There are several types of caesarean sections. The main difference is the type of incision (longitudinal or transverse) made on the uterus and, accordingly, on the skin of the abdomen.
A classic caesarean section involves a midline longitudinal incision, which provides a large space for the baby to emerge. However, it is rarely performed today as this type is the most prone to complications.
Currently, a transverse incision is most often made. It sits just above the edge of the bladder and results in less blood loss. If there is heavy bleeding, the placenta may be removed from the uterus. The next caesarean section is done along the old suture.
It happens that the stitch hurts a little and the doctor prescribes a painkiller for the young mother. They are usually only used for the first few days. In addition to pain medications, your doctor may also prescribe antibiotics to help prevent complications caused by infection.
If you know how to care for a suture after a cesarean section, the recovery process will be much easier and faster. We must remember to follow all the doctor’s recommendations.
Suture dehiscence after cesarean section often occurs during repeated births. Complete suture rupture is quite rare. But this can be a potentially serious complication for the mother and requires immediate surgical intervention. There is a great risk for both mother and baby when the suture in the uterine wall ruptures after a caesarean section.
During the first birth, most uterine incisions are low and transverse, and such a suture is least likely to rupture. But sometimes the seam is quite thin. In this case, a partial rupture may occur and is often asymptomatic. This happens approximately in 2% of mothers with one low transverse seam (from side to side). The sutures heal on their own and do not require medical attention. Fortunately, in the second pregnancy, uterine rupture from a previous cesarean section with a low transverse scar is a rare event.
Ultrasound of the suture helps to monitor changes in scar thickness and therefore prevent suture rupture.
If you had a cesarean section during your first birth, then during the next one the doctor must carefully monitor the condition of the suture.
The risk of uterine rupture increases in women:
If this happens, the stitch comes apart after a cesarean section, what should I do? The first thing you should do is tell your doctor and not try to solve the problem yourself. The same should be done if you feel the following symptoms of partial or complete uterine rupture:
If you had a cesarean section, it is very important to monitor the appearance of the suture and follow the post-operative instructions of the doctor very carefully so as not to introduce an infection into the suture area. Call your doctor for advice if you have any of these symptoms after leaving the hospital:
You should regularly check the condition of the stitch and diagnose it for infection. It is necessary to check the appearance of the wound and monitor the healing process. If the suture festers after a cesarean section, then you need to see a doctor. He will use a special needle to remove pus from the wound. The liquid may be sent to a laboratory to be tested for bacteria.
You need to be extremely careful, as infection in the suture area can spread and cause problems with various organs, skin, blood and local tissues. This is usually the result of either staphylococcal or streptococcal bacteria. Redness and suppuration can quickly spread to the area around the suture.
Bacteria can also cause an abscess. Infection at the surgical incision site results in redness, tenderness and swelling along the incision, and pus may collect there. Abscesses can form when an incision is made into the uterus, scar tissue, ovaries, and other tissues or adjacent organs if infection is present.
Some bacteria that cause abscesses can also cause endometritis. This is irritation of the lining of the uterus after a cesarean section, which can lead to:
To make the recovery process faster and more painless, you should definitely take care of the suture after a cesarean section. After surgery, the scar will need hygiene treatments to prevent infection or scarring. Talk to your doctor about how to properly care for the incision area to help the stitch heal faster.
First of all, you must follow all the doctor’s recommendations. At first, you need to limit physical activity, stop doing exercises and, if necessary, walk less. If your doctor advises you to take some time off to recover, ask family members or friends to help you with your homework. You need to return to your normal activities after you are sure that enough time has passed and your stitch has begun to heal.
It is recommended to use antibacterial soap when taking a shower, the foam of which should be spread along the seam and held for about a minute. Once the bacteria has been killed, carefully rinse off the soap, but be careful not to rub the seam.
Sometimes it is necessary to re-dress the bandage at home. In most cases, after cesarean operations, the scars begin to heal before you even leave the hospital. But if the doctor prescribes a dressing for you, be prepared to do it at home. To do this you need to purchase everything dressings. You will also need a special antibacterial ointment to promote healing. It must be applied in a thin layer to the bandage.
Contact your doctor if the stitch does not heal properly or if a wound opens. When you notice purulent discharge, blood, or if the suture itches after a cesarean section, these are possible signs of infection. Under no circumstances should they be launched, but on the contrary, they should be considered immediately. Depending on how well your stitch has healed, your doctor will prescribe exercise for you.
Most stitches remain low on the abdomen. They are hidden, but you need to carefully choose underwear. You should avoid synthetic materials or highly compressive underwear.
Watch your posture when walking. Try to hold your stomach at the incision site when coughing, laughing, or sneezing. Try not to make sudden movements or lift heavy objects.
Suture care after cesarean section includes the following precautions:
Once your general condition has stabilized and you have been discharged from the hospital, you can process the stitches yourself. How to independently treat stitches after surgery at home?
The first stage of treatment is removal of the bandage. If this is difficult, then wet it generously with hydrogen peroxide, then remove it and assess the condition of the wound - whether there is blood or swelling.
The main stage, which requires careful adherence to the rules of asepsis and antiseptics, is processing.
Using a sterile bandage, properly treat the skin in the direction from the wound, at a distance of at least 2.5 cm, and only then apply a sterile bandage.
You can use a bandage to secure it; it will prevent slipping and will hold the bandage securely. Stitches should be disinfected at home every day, at the same time.
Important! Wash sutures only with solutions prescribed by a doctor: hydrogen peroxide, Miramistin solution.
If the seam hurts and a lump appears, then these are the first symptoms of seroma.
Seroma is a complication after surgery, manifests itself as a compaction or swelling in the suture area.
It develops due to the fact that during the operation a large volume of tissue is dissected and fluid – lymph – is released around it.
If analgesics and anti-edema drugs are insufficiently introduced into the body, the fluid stagnates in the wound channel and it is painful for the patient to touch the tissues.
And this means it’s time to urgently contact your doctor or the operating surgeon.
Seroma of postoperative suture is treated using drainage or vacuum aspiration, and timely diagnosis and correct treatment methods will eliminate suppuration and other complications.
It is almost impossible to make an accurate forecast and clearly formulate the healing time of postoperative sutures. How many days after sutures can be removed depends on many factors.
Average, It takes 8-9 days for an uncomplicated postoperative wound to heal. After which, thread removal is indicated if artificial material was used during stitching.
In different parts of the body, soft tissue regeneration occurs at different rates.
If the incision site itches, this indicates normal healing by primary tension of the wound.
Normally, after the edges of the wound have fused, the threads are easy to remove, but if you ignore the timing of removal, inflammation and redness of the scar will begin.
It is advisable to wet the seam after healing when the edges of the wound form into a scar. But until the stitches are removed, after water procedures, wipe the scar dry.
Often, when trying to remove stitches yourself, part of the thread remains in the wound. Upon examination, it is easy to see the place where the thread sticks out, going into the soft tissue.
The consequences of such self-medication are a fistula at the suture, through which infection occurs. Pathogenic organisms freely enter the body cavity, a significant thickening of the scar is noticeable, and an unpleasant odor appears from the wound.
Sutures after surgery come apart quite rarely, this is largely due to the severe current illness, but there are other reasons:
If internal organs and subcutaneous fatty tissue are visible at the site of the broken suture, then immediate hospitalization is indicated.
If the edges of the wound are partially separated, and when pressure is applied, serous fluid or pus oozes from it, then you can turn to the surgeon who performed the operation for help.
Important! If the edge of the wound has split open, you should never disinfect the damage yourself!
When alcohol, iodine solution or brilliant green gets into the wound cavity, tissue necrosis develops, which complicates treatment and can lead to sepsis.
Further treatment tactics will be based on the results of blood tests, bacteriological culture of the wound contents, and diagnosis using ultrasound or CT will provide information about the condition of the internal organs.
In the postoperative period, when the patient’s condition is completely stabilized and there are no complications, further care and treatment are carried out at home.
In addition to aseptic After care, it is useful to keep the wound uncovered for a short period of time.
If the area sutured after surgery becomes wet, it is better to carry out the treatment twice a day, noting the condition of the scar.
If there is suppuration under the suture, then under the supervision of a surgeon, blockade of the wound with a 0.25-0.5% novocaine solution with antibiotics is indicated, and in addition, drugs that resolve the pus are prescribed.
If an allergy appears to any of the components of the ointment, treatment is carried out with cleansers for sensitive skin.
Commonly prescribed post-operative remedy– gel “SilqueClenz”. A month after healing, a resorption cream is prescribed: Mederma, Contractubex.
Folk remedies that promote healing and smoothing of scars can be used after the approval of a doctor.
A simple ointment to help scars heal faster: 5 g. calendula cream, 1 drop each of orange and rosemary oil.
The ointment gently dissolves the scar, and the oils in the composition are responsible for the gradual lightening of the scar area. After six months, the place where the old scar formed will almost match the color of the skin.
If you follow the ointment application schedule, After years, only a minor cosmetic defect will remain on the skin in the area where the sutures were removed.
Drainage is installed in a postoperative wound in order to speed up healing by removing blood clots, lymph, and pus from it.
The procedure is shown at a high risk of wound suppuration, as a preventive measure, or for treatment, if the forming scar is hard and red and festers.
Typically, wound drainage is indicated for no more than 3-4 days. This term is enough for the wound to cleanse and heal by secondary intention.
There are drainages:
Any surgical intervention is a big test for the patient's body. This is due to the fact that all his organs and systems experience increased stress, no matter whether the operation is small or large. It especially affects the skin, blood vessels, and, if the operation is performed under anesthesia, the heart. Sometimes, after everything seems to be over, a person is diagnosed with “seroma of the postoperative suture.” Most patients do not know what it is, so many are frightened by unfamiliar terms. In fact, seroma is not as dangerous as, for example, sepsis, although it also does not bring anything good with it. Let's look at how it happens, why it is dangerous and how it should be treated.
We all know that many surgeons perform “miracles” in the operating room, literally bringing a person back from the other world. But, unfortunately, not all doctors conscientiously perform their actions during the operation. There are cases when they forget cotton swabs in the patient’s body and do not fully ensure sterility. As a result, in the operated person, the suture becomes inflamed, begins to fester or separate.
However, there are situations where problems with a stitch have nothing to do with medical negligence. That is, even if 100% sterility is observed during the operation, the patient suddenly accumulates liquid in the incision area that looks like ichor, or pus of a not very thick consistency. In such cases, they speak of seroma of the postoperative suture. What it is, in a nutshell, can be said this way: it is the formation of a cavity in the subcutaneous tissue in which serous effusion accumulates. Its consistency can vary from liquid to viscous, the color is usually straw-yellow, sometimes supplemented with blood streaks.
Theoretically, seroma can occur after any violation of the integrity of lymph vessels, which do not “know how” to thrombose quickly, as blood vessels do. While they are healing, lymph continues to move through them for some time, flowing from the rupture sites into the resulting cavity. According to the ICD 10 classification system, seroma of the postoperative suture does not have a separate code. It is assigned depending on the type of operation performed and the reason that influenced the development of this complication. In practice, it most often occurs after such cardinal surgical interventions:
As you can see, it is mainly women who are at risk, and those who have solid subcutaneous fat deposits. Why is that? Because these deposits, when their integral structure is damaged, tend to peel off from the muscle layer. As a result, subcutaneous cavities are formed, in which fluid begins to collect from the lymph vessels torn during the operation.
The following patients are also at risk:
To better understand what it is - postoperative suture seroma, you need to know why it forms. The main causes do not depend on the competence of the surgeon, but are a consequence of the body’s reaction to surgical intervention. These reasons are:
It was mentioned above that seroma of the postoperative suture depends little on the conscientiousness of the surgeon. But this complication directly depends on the skills of the surgeon and on the quality of his surgical instruments. The reason why seroma can occur is very simple: the work with the tissues was carried out too traumatically.
What does it mean? An experienced surgeon, when performing an operation, works with damaged tissues delicately, does not squeeze them unnecessarily with tweezers or clamps, does not grab them, does not twist them, and performs the incision quickly, in one precise movement. Of course, such jewelry work largely depends on the quality of the instrument. An inexperienced surgeon can create a so-called vinaigrette effect on the wound surface, which unnecessarily injures the tissue. In such cases, the ICD 10 code for seroma of the postoperative suture can be assigned as follows: “T 80”. This means “a complication of surgery not noted elsewhere in the classification system.”
This is another reason that causes suture gray after surgery and to some extent depends on the competence of the doctor. What is coagulation in medical practice? This is a surgical procedure performed not with a classic scalpel, but with a special coagulator that produces a high-frequency electric current. In essence, this is a targeted cauterization of blood vessels and/or cells by current. Coagulation is most often used in cosmetology. She has also proven herself excellent in surgery. But if it is performed by a physician without experience, he may incorrectly calculate the required amount of current or burn excess tissue. In this case, they undergo necrosis, and neighboring tissues become inflamed with the formation of exudate. In these cases, seroma of the postoperative suture is also assigned the code “T 80” in ICD 10, but in practice such complications are recorded very rarely.
If the surgical intervention was on a small area of skin, and the suture turned out to be small (accordingly, the doctor’s traumatic manipulations affected a small volume of tissue), the seroma, as a rule, does not manifest itself in any way. In medical practice, there are cases where patients did not even suspect it, but such a formation was discovered during instrumental studies. Only in isolated cases does a small seroma cause minor pain.
How to treat it and is it necessary to do it? The decision is made by the attending physician. If he deems it necessary, he may prescribe anti-inflammatory and painkillers. Also, for faster recovery, the doctor may prescribe a number of physiotherapeutic procedures.
If the surgical intervention affected a large volume of the patient’s tissue or the suture was too large (the wound surface is extensive), the occurrence of seroma in patients is accompanied by a number of unpleasant sensations:
In addition, suppuration of both large and small seromas of the postoperative suture may occur. Treatment in such cases is very serious, including surgical intervention.
We have already discussed why seroma of a postoperative suture can occur and what it is. Treatment methods for seroma, which we will consider below, largely depend on the stage of its development. In order not to start the process, this complication must be detected in time, which is especially important if it does not announce itself in any way. Diagnostics is carried out using the following methods:
Examination by the attending physician. After surgery, the doctor is required to examine his patient's wound daily. If undesirable skin reactions are detected (redness, swelling, suppuration of the suture), palpation is performed. If there is a seroma, the doctor should feel fluctuation (flow of liquid substrate) under the fingers.
Ultrasound. This analysis perfectly shows whether or not there is accumulation of liquid in the seam area.
In rare cases, a puncture is taken from the seroma to clarify the qualitative composition of the exudate and decide on further actions.
This type of therapy is most often practiced. In this case, patients are prescribed:
Nonsteroidal drugs such as Naproxen, Ketoprofen, and Meloxicam are more often prescribed.
In some cases, the doctor may prescribe steroidal anti-inflammatory drugs, such as Kenalog, Diprospan, which block inflammation as much as possible and accelerate healing.
According to indications, including the size of the seroma and the nature of its manifestation, surgical treatment may be prescribed. It includes:
1. Punctures. In this case, the doctor removes the contents of the resulting cavity with a syringe. The positive aspects of such manipulations are as follows:
The disadvantage is that the puncture will have to be done more than once, and not even twice, but up to 7 times. In some cases, it is necessary to perform up to 15 punctures before the tissue structure is restored.
2. Installation of drainage. This method is used for seromas that are too large in area. When drainage is placed, patients are simultaneously prescribed antibiotics.
It is important to know that regardless of the reasons for the seroma of the postoperative suture, this complication is not treated with folk remedies.
But at home, you can perform a number of actions that promote healing of the suture and prevent suppuration. These include:
If suppuration appears in the suture area, you need to treat it with antiseptic and alcohol-containing agents, for example, iodine. In addition, in these cases, antibiotics and anti-inflammatory drugs are prescribed.
In order to speed up the healing of stitches, traditional medicine recommends making compresses with an alcohol tincture of larkspur. Only the roots of this herb are suitable for its preparation. They are washed well from the soil, crushed in a meat grinder, put in a jar and filled with vodka. The tincture is ready for use after 15 days. For a compress, you need to dilute it with water 1:1 so that the skin does not get burned.
There are many folk remedies for wound healing and surgery. Among them are sea buckthorn oil, rosehip oil, mumiyo, beeswax, melted with olive oil. These products should be applied to gauze and applied to the scar or seam.
Complications in women whose obstetrics were performed by caesarean section are common. One of the reasons for this phenomenon is the mother’s body, weakened by pregnancy, and unable to ensure rapid regeneration of damaged tissues. In addition to seroma, a ligature fistula or keloid scar may occur, and in the worst case scenario, suppuration of the suture or sepsis. Seroma in women giving birth after a cesarean section is characterized by the fact that a small dense ball with exudate (lymph) inside appears on the suture. The reason for this is damaged blood vessels at the site of the incision. As a rule, it does not cause concern. Seroma of postoperative suture after cesarean does not require treatment.
The only thing a woman can do at home is to treat the scar with rosehip or sea buckthorn oil to speed up its healing.
Postoperative suture seroma does not always go away on its own and not in everyone. In many cases, without a course of therapy, it can fester. This complication can be provoked by chronic diseases (for example, tonsillitis or sinusitis), in which pathogenic microorganisms penetrate through the lymph vessels into the cavity formed after surgery. And the liquid that collects there is an ideal substrate for their reproduction.
Another unpleasant consequence of seroma, which was not paid attention to, is that it does not fuse with muscle tissue, that is, the cavity is constantly present. This leads to abnormal skin mobility and tissue deformation. In such cases, repeated surgery must be used.
On the part of the medical staff, preventive measures consist of strict adherence to the surgical rules of the operation. Doctors try to perform electrocoagulation more gently and injure less tissue.
On the part of patients, preventive measures should be as follows:
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and then what is the thick yellow color that comes out of the wound, if not pus?
I was leaking ichor, I was happy for a long time, it was a different color and was like water, but here it just came out like yellow jelly and stuck. And it creates a hole.
The patient is not always given recommendations on how to treat the postoperative suture for better healing. Modern means are presented in a wide variety, the main thing is not to make a mistake with the choice. Products that are identical in purpose may not be suitable in different situations. The patient should know in which case to use one or another method of therapy.
The attending doctor 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 treat the postoperative suture for better healing. Correct tactics are important for quick and rapid healing. Surgeons focus on home treatment of sutures; they become a common cause of complications.
If redness, swelling forms at the site of the postoperative suture, blood, pus, bile, etc. are released, you should immediately seek help from a doctor, this indicates a complication. It is necessary to carefully monitor the condition of the wound after surgery.
Proper wound treatment is important for the following reasons:
If a person correctly performs the manipulations to treat the seam, recovery occurs on average after 2 weeks. It all depends on the type of operation, severity, and type of suture.
Wound healing occurs differently in each patient, depending on the type of suture and the severity of the surgical intervention performed. You should never leave a wound untreated. Treatment is needed to ensure a quick recovery and the stitch to heal without complications.
Ointments and other medications with antiseptic, anti-inflammatory, and regenerating effects help to quickly get rid of the unpleasant consequences after skin surgery. They are necessary in order to:
Healing occurs in several stages, they are clearly visible during processing manipulations. Firstly, the wound is disinfected, 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 being formed.
Taken together, all actions lead to the fact that the seam heals soon.
At the initial stage, each operated patient should understand the stages of suture treatment in order to understand when it is necessary to perform the necessary actions (apply ointment, clean the wound, etc.).
Seam processing at home is performed as follows:
You can speed up the healing of postoperative sutures with the help of special ointments. They are aimed at accelerating tissue regeneration and providing an anti-inflammatory effect. Popular ointments include:
To begin with, the patient should understand what inflammation is, how it manifests itself and is recognized, in what situation home therapy should be carried out, and when to seek medical help. The following symptoms may indicate the presence of an inflammatory process in a postoperative suture:
The causes of such complications could be the following factors:
When the first signs of inflammation appear, it is worth carrying out hygienic treatment of the wound every day with hydrogen peroxide, iodine, and brilliant green. Repeated manipulations may be required depending on the condition of the lesion. When there is no pus, redness and swelling are observed, a one-time treatment can be used. In other cases, from 2 to 4 times a day. After treatment, it is recommended to apply a sterile bandage with ointment, which can be used during the inflammatory process.
If the wound does not heal for more than 2 weeks, despite frequent treatment, begins to bleed heavily, or pus appears, you should immediately visit a surgeon. It may be necessary to probe the wound and draw out the exudate (discharge). Also read the article - what is seroma of a postoperative suture.
There are typical instructions that presuppose the norms and rules of patient behavior described for the speedy recovery of a postoperative wound. They should be followed by every patient at home. They consist of the following points, described in the table below.
All recommendations are intended 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 mental symptoms.
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Infiltration of a postoperative suture is the seepage or saturation of the tissue with exudate in the suture area at a distance of at least five centimeters from its edges. We usually say that the postoperative suture has become inflamed. This condition is one of the complications that can develop after surgery. Let's take a closer look at what to do if a postoperative suture becomes inflamed and does not heal, and why this happens.
There are several reasons why a postoperative suture may become inflamed:
These reasons may be single, but most often a combination of them occurs.
The first signs that the postoperative suture has become inflamed usually develop on the third or sixth day after the operation. First, swelling forms in the wound area and hyperemia of its edges. The patient complains of a feeling of pain, which is increasing every day. Upon palpation in the area of the postoperative suture, a painful compaction is felt that does not have clear boundaries. The patient's general condition gradually worsens: the temperature rises, weakness, muscle pain and other manifestations of intoxication appear. All this leads to the fact that the postoperative suture does not heal.
Purulent inflammation, like infiltration, has the same causes, but infection of the wound is always present. Typically, suppuration develops as a result of an undetected hematoma and the subsequent formation of an infiltrate.
The clinical picture will be the same, but more pronounced, acute and rapidly developing. The first signs may develop a week after surgery. It begins with a sharp increase in temperature to high numbers, chills, fever and pronounced symptoms of intoxication. The postoperative suture does not heal, an area of hyperemia is formed, which is sharply painful and bulges. With anaerobic infections, the first symptoms appear by the end of the first day, or at most on the second day after surgery; the condition progresses very quickly and in just a few days approaches septic.
When a normal infiltrate develops, the wound is probed and the exudate is evacuated. Some sutures may be removed to reduce tissue pressure. The postoperative suture is kept warm and physiotherapy is prescribed. The patient is prescribed rest.
In case of purulent inflammation, the sutures must be removed, the wound is cleaned and drainage is installed. If an anaerobic infection occurs, the damaged tissue is excised, and if the infection is deep, additional sections are made. Antibiotics are required. For any infection, the wound is cleaned and drained daily. As the process stops, either a secondary suture is applied, or in the case of extensive wounds, they switch to applying ointment dressings.
What passions! And probably this can happen after a caesarean section?
Of course, this is also an operation, the same as everyone else.
Everything turned out well for me, although not all the catgut was pulled out, I went to the hospital a week later, they pulled out the last of my strings!
Oh God, this happens, the main thing is that they don’t forget anything inside you, otherwise I once heard a case where a man forgot scissors in his stomach, and he walked around with them for a couple of years until they stuck in his liver and he almost did not die(((
Gee 🙂 I feel sorry for the guy. The main thing is that this 3300 gram miracle was safely removed from me. I've been a mother for 4 years now!
Of course this is the most important thing. Do you now have a miracle and it probably already weighs more than 3300 grams?
She already weighs 17 kg, although I’m surprised how she manages to eat joy and sweets!
A problem often arises when the seam gets wet after surgery, which many people don’t know how to do. If the inflammatory process begins and symptoms of this kind appear, then it is necessary to take action immediately, since such infections slow down or completely stop healing and sometimes cause serious complications.
In addition, this problem not only causes physical inconvenience, but also worsens the mental state. Measures for caring for sutures include not only treating them with disinfectants, but also diet and proper physical activity. The main goal is to speed up healing and prevent infection. First, let's figure out why the suture suppurates.
Inflammation of the sutures after surgery can begin for several reasons:
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. Infection can be direct or indirect. In the first case, microorganisms enter along with tools and materials that have not been sufficiently processed. In the second case, infection occurs from another source of infection, which is carried by blood, for example, from a diseased tooth.
You can see that the suture is inflamed already on the third day after its application. If the stitches become wet after surgery, only a doctor can tell you what to do. The following are noted:
If these symptoms begin to appear, then a diagnosis can be made - inflammation of the sutures. To relieve suppuration, it is necessary to take measures to treat the complication that has arisen.
Many factors influence the healing process:
While the patient is in the hospital, a nurse will care for the stitches for the first five days. Care consists of changing the bandage, treating the sutures and, if necessary, installing drainage. After discharge from the hospital, you need to take care of them on your own. For this you need: hydrogen peroxide, brilliant green, sterile bandages, cotton wool, cotton pads and swabs. If the stitches become wet after surgery, we will consider what to do step by step.
Everyone who has encountered this problem is wondering what to do if the seams get wet. If the seam is inflamed, then redness of the application site and irritation are observed. This happens due to active healing.
But if there are clear signs of complications, then the first thing to do is go to a doctor who will carry out manipulations to stop the development of the infection.
He will select adequate treatment, aimed not only at stopping suppuration, but also at increasing immunity for speedy healing of the wound. If necessary, he will remove the stitches, wash the wound with an antiseptic solution and install drainage so that purulent discharge comes out and the stitch does not become wet in the future. If necessary, the doctor will prescribe antibiotics and immunostimulating drugs, since complications most often occur in people with weakened immune systems. Ointments, solutions, vitamins, anti-inflammatory drugs and even traditional medicine can be used as additional methods.
N. I. Pirogov studied the benefits of medicinal plants and compiled collections in a military hospital. Modern medicine has long scientifically confirmed the medicinal effects of traditional recipes. Herbal medicine is best used as an auxiliary treatment, which is carried out in interaction with the main methods. The essence of herbal medicine is to select the optimal combination of medicinal plants, the action of which is aimed at eliminating one symptom. This principle is used to formulate, for example, breast infusions, kidney teas, anti-inflammatory infusions, and so on. Treatment with herbs and herbs is still not a panacea, especially for 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, herbal ointment can be used if an old seam suddenly becomes inflamed, which also happens quite often. Plants used as additional medicines for healing sutures have a number of beneficial properties:
The method of herbal medicine in this case consists of taking herbal preparations internally (infusions, extracts) and for topical use (ointments).
The goals of this treatment are to:
Such therapy may well be prescribed by the attending physician. If the scar has festered, then the features of the professional selection of such remedies 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, herbal healing is well suited to other methods of treatment and rehabilitation and determines an integrated approach to the patient’s recovery.
You can use it if an old scar is festering, this also happens sometimes. This happens due to decreased immunity or damage to the scar. If old scars itch, you can make applications that will relieve these symptoms.
With timely treatment, in 95% of cases it is possible to achieve rapid and complete cessation of the infection. It is important to promptly drain the wound and change the antibiotic. If the course is unfavorable, the consequences can be very serious. There is a possibility of developing gangrene or sepsis.
In addition, prevention of suppuration of a postoperative suture should include compliance with a number of aseptic and antiseptic rules. They consist of preparing the patient before surgery and caring for him after it. Preparing for surgery involves identifying infections in the body and getting rid of them. That is, cure all existing diseases and sanitize the oral cavity. After the operation, it is necessary to strictly monitor 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 heavy objects to avoid the suture coming apart, do not remove the resulting crust, eat well and increase your immunity level. Only then will it be possible to significantly reduce the risk of complications. This is why it is so important to follow all recommendations.
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Suppuration of the postoperative suture is a fairly common complication of the postoperative period. Its development often depends on the patient’s health status. If his immune system and other systems are strong, then the body copes with stress such as surgery and the postoperative period proceeds smoothly.
The suture festers after surgery due to the fact that microorganisms enter the wound area. Most often, aerobic microbes enter a postoperative wound, i.e. whose life depends on sufficient oxygen in the environment. But there may also be suppuration caused by anaerobic pathogens, including clostridial and non-clostridial microbes. Anaerobic infection is always more severe than aerobic infection, and therefore in all cases requires hospitalization in the department of purulent surgery.
Often suppuration of a postoperative wound occurs if hematomas have formed along the incision, i.e. accumulations of blood, since blood is a good breeding ground for bacteria and other pathogens.
Suppuration of the wound after surgery can occur both in the hospital and after discharge from the hospital. During dressing, the doctor assesses the condition of the wound and, if it suppurates, can immediately notice it. The situation will be worse if you are already at home and do not come to see a doctor at the clinic, considering it unnecessary. It is unlikely that you will make the correct diagnosis for yourself. However, our article will be able to help you with this or will tell you that it is time to urgently run to see a doctor so that it is not too late. The first signs of an inflammatory reaction in the wound area are characterized by the appearance of swelling, hyperemia (redness) and a local increase in temperature. You are also worried about pain, which can have a different character - throbbing, pressing, squeezing, but it will be different from the pain that you had before the development of inflammation. These signs of an inflammatory reaction are universal and were described by ancient physicians. The severity of these manifestations will depend on the layer in which the inflammatory reaction initially develops. If it is below the aponeurosis, then you will not see any redness, swelling, or fever, but only pain. I'll tell you a little about the anatomy of the anterior abdominal wall, starting from the outside. First comes the skin, then subcutaneous fat, aponeurosis (a connective tissue plate covering the muscles), muscles and peritoneum, covering the abdominal organs. Therefore, the deeper the inflammatory reaction develops, the less visual manifestations it will have, but the more serious it will be.
If the diagnosis of suppuration of a postoperative wound is confirmed, the doctor immediately begins treatment. The well-known principle of surgery comes into play here: where there is pus, there is an incision. Therefore, it is imperative to undo all the seams so that the wound is visible and can be treated. Treatment of postoperative sutures is carried out daily. Their goal is to remove dead tissue and suppress the growth and reproduction of microorganisms, which will allow the wound to heal faster. The wound is thoroughly treated with antiseptic solutions (hydrogen peroxide, chlorhexidine and others), necrotic tissue is removed, as they will support the vital activity of microorganisms if left. You can locally administer solutions of antibacterial drugs that will kill the microbes that cause suppuration. The wound is drained, i.e. They leave special tubes so that everything unnecessary from the deeper layers comes out through them, and does not spread into the depths. When fresh granulations (new growing tissue) are visible, you can use ointments that accelerate wound healing (Levomekol, solcoseryl, Actovegin and others). However, if the wound is deep, then at this stage secondary sutures are applied, which are not tied immediately, but are monitored for several days. They make sure there are no inflammatory phenomena. If all is well, they are tied. This is where the treatment ends.
Almost 40% of miscarriages occur due to ICI (isthmic-cervical insufficiency). This pathology occurs against the background of incompetent uterine cervix and painful dilatation of the uterus. This condition in the second trimester of pregnancy entails prolapse of the membranes or rupture of amniotic fluid. In the third trimester of pregnancy, ICI can cause premature birth.
For the first few days, suture care after surgery is carried out in the hospital where it was performed. Every day, the doctor removes the sterile gauze bandage, which will first be soaked in ichor, treats the edges of the seam with brilliant green (iodine is almost never used, given the abundance of allergic reactions), and reapplies the bandage, which is secured with a plaster. During this period (it usually ranges from 1 to 5 days), the doctor does not recommend that you wash so that water does not get on the area of the postoperative wound.
Childbirth is the long-awaited hours of waiting for the baby to be born. Almost all women want to give birth on their own through the natural birth canal, but for certain indications, surgical delivery by cesarean section is performed either planned or emergency.
Caesarean section is a major abdominal operation. With it, not only the skin, subcutaneous tissue and the underlying muscle layer 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.
A purulent abscess is a formation that is an accumulation of pus, delimited by the walls of the cavity. In scientific language, this pathology is called an abscess.
It occurs as a result of purulent inflammation in the tissues and their melting, as a result of which a cavity is formed in the organ.
A furuncle is an inflammatory-suppurative process in the skin that affects the hair follicle, sebaceous gland and surrounding tissues located around them.
Our body is a complex biological system with a huge potential for self-healing, including wound healing. In this regard, the main task in the treatment of purulent wounds is to use medications depending on the stage of the process.
This lesion occurs in both adults and children. The reasons for the development of the disease are not entirely clear. The most important thing is not to self-medicate. First of all, you need to consult a therapist, ENT doctor and dentist.
The birth of a child is often accompanied by certain difficulties. During pregnancy, the elasticity of the skin becomes worse and stretch marks appear, and during the birth of the baby, tears and cuts occur. In order to eliminate such serious consequences, doctors apply stitches: inside and outside.
Otherwise, inflammation of the sutures may occur after childbirth due to infection. On the doctor's recommendation, it will be prohibited to sit and strain your muscles.
A woman’s body prepares for the birth of a child over the course of 40 weeks: the pituitary gland releases oxytocin, the cervix prepares to open, becomes soft and loose. But in some cases, the doctor determines that the uterus is not ready to open. Often the baby is pushed out prematurely and ruptures of the uterus and vaginal muscles occur. Internal injuries require stitches with special natural threads, which safely dissolve after healing.
When stitching up tears in the walls of the cervix, the doctor does not use anesthesia. There are no pain receptors in this area immediately after delivery.
Internal seams after childbirth have some peculiarities in the speed and specificity of healing. A cut injury can heal faster than a torn one. With the use of special absorbable threads, healing lasts about 2 weeks, with regular threads – a week longer. Proper, timely care also has an impact. Patients suffering from diabetes mellitus, significant blood loss and muscle sagging are at risk of long-term non-healing of the injury.
What to do after the doctor has performed this type of operation? Internal seams after childbirth do not require special care. They often use absorbable materials, which should completely disappear within 3 months after application. If a girl sees pieces of thread on her underwear, do not let this alarm her. This is a natural process.
Despite the lack of special care, you should adhere to several rules for effective treatment:
External discrepancies in the perineum or after a cesarean section must be treated several times a day with a solution of potassium permanganate or brilliant green, and also adhere to particularly careful body hygiene, wash with boiled warm water without using soap or shower gel.
Special gaskets should be changed very often. It is recommended that you attend the procedure for treatment with special solutions in the clinic; they are usually carried out by a midwife. If you follow the prescribed recommendations of your doctor, everything will heal quickly, the discomfort will go away, and the pain will not bother you later.
If you neglect the main tips, the likelihood of inflammation of the sutures after childbirth is very high. The symptoms are unpleasant: acute pain, suppuration and dehiscence. When dehiscence occurs after a few days, no additional procedures are required for repair. If the problem occurs after healing, a second incision is needed in the same place. Due to such manipulations, re-healing will occur much slower and longer.
Often new mothers are plagued by pain and itching after stitching the tissues. Such signs make themselves felt within a few days. You should not worry, thinking that the scars are inflamed. This is quite normal.
But if the sensations are unbearable, you should immediately consult a doctor and not self-medicate.
When the stitches fester, they should be treated with different ointments. After washing, intimate areas are treated with a disinfectant or antiseptic drug, then the desired cream, gel or ointment is applied using a strip of bandage (or clean cloth). If the damaged areas produce fluid or pus, you should consult a gynecologist. He will tell you what to do.
A woman who has become a mother needs to take special care of herself and her health. If you have the slightest discomfort or suspicion that the suture has become inflamed after childbirth, you should immediately go and consult a doctor.
Pain during the first days is a common symptom that you just need to endure. But, if the ailment has complications or an impressive duration, it will not be superfluous to seek qualified help. A consultation with a professional can make an accurate diagnosis, improve therapy and eliminate the risk of complications.
Indirect manifestations also indicate tissue damage. Among them:
You should not joke with such signals from your own body. You need to immediately inform a specialist to get help in a timely manner.
Depending on the individual case, the therapy prescribed by the diagnostician may include: the use of healing creams, the application of cold compresses with ice, a course of antibiotics, or additional surgery.
The usual length of the scar is 2 or 3 cm and despite this, it brings unpleasant sensations. When everything is removed, it becomes easier, the usual pain subsides, and movements become easier and smoother. Such damage will bother you for a long time, with aching and cutting sensations.
Some cases confirm that even with complete healing, the operated area may react to the weather or any changes in the woman’s body.
It takes a woman at least six months to completely restore her body. During this period of time, even in the absence of complaints, you should regularly visit a gynecologist, undergo examinations and ultrasounds.
Once pregnancy begins, the expectant mother is advised to monitor her health and well-being extremely closely. Experts strongly advise taking vitamin complexes and fish oil, eating right and leading an active lifestyle. You need to eat foods that have a beneficial effect on your skin:
And also drink a lot of clean water, fresh juices and herbal infusions.
By following such a diet, there is a chance to improve your well-being, increase skin elasticity and supply the body with the necessary substances. By making your skin more elastic and healthy, you can avoid damage during pregnancy and birth of your baby.
There are also a number of products from which the skin loses collagen, becomes flabby, dry, and with rashes. Prohibited:
Monitoring your diet as a pregnant woman can seem like a daunting task. After all, in a given period of time there is a desire to eat the most delicious, harmful and in large quantities. But high-calorie types of treats not only spoil the health and appearance of the expectant mother, but also make her skin flabby and sagging, increasing the risk of stretch marks and damage in the future.
In order not to provoke any diseases, complications and ailments, you need to visit a specialist on time, follow a suitable diet, remember to drink enough water, keep your intimate areas clean and do not ignore warning signs of the body.
