vicryl, caproag, PGA;
• advantages: do not cause inconvenience, are not felt, do not cause complications;
• care: not required.

Stitches in the vagina

• cause: birth trauma, vaginal ruptures of various depths;
• anesthesia: local anesthesia using novocaine or lidocaine;
• suture material: catgut;
• disadvantages: preservation of soreness for several days;
• care: not required.

Seams at the crotch

• causes: natural (damage to the perineum during childbirth), artificial (dissection by a gynecologist);
• types: I degree (the wound affects only the skin), II degree (the skin and muscle fibers are damaged), III degree(the gap reaches the walls of the rectum);
• anesthesia: local anesthesia with lidocaine;
• suture materials: catgut (at I degree), non-absorbable threads - silk or nylon (at II, III degree);
• disadvantages: preservation of soreness for a long time;
• care: rest, hygiene, regular treatment with antiseptic solutions.

A particular problem is the external seams after childbirth, which are performed on the perineum. They can call various kinds complications (suppuration, inflammation, infection, etc.), therefore, require special, regular care. A young mother should be warned about this even in the maternity hospital, and also informed about how to treat such wound surfaces. Usually women have many questions about this, and each of them is very important for her health and condition.

Every woman who could not avoid ruptures is concerned about how long the stitches heal after childbirth, because she really wants to quickly get rid of pain and return to her previous lifestyle. The speed of healing depends on many factors:

• when using self-absorbable threads, healing occurs within 2 weeks, the scars themselves dissolve for about a month and do not cause much trouble;
• much more problematic is the question of how long the sutures heal when using other materials: they are removed only 5-6 days after childbirth, it takes from 2 to 4 weeks to heal them, depending on individual characteristics body and care for them;
• the healing period of postpartum scars can increase when microbes enter the wounds, therefore, the ability to treat wound surfaces and monitor their cleanliness is required.

In an effort to quickly return to their old way of life and get rid of painful sensations, young mothers are looking for ways to quickly heal the stitches after childbirth so that they do not interfere with their enjoyment of the joy of communication with the newborn. This will directly depend on how accurate a woman is and whether she competently takes care of her postpartum “combat” wounds.

How to care for seams?

If ruptures could not be avoided, you need to know in advance how to care for the stitches after childbirth in order to avoid complications and speed up their healing. The doctor must definitely give detailed advice and tell you how to do it correctly. This is part of his professional duties, so feel free to ask. Usually postpartum suture care involves sedentary image life, observance of hygiene rules and treatment with various wound healing and antiseptic agents.

1. In the maternity hospital, external scars are treated with "greenery" or concentrated solution"potassium permanganate" midwife 2 times a day.
2. Change your pad every two hours after giving birth.
3. Use only loose natural (preferably cotton) underwear or special disposable panties.
4. Do not wear tight fitting underwear that strong pressure on the perineum, which has a bad effect on blood circulation: in this case, the healing of the sutures after childbirth can be delayed.
5. Wash your face every two hours and after every visit to the toilet.
6. Go to the toilet with such frequency that it is filled bladder did not interfere with uterine contractions.
7. In the morning and evening, when you take a shower, wash your perineum with soap and water, and during the day just wash it with water.
8. It is necessary to wash the outer scar as carefully as possible: direct a jet of water directly at it.
9. After washing, dry the perineum with blotting movements of the towel in one direction - from front to back.
10. Another important question is how long it is impossible to sit with stitches after childbirth if they are made on the perineum. Doctors, depending on the degree of damage, call the period from 7 to 14 days. At the same time, it is allowed to sit on the toilet immediately on the first day. After a week, you can squat on the buttock opposite the side in which the damage was recorded. It is recommended to sit down exclusively on a hard surface. This issue needs to be considered during the return of a young mother home from the hospital. It is better for her to lie or half-sitting in the back seat of the car.
11. No need to be afraid severe pain and because of this, skipping a bowel movement. It creates additional load on the muscles of the perineum, as a result of which the pain intensifies. To make this process easier, you can safely use glycerin suppositories after childbirth with stitches: they are rectal and soften the stool without harming the wounded perineum.
12. Avoid constipation, do not eat products that have a fixing effect. Before eating, drink a tablespoon of vegetable oil so that the stool normalizes and does not slow down the healing process.
13. Do not lift weights weighing more than 3 kg.

These are the basic rules of hygiene that allow, even with breaks, the body of a young mother to quickly recover and return to normal. But what to do if the stitches after childbirth hurt for too long, when all the deadlines have already passed, but it still doesn’t get easier? Perhaps some factors provoked complications that will require not only additional care but also treatment.

What complications can occur with suturing?

Very often, a woman continues to feel pain and discomfort after two weeks after giving birth. This is a signal that something prevented healing, and this is fraught with various complications- in this case you will need medical intervention, treatment, treatment of sutures after childbirth with special preparations. Therefore, a young mother should be extremely attentive and listen carefully to own feelings, monitor the healing process of postpartum injuries very carefully.

Pain:

1. if the scars do not heal for a very long time, they hurt, but medical examination no pathology and special problems has not been identified, the doctor may advise warming;
2. they are carried out no earlier than 2 weeks after childbirth to allow the uterus to contract (read more about);
3. for this procedure, use "blue", quartz or infrared lamps;
4. heating is carried out for 5-10 minutes from a distance of 50 cm;
5. it can be done independently at home after consulting a doctor;
6. ointment for healing sutures "Kontraktubeks" can also relieve pain: it is applied 2 times a day for 2-3 weeks.

The seam has come apart:

1. if after childbirth broke up seam, it is strictly forbidden to do something at home;
2. in this case, you need to call a doctor or an ambulance;
3. if the divergence of the sutures after childbirth was indeed diagnosed, most often they are superimposed anew;
4. but if at the same time the wound has already healed, this will not require any medical intervention;
5. in such cases, the doctor, after the examination, will prescribe how to treat the stitches after childbirth: usually this wound healing ointments or candles.

1. very often women complain that their stitches itch after childbirth, and very strongly - as a rule, this does not indicate any abnormalities and pathologies;
2. itching is most often a symptom of healing, so it should not cause anxiety in a woman;
3. in order to somehow alleviate this unpleasant, albeit favorable symptom, it is recommended to wash yourself with water more often room temperature(the main thing is not to be hot);
4. this also applies to those cases when the suture is pulled: this is how they heal; but in this case, check for yourself whether you started sitting up too early and whether you have to carry weights.

Festering:

1. if a woman notices an unpleasant, abnormal discharge (not to be confused with), smelling bad and suspicious brownish-green in color, this may mean suppuration, which is serious danger for good health;
2. if the seam is festering, you must definitely tell the doctor about it;
3. this is how complications such as inflammation of the sutures after giving birth or their divergence can occur - both cases require medical intervention;
4. if infection occurs, antibiotics may be prescribed;
5. from outdoor processing it is recommended to smear with Malavit shvygel, Levomekol, Solcoseryl, Vishnevsky ointments;
6. if the scars fester, only a doctor can prescribe what can be treated: in addition to the above anti-inflammatory and wound healing gels and ointments, chlorhexidine and hydrogen peroxide are also used, which disinfect wound cavities.

Bleeding:

1. if, after childbirth, shovkrovit, most likely, the basic rule was violated - do not sit during the first weeks: the tissues are stretched, and the wound surfaces are exposed;
2. in this case, it is not recommended to process something yourself trouble spot and contact a specialist directly;
3. alteration may be required;
4. but most often it is enough to use wound-healing ointments and gels (Solcoseryl, for example).

If the first days passed without the complications and special difficulties described above, there will be one more procedure - the removal of sutures after childbirth, which is performed by a specialist in outpatient settings. You also need to mentally prepare for it, so as not to panic and not be afraid.

How are stitches removed?

Before discharge, the doctor usually warns on which day the stitches are removed after childbirth: normal course the healing process, this occurs 5-6 days after their application. If the woman’s stay in the maternity hospital is delayed, and she is still in the hospital at that moment, this procedure will be performed on her there. If the discharge happened earlier, you will have to come again.

And yet, the main question that worries all women going for this procedure is whether it hurts to remove stitches after childbirth and whether any anesthesia is used. Of course, the doctor always reassures that this procedure just like a mosquito bite. However, everything will depend on pain threshold women, which is different for everyone. If there were no complications, there will actually be no pain: only an unusual tingling sensation mixed with a burning sensation is felt. Accordingly, anesthesia is not required.

Childbirth is an unpredictable process, so anything can happen. At the same time, ruptures are not uncommon and are not perceived by doctors as a complication or difficulty. Modern medicine involves professional, competent suturing after childbirth, which subsequently deliver a minimum of discomfort with proper care.

Any surgical intervention in breach of integrity skin organism ends with the imposition postoperative sutures. A lot of factors affect how long the stitches heal and whether scar tissue on this spot. Let's find out how long it takes to heal the stitches and what it depends on.

How many stitches heal: approximate time

The postoperative wound heals 7-9 days after surgical intervention. It is after such a period of days that the sutures are removed if they were made with non-absorbable materials. At the same time, for an operation on a certain part of the body, the following average healing times can be distinguished:

• after laparoscopy or removal of appendicitis, the sutures heal for 6-7 days;
• after extensive abdominal operations wound healing may take up to 12 days;
• wounds heal for a long time after operations in the sternum - up to 14 days;
• stitches from meniscus surgery can be removed on the 5th day;
• wounds on the head heal on the 6th day;
• post-amputation wounds heal on the 12th day.

However, it should be borne in mind that the connective tissue, which is responsible for the strength of wound healing, grows in 2-3 months.

Influencing factors

In the absence of any complications after surgery, comorbidities and the complicating factors described below, postoperative sutures are quickly tightened. How long do stitches take to heal? Within 5-7 days after the operation, the patient can be discharged home. Approximately 6 months after the operation, he still cannot lift weights and perform heavy work. Let us consider in more detail what determines the speed of suture healing.

• Patient's age: than younger man, the faster the processes of tissue fusion and scarring occur.
• The weight of the patient and the presence of fatty subcutaneous deposits affect the healing process of the sutures. In people suffering from obesity, the healing of postoperative sutures takes longer and usually with complications.
• The diet of the patient has an impact - after all, the more varied the person eats after the operation, the sooner the wounds heal.
• Water depletion of the body (dehydration) provokes the appearance of an imbalance of electrolytes. This leads to disorders in the functioning of the kidneys and heart. Tissues are not saturated with oxygen enough and as a result, the healing process is inhibited.
• The rate of suture healing also depends on the type of blood supply in the area of ​​surgical intervention. Therefore, for example, facial wounds heal faster.
• The state of the patient's immunity directly affects the rate of wound healing. In patients with HIV status or immunodeficiency, the healing process is sometimes very delayed, so they need to treat the postoperative wound much more often.
• One of the factors is the presence of chronic or endocrine diseases. For example, diabetes makes it very difficult to heal the sutures.
• The healing of sutures is affected pathogenic organisms or suppuration in the wound. The process of suture healing slows down due to secondary infection of postoperative wounds.
• The healing time depends on the size of the wound. The larger its area, the longer the healing process takes.

Suture material and suturing methods

Seams can be made with natural or synthetic threads. IN last years Increasingly, self-absorbable suture materials are being applied, since the healing of such wounds is much easier and faster. In addition, such sutures do not need to be removed, and this greatly facilitates the recovery process after surgery, because the patient does not suffer from unnecessary discomfort during thread extraction. Such resorbable threads can be either natural origin(for example, bovine veins), and synthetic (polyfilament: polysorb, vicryl; monofilament: polydioxanone, catgut, maxon, etc.).

Non-absorbable suture materials (silk, nylon, prolene, etc.) require removal from the wound after its edges have healed. But the fact that such threads are in the wound during its healing increases the possibility of infection. In addition, during their extraction wound surface again slightly damaged, making it difficult for the stitches to heal. You can find out more precisely when such sutures are removed from our article:.

How long the stitches take to heal depends on how they were placed. So, single-row sutures (the simplest, superficial ones) heal and can be removed after 3-5 days. And multi-row, when several layers of tissues are sewn at once, heal longer and harder, besides, there is Great chance their suppurations. Therefore, such sutures are removed no earlier than after 7-10 days.

Stitches after childbirth

How many stitches heal after childbirth, if they were natural, depends on how many tears occurred during childbirth. So, sutures can be applied to the cervix. They are performed with absorbable threads. These stitches do not require special care, you just need to give up sex for 1-2 months. But the stitches on the vagina and perineum heal longer and more difficult. It is impossible to apply any bandages to this area, so the seams here are constantly wet, and when moving, they stretch, which further complicates their fusion. Therefore, it is necessary to treat them as often as possible with the help of antiseptics. The duration of healing of deep gaps can reach up to 3 months.

The suture from the wound during caesarean section is done on the uterus and on the skin around. At the same time, the suture on the uterus, made with absorbable threads, heals quickly and painlessly. However, it scars only two years after the operation, so doctors do not recommend planning a pregnancy earlier than this period. But the seam on the skin is usually large enough and causes pain during healing. Such sutures are applied with non-absorbable materials, which will need to be removed after a week, or absorbable, which will completely dissolve within two months.

Any surgical intervention is a forced measure associated with varying degrees of trauma to the tissues of the body. The recovery time of the body after surgery and the speed of healing of the sutures determine how quickly the patient can return to active life. Therefore, questions about how quickly the stitches heal and how to avoid postoperative complications. The rate of wound healing, the risk of complications and appearance scar after surgery. We will talk more about seams today in our article.

Types of suture materials and methods of suturing in modern medicine

An ideal suture material should have the following characteristics:

Be smooth, glide without causing additional damage. To be elastic, extensible, without causing compression and tissue necrosis. Be durable, withstand loads. Tie securely in knots. Possess biocompatibility with body tissues, inertness (do not cause tissue irritation), have low allergenicity. The material must not swell from moisture. The term of destruction (biodegradation) of absorbable materials should coincide with the time of wound healing.

Different suture materials have different qualities. Some of them are advantages, others are disadvantages of the material. For example, smooth threads will be difficult to tighten into a strong knot, and the use of natural materials, so valued in other areas, is often associated with increased risk development of an infection or allergy. Therefore, the search for the ideal material continues, and so far there are at least 30 thread options, the choice of which depends on specific needs.

Suture materials are divided into synthetic and natural, absorbable and non-absorbable. In addition, materials are made consisting of one thread or several: monofilament or polyfilament, twisted, braided, having various coatings.

Non-absorbable materials:

Natural - silk, cotton. Silk is a relatively strong material, thanks to its plasticity, it ensures the reliability of knots. Silk refers to conditionally non-absorbable materials: over time, its strength decreases, and after about a year the material is absorbed. In addition, silk threads cause a pronounced immune response and can serve as a reservoir of infection in the wound. Cotton has low strength and is also capable of causing intense inflammatory reactions. Stainless steel threads are durable and give minimal inflammatory reactions. Used in transactions abdominal cavity, when stitching the sternum and tendons. Best Features have synthetic non-absorbable materials. They are more durable, their use causes minimal inflammation. Such threads are used to compare soft tissues, in cardio and neurosurgery, and ophthalmology.

Absorbable materials:

Natural catgut. The disadvantages of the material include a pronounced tissue reaction, the risk of infection, insufficient strength, inconvenience in use, and the inability to predict the timing of resorption. Therefore, the material is currently practically not used. Synthetic absorbable materials. Produced from degradable biopolymers. They are divided into monofilament and polyfilament. Much more reliable in comparison with catgut. They have certain resorption periods, which differ for different materials, are quite durable, do not cause significant tissue reactions, and do not slip in the hands. Not used in neuro and cardiac surgery, ophthalmology, in situations where permanent suture strength is required (for suturing tendons, coronary vessels).

Suturing methods:

Ligature sutures- with their help, ligate the vessels to ensure hemostasis. Primary sutures - allow you to match the edges of the wound for healing by primary intention. Seams are continuous and nodal. According to indications, submerged, purse-string and subcutaneous sutures can be applied. Secondary sutures - this method is used to strengthen the primary sutures, to re-close the wound with big amount granulation, in order to strengthen the wound, healing secondary tension. Such seams are called retention and are used to unload the wound and reduce tissue tension. If the primary suture was applied in a continuous way, interrupted sutures are used for the secondary, and vice versa.

How long do stitches heal

Every surgeon strives to achieve wound healing by primary intention. At the same time, tissue repair takes place in as soon as possible, swelling is minimal, there is no suppuration, the amount of discharge from the wound is insignificant. Scarring with such healing is minimal. The process goes through 3 phases:

Inflammatory reaction(first 5 days), when leukocytes and macrophages migrate to the wound area, destroying microbes, foreign particles, destroyed cells. During this period, the connection of tissues has not reached sufficient strength, and they are held together by seams. Migration and proliferation phase (until day 14), when collagen and fibrin are produced in the wound by fibroblasts. Thanks to this, from the 5th day, granulation tissue, the strength of fixation of the edges of the wound increases. Phase of maturation and restructuring (from the 14th day to complete healing). In this phase, collagen synthesis and formation continues. connective tissue. Gradually, a scar forms at the site of the wound.

How long does it take for stitches to be removed?

When the wound has healed enough that it no longer needs the support of non-absorbable sutures, they are removed. The procedure is carried out under sterile conditions. At the first stage, the wound is treated with an antiseptic, hydrogen peroxide is used to remove the crusts. Grabbing the thread with surgical tweezers, cross it at the point of entry into the skin. Pull the thread carefully opposite side.

Suture removal time depending on their location:

Sutures on the skin of the trunk and extremities should be left in place for 7 to 10 days. Stitches on the face and neck are removed after 2-5 days. Retention sutures are left for 2-6 weeks.

Factors affecting the healing process

The speed of suture healing depends on many factors, which can be conditionally divided into several groups:

Features and nature of the wound. Definitely, wound healing after minor surgery will be faster than after laparotomy. The process of tissue repair is lengthened in case of suturing the wound after an injury, when there was contamination, penetration foreign bodies, tissue crushing. The location of the wound. Healing is best in areas with good blood supply, with a small thickness of the subcutaneous fat layer. Factors determined by the nature and quality of the surgical care. In this case, the features of the incision, the quality of intraoperative hemostasis (stop bleeding), the type of used suture materials, the choice of the method of suturing, compliance with the rules of asepsis and much more. Factors related to the age of the patient, his weight, health status. Tissue repair is faster young age and people with normal weight body. Prolong the healing process and can provoke the development of complications chronic diseases, in particular, diabetes mellitus and other endocrine disorders, oncopathology, vascular diseases. Patients with lesions are at risk chronic infection, with reduced immunity, smokers, HIV-infected. Reasons for caring postoperative wound and stitches, compliance with the diet and drinking regimen, physical activity of the patient in postoperative period, following the recommendations of the surgeon, taking medications.

How to take care of your seams

If the patient is in the hospital, the sutures are cared for by a doctor or nurse. At home, the patient should follow the doctor's recommendations for wound care. It is necessary to keep the wound clean, treat it daily with an antiseptic: a solution of iodine, potassium permanganate, brilliant green. If a bandage is applied, you should consult your doctor before removing it. Special medications can speed up healing. One of these agents is contractubex gel containing onion extract, allantoin, heparin. It can be applied after epithelialization of the wound.

For the speedy healing of postpartum sutures, it is required strict observance hygiene rules:

• thorough hand washing before going to the toilet;
• frequent change gaskets;
• daily change of linen and towels;
• within a month, taking a bath should be replaced with a hygienic shower.

In the presence of external seams on the perineum, in addition to careful hygiene, you need to take care of the dryness of the wound, the first 2 weeks you can not sit on a hard surface, constipation should be avoided. It is recommended to lie on your side, sit on a circle or pillow. The doctor may recommend special exercises to improve blood supply to tissues and wound healing.

Healing of sutures after caesarean section

Will need wearing postoperative bandage, hygiene, after discharge, it is recommended to take a shower and wash the skin in the area of ​​the seam twice a day with soap. At the end of the second week, you can apply special ointments to restore the skin.

Healing of sutures after laparoscopy

Complications after laparoscopy are rare. To protect yourself, you must follow bed rest days after the intervention. At first, it is recommended to stick to a diet, give up alcohol. For body hygiene, a shower is used, the seam area is treated with an antiseptic. The first 3 weeks limit physical activity.

Possible Complications

The main complications in wound healing are pain, suppuration and suture failure (divergence). Suppuration can develop due to the penetration of bacteria, fungi or viruses into the wound. Most often, infection is caused by bacteria. Therefore, often after surgery, the surgeon prescribes a course of antibiotics with preventive purpose. Postoperative suppuration requires identification of the pathogen and determination of its sensitivity to antibacterial agents. In addition to prescribing antibiotics, opening and draining the wound may be necessary.

What to do if the seam is torn?

Insufficiency of sutures is more often observed in elderly and debilitated patients. The most probable terms of complications are from 5 to 12 days after the operation. In such a situation, you should immediately contact medical care. The doctor will decide on the further management of the wound: leave it open or re-sutured the wound. With evisceration - penetration through the wound of the intestinal loop, urgent surgical intervention is required. This complication may occur due to bloating, severe cough or vomit

What to do if the seam hurts after surgery?

Soreness in the area of ​​​​sutures within a week after surgery can be considered normal. For the first few days, the surgeon may recommend taking an anesthetic. Compliance with the recommendations of the doctor will help reduce pain: restriction physical activity, wound care, wound hygiene. If the pain is intense or persists for a long time, you should consult a doctor, since pain can be a symptom of complications: inflammation, infection, adhesions, hernia.

Wound healing can be accelerated by folk remedies. To do this, phyto-collections are used inside in the form of infusions, extracts, decoctions and local applications, phyto-ointments, rubbing. Here are some of the folk remedies used:

Pain and itching in the area of ​​​​the seams can be removed with the help of decoctions of herbs: chamomile, calendula, sage. Wound treatment vegetable oils- sea buckthorn, tea tree, olive. Multiplicity of processing - twice a day. Lubrication of the scar with a cream containing calendula extract. Applying a cabbage leaf to the wound. The procedure has an anti-inflammatory and healing effect. cabbage leaf must be clean, it must be doused with boiling water.

Before using herbal remedies, you should definitely consult a surgeon. He will help you choose an individual treatment and give the necessary recommendations.

Each future mom often think about How long does it take for stitches to dissolve after childbirth? And what can she do to speed up this process. After all, postpartum sutures can heal for weeks, or even months. It is believed that men are proud that they should fight, and women should give birth. Sometimes after the hospital there are no less serious scars than after military operations. This happens because not all women in labor know how to properly care for stitches after childbirth.

Stitches after childbirth are quite common. Most often this happens in women who have become a mother for the first time. Postpartum sutures applied in 4 cases:

1. At natural childbirth if the tissues of the uterus are torn. This happens if the uterus does not open enough during contractions and the fetus is pushed out prematurely;
2. After caesarean section. Such seams must be applied;
3. During rupture of the vaginal walls, which are damaged for the same reasons that the cervix ruptures;
4. With ruptures of the perineum. Perineal injuries are the most common. This unpleasant phenomenon occurs under different circumstances.

1. Damaged posterior perineal joint;
2. Torn muscles and skin of the pelvic floor;
3. The walls of the rectum, muscles and skin.

How long does it take to heal different types of sutures?

Depending on the situation, a different method of suturing is sometimes used.. With the help of absorbable material, both muscles and skin are sutured with one thread. Thanks to this method, the healing process is the most painless compared to other types of sutures. This happens thanks to well-matched tissues.

The material of which the threads are composed directly depends on the time of suture resorption:

1. Stitches from catgut threads will resolve from 30 to 120 days. In this case, it all depends on the thickness and place of application of the thread.
2. Lavsan threads distributed according to different terms resorption. Basically it is from 10 to 50 days.
3. Vicryl threads will resolve in 60 to 90 days.

What nuances should a woman in labor observe in order to avoid complications?

1. Premature sudden movements;
2. Early sitting down;
3. Wound infection;
4. Early, active sex life.

1. First of all, give up tight underwear and wear only loose, preferably cotton;
2. Be sure to change sanitary pads every 2 hours;
3. Every morning and evening, thoroughly wash the seams with soap and wash with clean, warm water every time you visit the ladies' room;
4. Dry the perineum with a towel after each wash;
5. Every day, be sure to clean the wound with antiseptics;
6. Also, if possible, avoid constipation, so as not to put pressure on the perineum once again.