How to treat a seam after a caesarean section? How long do stitches heal after surgery

Traumatic tissue damage occurs regardless of the complexity of the surgical intervention. Using the right ointment to heal the stitches after surgery can significantly reduce the risk of scars and scars.

Ointments are widely used for rapid healing of sutures without complications.

The effectiveness of ointments for postoperative sutures

The healing rate of postoperative sutures is influenced by a number of factors:

Age. In younger patients, the healing process is faster.
Weight. The presence of excess subcutaneous fat contributes to the deterioration of blood circulation, which leads to prolonged healing.
diet. Unbalanced nutrition and lack of fluid reduces the rate of tissue regeneration.
Immunity. Disturbances in the work of the immune system negatively affect the process of tightening postoperative wounds.
Level of blood circulation at the wound site. Incisions located in the area of a large accumulation of blood vessels heal faster.
Oxygen supply. Tissue ischemia resulting from a strong tightening of the sutures, hypoxemia, low blood pressure or vascular insufficiency impair the process of oxygen supply to the tissues, and, as a result, prevent the rapid healing of wounds.
The presence of chronic diseases. Diseases of the endocrine system and diabetes mellitus have the worst effect on the healing of sutures, and often contribute to complications.
Suppuration or secondary infection. These problems lead to the deterioration of the wound and inhibit the healing process.
Type of scar. There are normotrophic, atrophic, hypertrophic and keloid scars. The scars of the first two groups heal the fastest.

Diseases of the endocrine system affect the rate of suture healing

With regular treatment, the duration of healing depends on the location of the wound:

on the face - 3-5 days;
on the stomach - 7-13 days;
on the back - 10-20 days;
on arms and legs - from 6 days.

The use of anti-inflammatory drugs in the first days after surgery, the use of steroid and corticosteroid drugs, chemotherapy or X-ray exposure also significantly slow down the healing of sutures.

Review of the best ointments for healing stitches after surgery

Consider a list of the most effective ointments used for wound healing:

Name	Operating principle	Rules of application, duration of therapy	Contraindications	Price, rubles
	It has a bactericidal and antimicrobial effect, accelerates the process of cell regeneration. Used in the treatment of purulent wounds	Apply to a bandage or cotton wool, apply to a seam that does not heal after surgery. The course of treatment - up to 7 days	Fungal skin diseases, eczema, psoriasis, intolerance to chloramphenicol and methyluracil	135
Mederma	Hypoallergenic gel that helps smooth out scars. Has an antibacterial effect, improves blood circulation, accelerates the renewal of skin cells	Rub into a healed wound until completely absorbed. Most often applied a month or 2 after healing. Repeat the treatment 3-4 times a day. It is allowed to use until the scar is completely eliminated. It is used only to remove fresh scars.	Hypersensitivity to cepalin and allantoin	632
Solcoseryl	Activates the process of tissue metabolism, increases the production of collagen	Apply in a uniform thin layer on a wound previously washed and cleaned with a disinfectant solution. It is allowed to use if the seam gets wet. The duration of the course of therapy is no more than 1 month	Allergy to parahydroxybenzoic acid	308
Ichthyol ointment	It is characterized by antiseptic and anti-inflammatory action	Apply 2-3 times a day with a thin layer on damaged tissues, do not rub, cover with a sterile bandage from above. The duration of use is determined by the doctor	Hypersensitivity to ichthammol	96
Vitamin E	Improves blood circulation, reduces the risk of thrombosis, saturates the skin with moisture, increases its elasticity	Take 1 capsule 2 times a day. Rub the contents of the capsule daily into the seam. Use before scar removal	Allergic reaction to tocopherol acetate, myocardial infarction, thyrotoxicosis, age under 12 years	154
Heparin ointment	Anesthetic, anti-inflammatory and anticoagulant, prevents the formation of blood clots. Used to remove stitches after hemorrhoid surgery	Rub into damaged tissues 2-3 times a day. The course of treatment - from 3 to 7 days	Open infected wounds, ulcers, hypocoagulation, thrombocytopenia, hypersensitivity to heparin and benzocaine	78
Bepanthen	Characterized by anti-inflammatory and regenerating effects	Apply 3 times a day in a thin layer to the seam. The duration of use is calculated individually and depends on the severity of the wound.	Dexpanthenol intolerance	436
Contractubex	Prevents the development of thrombosis, slows down the growth of scar tissue, has a regenerating, softening and anti-inflammatory effect	Apply to the seam with a thin layer 2-3 times a day, rub until completely absorbed. The duration of therapy for resorption of fresh scars is up to 4 weeks. The duration of use against chronic scars and scars is from 3 to 6 months	Atopic dermatitis, trichomycosis, heparin sodium and allantoin intolerance	612
Vishnevsky ointment	It has an antiseptic, bactericidal, immunomodulatory and anti-inflammatory effect, stabilizes blood circulation. Effectively eliminates suppuration and inflammation of postoperative sutures	Smear directly on the seam or on a sterile dressing 3 times a day. It is applied until the wound is completely cleansed and healed.	Kidney dysfunction, hypersensitivity to tar, castor oil and xeroform	42
Zinc ointment	It is used for rapid wound healing, has anti-inflammatory, disinfecting and antiviral effects.		Hypersensitivity to zinc oxide, purulent-inflammatory diseases of the skin	39
Methyluracil ointment	Suitable for treating wounds in adults and children. It is characterized by anti-inflammatory and immunostimulating effect	Apply the ointment up to 4 times a day on a sterile dressing, then apply to the damaged area. Duration of treatment - from 2 weeks to 1 month	Individual intolerance to methyluracil	78
Zeraderm	Helps to get rid of itching and burning in the scar area, accelerates the regeneration process, saturates tissues with moisture	It is recommended to apply immediately after wound healing. Apply the gel on the scar in a thin layer 2 times a day. The course of treatment - from 2 weeks to 3 months	Infected wounds, intolerance to the components of the drug	2580
Dermatix	It is used for better healing of scars, reduces redness, relieves an allergic reaction.		Hypersensitivity to silicon dioxide and polysiloxane	1360
Kelofibrase silicone cream	It has an anti-inflammatory and analgesic effect, eliminates blood clots, reduces swelling, stimulates the regeneration process, moisturizes hardened areas of the scar	Apply a thin layer on scars 2 to 4 times a day, rub with massaging movements until completely absorbed. For the treatment of fresh scars, the cream is used for 4 to 6 weeks. Duration of therapy for chronic scars - up to 6 months	Allergy to D-camphor, sodium heparin and urea, breast-feeding, under 1 year of age. Not recommended for use on facial scars in children	1448
Fermencol	Anti-scar gel, effective for the elimination of hypertrophic and keloid scars	Apply to previously cleansed skin with a thin layer 2-3 times a day, do not rub. Duration of use - 1 month. If necessary, you can repeat the course of treatment after 15 days	Hypersensitivity to collagenase, hypotrophic and atrophic scars	722
Vulnuzan	Effective for the treatment of purulent and infected wounds, has a pronounced anti-inflammatory effect, stimulates the immune system	Apply once a day to the affected tissue. After the appearance of signs of healing, reduce the use to 1 time in 2 days. The average duration of application is 2 weeks	Intolerance to the components of the drug	188
Levosin	It has an anti-inflammatory and regenerating effect. In a short time, eliminates suppuration that has arisen after the removal of sutures	Soak a gauze bandage in ointment and apply to the wound. Do dressings daily until the wound is completely cleansed.	Allergy to chloramphenicol, methyluracil, trimecaine and sulfadimethoxine	90
eplan	The ointment is characterized by bactericidal, regenerating, analgesic and wound healing action.	Apply to the wound or apply a sterile gauze bandage soaked in medicine. Apply daily until complete healing.	Hypersensitivity to glycolan	191
Actovegin	Destroys harmful bacteria, improves oxygen uptake and tissue regeneration	Moisten the bandage to the ointment and make dressings up to 4 times a day. The duration of therapy depends on the severity of the injury.	Intolerance to deproteinized hemoderivat from calf blood	132

Vishnevsky's ointment is the most affordable ointment for healing postoperative sutures

Before applying the ointment, treat the damaged area of \u200b\u200bthe skin with an antiseptic - this will reduce the risk of an inflammatory process and suppuration.

In the event of an allergic reaction and in the absence of a positive effect after a week of using the selected remedy, consult a doctor and select another medication to eliminate postoperative sutures.

If you experience allergic reactions to the selected ointment, seek qualified advice.

When treating non-infected sutures, use softening, immunostimulating and regenerating agents; in case of suppuration, therapy should consist of anti-inflammatory, antiviral and bactericidal ointments.

Surgery involves leaving sutures. How good the healing will be, the absence of complications, depends on the correct care of the wound in a medical institution and at home. It is also important to use special means for healing sutures after surgery. At the same time, the correct application of the dressing, the cleanliness of the suture, and many other factors affect the rate of recovery.

What is the treatment of the seam after the operation

Proper care involves daily cleaning of the surgical site. When manipulations take place on the territory of a medical institution, the actions are carried out by a medical worker who knows the rules for processing and bandaging. However, it is not always possible to visit a hospital or clinic every day, so knowing how to process a suture after an operation while at home will be useful to everyone.

What is used to keep the wound clean, what drugs are used for accelerated healing:

All products are antiseptics, providing a clean surface from germs, viruses and bacteria;
Halides. These are liquid products used both at home and in the hospital. Iodine, potassium iodide. They are used to clean the wound, eliminating all pathogens. They also cauterize damaged tissues, creating a protective film on the surface. However, this procedure can be performed no more than once a day;
Salts of heavy metals. Silver nitrate treatments have become popular today. These are not only ointments applied under the bandage, but the wounds themselves are treated with a special solution. He is able to burn. However, its use is limited. Only if an inflammatory process is observed in the wound or the wound has been wetted, then it is advisable to use a silver solution;
Alcohol means. Often you can find the treatment of the seam with ethyl alcohol. But its use is justified if there is severe suppuration with an infectious component in the wound;
Dyes. The most common is green. An almost universal remedy used for any type of damage;
Acids. A bright representative of the acid class is a solution of boric acid. It is a good antiseptic drug. It can be used as an ointment. Like a powder. Indispensable as a powder, also suitable for use in the composition of the solution. The use of boric acid is allowed at least twice a day. As a rule, in the evening and morning hours;
Oxidizers. Potassium permanganate and hydrogen peroxide are the main representatives of this class. They are often used both for household needs and in medical practice.

Seam processing methods

How to treat the postoperative suture for better healing? The main tool used to accelerate regeneration is a solution of potassium permanganate. Furacilin diluted in water is also used. A good remedy to disinfect a wound is hydrogen peroxide. Pharmacies sell ready-made antiseptic - Chlorhexedine.

Do not forget about the edges of the wound. It is here that pathogenic microorganisms often accumulate. Zelenka is used along the edges of the seam as a healing agent.

In addition, in modern medicine, various ointments are also used to accelerate wound healing after surgery, which have a special effect. But there is also an important point that should not be ignored. If a person has strong immunity and no infection has entered the postoperative sutured wound, that is, there are no signs of suppuration or inflammation, then there is no need to use ointments.

The use of ointments in the treatment of postoperative wounds is justified only in cases where there is a serious threat of complications and inflammatory-purulent processes.

In this case, specialized ointments are used to prevent the formation of suppuration or to treat it, but only when the superimposed suture material is removed. Such ointments usually include: the composition of Vishnevsky, Solcoseryl, Levomekol and other drugs. It should be remembered that wound care after suture removal requires special attention, therefore, before using any means, you should consult your doctor.

Seam processing at home

Traditional medicine offers many different methods for the treatment of postoperative sutures, which are highly effective and allow accelerating the healing process of wounds.

Most often, at home, the following means are used to heal sutures after surgery:

Japanese Sophora fruits in a crushed state, mixed with a fatty base, which can be used as a variety of animal fat. Most often, geese or badger fat is used to prepare this healing composition. The mass should be mixed and heated for two hours in a water bath, repeating this process for the next three days. On the fourth day, the mixture must be quickly brought to a boil, cooled slightly and, after straining, poured into a container with a lid for storage. It is best to use ceramic or glass containers. The ointment is applied in a small amount to a sterile gauze pad and applied to the wound. The bandage should be changed daily until the suture heals.

You can process the seams and special sea buckthorn oil, as well as corn and rose hips. To prepare the remedy, you must take the selected product

You can process the seams and special sea buckthorn oil, as well as corn and rose hips. To prepare the remedy, you need to take the selected product (rose hips or sea buckthorn berries, or fresh corn grains), natural beeswax and vegetable oil. The components are mixed and infused for about a week. For better mixing, the feedstock can be crushed. The application of such oil can significantly speed up the process of scarring of damaged tissues. mix and infuse for about a week. For better mixing, the feedstock can be crushed. The application of such oil can significantly speed up the process of scarring of damaged tissues.

In obstetric practice, there are situations when childbirth is carried out by surgery. During a caesarean section, the surgeon cuts through all the tissues, from the skin incision to the wall of the uterus. For successful extraction of the fetus, the surgical wound must have the appropriate size, so the suture after the operation can reach 10-15 cm. Every woman who has undergone this operation needs to know how to care for the suture after a cesarean.

Read in this article

Types of caesarean section operations and stitches after them

For all the time of the development of obstetrics, quite a lot of methods for conducting surgical intervention in pathological childbirth have been developed. With the introduction of new methods of general and regional anesthesia, most specialists use two main incisions.

It all depends on the degree of urgency of the upcoming operation. If a woman goes for a caesarean section in a planned manner, then usually specialists perform a Pfannenstiel laparotomy. This technique involves making a transverse skin incision inside the natural suprapubic fold of the abdomen. The operation is the least traumatic, since the opening of the abdominal cavity occurs without an incision, and the woman's abdominal muscles simply move apart. The use of such a technique reduces the risk and reduces the length of the patient's stay in the hospital.

Quite often there are situations when a caesarean section is performed on an emergency basis for health reasons. It all depends on the condition of the future mother and fetus:

on the part of a woman, this is usually early placental abruption with profuse uterine bleeding, severe preeclampsia;
urgent surgery is performed in the presence of hypoxia in a child or a disturbed heartbeat.

If an emergency situation arises, then the choice of tactics of surgical intervention depends entirely on the professional skills of the surgical team. One option is a corporal caesarean section. In this case, the skin incision is made vertically - from the navel to the pubic area. This intervention causes a woman a great surgical injury, since the surgeon has to cut the muscles of the abdominal wall, which makes the recovery period longer.

A beautiful seam after a cesarean can only be obtained after a Pfannenstiel operation. A woman is sutured with a skin wound with a cosmetic suture, which contributes to a speedy recovery.

After a corporal caesarean section, it is necessary to qualitatively fasten a large array of abdominal muscles, so the seam on the skin will be thicker and more noticeable. But the patient can come to the aid of modern cosmetology. Specialists of this profile have developed enough methods for correcting external problems in young mothers.

The imposition of internal sutures on the uterus and peritoneum has a large number of options, but they practically do not affect the condition of the sutured skin. Their task is to exclude bleeding in the early postoperative period and to promote possible repeated births.

Cosmetic suture after caesarean section

Problems with sutures in the first weeks after surgery

Any operation can carry certain threats in the postoperative period. The operation is no exception. Suture care after caesarean section plays an important role in the prevention of all postoperative complications. These problems are usually divided into two large groups:

Early complications include various pathologies of sutures in women who are in the hospital. These may be skin hematomas, bleeding from the area of the surgical wound. Most often this happens due to violations of the coagulation system of a young mother. Suppuration of the postoperative suture is also considered quite dangerous for a woman. If the seam bleeds after cesarean, the patient should immediately draw the attention of doctors to this fact. To combat inflammation of the postoperative scar, the woman receives, and the medical staff treats the wound with special solutions.
Late complications after caesarean section are not excluded. These include ligature fistulas, which are a manifestation of the rejection of the suture material by the body. Many young women, having discovered a red seam after a cesarean, try to solve this problem on their own with the help of various ointments and creams. In 95% of cases, the result will be negative, only a specialist can remove the torn suture material. If the manipulation is carried out correctly and appropriate therapy is prescribed, the recurrence of ligature fistulas can be successfully avoided.

Before discharge from the maternity hospital, a young mother will be familiarized with the rules for caring for skin sutures and methods of recovery after a caesarean section.

What a woman needs to know after surgery

The technique of caesarean section in 90% of cases affects the duration of postoperative wound healing and the presence of various problems in a patient with a skin suture. However, it is necessary to note several factors that concern most mothers who have undergone this operation.

Pain

First of all, this is the presence of pain in the area of the postoperative wound. Caesarean section refers to abdominal operations and, given its high traumatism, the pain syndrome can persist for up to 2 months. A woman can feel various unpleasant sensations in the area of the scar for another year after the operation.

In a hospital setting, pain relief is carried out by specialists, and after discharge, a young mother should seek advice from a local pediatrician.

Many analgesics, anti-inflammatory nonsteroidal drugs and other painkillers are strictly contraindicated during breastfeeding.

Seam seal

Suture care after a caesarean section at home can continue. During the procedure, a woman may notice a significant hardness of the postoperative scar. In this situation, everything also depends on the incision: a horizontal cosmetic suture resolves within 6-8 months, and a vertical scar can bother women up to 2 years.

Seal in the area of the skin suture is a fairly common phenomenon, but if it takes on a heterogeneous character, tubercles form, or there is a discharge from the scar, you should consult a doctor. Research, and especially ultrasound, will help to conduct a differential diagnosis and distinguish ordinary cicatricial formations from inflammation, ligature fistulas or an oncological process.

It itches the seam after cesarean, discharge from the scar

A rather unpleasant problem can be various discharge and itching in the area of the postoperative wound. Itching speaks of ongoing regeneration processes, can last up to 3-4 months, but should not worry a young mother.

In the presence of discharge, you must consult a doctor. Such symptoms can be both normal and a manifestation of a formidable pathology.

Suture care after surgery at home

Before being discharged from the hospital, a young mother will definitely have a conversation in which they will tell how to process a suture after a cesarean section, and how to behave during this period. Usually, in the normal course of the postoperative period, the treatment of the suture after a cesarean section is carried out only in a hospital. At home, a woman takes care of a postoperative scar only if there is any pathology.

Seam processing

A young mother should know how to process a seam after a cesarean. The place of the skin wound is lubricated with brilliant green or iodine 2-3 times a day, while the wound itself cannot be touched, as you can get a deep chemical burn. The skin area is processed up to 3-4 cm from the suture site.

The procedure is performed within 2 - 3 weeks after the operation. If there is bloody discharge from the wound, treatment can be extended after consulting a doctor. Water procedures are not prohibited for young women, however, the postoperative area should not be subjected to mechanical stress with a washcloth or bath mitt.

Means for accelerating the healing of a postoperative wound

If a woman strives for the fastest resorption of the suture on her stomach, then 2 months after the operation, it is allowed to use special ointments and creams that help reduce tissue scarring. In the initial period, it is possible to recommend the use of a pharmacy standard solution of vitamin E directly on the scar area.

In the future, gynecologists recommend Kontratubex ointment to their patients. It is advisable for nursing mothers to talk to a pediatrician before starting a fight with a scar on the stomach. Many absorbable drugs are incompatible with breastfeeding.

When conducting regular examinations after discharge, specialists should recommend to the woman proper nutrition for the normal healing of the postoperative wound. There are exercise therapy techniques that can be used as early as 2 months after childbirth. In addition, young mothers can receive air baths, because direct sunlight and fresh air have a beneficial effect on the rate of regeneration in the postoperative suture area.

Caring for a suture after a caesarean section is not particularly difficult. Simple rules of personal hygiene, observance of the protective regime, and strict implementation of the recommendations of their doctor will allow young women to painlessly survive this difficult and eventful period.

A woman should avoid any, it is only allowed to lift a child for a short time, since other gravity can lead to problems in the area of the postoperative wound. It must be remembered that after childbirth, care for a small person comes to the fore, and the issues of cosmetic adaptation of the surgical suture can be postponed for a certain time.

Proper antiseptic treatment of postoperative sutures is an important step in the rehabilitation of a woman who has undergone a caesarean section. Key aspects of this hygienic event are discussed within the walls of the maternity hospital.

Those recommendations that will be received by a young mother must be implemented in a clear manner and in compliance with all standards. The use of auxiliary techniques that can reduce the manifestation of surgical intervention is permissible only after the formation of a strong scar.

What are the scars

In modern medical practice, obstetrician-gynecologists use the most sparing methods of surgical incisions, which avoid the formation of rough keloid scars. To achieve the maximum aesthetic effect after surgery, the Pfannenstiel technique is used, the essence of which is to make an incision above the pubic hair growth zone.

In the postoperative period, such scars are not conspicuous and do not affect the self-esteem of a young mother. In addition, scarring of such sutures occurs in a short period of time. Despite this, the speed and quality of the formation of postoperative sutures directly depends on the observance of measures to care for the wound surface.

If there are appropriate indications, women in labor undergo a vertical dissection of the anterior abdominal wall, as a result of which a rough vertical keloid scar is formed. The main indication for performing this kind of intervention is an urgent situation when the life of the mother or fetus is in danger. During the rehabilitation period after performing a vertical incision, women feel daily pain and discomfort. The duration of such a recovery period can be more than 1 month.

Suture options

When performing a caesarean section, various types of suture material are used. The speed and quality of formation of connective (scar) tissue depends on their structure and origin. For this purpose, catgut and silk threads are often used.

If the sutures were applied using silk, then this allows you to bring the edges of the wound as close as possible to each other and prevent the divergence of the postoperative suture. During this period, while the suture material dissolves on its own, the young mother is under the supervision of a medical specialist.

Care after surgery

Hygiene measures in the period after caesarean section are two-stage. The first stage of processing is carried out within the walls of the maternity hospital. After performing a surgical intervention, the woman is under the daily supervision of a medical specialist to monitor the condition of the stitches.

If the restrictive regime is not observed in the postoperative period and if the suturing is incorrect, the young mother may experience the following complications:

The entry of pathogens into the wound surface and suppuration of the wound;
Divergence of seams;
Bleeding from a wound;
Formation of the inflammatory process, which involves different layers of soft tissues.

You can recognize bleeding from the suture by the presence of liquid contents on a special bandage. This complication can be provoked by damage inside the cavity, as well as the lack of proper contact between the edges of the wound. In order to exclude intracavitary bleeding, an ultrasound examination is performed on a young mother.

The lack of proper antiseptic treatment entails the penetration of pathogenic microorganisms of a bacterial nature. Against the background of this process, suppuration and an inflammatory reaction develop. If measures to eliminate the infection are not followed in time, the purulent-inflammatory process will cause partial tissue necrosis.

An equally common problem is the divergence of postoperative sutures. This condition occurs when a young mother does not comply with the restrictive regime. The ban includes carrying a child in her arms, lifting weights, sudden movements and squats.

When a young mother is in the maternity hospital, paid nurses are responsible for the antiseptic treatment of the postoperative suture. Both edges of the wound surface are lubricated with a broad-spectrum antiseptic solution. Most maternity hospitals use an aqueous solution of Chlorhexidine, which has a pronounced antimicrobial and bactericidal effect.

After that, a solution of brilliant green is applied to a clean wound surface, which avoids wetting of the wound. The final stage of treatment is the application of a sterile bandage or a special plaster.

In addition to caring for a postoperative wound, attention should be paid to the antiseptic treatment of the external genital organs. This procedure is carried out by washing the area with antiseptic liquids (Miramistin, Chlorhexidine). You should not use ordinary soap to cleanse the external genitalia, as it affects the pH of the vagina, opening up access to pathogenic microorganisms.

Self Care

The basic rules for hygienic treatment of the postoperative suture at home do not cause difficulties for young mothers. Care of the wound surface in a home environment includes the following activities:

Compliance with the regime of limited physical activity;
Wound treatment with antiseptics;
Care of the external genital organs;
Cleansing the skin around the wound with water;
Control over the quality and speed of formation of a keloid scar.

Important! It is necessary to start cleaning the wound surface after the main washing of the body. While taking a shower, it is strictly forbidden to use a washcloth or brush to wash the body in the area of the postoperative suture. Any physical impact on this area will lead to a divergence of the edges of the wound and bleeding.

Until the wound is completely healed, it is strictly forbidden for a young mother to perform any work that is associated with bending over, squats and lifting weights.

After taking a shower, a woman needs to dry the seam area with a soft cotton cloth with gentle blotting movements. The previously mentioned brilliant green is used as an antiseptic solution. In order to avoid traces of brilliant green on clothes, after processing, the seam is covered with a piece of sterile bandage and fixed with a plaster.

Alternative means include a weak solution of potassium permanganate (manganese), Chlorhexidine, a solution of furacilin and 3% hydrogen peroxide. For processing, cotton swabs or pieces of a sterile bandage soaked in an antiseptic solution are used. This hygienic measure is performed daily until the final overgrowth of the wound.

Important! For antiseptic treatment of the wound surface, it is strictly forbidden to use such products as a soap solution, baking soda and salt diluted in water, pharmaceutical iodine, vodka, 96% alcohol. The listed chemical components have an aggressive effect on soft tissues, thereby leading to irritation and chemical burns.

In order to protect the wound surface as much as possible from injury and the ingress of pathogens, it is important for every young mother who has undergone a caesarean section to wear a postpartum bandage. This medical device speeds up and facilitates postpartum recovery and gives a sense of security. In order for the postpartum bandage to help achieve the desired result, it is worn around the clock, periodically removed for 10-15 minutes in order to allow air to enter the skin.

In order to prevent the divergence of internal and external seams, a young mother should not lift weights of more than 3 kg. Despite following all the recommendations described, the rehabilitation period does not always go smoothly.

Reasons for seeking medical advice are the following symptoms:

Soreness and discomfort in the area of the postoperative suture;
The appearance of purulent or bloody discharge from the wound;
Noticeable divergence of the suture material;
Redness and swelling of the skin around the scar;
An increase in body temperature to 37.5-38 degrees.

Women who have experienced infection of the suture are shown a surgical revision of the wound area, additional antiseptic treatment, re-application of suture material and excision of the wound edges involved in the necrosis process. In order to avoid such severe consequences, women after cesarean section are advised not to neglect the key recommendations for the care of the postoperative suture.

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Undoubtedly, all people sooner or later face various diseases. Some of them necessarily require surgical intervention. Such treatment never goes unnoticed. From manipulation, a person always has a postoperative suture. You need to know how to properly care for such a scar, and in what cases to seek help from a specialist.

Depending on the scale of the operation, the size of the suture can vary significantly. From some interventions, for example, after laparoscopy, a person has small centimeter incisions. Sometimes such seams do not require the use of special threads and are simply glued together with a plaster. In this case, you need to ask your doctor how to properly care for the damaged area and when you can remove the patch.

Also, the postoperative suture can be of impressive size. In this case, the fabrics are sewn in layers. First, the doctor combines the muscles, tissues of the blood vessels, and only after that he makes an external seam, with the help of which the skin is combined. Such scars grow together longer and require careful care and special attention.

The postoperative suture always needs processing. From the moment the doctor puts the threads on the skin, the medical staff will wash your stitched tissues daily. In some cases, processing must be carried out several times a day. The doctor will inform you about this after the procedure. If complications occur or microbes enter the wound, it may be necessary to use additional antiseptic and antibacterial agents for treatment.

The suture is removed after the operation in about a week. With slow tissue healing, this period can increase to two weeks or even up to one month. During this time, it is necessary to properly process postoperative sutures. Wound healing is determined by the attending physician. It is he who sets the period when the threads can be removed.

In some cases, the removal of the suture after the operation is not required. Sometimes doctors use special absorbable threads. They are superimposed in most cases on soft tissues and mucous membranes. Often this method of tissue bonding is used in gynecology and plastic surgery. Despite the fact that such threads are not removed, it is also necessary to process these postoperative sutures. Wound healing occurs when the tail of the protruding stapling fabric simply falls off.

In some cases, the postoperative suture must be removed much later than the patient is discharged from the medical facility. In such a situation, a person needs to be told and shown how to care for stitched fabrics. After removing the threads, the processing of postoperative sutures should be carried out for some more time. So how do you take care of a wound yourself?

First you need to purchase all the necessary materials. You can do this at any pharmacy chain located near your home. If you find it difficult to walk, ask relatives or neighbors to buy everything you need.

Treatment of a postoperative suture requires the presence of conventional brilliant green, hydrogen peroxide 3%, alcohol solution and hypertonic fluid. You will also need sterile bandages, tweezers, appropriately sized post-op patches, and cotton swabs.

In some cases, the processing of postoperative sutures is carried out with cotton wool. When self-care for damaged tissue, it is better to refuse to use this material. When wiping the skin, small pieces of cotton can cling to the superimposed threads and remain on the wound. As a result, inflammation may occur. That is why it is worth giving preference to sterile bandages or special dressings.

Before treating the wound, it must be opened. Wash your hands with soap and disinfect them with an antiseptic solution. Carefully remove the bandage and examine the skin. There should be no liquid on the scar. If ichor or pus oozes from the wound, then it is necessary to consult a doctor as soon as possible. This means that there is an inflammatory process in the wound.

Treatment of the surface of the scar In the event that the surface of the tissues is completely dry, you can proceed to self-treatment of the seam. To do this, take a comfortable position and prepare all the necessary materials.

First, roll up a small piece of sterile bandage and soak it in an alcohol solution. Gently wipe the scar with a damp cloth. Make sure that all wounds and holes on the body are moistened with liquid. After that, let the skin dry and proceed to the next step.

If you experience pain, pulsation and burning in the area of the seam, you must do the following. Fold the gauze bandage into four layers and soak it in hypertonic saline. Put the fabric on the seam and cover it with a band-aid. Such a compress will help relieve pain and swelling in the wound area. If you are not bothered by discomfort, then skip this step and proceed further according to the instructions.

Take a cotton swab and soak it in greenery. Gently treat all wounds that were obtained during suturing, as well as the scar itself. After that, apply a sterile dressing to the cleaned area and seal with a plaster.

If the doctor has allowed, then you can leave the seam open. In the air, all wounds heal faster. Remember that in this case, you must be careful not to damage the scar.

If you have already removed the stitches, this does not mean that the scar does not need to be looked after. Remember that after water procedures it is necessary to treat the injured surface. Ask your surgeon how long the scar treatment should take. On average, doctors recommend taking care of the damaged surface for about one more week.

After taking a shower, pour hydrogen peroxide on the seam in a thin stream. Wait for the reaction to take place and the liquid to sizzle. After that, blot the seam with a sterile bandage and proceed to the next step.

Moisten a cotton swab in brilliant green and treat the seam and existing postoperative wounds. Repeat this procedure after every bath.

Carefully monitor the condition that your postoperative sutures have. You can see photos of properly healing scars in this article. At the time of discharge, ask your doctor for detailed recommendations. Let the doctor tell and show you how to properly care for damaged tissue. Remember that from the moment you are discharged, your health is solely in your hands. That is why ask the medical staff about everything that interests you. This will help to avoid various unpleasant consequences.

If you have any complications or questions, please contact your local doctor. In emergency situations, call an ambulance. Remember that still unfused tissue can disperse. That is why be careful, avoid unnecessary stress and rest more. Be healthy!

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

Any surgical intervention leaves behind a scar - a seam at the site of the incision of the skin and soft tissues. The more complex the operation, the deeper the scar can be and the more difficult the healing process. 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

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 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 prolonged
Foreign body in the body (suture threads) and thread rejection

How to fix a fistula:

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

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.

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.

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.

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.

Treatment of postoperative sutures at home is a very important procedure that ensures the rapid recovery of the dermis.

To get a good result, you need to provide adequate care for postoperative wounds.. To do this, the doctor selects drugs for the healing of damaged areas.

sterility;

regularity of procedures;

Depending on the characteristics of the damage, the seams are treated with such antiseptics:

Medical alcohol.

Zelenka.

To speed up the healing process, it is necessary to follow the wound treatment algorithm:

apply a bandage.

Postoperative suture care requires certain conditions to be met:

availability;

wide spectrum of action;

nutrition of the dermis;

ease of use;

Depending on the nature and degree of damage to the dermis, the following types of drugs are used:

Vishnevsky ointment- is considered one of the most affordable pulling drugs. With its help, it is possible to speed up the recovery process after purulent processes.

Levomekol- has a combined effect. Thanks to the use of the drug, it will be possible to achieve antimicrobial and anti-inflammatory effects. The substance is a broad-spectrum antibiotic. The tool can be used for purulent discharge.

Vulnuzan- the substance is made on the basis of natural ingredients. It can be applied to wounds and bandages.

Levosin- helps to cope with germs, eliminate inflammation and stimulate the healing process.

Stellanin- a tool of a new generation. With its help, it is possible to eliminate swelling and cope with the infection. The drug perfectly restores the structure of the epithelium.

eplan- is considered one of the most powerful local remedies. The substance has pronounced analgesic properties and helps to cope with the infection.

Solcoseryl- Produced in the form of a gel and ointment. The gel is applied to a fresh wound, and the ointment is applied after the healing process has begun. The tool minimizes the risk of scars and scars. The substance is recommended to be applied under a bandage.

Actovegin- is considered a cheaper analogue of Solcoseryl. With its help, it is possible to cope with inflammation and avoid the appearance of allergies. Therefore, the drug can be used even during pregnancy and lactation. The tool can be applied directly to the affected area of the dermis.

Agrosulfan- has bactericidal properties, has an antimicrobial and analgesic effect.

Naftaderm- has anti-inflammatory properties. With the help of this substance, it is possible to cope with the pain syndrome and soften the scars.

Contractubex- used in the healing phase. With its help, it is possible to achieve a softening effect in the area of scars.

Mederma- increases skin elasticity and helps to lighten scars.

A patch for healing postoperative sutures also helps to achieve good results.. This tool is a plate that fastens the incision area and supplies the wound with the necessary substances.

All medications must be prescribed by a doctor. The specialist will definitely tell you how to care for the affected area.

Healing cream. To make it, you need to take 2-3 tablespoons of nourishing cream, add 1 drop of rosemary oil and the same amount of orange oil. Treat the affected areas of the dermis with the resulting composition.

Tea tree oil. This tool should be lubricated with a wound immediately after the intervention. Subsequently, the procedure is performed within a week.

Ointment based on goose fat and Japanese sophora berries. This tool significantly accelerates wound healing. To make it, you need to mix a couple of glasses of dried fruits with 2 glasses of fat. Instead of goose fat, you can use badger fat. The resulting composition is recommended to be heated on a steam bath for 2 hours. Then the product must be heated 1 time for 3 days. On day 4, the composition is brought to a boil and removed from the stove. Ready ointment is recommended to mix thoroughly and place in a glass container. A small amount of the composition is applied to the bandage and applied to the seams.

Livestock tincture. A couple of tablespoons of crushed plant roots should be mixed with a glass of water and the same amount of alcohol. The resulting tool is recommended to treat damaged areas.

Useful beeswax ointment. To make it, you need to mix 100 g of wax and 400 g of sunflower oil. Put the composition on the stove and cook for at least 10 minutes. When the composition has cooled, it is applied to the bandage and applied to the affected area.

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How to treat the postoperative suture for better healing?

Treatment of postoperative sutures at home is a very important procedure that ensures the rapid recovery of the dermis.

To speed up the healing process of wounds, you need to strictly follow the recommendations of the doctor.

The specialist will prescribe effective medications to treat the affected areas.

So, how to smear the skin in the area of \u200b\u200bthe seams?

The healing process depends on the human body. In some people, skin regeneration occurs quite quickly, in others it takes a long period of time.

To get a good result, you need to provide adequate care for postoperative wounds. To do this, the doctor selects drugs for the healing of damaged areas.

The following factors influence the speed and features of recovery:

sterility;

regularity of procedures;

materials used for seams.

One of the key rules for caring for damaged areas of the dermis is compliance with the rules of sterility. Treatment of wounds is carried out exclusively with well-washed hands. For this purpose, carefully disinfected instruments must be used.

Depending on the characteristics of the damage, the seams are treated with such antiseptics:

Potassium permanganate solution - it is important to strictly adhere to the dosage. This will help prevent burns.

Medical alcohol.

Zelenka.

Fukartsin - the drug is rubbed off the surface with great difficulty. This can cause discomfort.

Hydrogen peroxide - may cause a slight burning sensation.

Anti-inflammatory ointments or gels.

In addition, you can treat the wound with an effective antiseptic - Chlorhexidine. In any case, before starting therapy, you should definitely consult a doctor.

To speed up the healing process, it is necessary to follow the wound treatment algorithm:

disinfect hands and equipment to be used;

carefully remove the bandage from the wound;

using a gauze swab or cotton swab, apply an antiseptic to the seam;

apply a bandage.

Postoperative suture care requires certain conditions to be met:

processing should be performed 2 times a day, but if necessary, this amount can be increased;

it is important to systematically check the wound for inflammation;

to avoid the formation of scars, do not remove dry crusts;

during water procedures it is worth avoiding the use of hard sponges

if complications occur in the form of redness, swelling or purulent secretion, you should immediately consult a doctor.

Many people are interested in how to process a postoperative suture for better healing. A variety of means can be used for this purpose.

Today you can find many effective local drugs that can cope with the problem. Their use has a number of advantages:

availability;

wide spectrum of action;

creating a film on the surface of the wound - this avoids excessive dryness of the tissues;

nutrition of the dermis;

ease of use;

softening and lightening of cicatricial defects.

It is important to consider that wet wounds are not allowed to be treated with ointments. They are prescribed after the healing process has begun.

Depending on the nature and degree of damage to the dermis, the following types of drugs are used:

simple antiseptics - suitable for treating shallow wounds;

drugs with hormonal ingredients - used for extensive damage, which are accompanied by complications.

Properly selected ointment for the healing of postoperative sutures allows you to achieve excellent results. The most effective means include the following:

Ointment Vishnevsky - is considered one of the most affordable stretching drugs. With its help, it is possible to speed up the recovery process after purulent processes.

Levomekol - has a combined effect. Thanks to the use of the drug, it will be possible to achieve antimicrobial and anti-inflammatory effects. The substance is a broad-spectrum antibiotic. The tool can be used for purulent discharge.

Vulnuzan - the substance is made on the basis of natural ingredients. It can be applied to wounds and bandages.

Levosin - helps to cope with microbes, eliminate inflammation and stimulate the healing process.

Stellanin is a new generation remedy. With its help, it is possible to eliminate swelling and cope with the infection. The drug perfectly restores the structure of the epithelium.

Eplan - is considered one of the most powerful local remedies. The substance has pronounced analgesic properties and helps to cope with the infection.

Solcoseryl - produced in the form of a gel and ointment. The gel is applied to a fresh wound, and the ointment is applied after the healing process has begun. The tool minimizes the risk of scars and scars. The substance is recommended to be applied under a bandage.

Actovegin - is considered a cheaper analogue of Solcoseryl. With its help, it is possible to cope with inflammation and avoid the appearance of allergies. Therefore, the drug can be used even during pregnancy and lactation. The tool can be applied directly to the affected area of the dermis.

Agrosulfan - has bactericidal properties, has an antimicrobial and analgesic effect.

In addition, you can choose an effective ointment or cream for resorption of postoperative sutures. The most effective tools in this category include the following:

Naftaderm - has anti-inflammatory characteristics. With the help of this substance, it is possible to cope with the pain syndrome and soften the scars.

Contractubex - used at the healing stage. With its help, it is possible to achieve a softening effect in the area of scars.

Mederma - increases skin elasticity and helps to lighten scars.

A patch for healing postoperative sutures also helps to achieve good results. This tool is a plate that fastens the incision area and supplies the wound with the necessary substances.

Thanks to the use of a special patch, it is possible to achieve the following results:

prevent the penetration of bacterial microorganisms into the wound;

absorb discharge from the damaged area;

ensure air flow to the seam area;

make the seam softer and smoother;

keep the necessary moisture in the scar area;

prevent seam growth;

avoid subsequent damage to the injured area.

All medications must be prescribed by a doctor. The specialist will definitely tell you how to care for the affected area.

Any self-treatment options are strictly prohibited, as there is a risk of wound suppuration and inflammation progression.

To speed up the healing process of the affected areas, you need to use folk recipes. Today there are quite a few effective tools:

Healing cream. To make it, you need to take 2-3 tablespoons of nourishing cream, add 1 drop of rosemary oil and the same amount of orange oil. Treat the affected areas of the dermis with the resulting composition.

Tea tree oil. This tool should be lubricated with a wound immediately after the intervention. Subsequently, the procedure is performed within a week.

Ointment based on goose fat and Japanese sophora berries. This tool significantly accelerates wound healing. To make it, you need to mix a couple of glasses of dried fruits with 2 glasses of fat. Instead of goose fat, you can use badger fat. The resulting composition is recommended to be heated on a steam bath for 2 hours. Then the product must be heated 1 time for 3 days. On day 4, the composition is brought to a boil and removed from the stove. Ready ointment is recommended to mix thoroughly and place in a glass container. A small amount of the composition is applied to the bandage and applied to the seams.

Livestock tincture. A couple of tablespoons of crushed plant roots should be mixed with a glass of water and the same amount of alcohol. The resulting tool is recommended to treat damaged areas.

Useful beeswax ointment. To make it, you need to mix 100 g of wax and 400 g of sunflower oil. Put the composition on the stove and cook for at least 10 minutes. When the composition has cooled, it is applied to the bandage and applied to the affected area.

To speed up the healing process of postoperative sutures, it is very important to provide good care for the damaged areas of the dermis. For this purpose, drugs and folk remedies are actively used.

Before using any product, be sure to consult a doctor. Self-medication can lead to dangerous consequences in the form of serious inflammation.

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All information provided on this site is for informational purposes only and is not intended as a guide to action. ALWAYS consult with your doctor before using any medication. The site administration is not responsible for the practical use of the recommendations from the articles.

Source: needed for processing

Postoperative sutures are usually removed 7-10 days after the operation. Usually, all this time the patient stays in hospital, and a medical worker monitors the state of the wound. Sometimes it happens that the patient can be allowed to go home earlier, but at the same time he must necessarily process the stitches on his own.

If the operation was successful, the patient is on home treatment and the sutures are not infected, their treatment should begin with thorough washing with an antiseptic liquid. To do this, you need to take a small piece of a napkin with tweezers and moisten it abundantly with peroxide or alcohol. Then, with blotting movements, process the seam and the area around it. The next step is the application of a sterile bandage, pre-moistened in a hypertonic solution and wrung out. From above it is necessary to put another sterile napkin. At the end, the seam is bandaged and sealed with adhesive tape. If the wound does not fester, such a procedure can be carried out every other day.

If the stitches were removed in the hospital, the postoperative scar will have to be treated at home. Caring for him is quite simple - daily lubrication with brilliant green for a week. If nothing oozes from the scar, and it is dry enough, you do not need to seal it with adhesive tape, since such wounds heal much faster in the air. It should be remembered that in the case of the systematic appearance of blood or fluid at the site of the scar, its self-treatment is not recommended. It is better to trust professional doctors, as this may indicate an infection has entered the wound. It is important to know that when processing seams, you should not use cotton swabs. Their particles can linger on the seam and cause an inflammatory process. Easy-to-use gauze pads are a great alternative.

- hydrogen peroxide;

- greenery;

- sterile bandage;

- cotton wool, cotton buds or discs.

how to treat with hydrogen peroxide

Timing of suture removal

The time when the stitches can be removed depends on many factors: postoperative complications, the condition of the patient and the wound, the age of the patient, the nature of the injury, and many others. The term for removing sutures can only be determined by the attending physician, such decisions should not be made independently.

Preparations for the treatment of seams

Source: doctor Krivega M.S.

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.

If the sutures are placed on the mucous membrane, for example, they were sewn up with perineal tears after childbirth or after an episiotomy, then such wounds are usually treated several times a day for the first two to three days. For this, a 3% solution of hydrogen peroxide is used (peroxide is not only an antiseptic, it gently cleanses the wound of dead cells, dried blood and foreign substances), a solution of chlorhexidine bigluconate, a solution of furacilin. After treatment with the above means, such a wound is lubricated with alcohol and a sterile bandage is applied to it.

If the postoperative period goes well and there are no complications, on the 4-5th day, after treating the skin wound with peroxide and brilliant green solution, the surgeon can remove the bandage. This is called open wound management. At this stage, a person can already wash, but still try not to wet the seam. After taking water procedures, it is recommended to wet (do not wipe) the area of the seam with sterile gauze, after which, dipping a cotton swab in alcohol or a solution of brilliant green, treat the edges of the wound with them.

The stitches on the mucous membrane can also be washed after a few days, but many obstetricians recommend doing this with soap containing an antiseptic, for example, Safeguard. After washing, the seam is also wetted with gauze, but nothing else is processed if this is not necessary. In the future, such sutures (almost always these wounds are sewn up with catgut) resolve themselves, the person is at home at this time.

The skin suture is usually removed by 7-14 days, having previously treated it with both alcohol and brilliant green. Before that, a few days before the complete removal of the stitches, they can be removed through one. A person is discharged home, recommending not to forget about the seam yet, not to wet it strongly, to treat it once a day with fucorcin or alcohol. Treatment of postoperative sutures is an essential component of treatment. To accelerate healing, you can smear with water-soluble ointments such as Levomekol, Dioksizol, Bepanten-cream (sea buckthorn oil is best used when the seam looks like a dry strip of dark color).

Sometimes it happens that the stitches are not removed, but the person is discharged with recommendations and is told when he should visit a surgeon at his place of residence to remove the stitches. Then the person has to process the place of the postoperative wound himself. It is not difficult, the main thing is to follow the rules of asepsis, that is, wash your hands before treating the wound, do not touch the wound with your hands.

You will need to buy 3% hydrogen peroxide, brilliant green, sterile gauze, cotton swabs and alcohol, a paper band-aid. Pour the previous bandage with peroxide to easily remove it. Then you remove it, treat the edges of the wound with a cotton swab with alcohol, then do the same with brilliant green, apply a sterile gauze bandage folded in 4-6 layers, fix it with a paper patch. Try not to stick the patch on the same places so that pressure sores do not occur there. If within two or three days the wound is dry, nothing stands out from it, continue to treat it with brilliant green and alcohol, but do not apply a bandage on top. Use wound healing ointments after the stitches have been removed.

Sometimes, unfortunately, the postoperative suture does not heal so well. In cases where the suture does not heal after the operation, then urgent measures should be taken. The following complications may occur:

Suppuration of the wound, when the discharge becomes whitish, yellow, greenish, sometimes with an unpleasant odor;

Bleeding from the operating wound;

Infiltration (compaction) at the site of the postoperative suture;

Redness and friability of tissues near the seam;

The occurrence of a hematoma at the site of the suture;

The divergence of the seam with the loss of a section of the internal organ into the wound;

Repeated (later than 5 days) onset of bloody discharge from the wound;

The rise in body temperature with a deterioration in general well-being, weakness, chills.

In all these cases, an urgent appeal to the hospital where the operation was performed is necessary. In cases with heavy bleeding or prolapse of internal organs into the wound, an ambulance should be called, which in the supine position will take the patient to the department where he was previously operated on.

With such complications, the patient will be given antibiotics, drugs that improve blood clotting. When the wound suppurates or its sutures melt, as well as in the presence of an infiltrate, the sutures are removed, drainage is placed in the wound (often it is just a piece of a sterile glove or a small tube), the wound is washed twice a day with hydrogen peroxide, chlorhexidine, furacilin. If air bubbles or contents with an unpleasant odor appear in the wound, the wound is also washed with potassium permanganate. When the seam fester - urgent measures are required.

Re-hospitalization may be necessary, especially in the case of organ prolapse into the wound.

The postoperative wound is sterile and, only in this case, there is a guarantee of wound healing under the sutures, the so-called "primary intention". The healing of sutures depends largely on the human body as a whole. There are people in whom everything heals quickly, whether it be postoperative sutures, or just a cut or wound, and there are those in whom this process drags on for many months.

In his life, every person has injured the skin to a greater or lesser extent. Therefore, it is important to know the basic rules for the primary treatment of the wound surface.

A bandage is a special dressing used to close a wound.

The process of applying a bandage to a wound is called dressing.

There is a fairly large number of different bandages. These dressings are classified according to three main points: by the type of dressing material, by the method of fixing the dressing, and by purpose.

This is a surgical procedure, otherwise known as medical sterilization. During such an operation, the pipes are blocked, they are cut or bandaged. The operation is considered one of the most effective, guaranteeing 99% of the absence of pregnancy. Only in a few, it can occur when there is a passage for sperm to enter, as well as with an incorrectly performed operation.

The normal desire of every pregnant woman is to give birth easily, quickly and without breaks. But alas, this is extremely rare. 95% of women who have known the joy of motherhood have perineal tears, which make it difficult for the already far from easy postpartum period.

Often, after a surgical intervention with a violation of the integrity of the skin, surgeons resort to the imposition of a surgical suture. There are countless varieties of these sutures, and there is even an expression: how many surgeons - so many sutures, since each surgeon applies a suture, albeit according to the generally accepted method, but still adapting the technique to himself and the characteristics of the patient.

The doctor removes the stitches after the operation, but we will talk about what it is and how the process itself takes place. There are also threads that do not need to be removed, they dissolve on their own. This is such a suture material as catgut, vicryl and others. Catgut usually begins to dissolve within 7-10 days. Vicryl usually resolves in a day, but there are situations when the wound heals much earlier and the need for threads disappears, so it is better to remove them. If the wound has healed and the threads have not been removed, then a feeling of tension appears, which causes discomfort.

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, operative births are performed by caesarean section in a planned or emergency manner.

Source: VPROK (188)

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Postoperative suture care at home

Information about the types and healing process of the postoperative suture. And also told what actions need to be taken in case of complications.

After a person has survived the operation, scars and stitches remain for a long time. From this article you will learn how to properly process the postoperative suture and what to do in case of complications.

With the help of a surgical suture, biological tissues are connected. Types of postoperative sutures depend on the nature and scale of the surgical intervention and are:

bloodless, not requiring special threads, but sticking together with a special patch
bloody, which are sutured with medical suture material through biological tissues

Depending on the method of suturing bloody, the following types are distinguished:

simple nodal - the puncture has a triangular shape that holds the suture material well
continuous intradermal - the most common, which provides a good cosmetic effect
vertical or horizontal mattress - used for deep extensive tissue damage
purse-string - intended for plastic tissues
twisting - as a rule, serves to connect the vessels and organs of the hollow

From what technique and tools are used for suturing, they differ:

manual, when applied, a regular needle, tweezers and other tools are used. Suture materials - synthetic, biological, wire, etc.
mechanical, carried out by means of an apparatus using special brackets

Sutures can be applied in different ways

The depth and extent of the bodily injury dictates the method of suturing:

single-row - the seam is superimposed in one tier
multilayer - the imposition is carried out in several rows (first, muscle and vascular tissues are connected, then the skin is sutured)

In addition, surgical sutures are divided into:

removable - after the wound has healed, the suture material is removed (usually used on integumentary tissues)
submersible - not removed (applicable for connecting internal tissues)

Materials that are used for surgical sutures can be:

absorbable - removal of suture material is not required. They are used, as a rule, for ruptures of mucous and soft tissues.
non-absorbable - removed after a certain period of time set by the doctor

Various materials are used for suturing

When suturing, it is very important to connect the edges of the wound tightly so that the possibility of cavity formation is completely excluded. Any type of surgical suture requires treatment with antiseptic or antibacterial drugs.

The period of wound healing after surgery largely depends on the human body: for some, this process occurs quickly, for others it takes a longer time. But the key to a successful result is the correct therapy after suturing. The following factors influence the timing and nature of healing:

sterility
materials for suture treatment after surgery
regularity

One of the most important requirements for the care of injuries after surgery is the observance of sterility. Treat wounds only with thoroughly washed hands using disinfected instruments.

Depending on the nature of the injury, postoperative sutures are treated with various antiseptic agents:

potassium permanganate solution (it is important to follow the dosage to exclude the possibility of burns)
iodine (in large quantities can cause dry skin)
brilliant green
medical alcohol
fucarcinoma (it is difficult to wipe off the surface, which causes some inconvenience)
hydrogen peroxide (may cause mild burning)
anti-inflammatory ointments and gels

Stitches after surgery must be processed

Often at home, folk remedies are used for these purposes:

tea tree oil (whole)
tincture of larkspur roots (2 tbsp, 1 tbsp water, 1 tbsp alcohol)
ointment (0.5 cups of beeswax, 2 cups of vegetable oil, cook over low heat for 10 minutes, let cool)
cream with calendula extract (add a drop of rosemary and orange oils)

Be sure to consult your doctor before taking these medications. In order for the healing process to occur as soon as possible without complications, it is important to follow the rules for processing sutures:

sanitize hands and tools that may be needed
carefully remove the bandage from the wound. If it sticks, pour peroxide before applying the antiseptic
using a cotton swab or gauze swab, lubricate the seam with an antiseptic preparation
bandage

Observe sterility

In addition, do not forget to comply with the following conditions:

process twice a day, if necessary and more often
regularly carefully examine the wound for inflammation
to avoid scarring, do not remove dry crusts and scabs from the wound
do not rub the seam with hard sponges during the shower
in case of complications (purulent discharge, swelling, redness), consult a doctor immediately

A removable postoperative suture must be removed on time, since the material used to connect the tissue acts as a foreign body for the body. In addition, if the threads are not removed in due time, they can grow into the tissue, which will lead to inflammation.

We all know that a medical worker should remove the postoperative suture in suitable conditions with the help of special tools. However, it happens that there is no opportunity to visit a doctor, the time for removal of stitches has already come, and the wound looks completely healed. In this case, you can remove the suture yourself.

To get started, prepare the following:

antiseptic preparations
sharp scissors (preferably surgical, but you can also use nail scissors)
dressing
antibiotic ointment (in case of infection in the wound)

The procedure for removing the seam is as follows:

disinfect the instruments
wash your hands thoroughly up to the elbow and treat with an antiseptic
choose a well-lit place
remove the bandage from the seam
using alcohol or peroxide, treat the area around the location of the seam
using tweezers, gently lift the first knot slightly
while holding it, cut the suture thread with scissors
carefully, slowly pull the thread
continue in the same order: lift the knot and pull the threads
be sure to remove all suture material
treat the suture site with an antiseptic
apply a bandage for better healing

But it is better to entrust this matter to a professional.

In the case of self-removal of postoperative sutures, in order to avoid complications, strictly observe the following requirements:

only small superficial seams can be removed independently
do not remove surgical staples or wires at home
make sure the wound is completely healed
if bleeding occurs during the process, stop the action, treat with an antiseptic and consult a doctor
protect the seam area from ultraviolet radiation, as the skin there is still too thin and prone to burns
avoid injury to the area

Often, after the operation, a seal is observed under the suture in a patient, which was formed due to the accumulation of lymph. As a rule, it does not pose a threat to health and disappears over time. However, in some cases, complications may arise in the form of:

inflammation - accompanied by painful sensations in the suture area, redness is observed, the temperature may rise
suppuration - with a running inflammatory process, pus may be released from the wound
the formation of keloid scars - is not dangerous, but has an unaesthetic appearance. Such scars can be removed with laser resurfacing or surgery.

If you observe any of these symptoms, please contact your surgeon. And in the absence of such an opportunity, - to the hospital at the place of residence.

If you see a seal, then consult a doctor

Even if it later turns out that the resulting bump is not dangerous and will eventually resolve on its own, the doctor must examine and give his opinion. If you are convinced that the seal of the postoperative suture is not inflamed, does not cause pain and there is no purulent discharge, follow these requirements:

follow the rules of hygiene. Keep bacteria out of the injured area
process the seam twice a day and change the dressing material in a timely manner
when showering, avoid getting water on the unhealed area
don't lift weights
make sure that your clothes do not rub the seam and areolas around it
before going outside, put on a protective sterile bandage
in no case do not apply compresses and do not rub with various tinctures on the advice of friends. This can lead to complications. The doctor must prescribe treatment

Maintain hygiene after surgery

Compliance with these simple rules is the key to successful treatment of suture seals and the possibility of getting rid of scars without surgical or laser technologies.

One of a number of postoperative complications is inflammation of the suture. This process is accompanied by such phenomena as:

swelling and redness in the suture area
the presence of a seal under the seam, which is groped with fingers
increased temperature and blood pressure
general weakness and muscle pain

The reasons for the appearance of the inflammatory process and further non-healing of the postoperative suture may be different:

infection in the postoperative wound
during the operation, trauma to the subcutaneous tissues occurred, as a result of which hematomas formed
suture material had increased tissue reactivity
In overweight patients, wound drainage is inadequate
low immunity in the operated

Often there is a combination of several of the following factors that may arise:

due to the error of the operating surgeon (instruments and materials were insufficiently processed)
due to non-compliance by the patient with postoperative requirements
due to indirect infection, in which microorganisms are spread through the blood from another source of inflammation in the body

If you see redness in the suture, contact your doctor immediately.

In addition, the healing of a surgical suture largely depends on the individual characteristics of the body:

weight - in obese people, the wound after surgery may heal more slowly
age - tissue regeneration at a young age is faster
nutrition - lack of proteins and vitamins slows down the recovery process
chronic diseases - their presence prevents rapid healing

If you observe redness or inflammation of the postoperative suture, do not postpone a visit to the doctor. It is the specialist who must examine the wound and prescribe the correct treatment:

remove stitches if necessary
will wash the wounds
install a drain to drain purulent discharge
prescribe the necessary medicines for external and internal use

Timely implementation of the necessary measures will prevent the likelihood of serious consequences (sepsis, gangrene). After the medical manipulations performed by the attending physician, to speed up the healing process at home, follow these recommendations:

treat the seam and the area around it several times a day with the drugs prescribed by the attending physician
during the shower, try not to catch the wound with a washcloth. After leaving the bath, gently blot the seam with a bandage
change sterile dressings in time
take a multivitamin
include extra protein in your diet
do not lift heavy objects

Take vitamins to make the seam tighten better

In order to minimize the risk of an inflammatory process, it is necessary to take preventive measures before the operation:

boost immunity
perform oral hygiene
identify the presence of infections in the body and take measures to get rid of them
Strictly observe hygiene rules after surgery

One of the negative consequences after surgery is a postoperative fistula, which is a channel in which purulent cavities are formed. It occurs as a result of the inflammatory process, when there is no outlet for purulent fluid.

The causes of fistulas after surgery can be different:

chronic inflammation
infection is not completely eliminated
rejection by the body of a non-absorbable suture material

The last reason is the most common. The threads that connect tissues during surgery are called ligatures. Therefore, the fistula that arose due to its rejection is called ligature. A granuloma is formed around the thread, that is, a seal consisting of the material itself and fibrous tissue. Such a fistula is formed, as a rule, for two reasons:

entry of pathogenic bacteria into the wound due to incomplete disinfection of threads or instruments during surgery
weak immune system of the patient, due to which the body weakly resists infections, and there is a slow recovery after the introduction of a foreign body

The fistula can manifest itself in a different postoperative period:

within a week after surgery
after a few months

Signs of fistula formation are:

redness in the area of inflammation
the appearance of seals and tubercles near the seam or on it
pain
pus
temperature rise

After the operation, a very unpleasant phenomenon may occur - a fistula.

If you experience these symptoms, be sure to consult a doctor. If measures are not taken in time, the infection can spread throughout the body.

Treatment of postoperative fistulas is determined by the doctor and can be of two types:

The conservative method is used if the inflammatory process has just begun and has not led to serious violations. In this case, the following is done:

removal of dead tissue around the seam
washing the wound from pus
removal of the outer ends of the thread
patient taking antibiotics and immunosuppressants

The surgical method includes a number of medical measures:

make an incision to drain the pus
remove the ligature
wash the wound
if necessary, repeat the procedure after a few days
in the presence of multiple fistulas, you may be prescribed a complete excision of the suture
stitches are re-attached
prescribed a course of antibiotics and anti-inflammatory drugs
complexes of vitamins and minerals are prescribed
standard therapy prescribed after surgery

Often the fistula has to be removed surgically

Recently, a new method of treating fistulas has appeared - ultrasound. This is the most gentle method. Its disadvantage is the length of the process. In addition to these methods, healers offer folk remedies for the treatment of postoperative fistulas:

Dissolve the mummy in water and mix with aloe juice. Soak a bandage in the mixture and apply to the inflamed area. Keep a few hours
wash the wound with a decoction of St. John's wort (4 tablespoons of dry leaves per 0.5 l of boiling water)
take 100 g of medical tar, butter, flower honey, pine resin, crushed aloe leaf. Mix everything and heat in a water bath. Dilute with medical alcohol or vodka. Apply the prepared mixture around the fistula, cover with a film or plaster
put a cabbage leaf on the fistula at night

The fistula can also be removed with folk remedies

However, do not forget that folk remedies are only auxiliary therapy and do not cancel a visit to the doctor. To prevent the formation of postoperative fistulas, it is necessary:

before the operation, examine the patient for the presence of diseases
prescribe antibiotics to prevent infection
clean instruments carefully before surgery
prevent contamination of suture materials

For resorption and healing of postoperative sutures, antiseptic agents (brilliant green, iodine, chlorhexidine, etc.) are used. Modern pharmacology offers other drugs of similar properties in the form of ointments for local action. Using them for healing purposes at home has several advantages:

availability
wide spectrum of action
the fatty base on the surface of the wound creates a film that prevents overdrying of tissues
skin nutrition
the convenience of use
softening and brightening of scars

It should be noted that for wet wounds of the skin, the use of ointments is not recommended. They are prescribed when the healing process has already begun.

Based on the nature and depth of skin lesions, various types of ointments are used:

simple antiseptic (for shallow superficial wounds)
containing hormonal components (for extensive, with complications)

Vishnevsky's ointment is one of the most affordable and popular pulling agents. Promotes accelerated release from purulent processes
Levomekol - has a combined effect: antimicrobial and anti-inflammatory. It is a broad spectrum antibiotic. Recommended for purulent discharge from the suture
Vulnuzan is a product based on natural ingredients. Applied to both the wound and the bandage
levosin - kills microbes, removes the inflammatory process, accelerates healing
stellanin is a new generation ointment that removes puffiness and kills the infection, stimulates the regeneration of the skin
eplan is one of the strongest local treatments. Has analgesic and anti-infective effect
solcoseryl - available in the form of a gel or ointment. The gel is used when the wound is fresh, and the ointment is used when healing has begun. The drug reduces the likelihood of scarring and scars. Better put under a bandage
actovegin is a cheaper analogue of solcoseryl. It successfully fights inflammation, practically does not cause allergic reactions. Therefore, it can be recommended for use by pregnant and lactating women. Can be applied directly to damaged skin
agrosulfan - has a bactericidal effect, has an antimicrobial and analgesic effect

naftaderm - has anti-inflammatory properties. It also relieves pain and softens scars.
contractubex - is used when the healing of the seam begins. Has a softening smoothing effect in the scar area
mederma - improves tissue elasticity and brightens scars

Excellent absorbent

The listed remedies are prescribed by a doctor and used under his supervision. Remember that self-treatment of postoperative sutures cannot be done in order to prevent suppuration of the wound and further inflammation.

One of the effective care products for postoperative sutures is a patch made on the basis of medical silicone. This is a soft self-adhesive sheet that is fixed on the seam, connecting the edges of the fabric, and is suitable for small damage to the skin.

The benefits of using the patch are as follows:

prevents pathogens from entering the wound
absorbs discharge from the wound
does not cause irritation
breathable, thanks to which the skin under the patch breathes
helps to soften and smooth the scar
retains moisture well in tissues, preventing drying out
prevents scar growth
convenient to use
when removing the patch, skin injury does not occur

Postoperative plaster

Some patches are waterproof, allowing the patient to shower without risking the stitches. The most commonly used patches are:

To achieve positive results in the healing of postoperative sutures, this medical device must be used correctly:

remove the protective film
Apply the adhesive side to the seam area
change every other day
peel off the patch periodically and check the condition of the wound

We remind you that before using any pharmacological agent, you should consult your doctor.