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Stitching of Wounds Tips

6 Steps To Help You Take Care Of Your Wounds Post Surgery!

Dr. Shubhada Bhamre 87% (10 ratings)
MS - General Surgery, Bachelor of Medicine, Bachelor of Surgery (M.B.B.S.), Medicine
General Surgeon, Nashik
6 Steps To Help You Take Care Of Your Wounds Post Surgery!

Any surgery that requires an incision will involve sutures or staples as the last step of the procedure. This helps close the incision and keep out infections. Taking care of your stitches can help limit scarring and discomfort and speed up the healing process.

Here are a few things to keep in mind.

  1. Keep it clean and dry: For the first few days, use a washed wet cloth to clean the incision site. After a few days, you may start washing the area with soap and water unless advised else wise by your doctor. Ensure that you dry the skin thoroughly after washing it. Avoid baths that involve soaking the area in water. Also, avoid swimming. Do not use any powders, lotions, creams, deodorants etc on the wound site.
  2. Look out for signs of infections: Avoid activities that may involve exposing your wound to dirty water, chemicals, dust etc. This increases your risk of infections. Also look out for signs f infections such as redness, swelling, pus or bleeding, fever or increased pain from the wound. In case you notice such signs, consult your doctor at the earliest.
  3. Do not scratch: As it heals, your skin is likely to turn itchy. However, refrain from scratching so as to reduce chances of infections. Do not try and pull away from the scab but let it fall off on its own. This will also help limit scarring.
  4. Limit contact: Avoid wearing tight clothes or anything that sticks to the skin while your wound is healing. Instead have plenty of loose, comfortable clothes easily accessible. Also, do not take part in close contact sports such as football etc until the stitches have healed completely.
  5. Change your dressing regularly: A dressing should be changed as soon as it gets wet or soaked with blood or other body fluids. Wear clean medical gloves while changing a dressing. When putting on a new dressing do not touch the inside of the dressing or apply any creams on the stitches unless advised so by your doctor. In the case of removable stitches, the doctor will usually remove the stitches after a few days. DO not attempt to pull the stitches out on your own.
  6. Avoid exposing the wound to sunlight: New skin that forms as the incision heals is very sensitive to sunlight and gets sunburnt very easily. Limiting your exposure to sunlight can help reduce the effects of scarring.
1733 people found this helpful

Stitches Post Surgery - How To Manage Them?

Dr. Apoorv Goel 92% (1537 ratings)
MBBS, MS - General Surgery, FIAGES(Fellowship In Minimal Access Surgery), FMAS (Fellowship In Minimal Access Surgery)
General Surgeon, Ghaziabad
Stitches Post Surgery - How To Manage Them?

Any surgery that requires an incision will involve sutures or staples as the last step of the procedure. This helps close the incision and keep out infections. Taking care of your stitches can help limit scarring and discomfort and speed up the healing process. Here are a few things to keep in mind.

  1. Keep it clean and dry: For the first few days, use a washed wet cloth to clean the incision site. After a few days, you may start washing the area with soap and water unless advised else wise by your doctor. Ensure that you dry the skin thoroughly after washing it. Avoid baths that involve soaking the area in water. Also, avoid swimming. Do not use any powders, lotions, creams, deodorants etc on the wound site.
  2. Look out for signs of infections: Avoid activities that may involve exposing your wound to dirty water, chemicals, dust etc. This increases your risk of infections. Also look out for signs f infections such as redness, swelling, pus or bleeding, fever or increased pain from the wound. In case you notice such signs, consult your doctor at the earliest.
  3. Do not scratch: As it heals, your skin is likely to turn itchy. However, refrain from scratching so as to reduce chances of infections. Do not try and pull away from the scab but let it fall off on its own. This will also help limit scarring.
  4. Limit contact: Avoid wearing tight clothes or anything that sticks to the skin while your wound is healing. Instead have plenty of loose, comfortable clothes easily accessible. Also, do not take part in close contact sports such as football etc until the stitches have healed completely.
  5. Change your dressing regularly: A dressing should be changed as soon as it gets wet or soaked with blood or other body fluids. Wear clean medical gloves while changing a dressing. When putting on a new dressing do not touch the inside of the dressing or apply any creams on the stitches unless advised so by your doctor. In the case of removable stitches, the doctor will usually remove the stitches after a few days. DO not attempt to pull the stitches out on your own.
  6. Avoid exposing the wound to sunlight: New skin that forms as the incision heals is very sensitive to sunlight and gets sunburnt very easily. Limiting your exposure to sunlight can help reduce the effects of scarring.
1715 people found this helpful

Pain In Stitches - When to Show A Doctor?

Dr. Harika Tirungari 89% (103 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery, MS - General Surgery
General Surgeon, Hyderabad
Pain In Stitches - When to Show A Doctor?

After any surgery, the most important thing that needs to be taken care of is the stitches/sutures. Serious cuts or incisions from surgical procedures may require stitches, or sutures, to hold tissues together while they heal.

As stitches are the most important thing that protects the internal organs to form infection and re-injury. They need to be observed carefully until they are dried and removed.

Care For Stitches/Sutures:
The doctor or nurse will give you instructions regarding how to take care of your stitches as your cut heals.

  • They will teach you specific steps for cleaning and dressing the wound
  • You are advised to keep the wound and bandages dry.
  • The doctor will prescribe an antibiotic ointment to help prevent infection.
  • The doctor will make you aware of signs that may indicate infection.

Following are the signs and symptoms that indicate infection for which you need to see your doctor immediately:

  1. Increased body temperature - fever higher than 100 degrees farhanite is a sign of infection.
  2. Red streaks on the skin near the wound or when edges of the wound leak blood or pus indicates infection.
  3. If any of your stitches break open or skin around the wound becomes red, swollen, hot or painful you need to see your doctor and avoid doing anything at home.
  4. Swimming may cause pain at the site of sutures due to excessive movement of the body causing the suture to tear open.
  5. Lifting heavy weight may cause pressure on the skin which is sutured thereby leading to a tear or reopening of the wound leading to pain. If such a thing happens you need to see your doctor immediately.
  6. Sutures may get infected if not cleaned properly or if hygiene level is not maintained leading to pain and infection. In such cases, you need to see your doctor and get it cleaned and re-sutured if required.
  7. Keeping the suture area wet may also increase chances of infection leading to pain. To avoid this it is recommended to keep the sutured area clean and dry.
  8. If kids play in the mud and if the sutured site is exposed to mud it can be infected and cause pain where they need to be taken to the surgeon and get it cleaned.
  9. Suture pain may also occur because of rubbing or friction against clothes which may lead to redness and pain. In such a case you need to see your doctor.
  10. Also, sometimes after the sutures are removed there can be an infection because of scratching which can introduce infection into the wound. It may become warm and painful and may discharge pus.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3313 people found this helpful

Suturing Techniques - Things You Need To Know About It!

Dr. Purnendu Bhowmik 87% (18 ratings)
MS - General Surgery, FACS, Fellowship in Minimal Access Surgery(FMAS), FIAGES-Advanced Laparoscopy, FALS(Fellow Advanced Laparoscopic Surgery), FAIS
General Surgeon, Kolkata
Suturing Techniques - Things You Need To Know About It!

Any surgical procedure requires the creation of a wound and then a subsequent closure by the repositioning and securing the surgical flaps by suturing to allow optimum healing. A suture is a strand or thread used for the approximation of tissues and also for ligation off blood vessels. Suturing is the act of sewing or bringing tissues or the flap edges together and holding them in apposition until normal tissue healing takes place. Placement of sutures helps the wound to withstand normal functional stresses and to resist opening of the wounds.

Suturing techniques:

  1. Interrupted Suture-Sling Suture - The suture is passed through both the edges at an equal depth and distance from the incision, needle penetration should be 3mm from wound edges and the knot is tied. It is the most commonly used suture. Advantages of this technique are as follow
    • It is strong and can be used in areas of stress.
    • Successive sutures can be placed according to individual requirement
    • Each suture is placed independently and the loosening of one suture will not produce any loosening of the other.
    • A degree of eversion can be controlled.
    • If the wound becomes contaminated, infected or if there is a formation of hematoma, removal of a few sutures is possible that and provides a satisfactory treatment.
  2. Continuous over and over suture - A simple interrupted suture is placed first and the needle is then reinserted in a continuous manner in such a way that the suture passes perpendicular to the incision line below and obliquely below. The suture is ended by passing a knot over the untightened end of the suture. It provides a rapid technique for closure and distributes the tension equally over the suture line.
  3. Continuous locking suture - In this technique, locking is provided by withdrawing the suture through its own loop. The suture passes perpendicular to the incision line. The locking prevents excessive tightening of the suture as the wound closure progresses.
  4. Mattress suture - These sutures can be horizontal or vertical. These are used for resisting a muscle pull, evert the wound edges and to adapt the tissue flaps tightly to the underlying structures.
    • The horizontal mattress suture gives a broad contact of the wound margins. In this suture, the needle is passed from one edge of the incision to another and then again from the latter edge to the first edge in a horizontal manner, after which a knot is tied. The distance of the needle penetration from incision line and the depth of needle penetration is the same for each entry point, but the horizontal distance of the points of penetration on the same side of the flap differs.
    • The vertical mattress suture is similar to the horizontal mattress, except that, all the factors remaining constant, the penetration depth varies. It is used for the closure of deep wounds.
  5. Figure of eight suture - The figure of eight suture can be used for the closure of small gaping wounds like an extraction suture closure after removal of a tooth.
  6. Subcuticular suture - The subcuticular layer of the tough connective tissue if sutured will aid in holding together skin edges in a close approximation when better cosmetic results are desired. Continuous short lateral stitches are taken beneath the epithelial layer of the skin. The ends of the suture come out at each end of the incision and are knotted together. This type of suturing leaves back a cosmetic scar.

Some common types of surgical knot tying used during a surgical procedure are

  1. Square knot - It is also known as the standard knot or the Reef knot method. It is a special knotting technique in which the knots are securely tied. Four throws of the suture material are placed in position and the ends are cut long.

  2. Surgeon’s knot - It is formed by two throws of the suture around the needle holder on the first tie and one throw in the opposite direction in the second tie.

  3. Granny’s knot - It is also called as the slip knot technique. It is used when using silk, chromic catgut or the plain catgut suture material. It involves a tie in one direction followed by a second tie in the same direction and a third tie in the opposite direction to square the knot and hold it securely.

In case you have a concern or query you can always consult an expert & get answers to your questions!

1969 people found this helpful

Cuts And Wounds - What Should You Do To Treat Them?

Dr. C.S. Sidana 87% (90 ratings)
MBBS, DNB, Indian Diploma In Critical Care Medicine
General Physician, Gurgaon
Cuts And Wounds - What Should You Do To Treat Them?

Small cuts can be easily treated at your home if the chances of getting infected are low or the injury isn’t severe. You can clean and apply bandage to a small injury at your home without the need of visiting a doctor. First aid treatment is always recommended at home in all cases to prevent deterioration of a wound before you can visit a proper medical facility.

Here are some of the most widely followed procedures to treat cuts and small wounds at home 

 

  1. The first step in treating the cut is to stop the bleeding by applying direct pressure on the wound. You may also find many non prescription products available which you can use to stop the flow of blood. If you feel that the situation is getting worse or out of control, then get to a doctor or a medical facility as soon as possible.

  2. The second step in treating a wound is to clean the wound to avoid any possible chances of contracting infections and to remove dirt left in the wound. You can also use tweezers to remove any pieces of external material stuck in the wound. Wash the wound with cool water to avoid dirt being leftover which can cause infections.

  3. Avoid the use of hydrogen peroxide, mercurochrome and rubbing alcohol which can cause a lot of harm to your tissues and also increase the amount of time taken to heal. The chemicals may actually damage tissue more than promote healing or disinfect the area. Instead, keep doctor recommended products which are known to heal scar bruises and small cuts.

  4. Stitches and staples will be required if your doctor decides to close the wound externally. Your doctor will give you instructions to follow and also inform you about the time it would take for the wound to heal. The next procedure would be to remove the stitch after the wound has settled and would again require you to visit your nearby health care provider.

  5. You should always follow the instructions of your doctor and avoid any further injury to your affected part. Even if the injury is serious it is important that first aid is administered properly until you can reach medical help.

In case you have a concern or query you can always consult an expert & get answers to your questions!

4981 people found this helpful

What Should You Do To Take Care Of Stitches Post Surgery?

MBBS Bachelor of Medicine and Bachelor of Surgery, MS - General Surgery
General Surgeon, Hyderabad
What Should You Do To Take Care Of Stitches Post Surgery?

Any surgery that requires an incision will involve sutures or staples as the last step of the procedure. This helps close the incision and keep out infections. Taking care of your stitches can help limit scarring and discomfort and speed up the healing process.

Here are a few things to keep in mind.

  1. Keep it clean and dry: For the first few days, use a washed wet cloth to clean the incision site. After a few days, you may start washing the area with soap and water unless advised else wise by your doctor. Ensure that you dry the skin thoroughly after washing it. Avoid baths that involve soaking the area in water. Also, avoid swimming. Do not use any powders, lotions, creams, deodorants etc on the wound site.
  2. Look out for signs of infections: Avoid activities that may involve exposing your wound to dirty water, chemicals, dust etc. This increases your risk of infections. Also look out for signs f infections such as redness, swelling, pus or bleeding, fever or increased pain from the wound. In case you notice such signs, consult your doctor at the earliest.
  3. Do not scratch: As it heals, your skin is likely to turn itchy. However, refrain from scratching so as to reduce chances of infections. Do not try and pull away from the scab but let it fall off on its own. This will also help limit scarring.
  4. Limit contact: Avoid wearing tight clothes or anything that sticks to the skin while your wound is healing. Instead have plenty of loose, comfortable clothes easily accessible. Also, do not take part in close contact sports such as football etc until the stitches have healed completely.
  5. Change your dressing regularly: A dressing should be changed as soon as it gets wet or soaked with blood or other body fluids. Wear clean medical gloves while changing a dressing. When putting on a new dressing do not touch the inside of the dressing or apply any creams on the stitches unless advised so by your doctor. In the case of removable stitches, the doctor will usually remove the stitches after a few days. DO not attempt to pull the stitches out on your own.
  6. Avoid exposing the wound to sunlight: New skin that forms as the incision heals is very sensitive to sunlight and gets sunburnt very easily. Limiting your exposure to sunlight can help reduce the effects of scarring.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2880 people found this helpful

Cuts And Wounds - How To Manage Them?

Dr. Nash Kamdin 95% (4928 ratings)
MBBS
General Physician, Mumbai
Cuts And Wounds - How To Manage Them?

Small cuts can be easily treated at your home if the chances of getting infected are low or the injury isn’t severe. You can clean and apply bandage to a small injury at your home without the need of visiting a doctor. First aid treatment is always recommended at home in all cases to prevent deterioration of a wound before you can visit a proper medical facility. Here are some of the most widely followed procedures to treat cuts and small wounds at home-

  1. The first step in treating the cut is to stop the bleeding by applying direct pressure on the wound. You may also find many non prescription products available which you can use to stop the flow of blood. If you feel that the situation is getting worse or out of control, then get to a doctor or a medical facility as soon as possible.

  2. The second step in treating a wound is to clean the wound to avoid any possible chances of contracting infections and to remove dirt left in the wound. You can also use tweezers to remove any pieces of external material stuck in the wound. Wash the wound with cool water to avoid dirt being leftover which can cause infections.

  3. Avoid the use of hydrogen peroxide, mercurochrome and rubbing alcohol which can cause a lot of harm to your tissues and also increase the amount of time taken to heal. The chemicals may actually damage tissue more than promote healing or disinfect the area. Instead, keep doctor recommended products which are known to heal scar bruises and small cuts.

  4. Stitches and staples will be required if your doctor decides to close the wound externally. Your doctor will give you instructions to follow and also inform you about the time it would take for the wound to heal. The next procedure would be to remove the stitch after the wound has settled and would again require you to visit your nearby health care provider.

  5. You should always follow the instructions of your doctor and avoid any further injury to your affected part. Even if the injury is serious it is important that first aid is administered properly until you can reach medical help.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3715 people found this helpful

Surgery Stitches - 6 Tips To Care For It!

Dr. Tarun Agarwal 86% (10 ratings)
MBBS, MS - General Surgery
General Surgeon, Lucknow
Surgery Stitches - 6 Tips To Care For It!

Any surgery that requires an incision will involve sutures or staples as the last step of the procedure. This helps close the incision and keep out infections. Taking care of your stitches can help limit scarring and discomfort and speed up the healing process. Here are a few things to keep in mind.

  1. Keep it clean and dry: For the first few days, use a washed wet cloth to clean the incision site. After a few days, you may start washing the area with soap and water unless advised else wise by your doctor. Ensure that you dry the skin thoroughly after washing it. Avoid baths that involve soaking the area in water. Also, avoid swimming. Do not use any powders, lotions, creams, deodorants etc on the wound site.
  2. Look out for signs of infections: Avoid activities that may involve exposing your wound to dirty water, chemicals, dust etc. This increases your risk of infections. Also look out for signs f infections such as redness, swelling, pus or bleeding, fever or increased pain from the wound. In case you notice such signs, consult your doctor at the earliest.
  3. Do not scratch: As it heals, your skin is likely to turn itchy. However, refrain from scratching so as to reduce chances of infections. Do not try and pull away from the scab but let it fall off on its own. This will also help limit scarring.
  4. Limit contact: Avoid wearing tight clothes or anything that sticks to the skin while your wound is healing. Instead have plenty of loose, comfortable clothes easily accessible. Also, do not take part in close contact sports such as football etc until the stitches have healed completely.
  5. Change your dressing regularly: A dressing should be changed as soon as it gets wet or soaked with blood or other body fluids. Wear clean medical gloves while changing a dressing. When putting on a new dressing do not touch the inside of the dressing or apply any creams on the stitches unless advised so by your doctor. In the case of removable stitches, the doctor will usually remove the stitches after a few days. DO not attempt to pull the stitches out on your own.
  6. Avoid exposing the wound to sunlight: New skin that forms as the incision heals is very sensitive to sunlight and gets sunburnt very easily. Limiting your exposure to sunlight can help reduce the effects of scarring.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2893 people found this helpful

How You Should Take Care of Stitches Post Surgery?

Dr. Jagat Pal Singh 90% (10 ratings)
MBBS, MS - General Surgery, Fellowship in Minimal Access Surgery
General Surgeon, Agra
How You Should Take Care of Stitches Post Surgery?

Any surgery that requires an incision will involve sutures or staples as the last step of the procedure. This helps close the incision and keep out infections. Taking care of your stitches can help limit scarring and discomfort and speed up the healing process. Here are a few things to keep in mind.

  1. Keep it clean and dry: For the first few days, use a washed wet cloth to clean the incision site. After a few days, you may start washing the area with soap and water unless advised else wise by your doctor. Ensure that you dry the skin thoroughly after washing it. Avoid baths that involve soaking the area in water. Also, avoid swimming. Do not use any powders, lotions, creams, deodorants etc on the wound site.
  2. Look out for signs of infections: Avoid activities that may involve exposing your wound to dirty water, chemicals, dust etc. This increases your risk of infections. Also look out for signs f infections such as redness, swelling, pus or bleeding, fever or increased pain from the wound. In case you notice such signs, consult your doctor at the earliest.
  3. Do not scratch: As it heals, your skin is likely to turn itchy. However, refrain from scratching so as to reduce chances of infections. Do not try and pull away from the scab but let it fall off on its own. This will also help limit scarring.
  4. Limit contact: Avoid wearing tight clothes or anything that sticks to the skin while your wound is healing. Instead have plenty of loose, comfortable clothes easily accessible. Also, do not take part in close contact sports such as football etc until the stitches have healed completely.
  5. Change your dressing regularly: A dressing should be changed as soon as it gets wet or soaked with blood or other body fluids. Wear clean medical gloves while changing a dressing. When putting on a new dressing do not touch the inside of the dressing or apply any creams on the stitches unless advised so by your doctor. In the case of removable stitches, the doctor will usually remove the stitches after a few days. DO not attempt to pull the stitches out on your own.
  6. Avoid exposing the wound to sunlight: New skin that forms as the incision heals is very sensitive to sunlight and gets sunburnt very easily. Limiting your exposure to sunlight can help reduce the effects of scarring.

In case you have a concern or query you can always consult an expert & get answers to your questions!

1900 people found this helpful

How Best Can You Take Care Of Your Stitches?

Dr. Ayush Agarwal 90% (31 ratings)
MBBS, MS - General Surgery
General Surgeon, Ghaziabad
How Best Can You Take Care Of Your Stitches?

Any surgery that requires an incision will involve sutures or staples as the last step of the procedure. This helps close the incision and keep out infections. Taking care of your stitches can help limit scarring and discomfort and speed up the healing process. Here are a few things to keep in mind.

  1. Keep it clean and dry: For the first few days, use a washed wet cloth to clean the incision site. After a few days, you may start washing the area with soap and water unless advised else wise by your doctor. Ensure that you dry the skin thoroughly after washing it. Avoid baths that involve soaking the area in water. Also, avoid swimming. Do not use any powders, lotions, creams, deodorants etc on the wound site.
  2. Look out for signs of infections: Avoid activities that may involve exposing your wound to dirty water, chemicals, dust etc. This increases your risk of infections. Also look out for signs f infections such as redness, swelling, pus or bleeding, fever or increased pain from the wound. In case you notice such signs, consult your doctor at the earliest.
  3. Do not scratch: As it heals, your skin is likely to turn itchy. However, refrain from scratching so as to reduce chances of infections. Do not try and pull away from the scab but let it fall off on its own. This will also help limit scarring.
  4. Limit contact: Avoid wearing tight clothes or anything that sticks to the skin while your wound is healing. Instead have plenty of loose, comfortable clothes easily accessible. Also, do not take part in close contact sports such as football etc until the stitches have healed completely.
  5. Change your dressing regularly: A dressing should be changed as soon as it gets wet or soaked with blood or other body fluids. Wear clean medical gloves while changing a dressing. When putting on a new dressing do not touch the inside of the dressing or apply any creams on the stitches unless advised so by your doctor. In the case of removable stitches, the doctor will usually remove the stitches after a few days. DO not attempt to pull the stitches out on your own.
  6. Avoid exposing the wound to sunlight: New skin that forms as the incision heals is very sensitive to sunlight and gets sunburnt very easily. Limiting your exposure to sunlight can help reduce the effects of scarring.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2524 people found this helpful
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