Information about the types and process of healing of the postoperative seam. And also told what actions need to be taken with complications.
Content
- Types of postoperative sutures
- How and how to process the postoperative seam for better healing at home?
- How to remove postoperative seams at home?
- What to do if a seal appeared at the site of the postoperative seam?
- The postoperative seam does not heal, blushed, inflamed: what to do?
- Postoperative fistula: causes and methods of struggle
- Ointments for healing and resorption of postoperative sutures
- Patch for healing postoperative sutures
- Video: Processing of the postoperative seam
After the person survived the operation, scars and seams remain for a long time. From this article you will learn how to properly process the postoperative seam and what to do in case of complication.
Types of postoperative sutures
With the help of a surgical seam, biological tissues are combined. The types of postoperative seams depend on the nature and scale of surgical intervention and are:
- bloodlessnot requiring special threads, but gluing using a special patch
- bloodywhich are sewn with medical suture material through biological tissues
Depending on the method of applying bloody sutures, the following types are distinguished:
- simple nodal - the puncture has a triangular shape, which holds the suture material well
- continuous intradermal - Most commonin which a good cosmetic effect is provided
- vertical or horizontal mattress - used for deep extensive tissue damage
- pussy - intended for tissues of a plastic nature
- indignant - as a rule, serves to combine blood vessels and organs
From what technique and tools are used to apply seams, differ:
- manual, when applying for which ordinary needle, tweezers and other tools are used. Seam materials - synthetic, biological, wire, etc.
- mechanicalcarried out through the apparatus using special brackets
The depth and length of bodily harm dictates the seam application method:
- single -row - the seam is superimposed in one tier
- multi -layer - the imposition is made in several rows (first muscle and vascular tissues are connected, then the skin is sewn)
In addition, surgical seams are divided into:
- removable - After the wound heals, the material of the seams is removed (as a rule, it is used on cover fabrics)
- submersible - are not removed (applicable for connecting internal fabrics)
Materials that are used for operating seams can be:
- surviving - removing suture material is not required. They are used, as a rule, for ruptures of mucous and soft tissues
- not absorbing - removed after a certain period of time established by the doctor
When imposing seams, it is very important to combine the edges of the wound tightly so that the possibility of the formation of the cavity is completely excluded. Any type of surgical seams requires antiseptic or antibacterial drugs.
How and how to process the postoperative seam for better healing at home?
The healing period of wounds after surgery largely depends on the human body: in some this process occurs quickly, in others - for a longer time. But the key to a successful result is the correct therapy after the seam. The following factors affect the terms and nature of the healing:
- sterility
- materials for processing the seam after surgery
- regularity
One of the most important requirements for injuries after operations is Compliance with sterility. Process the wounds with only carefully washed hands using disinfected tools.
Depending on the nature of the injury, postoperative seams are treated with various antiseptic agents:
- potassium permanganate solution (it is important to observe the dosage in order to exclude the possibility of a burn)
- iodine (in large quantities can cause dry skin)
- zelenka
- medical alcohol
- fuccarcin (it is difficult to wipe off the surface, which causes a certain inconvenience)
- hydrogen peroxide (can cause a slight burning sensation)
- anti -inflammatory ointments and gels
Often at home, folk remedies are used for this purpose:
- tea tree oil (in its pure form)
- tincture of the roots of the vivocate (2 tablespoons, 1 tbsp. Water, 1 tbsp. Alcohol)
- ointment (0.5 cups of bee wax, 2 glasses of vegetable oil cook on low heat for 10 minutes, let cool)
- cream with a pharmacy calendula extract (add a drop of rosemary and orange oils)
Before treatment with these drugs, be sure to consult a doctor. In order for the healing process to take place as soon as possible without complications, it is important to observe the rules for processing the seams:
- disinfect your arms and tools that may be needed
- remove carefully the bandage from the wound. If she stuck, before applying an antiseptic, pour over the peroxide
- using a cotton wool or gauze swab, lubricate the seam with an antiseptic drug
- put the bandage
In addition, do not forget to comply with the following conditions:
- processing twice a day, if necessary and more often
- regularly carefully examine the wound for inflammation
- in order to avoid the formation of scars, do not remove dry crusts and corners from the wound
- during the shower, do not triple the seam with hard lips
- if complications occur (purulent secretions, edema, redness), immediately consult a doctor
How to remove postoperative seams at home?
The removable postoperative seam must be removed on time, since the material used to connect tissue acts for the body a foreign body. In addition, if the threads are not removed within the due date, they can be held in the fabric, which will lead to inflammation.
We all know that a medical worker in suitable conditions with the help of special tools should remove the postoperative seam. However, it happens that the ability to visit a doctor is absent, the time of removing the seams has already occurred, and the wound looks completely healed. In this case, you can remove the suture material yourself.
First, prepare the following:
- antiseptic drugs
- sharp scissors (preferably surgical, but you can use manicure)
- dressing
- antibiotic ointment (in case of infection in the wound)
The process of removing the seam is as follows:
- message tools
- wash your hands thoroughly on the elbow and treat with an antiseptic
- select a well -lit place
- remove the bandage from the seam
- using alcohol or peroxide, treat the area around the seam location
- with the help of tweezers, gently slightly lift the first knot
- holding it, cut the seam thread with scissors
- carefully, slowly pull the thread
- act in the same order and further: raise the knot and pull the threads
- make sure you removed the entire suture material
- treat the seam place with an antiseptic agent
- put the bandage for better healing
In the case of independent removal of postoperative seams, in order to avoid complications, strictly observe the following requirements:
- only small surface seams can be removed on your own
- do not remove surgical brackets or wire at home
- make sure the wound healing
- if blood has gone in time, stop the action, treat with an antiseptic and consult a doctor
- take care of the seam area from ultraviolet radiation, since the skin there is still too thin and prone to burns
- avoid the possibility of injuring this area
What to do if a seal appeared at the site of the postoperative seam?
Often, the patient after the operation under the seam has a seal, 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 occur in the form:
- inflammation - accompanied by pain in the seam area, redness is observed, temperature may increase
- suppuration - with a neglected inflammatory process, the release of pus from the wound may occur
- the formation of keloid scars - does not pose a danger, but has a non -aesthetic appearance. Such scars can be removed using laser grinding or surgically
If you observe the listed signs, refer to the surgeon operating you. And in the absence of such an opportunity, to the hospital at the place of residence.
Even if it subsequently turns out that the resulting bump is not dangerous and will resolve yourself over time, the doctor must examine and give his conclusion. If you are convinced that the compaction of the postoperative seam is not inflamed, does not cause pain and purulent discharge is absent, fulfill the following requirements:
- follow hygiene rules. Do not allow bacteria entering the injured area
- process the seam twice a day and timely change the bandage material
- when taking a shower, avoid getting water to an unrunited area
- do not lift weights
- make sure that your clothes do not rub the seam and the Areol around him
- before you go out, apply a protective sterile bandage
- in no case do not apply compresses and do not rub yourself with various tinctures on the advice of acquaintances. This can lead to complications. The doctor must prescribe treatment
Compliance with these simple rules is the key to the successful treatment of seam compaction and the possibility of getting rid of scars without surgical or laser technologies.
The postoperative seam does not heal, blushed, inflamed: what to do?
One of the number of postoperative complications is the suture inflammation. This process is accompanied by such phenomena as:
- swelling and redness in the seam area
- pain
- the presence under the seam of the seal, which is felt by the fingers
- increasing temperature and blood pressure
- general weakness and muscle pain
The reasons for the appearance of the inflammatory process and further non -power of the postoperative seam may be different:
- infection in the postoperative wound
- during the operation, the subcutaneous tissue was injured, as a result of which hematomas formed
- suture material had increased tissue reactivity
- in patients with overweight, the wound drainage is not enough
- low immunity in the operated
Often there is a set of several of the listed factors that may arise:
- due to the error of the operating surgeon (the instrumentation and materials were not sufficiently processed)
- due to the patient's non -compliance with postoperative requirements
- due to indirect infection, in which microorganisms are carried through blood from another focus of inflammation in the body
In addition, the healing of the surgical seam largely depends on the individual characteristics of the body:
- weight - Full people have a wound after surgery can heal slower
- 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 seam, do not postpone the visit to the doctor. It is the specialist who should examine the wound and prescribe the correct treatment:
- if necessary, remove the seams
- warm wounds
- set drainage for the removal of purulent discharge
- prescribe the necessary drugs of external and internal use
Timely conduct of the necessary measures will prevent the likelihood of serious consequences (sepsis, gangrene). After medical manipulations, the attending physician to accelerate the healing process of the house follow the following recommendations:
- treat the seam and the area around it several times a day with those drugs prescribed by the attending physician
- during the shower, try not to hook the wound with a washcloth. Leaving the bathtub, carefully blot the seam bandage
- change sterile dressings in time
- take multivitamin
- include an additional portion of protein in your diet
- do not raise heavy objects
In order to maximize the risk of an inflammatory process, preventive measures must be taken before the operation:
- increase immunity
- run the mouth
- identify the presence of infections in the body and take measures to get rid of them
- strictly follow hygienic rules after surgery
Postoperative fistula: causes and methods of struggle
One of the negative consequences after surgery is postoperative fistula, which is a channel in which purulent cavities form. It occurs as a result of the inflammatory process, when there is no way out for purulent fluid.
The reasons for the appearance of fistulas after surgery can be different:
- chronic inflammation
- the infection is not completely eliminated
- the body rejection of the suture of non -absorbing material
The last reason is the most common. The threads that connect the fabrics during surgery are called ligature. Therefore, the fistula that arose due to its rejection has a ligature name. Around the thread is formed granuloma, that is, a seal consisting of the material itself and fibrous tissue. Such a fistula is formed, as a rule, for two reasons:
- getting into the wound of pathogenic bacteria due to incomplete disinfection of threads or tools during surgery
- the weak immune system of the patientdue to which the body is poorly resisted with 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 the education of the fistula are:
- redness in the field of inflammation
- the appearance of seals and tubercles near the seam or on it
- painful sensations
- edema
- distance of pus
- temperature rise
In case of observation of the listed symptoms, be sure to consult a doctor. If measures do not take measures in time, then the infection may spread throughout the body.
The treatment of postoperative fistulas is determined by the doctor and can be of two types:
- conservative
- surgical
The conservative method is used if the inflammatory process has just begun and has not led to serious violations. In this case, it is carried out:
- removing dead fabrics around the seam
- rinse of the wound from pus
- removing the external ends of the thread
- the patient's reception of antibiotics and immunity supplies
The surgical method includes a number of medical events:
- make an incision to the release of pus
- remove the ligura
- rinse the wound
- if necessary, after a few days, the procedure is carried out again
- in the presence of multiple fistulas, you may be prescribed a complete excision of the seam
- the seams are overlapped
- a course of antibiotics and anti -inflammatory drugs is prescribed
- complexes of vitamins and minerals are assigned
- standard therapy prescribed after surgery is carried out
Recently, a new way to treat fistulas has appeared - ultrasonic. This is the most gentle method. The disadvantage of it can be called the duration of the process. In addition to these methods, healers offer folk remedies for the treatment of postoperative fistulas:
- mummy Dissolve in water and mix with aloe juice. Moisten the bandage in the mixture and put on the inflamed area. Keep for several hours
- rinse the wound with a decoction st. John's wort (4 tablespoons of dry leaves per 0.5 l of boiling water)
- take 100 g of medical tar, butter oils, flower honey, pine gum, chopped sheet aloe. Mix everything and heat in a water bath. Dilute with medical alcohol or vodka. Put the cooked mixture around the fistula, cover with a film or plaster
- at night, put a sheet on a fistula cabbage
However, do not forget that folk remedies are only auxiliary therapy and do not cancel the visit to the doctor. To prevent the formation of postoperative fistulas, it is necessary:
- before the operation, conduct an examination of the patient for the presence of diseases
- prescribe antibiotics in order to prevent infection
- carefully process tools before surgery
- prevent pollution of suture materials
Ointments for healing and resorption of postoperative sutures
For resorption and healing of postoperative joints, antiseptic agents (green, iodine, chlorhexidine, etc.) are used. Modern pharmacology also offers other drugs of a similar property in the form of ointments for local exposure. Their use for healing at home has several advantages:
- availability
- a wide range of action
- the fat base on the surface of the wound creates a film that prevents tissue overdrying
- skin nutrition
- ease of use
- softening and lightening scars
It should be noted that for wet wounds of the skin, ointments are not recommended. They are prescribed when the healing process has already begun.
Based on the nature and depth of skin damage, various types of ointments are used:
- simple antiseptic (for shallow superficial wounds)
- with the content of hormonal components (for extensive, with complications)
Next, we will consider the most popular ointments that are prescribed for processing sutures after surgery:
- vishnevsky ointment - One of the most affordable and popular stretching products. Contributes to accelerated exemption from purulent processes
- levomekol - It has a combined effect: antimicrobial and anti -inflammatory. It is an antibiotic of a wide spectrum. Recommended for purulent discharge from the seam
- vulnuzan - A tool based on natural components. Applied both to the wound and on the bandage
- levosin - kills microbes, removes the inflammatory process, helps to accelerate healing
- stellanin - a new generation ointment that removes swelling and kills the infection, stimulates the regeneration of the skin
- eplan - One of the strongest funds of local treatment. Has an anesthetic and anti -infectious effect
- solcoseryl - produced in the form of a gel or ointment. The gel is used when the wound is fresh, and the ointment - when healing began. The drug reduces the likelihood of the formation of scars and scars. Better to apply under a bandage
- actovegin - The cheaper analogue of Solcoseryl. Successfully struggles with inflammation, practically does not cause allergic reactions. Therefore, it can be recommended for use by pregnant and lactating women. Can be applied directly to the damaged area of \u200b\u200bthe skin
- agrosufan - has a bactericidal effect, has an antimicrobial and analgesic effect
Such arapeutic drugs have proven themselves as absorbing a drug:
- naftaderm - has an anti -inflammatory property. In addition, relieves pain and softens scars
- contractubex - applies when the healing of the seam begins. Has a softening smoothing effect in the scars area
- mederma - helps to increase tissue elasticity and brightens the scars
The listed treatment funds are prescribed by a doctor and used under his supervision. Remember that the self -medication of postoperative sutures cannot be done to prevent suppuration of the wound and further inflammation.
Patch for healing postoperative sutures
One of the effective care products for postoperative seams is a patch made on the basis of a medical silicone. This is a soft self -adhesive plate that is fixed on the seam, connecting the edges of the fabric, and is suitable for small damage to the skin.
The advantages of using the patch are as follows:
- prevents the wound of pathogens in the wound
- absorbs discharge from the wound
- it does not cause irritation
- we breathe, so the skin breathes under a patch
- promotes softening and smoothing the scar
- well holds moisture in the tissues, preventing drying out
- prevents an increase in scars
- convenient to use
- when removing the patch of injury to the skin does not occur
Some plasters are waterproof, which allows the patient to take a shower without risk for the seam. The following patcharies are most often used:
- cosmopor
- mepiglex
- motik
- hydrofilm
- fixor
To achieve positive results in the healing of postoperative joints, this medical product must be used correctly:
- remove the protective film
- apply the adhesive side to the seam area
- change every other day
- periodically pour out the patch and check the condition of the wound
We remind you that before using any pharmacological agent, it is necessary to consult a doctor.