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The patient is not always given recommendations on how to treat the postoperative suture for better healing. Modern means are presented in a wide variety, the main thing is not to make a mistake with the choice. Products that are identical in purpose may not be suitable in different situations. The patient should know in which case to use one or another method of therapy.

Why is it important to properly handle the suture after surgery?

The attending doctor should provide information about further manipulations, but, unfortunately, this does not always happen in modern clinics and hospitals. The patient returns home after long-term therapy and does not know how to properly treat the postoperative suture for better healing. Correct tactics are important for quick and rapid healing. Surgeons focus on home treatment of sutures; they become a common cause of complications.

If redness, swelling forms at the site of the postoperative suture, blood, pus, bile, etc. are released, you should immediately seek help from a doctor, this indicates a complication. It is necessary to carefully monitor the condition of the wound after surgery.

Proper wound treatment is important for the following reasons:

• to avoid serious complications that could lead to repeat surgery;
• to maintain the sterility of the wound to prevent suppuration and infection;
• for a speedy recovery;
• to prevent pain;
• to avoid the inflammatory process.

If a person correctly performs the manipulations to treat the seam, recovery occurs on average after 2 weeks. It all depends on the type of operation, severity, and type of suture.

How does rapid healing occur?

Wound healing occurs differently in each patient, depending on the type of suture and the severity of the surgical intervention performed. You should never leave a wound untreated. Treatment is needed to ensure a quick recovery and the stitch to heal without complications.

Ointments and other medications with antiseptic, anti-inflammatory, and regenerating effects help to quickly get rid of the unpleasant consequences after skin surgery. They are necessary in order to:

• rapid tissue regeneration occurred (recovery, wound closure);
• no inflammatory process occurred due to antibacterial and antiseptic properties;
• improve the quality of newly formed tissue;
• reduce internal intoxication.

Healing occurs in several stages, they are clearly visible during processing manipulations. Firstly, the wound is disinfected, which promotes healing; bacteria cannot prevent the wound from healing. Secondly, the ointments and creams used help speed up regeneration, that is, help the skin recover and improve the quality of the new tissue being formed.

Taken together, all actions lead to the fact that the seam heals soon.

Treatment - how to speed up the healing of postoperative sutures with ointments and other means

At the initial stage, each operated patient should understand the stages of suture treatment in order to understand when it is necessary to perform the necessary actions (apply ointment, clean the wound, etc.).

Seam processing at home is performed as follows:

• carefully remove the bandage from the suture, applied in a medical institution (if the bandage has dried, you should slightly soak it with hydrogen peroxide);
• analyze the condition of the postoperative wound to exclude the appearance of pus, bile, swelling, etc. (if these symptoms occur, you should contact a medical facility);
• if there is a small amount of blood, it should be stopped before manipulation with a bandage;
• first, you should not spare the liquid, it should moisten the wound generously;
• you need to wait until the product stops contacting the seam (stops hissing), then carefully wipe it off with a sterile bandage;
• then, using a cotton swab, the wound along the edges is treated with brilliant green;
• ointments should be applied only after the stitch begins to heal a little, approximately 3-5 days after discharge.

You can speed up the healing of postoperative sutures with the help of special ointments. They are aimed at accelerating tissue regeneration and providing an anti-inflammatory effect. Popular ointments include:

1. Iodine is an inexpensive and easy-to-use remedy; you can call it an analogue of brilliant green. But it is not recommended to use it frequently, every day; it is worth taking a alternate course with ointments, since the liquid can significantly dry out the skin, which will cause slow regeneration.
2. Dimexide is a solution widely used in postoperative practice. With the help of the drug you can not only treat the wound, but also make lotions and compresses.
3. Miramistin is suitable as an antiseptic. It can be used instead of hydrogen peroxide. It is believed that due to its antimicrobial properties, the drug is more effective in therapy. Apply throughout treatment to cleanse the wound.

Possible complications - what to do if the seam becomes inflamed?

complication of postoperative suture in the photo

To begin with, the patient should understand what inflammation is, how it manifests itself and is recognized, in what situation home therapy should be carried out, and when to seek medical help. The following symptoms may indicate the presence of an inflammatory process in a postoperative suture:

• there is redness and swelling in the wound area;
• the pain syndrome becomes stronger every day;
• During palpation, a compaction is felt; as a rule, it does not have sharp boundaries;
• on days 4-6, fever, chills, and symptoms of intoxication appear;
• the emergence of a specific substrate from the wound, suppuration.

The causes of such complications could be the following factors:

• penetration of infection into the wound;
• improper care or lack of care for the postoperative suture;
• incorrectly installed or inadequate drainage installed after surgery;
• making a surgical error after the operation.

When the first signs of inflammation appear, it is worth carrying out hygienic treatment of the wound every day with hydrogen peroxide, iodine, and brilliant green. Repeated manipulations may be required depending on the condition of the lesion. When there is no pus, redness and swelling are observed, a one-time treatment can be used. In other cases, from 2 to 4 times a day. After treatment, it is recommended to apply a sterile bandage with ointment, which can be used during the inflammatory process.

There are typical instructions that presuppose the norms and rules of patient behavior described for the speedy recovery of a postoperative wound. They should be followed by every patient at home. They consist of the following points, described in the table below.

Type of load	Rules for caring for postoperative sutures
General recommendations	· eat properly, follow the diet prescribed by the doctor;
	· Use only water and baby soap to wash the wound;
	· maintain hygiene of the wounded area, rinse and clean every day;
	· do not use ointments, creams, gels, or rubs without consulting a specialist.
Shower	You should only take a shower when the wound begins to heal, becomes dry and gradually heals. The duration of the procedure should not exceed 10 minutes. The water in the bath or shower should not be too hot or cold.
Physical exercise	In the first 2-3 months you should adhere to the following recommendations:
	· do not stand in one place for more than 15 minutes, do only light homework;
	Increase the load gradually;
	· take daily walks in the fresh air;
	· try not to load the area where the seam is located;
	· It is worth including daytime sleep in therapy if there are minor loads;
	· Perform exercises only with your own weight, avoid lifting weights;
	· Only walking is considered acceptable.
Sex	Doctors recommend waiting for complete recovery before starting sexual activity. You should not experiment and take risks when intimacy brings shortness of breath, excessive sweating, and fatigue. This indicates the need to temporarily abstain from sex.
	After recovery, you should gradually pick up the pace and rhythm in sexual relationships.
Trip abroad	Travel abroad can be carried out after agreement with the attending physician.
Diet	After surgery it is recommended:
	· exclude unhealthy foods (smoked, overly salted, fried, canned);
	· plant foods should predominate in the diet;
	· take additional vitamins;
	· include bran in the menu;
	· meat and fish – low-fat varieties.
Emotions	All negative emotions are contraindicated. They will adversely affect the state of the nervous system, which will lead to long-term recovery.

All recommendations are intended for general use. It must be borne in mind that any wound has its own characteristics, which should be discussed with the attending physician. Proper therapy will help you quickly get rid of unpleasant physical and mental symptoms.

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

Any surgical intervention leaves behind a scar - a suture at the site of the incision of the skin and soft tissues. The more complex the surgery, the deeper the scar may 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 behind minimal damage. Caring for the postoperative suture is also necessary so that it tightens well and does not give any unpleasant sensations.

All seams can be divided into several types:

• Normotrophic scar – the simplest type of scar, which is formed in most cases after minor surgical intervention. As a rule, such a scar has subtle defects and has the same shade as the surrounding skin.
• Atrophic scar– formed in case of removal of moles, for example, or warts. The tissue of such a scar slightly dominates the formation itself and often resembles a pit.
• Hypertrophic scar- appears when suppuration occurs over the formation or the suture suffers injury. To avoid such a scar, you should care for the seam with special ointments.
• Keloid scar– appears on skin that is poorly nourished by blood and in the case of deep surgical intervention. It often has a white or pinkish color, protrudes above the basic level of the skin, and can be shiny.

Postoperative suture

What is better to treat 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 treatment with an antiseptic.

The simplest means are:

• Zelenka is an antibacterial and disinfectant.
• Alcohol – removes any contaminants 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 scars tighten
• 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 tightening of the scar.

How to allow a stitch to heal quickly and easily, without consequences?

How to remove postoperative sutures at home?

In some cases, postoperative sutures are quite possible and can be removed by a doctor at home. But, before you do this, you should know that there are two types of seams:

• Immersion seam- the suture is applied with a thread made of natural material (thin thread from sheep 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 are fused and show how strong the healing is. Such a suture is usually applied with 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 the abdominal wall – 2-2.5 weeks (depending on the depth of penetration).
• On the chest – 1.5-2 weeks
• Suture in an elderly person – 2-2.5 weeks
• After birth – 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, remaining calm. The suture should be removed only when there is no inflammation.
• To remove the seam, you will need two tools: nail scissors and tweezers. These two instruments should be thoroughly cleaned 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.
• Sutures should be removed under a bright lamp to closely monitor the process.
• Cut the seams, removing as much thread as possible.
• Using tweezers, grab the edges of the protruding seams and gently pull until the piece comes out of the skin.
• After you have pulled out absolutely all the pieces, treat the wound with an antiseptic ointment with an antibiotic.

IMPORTANT: Have sterile bandages and tissues with you; a furatsilin solution will be useful to carry out the removal safely and not cause an infection.

How to remove a seam yourself?

Preparations for healing and resorption of postoperative sutures

You can purchase any scar care product in a modern pharmacy. Particularly popular are ointments for resolving sutures after surgery. The principle of their action is to relieve inflammation, eliminate healing defects, smooth out the scar with the skin, give it a light shade, nourish the skin, making it elastic and smooth.

As a rule, such products and ointments are based on silicone, which helps cope with itching (inevitable during wound healing). Regular care of the seam will help it shrink in size and become less noticeable. This product should be applied in a thin layer so that the skin receives the necessary substance and can breathe. However, several uses of the product may not be effective and will require at least six months of active use.

The most effective ointments:

• Gel "Kontraktubeks" - softens and smoothes the skin, accelerates cell regeneration, improves blood supply to the skin.
• Gel "Mederma" - resolves scar tissue, improves it by moisturizing and blood supply.

IMPORTANT: You can also use other means that speed up the resorption of sutures. This medicine contains onion extract. It is this component that penetrates deep into the tissue and has a soothing and anti-inflammatory effect.

Healing of scars after surgery

Ointment, cream, gel, patch for healing and resorption of postoperative sutures

You should choose an ointment or gel to care for your scar based on its size and depth. The most popular ointments are antiseptic:

• Vishnevsky ointment– a classic healing agent that has a powerful pulling property, as well as the ability to remove pus from the wound.
• Vulnuzan– healing ointment based on natural ingredients.
• Levosin– a powerful antibacterial and anti-inflammatory ointment.
• Eplan– ointment with antibacterial and healing properties.
• Actovegin– improves healing, relieves inflammation and improves blood supply to tissues.
• Naftaderm– relieves pain and improves scar resorption.

There is another new generation product that can effectively deal with postoperative sutures - a patch. This is not an ordinary plaster, but a special one that should be applied to the suture site after surgery. The patch is a plate that fastens the incision site and feeds the wound with useful substances.

Why the patch is useful:

• Prevents bacteria from entering the wound
• The material of the patch absorbs discharge from the wound
• Does not irritate the skin
• Allows air to enter the wound
• Allows the seam to be soft and smooth
• Retains necessary moisture in the scar area
• Does not allow the scar to grow
• Comfortable to use, does not injure the wound

Folk remedies for healing and resorption of postoperative sutures

If you want to improve the condition of your skin, smooth out seams and reduce scars, you should treat the problem area in a comprehensive manner (using medications and traditional medicine recipes).

What can help:

• Essential oil – a mixture or one oil can 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. Fresh seeds should be made into a paste and applied as a compress to the damaged area.
• Compress of pea flour and milk - You should make a dough that will be applied to the damaged area and left for at least an hour a day to tighten the skin.
• Cabbage leaf - An old but very effective remedy. Applying a cabbage leaf to the wound will have an anti-inflammatory and healing effect.
• Beeswax - nourishes the skin at the scar site, relieves swelling, inflammation, evens out the skin.
• Olive or sesame oil – nourishes and moisturizes the skin, tightens and smoothes scars, lightens them.

Postoperative suture seroma: what is it and how to treat it?

Seroma is a problem that very often occurs after surgery. At the site of capillary fusion, an accumulation of lymph forms and swelling occurs. Serous fluid begins to appear on the scar. It has an unpleasant odor and a yellowish tint.

Seroma most often occurs in those who:

• Suffer from high blood pressure
• Suffering from excess weight (obesity)
• Suffering from diabetes
• Is elderly and advanced in age

IMPORTANT: If you notice gray in yourself, you should wait for it to disappear on its own within 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– also produced by a special device, pumping the liquid out.

Postoperative fistula: how to treat?

A fistula is a kind of canal connecting a body cavity (or organ). It is lined with epithelium, which removes purulent discharge. If the pus does not come out, then inflammation forms that can affect the internal tissues.

Why does a fistula appear:

• The wound became 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 eliminate a fistula:

• Locally eliminate inflammation
• Remove threads from the scar if they are not accepted
• Take a course of antibiotics and anti-inflammatory drugs
• Take a vitamin course
• Wash the wound with furatsilin solution or hydrogen peroxide

The postoperative suture is red, inflamed, and festering: what to do?

IMPORTANT: There are situations when sutures and scars experience complications and heal poorly. The scar may 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 scale of the problem, from one to several times a day.
• When processing, you must not touch or injure the scar in any way; try not to scratch it or put pressure on it.
• If you shower, dry the stitch with sterile gauze or cloth.
• During treatment, hydrogen peroxide should be poured in a direct stream onto the wound, without using cotton wool or sponges.
• After drying the scar (after taking a shower), treat the scar with brilliant green.
• Apply a sterile bandage or post-operative tape.

IMPORTANT: Do not take any further measures on your own. Contact your doctor with your problem, who will prescribe you an antimicrobial, analgesic and antiseptic.

The scar hurts

Postoperative suture is oozing: what to do?

If the seam is oozing ichor, it cannot be left. Try to take care of your scar every day. Rinse with a solution of peroxide or furatsilin. Apply a loose bandage that allows air to pass through and absorbs excess secretions. If, in addition to the discharge, your stitch is very painful, consult a doctor for additional treatment.

The postoperative suture has split: what to do?

Why the seam may come apart:

• The wound became infected
• There is a disease in the body that makes the tissues soft and prevents rapid fusion.
• A person's blood pressure is too high
• Stitches that are too tight
• Scar injury
• Person's age (after 60)
• Diabetes
• Overweight
• Kidney diseases
• Bad habits
• Poor nutrition

What to do:

• See a doctor immediately
• The doctor prescribes treatment based on blood tests
• The doctor applies a postoperative bandage
• The patient is observed more carefully

IMPORTANT: There is no point in trying to heal a wound after a suture has come apart on your own. If performed incorrectly, you risk more serious complications and blood poisoning.

Sealing of the postoperative suture and pain: what to do?

IMPORTANT: The most common cause of compaction in the scar is seroma (accumulation of lymphoid fluid).

Other reasons:

• Scar suppuration- in this case, a thorough antiseptic action should be taken.
• Fistula – occurs due to microbes entering the wound. It is important to have an antibacterial and antiseptic effect.

IMPORTANT: Any complication and compaction in the scar is not normal. The wound should be treated regularly to eliminate suppuration.

Why does the postoperative suture itch?

Causes of itching:

• Reaction to fastening threads - they irritate the skin
• Dirt gets 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, you should not scratch the tissue, as this will not bring pleasant sensations or relief, but can only aggravate the situation.

Video: “Removing stitches from a postoperative wound”

Inflammation of sutures after surgery is a problem that makes people nervous. After all, problems with a healing scar often begin after discharge from the hospital, and it is not possible to see a doctor right away. Why can a seam become inflamed, when should you sound the alarm, and what to do in this case?

Possible causes of suture inflammation

When the surgeon brings the edges of the wound together and secures them with suture material, the healing process begins. Gradually, at the border, new connective tissue and fibroblasts are formed - special cells that accelerate regeneration. At this time, a protective epithelium is formed on the wound, which prevents germs and bacteria from penetrating inside. But if the wound gets infected, the seam begins to fester.

Inflammation of the postoperative suture may begin due to a violation of the sequence and completeness of this process. If the sterility of the wound is compromised at the stage of suturing the wound, pathogenic microorganisms will already develop in it and sooner or later provoke an inflammatory process.

Dehiscence of sutures due to insufficient tightening of knots or overexertion of the patient is also a common factor in problems with a postoperative wound. It opens up, begins to bleed, and germs get inside. The same can happen if the patient accidentally (or on purpose - there are such precedents) tears off the crust from the protective epithelium.

By the way! Sometimes sutures (scars) after surgery become inflamed even in the most conscientious and responsible patients for no apparent reason. For example, due to low immunity, old age, and the presence of chronic diseases. All these factors increase the risk of problems with postoperative wounds.

Symptoms of suture inflammation

Some impressionable patients get scared if the seam turns a little red, and immediately try to anoint it with something or bandage it. There is also a category of patients who, on the contrary, do not pay attention to any changes, believing that everything is normal. Therefore, every person who has undergone surgery should know the main symptoms of suture inflammation:

• skin redness;
• swelling of tissues;
• local pain (aching, bursting, aggravated by tension of the skin);
• bleeding that doesn't stop;
• suppuration of the postoperative suture: discharge of white or yellow foul-smelling plaque;
• fever, chills;
• increased heart rate;
• increase in pressure.

We can talk about inflammation only if 5 or more of the listed symptoms are detected. Fever without redness and suppuration is a sign of another disease. Likewise, slight bleeding and swelling without an increase in temperature may be just a temporary phenomenon caused by mechanical damage to the seam (the bandage was abruptly pulled off, clothing touched the wound, accidentally scratched, etc.).

What to do if a seam becomes inflamed

If all the symptoms are present, and this is truly an inflammatory process, you should immediately contact a surgeon. If you have a high temperature, you must call an ambulance. If there are no signs of intoxication yet, you can contact the doctor who performed the operation or a surgeon at your place of residence.

Before going to the clinic, you need to put a bandage on the seam to avoid even more inflammation. To do this, first wash the wound with hydrogen peroxide. But under no circumstances should you rub it: just pour it on the seam and remove the resulting foam with a sterile bandage using blotting movements. Then you need to apply a bandage with an anti-inflammatory agent. If the wound becomes wet, it is advisable to use a gel (for example, Solcoseryl, Actovegin); if it dries out, use ointment (Levomekol, Baneocin).

Attention! Before going to the clinic, it is not recommended to use fucorcin and brilliant green, because these antiseptics stain the skin, and the doctor will not be able to visually assess the intensity of hyperemia or determine the color of discharge from the wound.

Prevention of suture inflammation after surgery

To ensure that the postoperative suture does not turn red, fester or become inflamed, you must strictly follow the rules for caring for it. The doctor talks about this; Nurses also give advice during dressing changes. There is nothing complicated about this, besides, after discharge from the hospital, the postoperative sutures already have a completely “human” appearance, and the patient can only maintain them in normal condition.

1. Use only those external products prescribed by your doctor. Because depending on the nature of the wound and its location, not all ointments and gels can be used.
2. The use of folk remedies should be discussed with a doctor.
3. Avoid overstraining the area of ​​the body where the sutures are placed.
4. Take care of the seam: do not rub it with a washcloth, do not comb it, do not rub it with clothes.
5. Carry out home dressings with clean hands using sterile materials.

If problems do appear, and there is no improvement within 1-2 days (the bleeding does not stop, pus continues to be released, weakness appears), you should immediately consult a doctor. This will help avoid infection and the development of complications in the form of unsightly scars, enlargement of the wound surface, necrosis, etc.

For a patient who has undergone the operation normally, as a rule, the worst is left behind. And to fully restore strength and performance, the patient now needs to follow the doctors’ recommendations and monitor the condition of his wound and stitches.

We will talk about how care is carried out (when returning home) in today’s article.

What is needed for a seam to heal well?

It all depends on the location of the seam. The larger the area it occupies, the more serious the operation, the more time it will take to heal.

First, get the necessary tools at hand:

• brilliant green (iodine dries out the wound);
• gauze pads, cotton pads or swabs;
• sterile bandages (if the bandage was removed from the stitch in the hospital, then you do not need this item).

How and with what to treat sutures after surgery

The seam should be treated several times a day; it is especially important to perform this procedure after a shower. You can wash yourself after a week (of course, you need to check this with your doctor); sometimes you are allowed to shower a day after the operation. The main thing is not to touch the seam with a washcloth, so as not to damage the slightly healed scar.

Now let’s look at the process itself: you need to blot the scar with a gauze cloth soaked generously in hydrogen peroxide and wait until the skin dries. Then brilliant green is applied to the seam using a cotton swab.

If there is a need for this, then at the end of the procedure it is applied. It is needed to prevent infection from entering the wound, however, the healing time is somewhat delayed, since the seam under the bandage may become wet.

In difficult cases, as well as if the wound begins to ooze, the patient is required to go to the clinic or hospital for dressings every day. In such conditions, the risk of infection or injury to the wound is minimized.

What to do if the seam is inflamed

If inflamed areas are detected, they must be carefully wiped with medical alcohol diluted to 40 degrees. The seam is not completely lubricated (to prevent drying out). If inflammation appears again, you should urgently consult a doctor who will tell you how to treat the stitches.

After surgery, crusts form on the scar. These need to be removed as this can cause the seam line to thicken, making it even more noticeable.

After the threads are removed, the seam must continue to be treated for several more days (the doctor will determine the period) until everything is completely healed.

What does a suture look like after surgery?

The scar left after surgery looks different. It all depends on how and with what it was sewn up, as well as on the individual biological characteristics of the patient’s body.

As a rule, it acquires its final one in a year, or even two. The timing also varies depending on the part of the body on which the operation was performed. Scar tissue is most active in the first weeks after surgery: at this time, it is usually red and hard. Then gradual softening occurs, and the seam turns pale. Some marks (we are talking about plastic surgery) are almost invisible after three months.

Knowing how and with what to treat sutures after surgery, you can minimize all external manifestations of surgical intervention. Be healthy!

The surgical suture, which was applied using threads, must be removed on time. Any thread other than absorbable thread is considered foreign to the body. If you miss the moment to remove the suture, the threads can grow into the tissue, which will lead to inflammatory formations.

Threads should be removed by a medical professional if special disinfected instruments are available. However, if it is not possible to visit a doctor, and the time to remove the threads has come, you need to remove the foreign material yourself.

You need to follow the instructions:

• Prepare all necessary materials for treatment: antiseptic, scissors, bandages for dressing, antibiotic ointment
• Process metal tools. Wash your hands up to the elbows and also treat
• Carefully remove the bandage from the scar and treat the wound and the area around it. The lighting should be as comfortable as possible in order to examine the scar for the presence of inflammatory processes
• Using tweezers, lift the knot from the edge and cut the thread with scissors
• Slowly pull the thread and try to pull it out completely. When the thread is removed, you need to make sure that all suture material is removed
• Treat the scar with an antiseptic. Cover the stitch with a bandage for further healing
• When the threads are removed, micro wounds are formed. Therefore, at first you need to continue processing, applying a bandage.

How to get rid of seal on a seam?

The lump on the scar appears due to accumulation. Usually it is not dangerous to health, but sometimes it can cause serious harm:

• with inflammation. Painful symptoms, redness appear, t increases
• purulent formations
• the appearance of keloid scars - when the scar becomes more pronounced

Advantages of using patches:

• prevents infection from entering the wound
• sucks out purulent formations from the scar
• does not cause allergic reactions
• Excellent air permeability, which allows the wound to heal faster
• softens and nourishes young skin, helps smooth out scars
• doesn't let you dry out
• protects the scar from injury and stretching
• easy to use, easy to remove

List of the most effective patches after surgery:

• Cosmopore
• Mepilex
• Mepitak
• Gidrofim
• Fixopore

To effectively tighten the scar, medications can be applied to the surface of the shepherd:

• Antiseptics. Have a wound-healing effect, protect against infection
• Analgesics and non-steroidal drugs - have an analgesic effect
• Gel - help the scar to dissolve

Rules for using patches:

• Remove the packaging, release the adhesive side of the patch from the protective film
• Apply the adhesive side of the patch to the body so that the soft pad is on the scar
• Use once every 2 days. During this entire period, the patch must remain on the scar.
• It is important to periodically check the condition by unfastening the shepherd

We must not forget that restoration of the suture after surgery depends on sterility. It is important that germs, moisture, and dirt do not get on the wound. An ugly scar will gradually heal and resolve only if you properly care for the scar. Before using any remedy, a mandatory consultation with a surgeon is required.

In addition, this problem not only causes physical inconvenience, but also worsens the mental state. Measures for caring for sutures include not only treating them with disinfectants, but also diet and proper physical activity. The main goal is to speed up healing and prevent infection. First, let's figure out why the suture suppurates.

Causes of suture inflammation

Inflammation of the sutures after surgery can begin for several reasons:

1. Penetration of infection into wounds during surgery or after its completion.
2. Injuries to subcutaneous adipose tissue and resulting hematomas and necrosis.
3. Poor drainage.
4. Poor quality of materials used for suturing.
5. Reduced immunity and its weakening due to surgery.

In addition to the listed reasons, inflammation of the sutures can occur due to unskilled work of surgeons or incorrect actions of the patient himself.

The causative agents are usually Pseudomonas aeruginosa and Staphylococcus. Infection can be direct or indirect. In the first case, microorganisms enter along with tools and materials that have not been sufficiently processed. In the second case, infection occurs from another source of infection, which is carried by blood, for example, from a diseased tooth.

Symptoms of suture inflammation

You can see that the suture is inflamed already on the third day after its application. If the stitches become wet after surgery, only a doctor can tell you what to do. The following are noted:

If these symptoms begin to appear, then a diagnosis can be made - inflammation of the sutures. To relieve suppuration, it is necessary to take measures to treat the complication that has arisen.

Suture healing mechanism

1. Connective tissue with fibroblasts is formed. These are the cells that accelerate recovery and eliminate tissue defects.
2. Epithelium forms on the wound, which prevents the penetration of pathogenic microorganisms.
3. Tissue contraction: the wound contracts and closes.

Many factors influence the healing process:

1. Age. At a young age, recovery is faster and much easier, and the likelihood of complications is less. This is due to the body’s immunity and its resources.
2. Weight factor. The wound will heal much more slowly in overweight or thin people.
3. Nutrition. Recovery will depend on the amount of substances supplied with food. After operations, a person needs proteins as building materials, vitamins and microelements.
4. Water balance. Dehydration negatively affects kidney and heart function, slowing healing.
5. Weak immunity can lead to complications: suppuration, various discharges, skin irritation and redness.
6. Presence of chronic diseases. Diseases of an endocrine nature, blood vessels and tumors are especially affected.
7. Function of the circulatory system.
8. Restriction of oxygen access. Under its influence, recovery processes occur faster in the wound.
9. Anti-inflammatory drugs slow down recovery.

Treatment of inflammation of postoperative sutures

While the patient is in the hospital, a nurse will care for the stitches for the first five days. Care consists of changing the bandage, treating the sutures and, if necessary, installing drainage. After discharge from the hospital, you need to take care of them on your own. For this you need: hydrogen peroxide, brilliant green, sterile bandages, cotton wool, cotton pads and swabs. If the stitches become wet after surgery, we will consider what to do step by step.

1. Daily processing. Sometimes it is needed several times a day. Particular attention should be paid to treatment after taking a shower. When washing, do not touch the seam with a washcloth. After a shower, you need to blot the seam with a bandage swab. Hydrogen peroxide can be poured in a thin stream directly onto the scar, and then brilliant green can be applied to the seam.
2. After this, apply a sterile dressing.
3. Treatments should be carried out until the scar is completely healed. Sometimes even after three weeks it gets wet, bleeds and ichor comes out. The threads are removed after about 1-2 weeks. After this, it is necessary to process the seams for some more time. Sometimes doctors allow you to leave the stitch untied. If a bandage must be made, then before treatment the old bandage must be carefully removed, since the seam becomes wet and the bandage sticks to the wound.

Everyone who has encountered this problem is wondering what to do if the seams get wet. If the seam is inflamed, then redness of the application site and irritation are observed. This happens due to active healing.

But if there are clear signs of complications, then the first thing to do is go to a doctor who will carry out manipulations to stop the development of the infection.

He will select adequate treatment, aimed not only at stopping suppuration, but also at increasing immunity for speedy healing of the wound. If necessary, he will remove the stitches, wash the wound with an antiseptic solution and install drainage so that purulent discharge comes out and the stitch does not become wet in the future. If necessary, the doctor will prescribe antibiotics and immunostimulating drugs, since complications most often occur in people with weakened immune systems. Ointments, solutions, vitamins, anti-inflammatory drugs and even traditional medicine can be used as additional methods.

Herbal medicine in the fight against complications of postoperative sutures

N. I. Pirogov studied the benefits of medicinal plants and compiled collections in a military hospital. Modern medicine has long scientifically confirmed the medicinal effects of traditional recipes. Herbal medicine is best used as an auxiliary treatment, which is carried out in interaction with the main methods. The essence of herbal medicine is to select the optimal combination of medicinal plants, the action of which is aimed at eliminating one symptom. This principle is used to formulate, for example, breast infusions, kidney teas, anti-inflammatory infusions, and so on. Treatment with herbs and herbs is still not a panacea, especially for such inflammatory processes. By itself, this technique is ineffective, but in combination with traditional medicine it can be a good help and speed up recovery. For example, herbal ointment can be used if an old seam suddenly becomes inflamed, which also happens quite often. Plants used as additional medicines for healing sutures have a number of beneficial properties:

• anti-inflammatory;
• pain reliever;
• antimicrobial;
• accelerating regeneration;
• increasing liver function.

The method of herbal medicine in this case consists of taking herbal preparations internally (infusions, extracts) and for topical use (ointments).

The goals of this treatment are to:

• improving the state of the internal environment of the body and the functioning of the excretory system, reducing intoxication;
• normalization of digestion and prevention of negative effects of medications;
• normalization of immunity;
• processing of postoperative sutures.

Such therapy may well be prescribed by the attending physician. If the scar has festered, then the features of the professional selection of such remedies are that the compositions are selected individually, the diagnosis and personal characteristics of the patient are taken into account, the specialist determines the duration of the course, herbal healing is well suited to other methods of treatment and rehabilitation and determines an integrated approach to the patient’s recovery.

You can use it if an old scar is festering, this also happens sometimes. This happens due to decreased immunity or damage to the scar. If old scars itch, you can make applications that will relieve these symptoms.

Prevention of suppuration of sutures

With timely treatment, in 95% of cases it is possible to achieve rapid and complete cessation of the infection. It is important to promptly drain the wound and change the antibiotic. If the course is unfavorable, the consequences can be very serious. There is a possibility of developing gangrene or sepsis.

In addition, prevention of suppuration of a postoperative suture should include compliance with a number of aseptic and antiseptic rules. They consist of preparing the patient before surgery and caring for him after it. Preparing for surgery involves identifying infections in the body and getting rid of them. That is, cure all existing diseases and sanitize the oral cavity. After the operation, it is necessary to strictly monitor hygiene, carry out proper antiseptic treatment, and at the first symptoms of inflammation, take measures to eliminate it.

In order for the sutures to heal faster, follow all the rules, do not lift heavy objects to avoid the suture coming apart, do not remove the resulting crust, eat well and increase your immunity level. Only then will it be possible to significantly reduce the risk of complications. This is why it is so important to follow all recommendations.

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Causes and treatment of wound suppuration after surgery

Any surgical intervention, for whatever reason, causes a wound to the patient, which subsequently requires care until healing.

Unfortunately, quite often, in the process of restoring damaged tissues, various complications arise, the most common of which is suppuration. This happens no matter how carefully and correctly the operation was performed; even after all actions have been performed perfectly, the postoperative wound may begin to fester.

Causes of suppuration of a postoperative wound

Most often, the appearance of suppuration of postoperative wounds occurs due to:

• Penetration of infection into the wound. Harmful microorganisms can enter a postoperative wound in various ways, for example, if the operation is performed due to the presence of a purulent process inside the body. Such cases include operations to remove purulent appendicitis or purulent lung lesions, as well as inflamed uterine appendages and some other pathological processes. During such operations, some of the harmful bacteria may enter the area of ​​tissue incision, which will subsequently cause suppuration. But infection can also occur due to simple non-compliance with the rules for treating postoperative wounds, using non-sterile materials during surgery and when performing dressings.
• The body is highly sensitive. Of course, modern medicine has a variety of natural suture and dressing materials, as well as high-quality implants, prostheses and other elements that do not cause harm to the body. But, nevertheless, in some cases the patient’s body rejects these foreign objects, including suture material, which leads to the appearance of suppuration.
• Suppuration of a postoperative wound appears in patients with a weakened immune system, in those who have various serious chronic diseases, for example, in the heart and vascular system, kidneys, and lungs. In addition, wounds always heal difficultly and fester in patients with diabetes mellitus.

Seam processing and dressing

Treatment of sutures after surgery is carried out at each change of dressings using antiseptic solutions and special preparations.

Before starting the dressing procedure, you should thoroughly wash your hands with soap (it is recommended to do this up to the elbows), dry them with a paper towel and put on gloves. After this, you need to remove the dirty bandage that was applied. If the gauze has dried in some places to the incision site, you should not tear it off, you just need to moisten the bandage with hydrogen peroxide in these places and wait a little.

After removing the bandage, the gloves must be changed or thoroughly washed and treated with a disinfectant solution. The seams and tissue incision line should be soaked with hydrogen peroxide or Chlorhexidine solution, blotted with a sterile cloth and allowed to dry. If there is no suppuration and blood does not ooze anywhere, then you can treat the wound and the surface of the skin around it, as well as the sutures, with regular brilliant green, applying it in a thin layer once a day when changing the dressing.

If the postoperative injury has not yet healed, after treatment with antiseptics it is necessary to apply brilliant green only to the area of ​​the skin around the incision line, and an ointment should be applied to the wound itself to prevent suppuration or eliminate it if inflammation has already begun.

Scabs and plaque formation indicate that the process of formation of new tissues and epithelium has already begun at the site of damage. An attempt to remove scabs and such plaque will lead to the formation of serious scars in the future.

Removal of applied sutures is carried out, as a rule, from the 7th to the 14th day after the operation, which depends on the scale of the incision and its complexity. The procedure is performed without any pain relief, as it only rarely causes pain to patients. Before removing sutures and after this procedure, the skin and incision site are treated with antiseptics.

Treatment of inflammation

If signs of suppuration of a postoperative wound appear, it is necessary to begin its treatment as soon as possible. Treatment of such a wound is carried out according to the same scheme as any other purulent wound and consists of frequent changes of dressings with proper treatment with antiseptics, disinfectants and anti-inflammatory drugs.

The action of modern ointments is long-lasting, and the effects are pronounced, which makes it possible to heal postoperative wounds much faster and eliminate inflammatory processes, with virtually no side effects. Such indicators of many drugs allow them to be used for the treatment of wounds and for a long time, if necessary.

Applying ointments has many advantages. In particular, the ointment has a fairly thick but soft structure, which allows it to be applied to any part of the body without fear of it dripping (unlike liquid preparations). The special formula of such products allows them to quickly penetrate deep into damaged tissues, while creating a protective film on the surface of the wound.

The use of ointments is safer than injections or oral antibiotics, since ointments have only a local effect without creating a systemic effect.

An ointment for eliminating suppuration of postoperative wounds and treating other purulent wounds should solve certain problems:

• Fight infection inside the wound.
• Help remove dead tissue and cleanse purulent formations.
• Eliminate the inflammatory process, stopping its development.
• Do not create obstacles for the release of pus.
• Protect the wound from penetration of harmful microorganisms.

The first stage of wound healing after surgery usually begins on the third day. During this period, you can use ointments that have a water base, promoting faster healing of the injury, eliminating inflammation, preventing the penetration of infection or suppressing its development. These drugs include ointments: Levomekol, Sulfamekol, Ichthyol, Dioxin, Zinc.

For faster restoration of injured tissue, ointments that activate regeneration processes and also eliminate bacterial infections should be applied to the cleaned surface of postoperative injuries.

You can also use universal ointments that have a combined composition. Such agents are highly effective in eliminating the inflammatory process and accelerating wound healing. Drugs in this group include Vishnevsky ointment, Oxycyclosol, Solcoseryl, Levomethoxin.

Folk remedies

Treatment of sutures after operations using traditional medicine can significantly speed up the process of restoration of injured tissues and avoid many complications. Traditional medicine has many different recipes.

The most effective folk remedies for treating wounds after surgery:

• Special healing cream. To prepare it, you need to mix 1 - 2 drops of natural oils of orange and rosemary with 3 tablespoons of pharmaceutical cream based on calendula extract. The cream is recommended to be applied to postoperative wounds after they have healed.
• Natural tea tree oil. This unique healing agent is recommended to treat wounds immediately after surgery during the first week.
• Healing ointment based on natural goose fat and Japanese sophora fruits. This remedy can significantly speed up the wound healing process. To prepare it, you should mix the main components (fat and berries) in a 1:1 ratio, for example, 2 cups each. If you replace goose fat with natural badger fat, the effectiveness of the ointment will increase significantly. The mixture of components should be placed in a saucepan and heated in a water bath for at least 2 hours, after which the heating of the composition should be repeated over the next three days, once a day. On the 4th day, the composition must be quickly brought to a boil and, without allowing it to boil, removed from the heat. The mixture should be strained, cooled and transferred to a glass container with a tight lid. When treating wounds, a small amount of this ointment should be applied to a bandage applied to damaged tissues and sutures.
• Special tincture of larkspur. In folk medicine, such a remedy is considered very effective when treating sutures. To prepare, grind the roots of the plant through a meat grinder, take 2 tablespoons of the resulting mass and pour a glass of alcohol (250 ml) and the same amount of clean water over them. The mixture should be infused for about 2 - 3 days, then strained and used to treat seams when changing dressings.

Complications and consequences

The main complication after surgery is wound suppuration, which must be combated by all means.

Often, after the sutures are removed and the patient is discharged home, the inflammatory process begins again and repeated suppuration occurs. This happens with secondary infection of a protracted wound, for example, in cases when a person begins to peel off the crusts that have formed along the cut line, thereby injuring new tissue. With such actions, harmful microorganisms can enter small wounds and cause a new inflammatory process.

After discharge home, special attention should be paid to the condition of the sutures and the resulting scar. If severe redness of the skin, swelling, swelling of the tissues, or new purulent formations appear around it, you should immediately consult a doctor.

The seam becomes wet after surgery

Local complications in the area of ​​a postoperative wound are not so rare, but fortunately, for the most part, they occur without serious consequences. Often there is pain and redness in the area of ​​the postoperative suture. Following them, discharges of a varied nature may appear from the sutured wound: purulent, bloody, sanguineous, etc., which indicates the development of complications of an inflammatory nature, such as suppuration of the sutures and their possible divergence.

Why do the seams become inflamed?

There are several main reasons for the development of the inflammatory process:

Infection in the wound;

Improper wound drainage after surgery in obese patients;

Injury to subcutaneous fat during surgery, leading to the formation of hematomas and areas of tissue necrosis (necrosis);

Use of materials with high tissue reactivity (sensitivity) for sutures made on a layer of subcutaneous adipose tissue;

The above reasons may be involved in the development of inflammatory complications individually or in combination with each other.

Symptoms of the development of inflammatory infiltration in the area of ​​the postoperative suture appear 3-6 days after surgery and are as follows:

Increasing pain in the suture over time;

Redness and swelling appear around the wound (looks like a swelling);

After some time, discharge appears from the wound (purulent or bloody, and may have an unpleasant odor);

Gradually, due to increasing intoxication, the general condition of the body worsens, which is manifested by increased body temperature, muscle aches, general weakness, etc.;

If the above symptoms appear, you should not self-medicate, since only a doctor, knowing the nature of the operation and the suture applied, what materials were used for this and how the healing process proceeded, as well as taking into account the general condition of the person, will be able to select a treatment appropriate to the severity of the process.

If the development of inflammatory infiltration is detected in a timely manner, it can be treated using physiotherapy (UHF, ultraviolet irradiation, etc.).

If purulent inflammation is detected in the postoperative area, urgent cleansing of the wound is required, which in some cases may require removal of sutures. This is done in a stationary (hospital) setting, followed by the installation of drainage and antibiotic therapy. You need to understand how to properly treat sutures after surgery.

If it is determined that the cause of suppuration of the suture is an anaerobic infection, surgeons excise (cut out) the tissue affected by the inflammation, prescribe antibiotic treatment and drain and clean the wound daily. When the inflammatory process subsides, secondary sutures are applied or limited to ointment dressings.

Wetting seams may not have anything to do with inflammation. In some cases, a so-called seroma develops in the postoperative area, which means a local accumulation of serous fluid. Its formation is due to the fact that during the operation the lymphatic capillaries are crossed, and the lymph flowing from them accumulates under the loose subcutaneous fat. The development of such a postoperative complication is more typical for obese people with excessively developed adipose tissue.

The resulting seroma externally manifests itself as the release of a straw-colored liquid from the postoperative wound.

If the development of seroma is suspected, on the second or third day after surgery, serous discharge from the wound is evacuated once (less often twice), after which the formation of seroma ends.

How long does it take for a stitch to heal after a caesarean section?

Caesarean section is a major abdominal operation. With it, not only the skin, subcutaneous tissue and the underlying muscle layer are dissected, but also a large muscular organ - the uterus. These incisions are quite large, because obstetricians need to comfortably remove the baby from the uterine cavity, and do it very quickly.

Care of postoperative sutures

For the first few days, suture care after surgery is carried out in the hospital where it was performed. Every day, the doctor removes the sterile gauze bandage, which will first be soaked in ichor, treats the edges of the seam with brilliant green (iodine is almost never used, given the abundance of allergic reactions), and reapplies the bandage, which is secured with a plaster. During this period (it usually ranges from 1 to 5 days), the doctor does not recommend that you wash so that water does not get on the area of ​​the postoperative wound.

How to treat stitches after childbirth

During childbirth, circumstances may arise such that stitches may be required. If a postpartum woman has received stitches, she must take certain precautions, making sure to treat them so as not to cause an infection.

Suture came apart after episiotomy

Often in obstetric practice there are situations when it is necessary to apply sutures to the perineum. The presence of stitches requires a young mother to take certain care of the perineum, but a woman who is suddenly burdened with a lot of worries about caring for her baby often forgets about herself. The result of improper care can be the divergence of the seams in the perineum.

The postoperative suture is red and painful, what should I do?

Is it necessary to smear the post-operative suture with something if it suddenly turns red again and begins to ache a month after the operation? What ointment can help?

Suppuration of a postoperative scar, a month ago, after abdominal surgery on the anterior abdominal wall, is quite real. The source of suppuration can be a postoperative hematoma located under the muscular aponeurosis. In this situation, in the evenings there should be temperature fluctuations up to 38 degrees and above, jerking pain in the rumen at night. Redness and pain in certain areas of the scar may indicate the formation of ligature fistulas; knots of threads used during surgery to ligate bleeding vessels may not be encapsulated, but rejected by the body. Until the situation is clarified, you can use compresses with a solution of magnesium from ampoules on the scar. The expected result is the resorption of the inflammatory infiltrate.

The answer, as always, is simple, do not self-medicate. This picture can occur with an abscess (suppuration) of the suture, and then it will need to be opened and treated with antibiotics. But only a surgeon can tell you this, so don’t delay visiting the hospital.

Surgeon - online consultations

Irritation near the stitches after surgery, what to do?

No. Surgeon 11/10/2013

Hello! Two weeks ago I had surgery to remove my gallbladder using laparoscopy. Everything was fine, I treated the seams with brilliant green, but then a rash appeared and irritation around the seams, especially around the navel, began to itch. Why could this be: irritation with brilliant green? The dermatologist said it was just irritation and prescribed zinc ointment and some antibiotic ointment. I’ve been applying it for the 3rd day now, but there is no relief yet. What should I do? And what is this?

Tsurikova Svetlana, Yelnya

Dear Svetlana! What you are describing is allergic dermatitis, which developed, in this case, due to the “green stuff”. In this case, any hormonal ointment will help you well: “Ftorcort”, “Oxycort”, “Lorinden”, etc. And in the future, if necessary, replace the brilliant green with solutions of Chlorhexidine, Miramistin or other semi-alcoholic solutions. Be healthy!

CLARIFICATION QUESTION 10.21.2014 Olga Zapaschikova, p. Perelub Saratov region

Hello. 2 weeks ago I had surgery to remove my gallbladder. All stitches are healing normally. But one is very bad, red and itchy. At the clinic, the doctor told me to apply zinc ointment and treat it with vodka. Tell me something please.

You may have allergic contact dermatitis: http://www.dermatolog-gtn.ru/dermatit.html But paratraumatic eczema cannot be ruled out. Post a photo of the rash here or on the VK group page: http://vk.com/public

Hello! Three weeks ago I had surgery to remove my gallbladder using laparoscopy. Everything was fine, I treated the seams with alcohol, then brilliant green and sealed them with a cosmopor plaster. I took off the patch and in the places where it was stuck, a rash appeared and irritation appeared around the seams, especially around the navel, it began to itch very much around all the seams, even those where I had not glued them. In addition, the seam near the navel began to get wet. I sprinkle it with baneocin and apply acriderm to the irritation. Am I doing the right thing? .

Good afternoon I need your help! A couple of months ago, a rash appeared on the upper eyelids (closer to the bridge of the nose) and in the navel, the itching is insignificant, and sometimes it peels off. I went to a dermatologist, the only thing they checked was for fungi, there were none and they immediately prescribed L-cet tablets and Pimafucort ointment. When I asked what I had, “yes, it’s just ordinary dermatitis, an allergy to something, don’t worry. “I took the tablets, but we didn’t have such an ointment in our pharmacy, so I bought Hyoxysone. After a 10-day course no.

Two weeks ago I had palas surgery to remove the gallbladder, a week ago a rash appeared around the suture and itched, what should I do?

Good afternoon Itching appeared on the front of the lower leg in 2 places, after scratching - rough sores. I contacted dermatologists, tests for fungi were not confirmed, they prescribed medications that did not relieve irritation. On the last day of vacation, hives began, the antihistamines were taken off, but the hives recurred. I went back to the dermatologist, he prescribed an ultrasound of the abdominal cavity. Conclusion: abnormal structure of the gallbladder (kink), diffuse changes in the liver parenchyma (echogenicity is moderately increased). .

Hello, December 14, 2015 I had my gallbladder removed. The extract says “cholecystectomy.” Drainage of the common bile duct according to Vishnevsky. Drainage of the abdominal cavity. The postoperative course is smooth. The drainage has been removed, the sutures have been removed, and the wound is healing by primary intention.” After discharge, they left another drainage tube (choledochostomy), they said it would be removed on January 12, 2016. But as of 01.02.2016. They never remove it, the attending physician says that this is normal, it’s different for everyone. The doctor says h.

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What can be used for skin redness after surgery?

The article will tell you why redness of the skin occurs after surgery, what this may be associated with, and also what you can take to get rid of redness of the skin after surgery.

If redness of the skin after surgery causes discomfort, what can be done to cure these consequences? Why does the skin in the postoperative area turn red? Are there any remedies for skin redness that you can use on your own?

Many patients in surgical clinics after operations complain of redness of the skin in the areas where surgery was performed. Most often, the skin becomes red if laser removal of moles, papillomas, nose surgery, facial surgery, breast surgery, joint replacement or another type of operation has been performed: blepharoplasty, gall bladder surgery, hernia removal.

The skin turns red because blood rushes to the area where surgery was performed and swelling often develops. If you do not take action in time and do not tell the doctor about it, the consequences can be very serious, including suppuration and blood poisoning.

Here are some tips to help relieve swelling and reduce skin redness after surgery.

If an area of ​​skin turns red after laser removal of a mole, and a dark-colored crust appears in its place, this crust should not be peeled off. It is better to treat it with disinfecting and drying agents, such as brilliant green, potassium permanganate (potassium permanganate) or ointments prescribed by the attending physician. Chlorhexidine can be used. Calendula tincture is also suitable and should be smeared on the skin around the operation area.

Redness of the skin after mole removal may remain for up to two months. In particular, if a tumor of this type was removed with a laser beam, the scar after the operation takes quite a long time to heal. It is necessary to carefully care for the scar so that it does not become inflamed. To do this, you need to apply sunscreen every day if you have to go outside and the area where the scar is located will be exposed to sunlight. The protection level of the cream must be at least 60 so that ultraviolet radiation does not harm the scar tissue.

After the crust falls off, a pink, tender skin will appear in its place. This is new skin, which also needs to be treated with extreme care: protect from mechanical influences, sun and cosmetics, especially those based on fruit acids. During complete tissue restoration, body creams and lotions are prohibited.

After bathing, the scar does not need to be rubbed vigorously with a towel. It is enough to lightly blot it with a napkin or gauze.

When the scar turns white, it can be smeared with regenerating preparations so that the connective tissue dissolves.

All these recommendations also apply to skin care after removal of scars, papillomas and spider veins using a laser. You should regularly see an oncologist, especially in cases where the scab is accidentally torn off or begins to bleed.

If the skin turns red after surgery to remove varicose veins, and you also feel a rise in body temperature and pain in the area of ​​the incisions on the skin, you should consult a doctor.

Skin redness may also occur after laser facial resurfacing. In this case, you need to avoid the sun, apply sunscreen to the laser-treated areas and not use decorative cosmetics. For skin redness and peeling, you can use ointments and creams based on panthenol and vitamin E.

The procedure of mastectomy (partial or complete removal of the mammary gland) also brings inconvenience. This includes immobility of the shoulder joint, swelling at the surgical site, and pain. Therefore, it is better to spend the rehabilitation period in a clinic, where doctors will quickly provide assistance if complications arise.

Swelling and redness in areas adjacent to the wound surface indicate that lymphorrhea has begun. Since the lymph nodes are removed along with part of the breast, the flow of lymph to the surgical site begins. There is no need to be afraid, since lymphorrhea occurs in all women after a mastectomy. In this case, a special drainage is installed. It is removed a week or ten days after the operation.

But sometimes lymphorrhea develops into gray. This is a more serious complication, and it also depends on the woman’s physique: the plumper she is, the more lymph is secreted. When seroma appears, the skin turns red, there is an increase in temperature, pain and swelling. In this case, you need to undergo an ultrasound examination procedure, which will help identify grayoma. The doctor will then perform a puncture using a syringe. Sometimes several such punctures are required to completely pump out the lymph.

The limb that is directly adjacent to the mastectomy site should be kept at rest for some time to prevent swelling. Then it needs to be developed slowly, gradually. It is forbidden to wear weights, tight-fitting clothes and bracelets on the wrist. To fix a limb at home, it is better to place it on a pillow or sofa cushion so that lymph does not accumulate in the tissues. You must not injure your hand, otherwise inflammation, called erysipelas, may occur.

Redness and swelling at the site where postoperative sutures are located can signal infection and the development of a disease such as erysipelas. The postoperative area of ​​the skin must be cared for in such a way as to prevent this. Namely: wash with caution, do not scratch the scars, even if they are very itchy, treat the suture areas with hydrogen peroxide or brilliant green. If the temperature rises and pain begins, then you need to urgently go to the hospital.

After a caesarean section in women, if the suture is not properly cared for or hygiene requirements are violated, redness and swelling in the incision area may also occur. Usually, hospitals use special plasters to protect the postoperative area, but sometimes there is no place to buy them, and the seam begins to swell and turn red. If you do not pay attention to these signs, suppuration may begin. That is why you should strictly follow all the instructions of the surgeon and gynecologist and contact them immediately if the suture breaks or begins to hurt. This complication is an early one and appears 5-7 days after surgery.

There are also late complications: for example, fistulas, which can manifest themselves a couple of months after a cesarean section. They arise from the fact that the ligatures begin to be rejected by the tissues. Redness of the skin in the area of ​​the suture, swelling begins, and then a breakthrough of fistulas and purulent discharge. Medical intervention is necessary to prevent infection from occurring.

In case of acute inflammation of postoperative areas, doctors prescribe antibiotics, both in the form of ointments and tablets. It is impossible to start treatment with antibiotics on your own until the type of causative agent of inflammation and redness of the skin is determined. These can be various bacteria and viruses for which the antibiotic is used. bought without purpose will be useless.

But in general, after surgery, redness of the skin indicates that an active restoration process is underway in the tissues. In order not to harm your health after surgery, you need to listen carefully and follow all medical instructions for caring for sutures and general therapy of the body. All disinfectants for treating sutures and wounds left after surgery should be used only after consultation with doctors. Properly selected methods of skin treatment in the postoperative period will help relieve redness, swelling and other unpleasant symptoms remaining from the operation and will make the patient’s recovery period easier.

Redness of the skin at the surgical sites is unpleasant, but not fatal. The knowledge of doctors and the correct methods of caring for scars on the skin contribute to the rapid healing of tissues and the reduction of discomfort in a patient who has undergone surgery.

The seam itches. This problem can occur either immediately after surgery or after some time. It is extremely important not to scratch the seam, especially in the first days. Ordinary discomfort sometimes turns into real agony. What to do if the stitch itches after surgery? Let's try to look at this problem in more detail.

Causes

Let's look at this in more detail. Restoring the skin is a complex and lengthy process. Sometimes the body does not even manage to completely cope with problem areas. Self-healing occurs through the formation of scar tissue. This process can cause severe itching. When the skin is damaged or undergoes surgery, blood always appears. This starts the process of tissue restoration. Complex biochemical processes begin. Fibroblasts appear at the site of damage and do their job. In case of serious violations of the integrity of the skin, including after surgical operations, the scar becomes more noticeable and larger. Accordingly, the itching becomes much stronger.

Sometimes the stitch itches very badly after surgery. What to do in this case? Let's consider this issue further.

Factors that cause itching and burning

So what do you need to know about this? Why does the suture itch after surgery? The most common and common cause is poor quality removal of suture material. An accidentally left thread can greatly irritate the nerve endings. Over time, fragments of suture materials begin to decompose and rot. A sign of such processes is the appearance of redness around the wound.

Inflammation and itching can also be caused by particles of sweat and dirt. Therefore, it is extremely important to observe the rules of personal hygiene and use medications recommended by your doctor.

If more than six months have passed since the operation, and the scar is still itching, then perhaps the reason lies in excessive dryness of the skin. On scars, the skin is usually very thin and easily pulled together. This causes a strong burning sensation. This problem is especially pronounced during the cold season.

Relieving itching

What to do if the stitch itches after surgery? What to apply? Seam processing has its own characteristics. It is important not to cause bleeding or introduce infection into the wound. Each method of eliminating itching should be discussed in advance with your doctor.

The stitches usually itch a lot after surgery in the first days. They may also ooze ichor and blood. In this case, the skin requires special treatment. If the patient is in a medical facility, it is best to contact qualified personnel. Doctors will tell you which remedies are best to use to relieve itching. If there is nowhere to wait for help, then you can try applying a cold compress to the damaged area of ​​the skin. The main thing is to apply it not to the wound itself, but to the adjacent area of ​​skin. Otherwise, there is a high risk of violating the integrity of the seams. Be sure to place a sterile bandage between the skin and the compress. If ice is used for the compress, it should be placed in a bag so that melt water does not get on the wound.

Five days after the operation, you can begin to apply a compress soaked in cold mint infusion to the damaged area. This method also soothes itching in the area of ​​formed scars.

Another effective way to eliminate itching is stroking. If the suture is very itchy after surgery, you can run it with clean fingers. You can also use a piece of bandage or a cotton pad for stroking.

Preparations to relieve itching

Let's look at them in more detail. If the suture is constantly itching after surgery, you can try more serious methods, for example, the use of special medications.

Here are some of them:

1. Hormonal injections: can be prescribed by a doctor for a number of indications. Such injections should only be administered by a qualified specialist.
2. Absorbable ointments: drugs such as Dermatix, Zeraderm, Contractubex relieve burning and soothe itchy skin.
3. Homemade ointment from streptocide, vegetable oil and beeswax: all components are mixed in equal proportions. The product should be applied to the scar when it begins to itch particularly severely.
4. Applications with laundry soap: 72% soap should be used for this procedure. The scar is lathered well and left in this state for three hours. To enhance the effect, you can wrap the damaged area with a bandage, but this is not necessary.
5. Tea tree oil: This product is good for relieving itchy skin. You can lubricate both the scar itself and the skin around it.

Itching with tight and dry skin

How to deal with this problem? If the stitches itch very much after surgery after a fairly long period of time, the problem may be excessive dry skin. In this case, you can try using a moisturizer. They should soak the skin around the seam. This will help eliminate itching and relieve the feeling of tightness. Fresh seams should not be lubricated with creams without a doctor’s prescription.

Physiotherapy

What makes them special? If the suture is red and itchy after surgery, the doctor may prescribe physiotherapeutic procedures. These methods contribute to the rapid restoration and regeneration of the skin, as well as improving the condition of individual areas. To eliminate skin itching of postoperative sutures, phonophoresis, magnetic currents and microcurrents are usually used.

In some cases, physiotherapy is also used to give the seam a more aesthetic appearance. Laser surgery, namely skin resurfacing, is very helpful for this purpose. During the procedure, fluid and dead cells, which can cause itching, are evaporated from the scar. Sanding also helps smooth out the surface of the scar and make it less noticeable.

Inflammation

Sometimes the suture itches after abdominal surgery as a result of the spread of infection. This may be indicated by swelling and redness of the adjacent skin area. Usually the patient also complains of itching and pain in the damaged area. This phenomenon is actually quite common. After all, any cut or wound on the skin is an excellent entry point for various infectious agents. The seam can become inflamed due to foreign objects entering the damaged area. It could be dust or particles of sweat. Most often, this situation is observed in patients with fresh sutures. There may also be cases of inflammation of old scars as a result of a violation of their integrity.

The first sign of infection is swelling. If the wound was sutured poorly or the suture material was poorly selected, inflammation may occur.

Swelling can also appear as a result of an allergic reaction. In this case, the suture itches after the operation so much that it becomes simply impossible to tolerate.

Remains of threads

The fragment of thread used for stitches remaining after removing the stitches may begin to decompose. The body actively rejects a foreign object. As a result, a person experiences severe skin itching. There is also usually a bulge and redness at the site of the scar tissue. Moreover, this can happen at any time. There are cases where rejection of suture material occurred several years after surgery.

Signs of cancer

Itching in the suture area can be an alarming symptom of cancerous changes. This is especially true in cases where scar tissue forms at the site of a removed mole and other pathologies. Such symptoms should not be ignored under any circumstances. Immediately after the appearance of these signs, you should contact your doctor.

Treatment of inflammation

What to do if the seam itches after surgery and there are all signs of inflammation? Attempts at self-medication in this case can end quite disastrously. It is better to seek advice from a therapist or surgeon. Your doctor will be able to determine the cause of the itching and tell you what you can do to relieve the symptoms. If the wound becomes infected, repeated surgery will usually be required to remove any remaining suture material and eliminate pus. Typically, patients with this problem are prescribed antibacterial drugs that can suppress the inflammatory process.

If you ignore the symptoms of inflammation, the problem can progress to the stage of serious suppuration, necrosis and sepsis. Therefore, you should not leave everything to chance.

Scar removal

If the stitch itches after surgery after a long time, you may need to think about removing it. Radical intervention of this kind is today performed in various medical institutions. In some cases, minimally invasive methods help cope with the problem:

• laser resurfacing;
• cryotherapy;
• radio wave therapy.

If there are certain characteristics of the scar, these methods may not be effective enough. In this case, the only possible way to remove the scar is to remove it surgically. In any case, only a doctor can prescribe the optimal treatment method.

Conclusion

Now you know what to do if the stitch itches after surgery, how to relieve the itching and relieve the symptoms of inflammation. The main thing is to correctly identify the causes of discomfort. If they are associated with external factors, then they must be eliminated. Make sure that the seam is not chafed by uncomfortable clothing or jewelry. Also be careful when choosing cosmetics.

Sometimes itching at the suture site is associated with an allergy to the remains of the suture material. In this case, surgery will be required to remove the threads. If the process has reached the stage of inflammation and suppuration, treatment with antibacterial drugs will be required.

Itching and burning are completely normal manifestations of the tissue regeneration process. However, sometimes they can cause such inconvenience that you have to seek medical help. The easiest way to get rid of unpleasant sensations is cooling compresses. A decoction of mint also relieves burning. You can try using special cooling ointments. In particularly severe cases, the doctor may prescribe special injections. The main thing is not to self-medicate. Before trying any of the methods to relieve itching and irritation, be sure to consult your doctor.

Few people manage to live their entire lives without getting a single scar. And we acquire the very first of them - from BCG - almost immediately after birth. Then everything will depend on luck and personal history: injuries, appendicitis, cesarean section, plastic surgery... certain marks on our face or body will inevitably remain.

Usually they heal well and do not cause much trouble. But sometimes things go wrong and the postoperative scar becomes inflamed- this can happen to both young and old scars, both at the initial stage of their formation, and many months and years later. Why do such problems happen and what should those who encounter them do? Is it dangerous? Is it possible to manage with conservative methods or will a repeat operation be required? The site examines the causes and treatment options:

Purulent complications - much more often than we would like

The most likely cause of inflammation of a young scar is infection in the wound. According to medical statistics, during abdominal surgery this happens in 5-35 people out of every hundred patients. The likelihood of such a development of events will be lower with less extensive interventions, but much higher with domestic, industrial and other similar injuries, when the damaged area is initially unsterile.

Also, infection can also occur hematogenously - that is, with blood flow from foci of chronic inflammation, such as tonsils, sinuses and even carious teeth. In addition, sometimes the fault lies with the surgeon who did not provide the proper level of asepsis in the operating room. The symptoms are approximately the same in all cases:

• the suture continues to hurt even 3-5 days after the operation;
• the wound itself and the skin around it are red, swollen, hot;
• signs of general intoxication appear - fever, headache, weakness;
• signs of inflammation appear in the blood: the ESR accelerates, the number of leukocytes increases.

Infection can get into any forming scar at the epithelization stage - be it a large postoperative suture or a tiny trace from BCG. This condition requires immediate medical attention:

• Antibiotics are usually used as a basic treatment, administered once before or immediately after surgery.
• If this does not help, and the scar becomes even more inflamed (if you are discharged early, this can happen at home), the first thing to do is to immediately contact a surgeon. Perhaps he will limit himself to prescribing an additional course of antibiotics in tablets or injections and treating the wound surface with antiseptics.
• If the purulent process has gone far enough, then the wound is opened, the pus is removed and washed thoroughly. Perhaps after this they will not sew it up tightly, but will leave a drainage - a tube or elastic band that will not allow the edges to close so that the resulting pus can flow out freely. Specific actions will depend on the condition of the suture and the individual characteristics of the patient’s body.

Ligature fistula as a cause of inflammation

Another unpleasant scenario: the postoperative wound seemed to have healed normally, the patient safely left the clinic, and after a few days - or months, and sometimes even years - the scar area turns red and swells, and a granuloma (limited inflammation) forms on it. After some time, it breaks through, and inside there is pus or ichor, which constantly leaks from the resulting cavity.

This pathology is called a ligature fistula and occurs when the body rejects the applied suture material due to individual intolerance or because the surgical threads themselves turned out to be a source of contamination or pathogenic bacteria. This reaction usually occurs within the first week, especially if there is an infection, but can also occur on old scars. There are even cases where this type of complication occurred almost 35 years after the operation!

The optimal situation for the patient will be when the suture material that caused the ligature fistula is torn away from the wound, after which the condition of the scar, as a rule, normalizes (including externally) and no longer causes problems. But it also happens that the inflammation becomes chronic, and if the initial surgical incision was near the abdominal cavity, it can spread to the internal organs. Here you cannot do without the help of a surgeon:

• In uncomplicated cases, the doctor prescribes medications that accelerate the “breakthrough” of the fistula: lotions with a hypertonic solution, enzyme preparations, or ichthyol ointment and the like. After the granuloma is opened, the ligature often becomes visible - it is removed with tweezers. Then the wound is treated with antiseptics until complete healing. Sometimes this entire process takes place in a few days, but sometimes you have to wait weeks or even months for disclosure.
• In cases where ligature inflammation of the scar worsens and begins to affect the general condition of the patient - the temperature rises, changes in the composition of the blood appear - urgent hospitalization is required. In the hospital, the fistula is opened and an attempt is made to remove the problematic surgical threads.
• In more complex cases, the purulent area is excised entirely, along the edge of healthy tissue.
• For re-suturing the wound, modern materials that do not cause rejection are selected, but even they, alas, do not guarantee complete recovery - according to statistics, more than half of the patients experience a recurrence of the ligature fistula over the next 2 to 5 years.

Scar formation is impaired: hypertrophy or keloid

A postoperative scar “ripens” within 1 year - normally, during this time, an even thin strip of connective tissue forms at the site of the incision. If it grows too much, it appears - rough, protruding above the surface of the skin. If the growth is so large that it extends beyond the original wound, it is called. In both cases, there is sluggish chronic inflammation inside. The causes of these pathologies can be different, the most common of them are:

• heredity;
• hormonal changes in the body (puberty, pregnancy);
• 1st blood group;
• dark skin (4 - 6 phototype);
• friction and other mechanical effects on the scar during its maturation.

Visually, such deviations become noticeable approximately 1-3 months after surgery. The suture thickens and becomes denser, begins to protrude above the surface, and in addition to this, the keloid sometimes actively itches and hurts.

According to statistics, such pathological scarring occurs in 1.5-4.5% of patients. Prevention is considered the main way to combat it.- this is why plastic surgeons actively use dressings and coatings with silicone gel. But in interventions performed for health reasons, such safety measures are often omitted. However, special hypoallergenic silicone patches and plates are recommended for all patients without exception; it is advisable to start using them immediately after the sutures are removed.

If this is not enough, therapy is supplemented with local injections of steroids, with which you can significantly slow down and even completely stop the uncontrolled growth of connective tissue. After a year, when the scar is considered “mature”, only mechanical effects can give a noticeable effect: or surgical excision. They must be combined with a new course of prevention and conservative treatment, since removal of a keloid without the use of additional therapy leads to relapses in half of the cases.

Remember: what to do if the scar becomes inflamed?

Any changes in the appearance or feel associated with the developing scar should be discussed with your surgeon. Ideally, to the one who performed the operation. The most likely “culprits” of the problem and how to solve it:

Cause of inflammation	Treatment
Infection - occurs within the first few days after surgery/injury, manifested by characteristic redness of the scar and a general deterioration in well-being	A course of antibiotics or surgical opening and cleaning of the wound with re-suturing
Ligature fistula - is formed only after applying external or internal sutures, most often when using non-absorbable threads. As a result, a granuloma with purulent contents forms on the scar	Opening or surgical removal of the fistula, applying repeated sutures from hypoallergenic materials
Overgrowth of connective tissue - formation of a hypertrophic or keloid scar	Preventive measures aimed at maintaining normal scarring (silicone sheets, ointments, etc.) Injections of steroid drugs. Mechanical peeling of a protruding area of ​​connective tissue. Surgical excision.

In the case of an old scar, additional studies may be needed to determine the exact cause of the problem - ultrasound, biopsy, etc.

• abdominal plastic surgery;
• mastectomy.

• those suffering from diabetes;
• hypertensive patients.

• swelling, bulging of part of the abdomen;
• temperature increase.

• can be performed on an outpatient basis;
• painlessness of the procedure.

• inclusion of vitamins in the diet.

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Hello! Two weeks ago I had surgery to remove my gallbladder using laparoscopy. Everything was fine, I treated the seams with brilliant green, but then a rash appeared and irritation around the seams, especially around the navel, began to itch. Why could this be: irritation with brilliant green? The dermatologist said it was just irritation and prescribed zinc ointment and some antibiotic ointment. I’ve been applying it for the 3rd day now, but there is no relief yet. What should I do? And what is this?

Dear Svetlana! What you are describing is allergic dermatitis, which developed, in this case, due to the “green stuff”. In this case, any hormonal ointment will help you well: “Ftorcort”, “Oxycort”, “Lorinden”, etc. And in the future, if necessary, replace the brilliant green with solutions of Chlorhexidine, Miramistin or other semi-alcoholic solutions. Be healthy!

CLARIFICATION QUESTION 10.21.2014 Olga Zapaschikova, p. Perelub Saratov region

Hello. 2 weeks ago I had surgery to remove my gallbladder. All stitches are healing normally. But one is very bad, red and itchy. At the clinic, the doctor told me to apply zinc ointment and treat it with vodka. Tell me something please.

You may have allergic contact dermatitis: http://www.dermatolog-gtn.ru/dermatit.html But paratraumatic eczema cannot be ruled out. Post a photo of the rash here or on the VK group page: http://vk.com/public59843996

Hello! Three weeks ago I had surgery to remove my gallbladder using laparoscopy. Everything was fine, I treated the seams with alcohol, then brilliant green and sealed them with a cosmopor plaster. I took off the patch and in the places where it was stuck, a rash appeared and irritation appeared around the seams, especially around the navel, it began to itch very much around all the seams, even those where I had not glued them. In addition, the seam near the navel began to get wet. I sprinkle it with baneocin and apply acriderm to the irritation. Am I doing the right thing? .

After the operation everything was fine, the stitches were removed and after two days they were told to remove the bandages. After this, irritation began in the form of a rash from the navel with an expansion of the territory to the chest to the second seam. Two and a half weeks have passed now, and there is no improvement. I smeared it generously with brilliant green and zinc ointment, and drank Suprastin for three days. You probably need professional help. You can’t get through to our surgeon - there’s a waiting list for a month in advance. Help me please.

Good afternoon I need your help! A couple of months ago, a rash appeared on the upper eyelids (closer to the bridge of the nose) and in the navel, the itching is insignificant, and sometimes it peels off. I went to a dermatologist, the only thing they checked was for fungi, there were none and they immediately prescribed L-cet tablets and Pimafucort ointment. When I asked what I had, “yes, it’s just ordinary dermatitis, an allergy to something, don’t worry. “I took the tablets, but we didn’t have such an ointment in our pharmacy, so I bought Hyoxysone. After a 10-day course no.

Two weeks ago I had palas surgery to remove the gallbladder, a week ago a rash appeared around the suture and itched, what should I do?

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Metastases only in the suture area? Are you sure there isn't anywhere else?
The doctor believes that there is also something inside, most likely on the lungs. Tumor marker CA-152-3 - 34.2 when the norm is up to 26.9
Treat radically - that is, with strong chemistry.

How is this, excuse me?
Our doctor repeats all the time - treatment should not be more severe than the disease. And I myself believe that the main thing is the quality of life. And so far the quality of life has been fine.
All the treatment that was used did not cause any discomfort to the mother. Still, 87 years old, in 2 months - 88.

Well, actually ours is a celebrity. He doesn’t come out from international congresses.
It doesn't matter. I'm not going to argue with you about anything.
In general, once upon a time, about 6 years or more ago, I was already asked about this on this forum. And then I quoted from Romain Rolland (however, now I can’t find this message on the forum by searching, perhaps it was deleted somewhere at some point). This quote goes like this:

“When you argue, there are no higher or lower, there are no ranks, no titles, no age, no reputation - there is only truth, one truth, before which everyone is equal.”

That’s why I’m explaining to you that the magic letters “D.M.S.” are on me. do not act in any way and do not make any impression. More often it’s the other way around. God forbid, if I see that someone is “pushing” an opinion, appealing not to some scientific sources, but only to his title, I know for sure: he is lying!

Or maybe let him anoint it? Why?

Added after 3 minutes 21 seconds.

But breaking the rules is not good. It is prohibited to write in other people's topics in the advisory section.
3-day ban for now. Do not repeat the violations and read the forum help for now (http://www.oncoforum.ru/faq.php).

Sorry, can I ask a small question? There is simply no one to consult with.
My mother often gets bruises on her arms - blood vessels burst; recently, blood was taken from a vein - the vein burst before the needle even touched it.
I won’t say that my mother considers this a serious problem, but still.
Can I drink ascorutin?

Daily medication intake:
In the morning - noliprel forte, endoxan and reminyl 8 mg
During the day - reminyl 16 mg
In the evening - Norvasc 5 or 10 mg, according to blood pressure numbers.
On Mondays and Thursdays in the afternoon - methotrexate.

What could be the best result from Xelix? Will the ulcer heal? More likely, “no.”

No peroxide needed.
Thanks for the answer. I talked to the doctor and found out what the best results could be. He said it won't be spread further. And the ulcer may even heal. I understand that the probability is low.
He said that everything would become clear after the first dropper.
Well, I can’t help but give my mom a chance to see who I’ll feel like after this.
She definitely won’t tolerate doxorubicin, and the doctor said, and I understand.
So I'm looking for Kelix at the lowest price :(

But the packaging indicates until July 1, 2011. The pharmacist assured me that the medicine was still good for the entire month of July. Usually, only the month and year of the expiration date are indicated on the packaging, i.e. The entire month.

You can find out by contacting the manufacturer of the drug.

We bought some medicine. But it seems that in vain.
We took blood tests, general and biochemistry tests, and the doctor firmly said - no, you can’t do Kelix. And increasing leukocytes means driving the body completely, it’s impossible.
How is she still alive with such tests?

Name/indicator Value Reference values ​​*
General clinical blood test (23 indicators)
Leukocytes (WBC) ↓ 1.27 *10^9/l 3.98 - 10.4
Red blood cells (RBC) ↓ 1.84 *10^12/l 3.8 - 5.2
Hemoglobin (HGB) ↓ 59 g/l 117 - 161
Hematocrit (HTC) ↓ 18.4% 35 - 47
Mean erythrocyte volume (MCV) 100.0 fL 81 - 102
Avg. sod. hemoglobin in er-te (MCH) 32.1 pg 27 - 35
Avg. conc. hemoglobin in er-te (MCHC) 321 g/l 320 - 360
Platelets (PLT) 182 *10^9/l 180 - 320
Distribution erith. according to V - standard deviation (RDW-SD) 14.5 fL 11.3 - 19.5
Distribution erith. according to V - coefficient. variac(RDW-CV) 48.7% 37.2 - 54.2
Distribution platelet volume (PDW) 10.6 fL 10 - 20
Mean platelet volume (MPV) 10.20 fL 9.4 - 12.4
Large platelet ratio (P-LCR) 24.9% 13 - 43
Neutrophils (NE) ↓ 0.50 *10^9/l 1.56 - 6.13
Lymphocytes (LY) ↓ 0.41 *10^9/l 1.18 - 3.74
Monocytes (MO) 0.36 *10^9/l 0.24 - 0.56
Eosinophils (EO) ↓ 0.00 *10^9/l 0.04 - 0.36
Basophils (BA) 0.00 *10^9/l 0 - 0.08
Neutrophils, % (NE%) 39.4 % 34 - 71.1
Lymphocytes, % (LY%) 32.3% 19 - 37
Monocytes, % (MO%) 28.3 % 4.7 - 12.5
Eosinophils, % (EO%) ↓ 0.0 % 0.7 - 5.8
Basophils, % (BA%) 0.0 % 0 - 1.2
Neutrophils, % (NE%) (microscopy) ↓ 31% 34 - 71.1
Neutrophils: rods. (microscopy) 7% 1 - 6
Neutrophils: segment. (microscopy) ↓ 24% 47 - 72
Lymphocytes, % (LY%) (microscopy) 50% 19 - 37
Monocytes, % (MO%) (microscopy) 18% 4.7 - 12.5
Eosinophils, % (EO%) (microscopy) ↓ 0% 0.7 - 5.8
Basophils,% (BA%) (microscopy) 1% 0 - 1.2
Platelets (microscopy) ↓ 165.0 *10^9/l 180 - 320
Erythrocyte sedimentation rate (ESR)
Settlement rate 40 mm/h 2 - 15

Serum iron
Concentration ↓ 3.50 µmol/l 10.7 - 32.2
Urea in serum
Concentration 11.10 mmol/l 2.8 - 7.2
Serum creatinine
Concentration 160.00 µmol/l 58 - 96
Serum uric acid
Concentration 464.30 µmol/l 154.7 - 357.0
Serum calcium
Concentration ↓ 2.14 mmol/l 2.2 - 2.65

The doctor was surprised that with such indicators she was on her feet.
In general, only dressings with furatsilin and sea buckthorn oil and pain relief if necessary.
At the same time, there is practically no pain, sometimes he winces and grabs his chest. He is turning pale and losing weight, but he eats, sleeps, walks around the apartment, reads, and watches TV.
The general practitioner recommended propolis with honey and oil as an immunomodulator, we did it, today we’ll start with a teaspoon in the morning.
Apparently, everything that can be done has already been done.

Ugh, so as not to jinx it!
Mom felt much better. Maybe the kelix worked after all? Well, it wasn’t propolis that gave such results!
She is more cheerful, she has an appetite, and the ulcers on the seam have become smaller!
And most importantly, today I received the results of new tests - I’m just shocked!

Erythrocyte Sedimentation Rate (ESR) (Ready)

Complete blood count (20 indicators) (Ready)

White blood cells (WBC)
7.00
*10^9/l
3.98-10.4

Mean erythrocyte volume (MCV)
103.0

Avg. sod. hemoglobin in er-te (MCH)
31.5
pg
27-35

Avg. conc. hemoglobin in er-te (MCHC)
305

Distribution erith. according to V - standard deviation (RDW-SD)
15.4
fL
11.3-19.5

Distribution erith. according to V - coefficient. variats(RDW-CV)
56.1

Distribution platelet count by volume (PDW)
10.8
fL
10-20

Mean platelet volume (MPV)
10.00
fL
9.4-12.4

Large platelet ratio (P-LCR)
23.9
%
13-43

Neutrophils (NE)
5.19
*10^9/l
1.56-6.13

Eosinophils (EO)
0.05
*10^9/l
0.04-0.36

Neutrophils, % (NE%) (microscopy)
75

Neutrophils: rods. (microscopy)
5
%
1-6

Neutrophils: segment. (microscopy)
70
%
47-72

Lymphocytes, % (LY%) (microscopy)
12

Monocytes, % (MO%) (microscopy)
11
%
4.7-12.5

Eosinophils,% (EO%) (microscopy)
2
%
0.7-5.8

Basophils,% (BA%) (microscopy)
0
%
0-1.2

So tomorrow I will talk to the doctor about the second drip with Kelix

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Almost every patient has an itchy suture after surgery. This can happen immediately after the intervention (after the anesthesia wears off), or after a few weeks, when a scar begins to form. This is a normal phenomenon, but here's the catch: you can't comb the seam, especially in the first days. And sometimes ordinary discomfort turns into real torment. How and what to do in this case?

Human skin has the ability to regenerate. This occurs through the formation of scar tissue, which causes itching. When a person is simply scratched, the scar that forms over time is microscopic, but he still wants to scratch or touch the wound. In case of significant violations of the integrity of the skin, in particular after operations, the scar is larger and more noticeable, and therefore the itching is stronger and more noticeable. The process of regeneration of skin and nerve endings is one of the reasons why the wound itches when it heals.

If the stitches have already been removed, but the wound continues to itch, the reason may lie in an accidentally left thread. Fragments of suture materials begin to rot and decompose over time, causing itching. This can be determined by severe redness of the skin around the scar or by developing inflammation in the form of a newly formed wound.

By the way! Itching and inflammation are provoked not only by the suture material, but also by particles of dirt and sweat. Therefore, you need to maintain hygiene, carefully care for the sutures after surgery, adhering to the doctor’s recommendations regarding the external medications used.

If the operation took place more than 6 months ago, and the dense “old” scar formed at the site of the suture is itchy, then the reason may be its dryness. The skin of old scars is quite thin and easily tightens, so it itches. This is especially true during the cold season.

This is possible, but it is important to do everything correctly so as not to introduce an infection into the wound, cause bleeding or provoke inflammatory processes. Due to the nature of postoperative sutures, it is recommended to discuss each possible method of eliminating itching with your doctor.

Newly placed sutures, through which blood and ichor may still be oozing, require special care. While the patient is in the hospital, it is better to contact the medical staff, who will tell you what to do or offer options for eliminating itching. If there is no help to be found (the person has been discharged home), you can try applying a cold compress.

Important! The compress is not applied to the wound itself, but to the adjacent skin. Otherwise, the integrity of the seams may be damaged.

A sterile bandage must be placed between the compress and the skin. And if it is ice, which tends to melt, then also a plastic bag so that water does not seep into the wound. About the fifth day after the operation, you can try to soothe the itching with a cold decoction of mint, also wiping only the skin adjacent to the seam with a piece of sterile bandage. The same methods can be used to soothe itching in the area of ​​already formed scars.

Another way to relieve itching is by stroking the adjacent skin. With fresh stitches, this is done with clean hands (fingers), and the scars can be stroked, for example, with a cotton pad or a piece of bandage.

If the scar has long been formed, but itches constantly and severely, depriving you of rest and sleep, you need to resort to more serious methods, including both the use of medicines and the advice of traditional medicine.

1. Hormonal injections. They are done by a doctor for certain indications (not only severe itching, but also the unaesthetic appearance of the scar).
2. Absorbable ointments. Their second property is to soothe itching. These are, for example, Dermatix, Contractubex, Zeraderm Ultra.
3. Homemade ointment made from streptocide powder, any vegetable oil and heated beeswax (in equal proportions). Apply directly to the scar when it starts to itch particularly badly.
4. Application made from laundry soap (72%). Lather the scar thoroughly and leave it for 2-3 hours. You can wrap it with a bandage, but if the scar is on an open area of ​​the body, then it is not necessary.
5. Tea tree oil also relieves itching well. You can apply it to the scar itself and the skin around it.

If you don’t have any of the above on hand, you can try any moisturizer. Because perhaps the scar is itching due to dryness. The cream will help nourish the skin around the scar and eliminate the feeling of tightness and itching. Of course, fresh stitches (open wounds) cannot be smeared with creams without a doctor’s prescription.

Patients whose stitches itch very much after surgery are sometimes prescribed physiotherapeutic procedures. But the goal of physical therapy is not only to relieve itching. It also promotes rapid recovery of the body as a whole and improves the condition of local areas of the body. In particular, sessions have a beneficial effect on the healing of itchy sutures, disinfecting it and accelerating tissue regeneration.

Among specific types of physiotherapy, phonophoresis (ultrasound plus drug therapy), microcurrents, and magnetic currents are used to eliminate itching in sutures after operations. If the scar not only itches, but also spoils life with its ugly appearance (contrasting red color, embossed, large), you can resort to laser surgery methods, namely, skin resurfacing. This will evaporate the liquid from the scar along with dead cells, which also cause itching, and will also smooth out the surface of the scar, making it less noticeable.

Doctors say that if the stitch itches, it means it’s healing, so there’s definitely nothing to worry about. Itching can be tolerated, and in extreme cases, use simple methods such as cold compresses and stroking the skin around the stitch or scar. The main thing is not to scratch the wound itself to avoid inflammation.

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Three months ago I had surgery to remove a plate from my shoulder. The scar was healing normally, there was no suppuration. After some time, I noticed how a small bump or pimple appeared. I don't know what to call THIS correctly. and in the middle of the pimple there is a black dot. At first she didn’t bother me, she smeared Contractubex on the scar and thought it would go away. But a few days ago this pimple began to fester and some not very pleasant sensations appeared in the area of ​​the scar. I’m probably about to go to the hospital ((((tell me, has anyone had something like this? What could it be? To make it clear, they did a cosmetic stitch for me, the stitches were removed without any problems..

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don’t apply contractubex for now, it seems to be hormonal and go to the doctor

Author, before going to the doctor (which is mandatory), take a picture with a good camera, preferably in 2 projections. I don’t want to scare you, but the possibility of the onset of osteomyelitis in the operated area cannot be ruled out. This will be visible on a good-resolution image (let the radiologist describe the image further). Such situations after metal osteosynthesis are, unfortunately, not uncommon. A pimple is where pus comes out from the source of the problem. (That is, the pus found a way out). I say again, don’t be alarmed, but you need to check it quickly. Find a hospital or clinic with a new (still low mileage) X-ray machine, and take a picture there. On worn-out devices, it’s often impossible to make out a damn thing in the image (it’s blurry). With the resulting images, go through at least 2-3 specialists (orthopedists, traumatologists, surgeons. It is better if this is a doctor in a hospital, a surgeon familiar with live metal osteosynthesis)

Firstly, the thread may come out or be purged. alcohol or chlorhexidine topically are not contraindicated - if the color of iodine and potassium permanganate is aesthetically unacceptable.
secondly, the extract contains the names of drugs like cortomycetin, used topically for prophylaxis or systemically like lincomycin, there is a high probability that they will be effective now.
in the same extract the volume of a course of vitamin therapy, electrolytes, etc., which was probably enough for 3 months.
if there is a suspicion of a fistula, then it was high time to go to a purulent surgeon or antibiotic therapist (if the point does not cause aesthetically unacceptable deformation in the future, otherwise it will actually have to be altered).
Whether an image is needed will be decided by the doctor in person; the results of the image are unlikely to affect the volume of START therapy prescribed in person.

“whether an image is needed will be decided by the doctor in person; the results of the image are unlikely to affect the volume of START therapy prescribed in person.”

Purulent melting of bone tissue can only be seen in the image. The quality of X-ray images on a random hospital machine, where the in-person doctor will send her, is a big question. as well as the fact that he will generally send her for a photo, and will not start playing with words about the same thread or about local inflammation on the scar. Suspicion of a fistula strongly depends on the duration of the “pimple” existence and the amount of discharge. And how does an ordinary person even know that this “pimple” may well turn out to be a way for pus to escape from the lesion (that is, a fistula), if, relatively speaking, it does not hit like a fire hose, but is released drop by drop per day (for now)

I’ll add to 4 - here it’s better to be overdressed than underdressed. Because if the process is suppressed at the very beginning, then everything will be fine. But if you run it, the consequences are terrible. And with our quality of osteosynthesis and compliance with asepsis in operating rooms, the number of complications such as osteomyelitis after synthesis - wow!

Were you stunned, did you scare the young lady so much?
The thread comes out. After the first 9 pieces, I pulled them out myself with tweezers.

Well, they scared you. If a pimple breaks out, treat it with an antiseptic, levomekol. It happened to me too, everything healed.

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Many injuries and operations cannot be completed without sutures, and as a result, scars appear. There are cases of scar formation after minor tissue damage. If there is no proper treatment or recovery period, then during healing there is a high risk of infection. Therefore, it is important to properly care for the wound and not ignore any symptoms, even if the scar or stitch after surgery is just itchy. It is not uncommon to feel discomfort from scars that have long since healed.

When a wound appears on the body, the body begins the process of self-healing. It rejects damaged cells and actively works to create new ones. The process is accompanied by the release of inflammatory blockers, including histamine. Its increased concentration causes itching.

The suture is very itchy after surgery or serious injury with damage to the deep layers of the skin. The body reacts to a slight scratch of the epidermis with a barely noticeable tingling sensation, or the damage heals without noticeable discomfort.

Another cause of itching can be constant external irritation of the developing scar:

• rough fabric;
• uncomfortable cut of clothes;
• use of allergenic care cosmetics;
• vigorously rubbing the scar after surgery with a towel;
• the use of creams and gels for resorption of scars.

Subject to proper rehabilitation conditions, the itching goes away over time. You should definitely consult a doctor if swelling, redness, ichor appears around a suture or healed wound, pus appears when pressed, or the area becomes hot. These are signs of an inflammatory process, the appearance of which requires mandatory medical intervention.

Many factors contribute to the appearance of itching in long-healed wounds. Some do not pose any threat to health, others are dangerous and require immediate medical attention, including surgery.

• Dry skin. An old surgical scar itches when using shower gel or soap with aggressive ingredients in its composition.
• Weather. The approach of rain and snow is accompanied by a jump in atmospheric pressure, which can affect the human body. The intensity of blood flow increases, providing an active rush to the vessels located directly next to the scar.
• Pharmaceuticals. To make the scar less noticeable, it is recommended to use creams and resorption gels. One of the side effects of the drugs is itching.
• Components of suture material. When using self-absorbable threads, their particles come into contact with adjacent tissues, causing irritation. The response is itching.
• Consequences of mole removal. The postoperative period usually passes without complications, and the wound heals completely within 2-3 weeks. But if the old seam itches and the skin around it turns red, it may be inflammation or the growth of an incompletely removed formation.
  
• Formation of ligature fistula. The pathology is rare, but the risk of its occurrence still exists.
  During the operation, the tissues are stitched together in layers, and if the surgeon used non-self-absorbing material, the body may subsequently reject it. This happens immediately after surgery or months and years later. Redness appears, the seam itches, and the local temperature rises. In this case, you should consult a doctor. He may advise you to wait until the fistula matures.

• Psychological problems. As a result of stress, anxiety, constant lack of sleep, and apathy, itching occurs, the skin around the scar peels off, and small pimples may appear.
• Formation of a keloid scar. At the site of a healed wound, after a few months, the suture may become convex, rough, and acquire a reddish, burgundy or bluish tint. When a keloid scar forms, it itches, hurts, and looks unsightly. It is easier to avoid this by carrying out procedures to eliminate it.

Correctly identifying the cause of discomfort and following the doctor’s recommendations will help improve the condition or completely solve the problem associated with tissue scarring.

date	Question	Status
17.08.2015

Symptoms	What to do
The suture area itches as it heals.	It is necessary to treat the wound with antiseptics, hydrogen peroxide, brilliant green, and other drugs prescribed by the doctor, and carefully monitor changes.
In parallel with the itching, redness appears, ichor or pus is released, and the local temperature rises.	An urgent examination by a doctor is required. There may be an infection and antibiotic therapy or surgery will be required. The doctor will open the wound, clean it of pus, and disinfect it to avoid infection of neighboring tissues.
The stitches itch after laparoscopy.	Small scars in the abdominal area usually respond with itching to friction from the seams of clothing. It is necessary to review your wardrobe, wear models with a comfortable cut, and take into account weather conditions.
Discomfort in the form of itching and peeling after water procedures.	With such a reaction, you should change your caring cosmetics. It is better not to use soap and gel for several days, and then purchase hypoallergenic children's cosmetics. If you are exposed to hard water, use a moisturizer.
The scar itches after applying absorbable ointment or cream.	This is a normal phenomenon that indicates tissue regeneration. You can put up with the discomfort by enduring it for the duration of the healing course, or refuse to treat the seam.
Swelling, redness and itching appeared at the site of the removed mole.	You should urgently consult a doctor, undergo an examination to rule out the presence of a tumor or start treatment in a timely manner.
It hurts, the scar becomes convex.	It is much easier to improve the aesthetics of a keloid in the first year of formation. It is better to get medical advice, undergo physical treatment, and undergo aesthetic medicine procedures as early as possible. It is not recommended to surgically remove the keloid, because it can grow even larger.
There is pain and redness in the area of ​​the old scar.	In this case, be sure to consult a doctor. Ligature fistula requires surgical intervention. If the doctor decides that it is necessary to wait for its maturation, let it pass under his supervision.

If you cannot determine on your own why the scar itches, a doctor will do this. It is possible that antihistamines and hormonal medications will relieve the itching, but you cannot prescribe them yourself. This is fraught with side effects, as well as a deterioration in overall health.

Practicing doctor
Specialization: Dermatovenereology

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Any surgical intervention is a big test for the patient’s body. This is due to the fact that all his organs and systems experience increased stress, no matter whether the operation is small or large. It especially affects the skin, blood and lymphatic vessels, and if the operation is performed under anesthesia, then the heart. Sometimes, after everything seems to be over, a person is diagnosed with “seroma of the postoperative suture.” Most patients do not know what it is, so many are frightened by unfamiliar terms. In fact, seroma is not as dangerous as, for example, sepsis, although it also does not bring anything good with it. Let's look at how it happens, why it is dangerous and how it should be treated.

We all know that many surgeons perform “miracles” in the operating room, literally bringing a person back from the other world. But, unfortunately, not all doctors conscientiously perform their actions during the operation. There are cases when they forget cotton swabs in the patient’s body and do not fully ensure sterility. As a result, in the operated person, the suture becomes inflamed, begins to fester or separate.

However, there are situations where problems with a stitch have nothing to do with medical negligence. That is, even if 100% sterility is observed during the operation, the patient suddenly accumulates liquid in the incision area that looks like ichor, or pus of a not very thick consistency. In such cases, they speak of seroma of the postoperative suture. What it is, in a nutshell, can be said this way: it is the formation of a cavity in the subcutaneous tissue in which serous effusion accumulates. Its consistency can vary from liquid to viscous, the color is usually straw-yellow, sometimes supplemented with blood streaks.

Theoretically, seroma can occur after any violation of the integrity of lymph vessels, which do not “know how” to thrombose quickly, as blood vessels do. While they are healing, lymph continues to move through them for some time, flowing from the rupture sites into the resulting cavity. According to the ICD 10 classification system, seroma of the postoperative suture does not have a separate code. It is assigned depending on the type of operation performed and the reason that influenced the development of this complication. In practice, it most often occurs after such cardinal surgical interventions:

• abdominal plastic surgery;
• cesarean section (this postoperative suture seroma has ICD 10 code “O 86.0”, which means suppuration of the postoperative wound and/or infiltration in its area);
• mastectomy.

As you can see, it is mainly women who are at risk, and those who have solid subcutaneous fat deposits. Why is that? Because these deposits, when their integral structure is damaged, tend to peel off from the muscle layer. As a result, subcutaneous cavities are formed, in which fluid begins to collect from the lymph vessels torn during the operation.

The following patients are also at risk:

• those suffering from diabetes;
• elderly people (especially overweight);
• hypertensive patients.

To better understand what it is - postoperative suture seroma, you need to know why it forms. The main causes do not depend on the competence of the surgeon, but are a consequence of the body’s reaction to surgical intervention. These reasons are:

1. Fat deposits. This has already been mentioned, but we will add that in overly obese people whose body fat is 50 mm or more, seroma appears in almost 100% of cases. Therefore, doctors, if the patient has time, recommend liposuction before the main operation.
2. Large wound surface area. In such cases, too many lymph vessels are damaged, which, accordingly, release a lot of fluid and take longer to heal.

It was mentioned above that seroma of the postoperative suture depends little on the conscientiousness of the surgeon. But this complication directly depends on the skills of the surgeon and on the quality of his surgical instruments. The reason why seroma can occur is very simple: the work with the tissues was carried out too traumatically.

What does it mean? An experienced surgeon, when performing an operation, works with damaged tissues delicately, does not squeeze them unnecessarily with tweezers or clamps, does not grab them, does not twist them, and performs the incision quickly, in one precise movement. Of course, such jewelry work largely depends on the quality of the instrument. An inexperienced surgeon can create a so-called vinaigrette effect on the wound surface, which unnecessarily injures the tissue. In such cases, the ICD 10 code for seroma of the postoperative suture can be assigned as follows: “T 80”. This means “a complication of surgery not noted elsewhere in the classification system.”

This is another reason that causes suture gray after surgery and to some extent depends on the competence of the doctor. What is coagulation in medical practice? This is a surgical procedure performed not with a classic scalpel, but with a special coagulator that produces a high-frequency electric current. In essence, this is a targeted cauterization of blood vessels and/or cells by current. Coagulation is most often used in cosmetology. She has also proven herself excellent in surgery. But if it is performed by a physician without experience, he may incorrectly calculate the required amount of current or burn excess tissue. In this case, they undergo necrosis, and neighboring tissues become inflamed with the formation of exudate. In these cases, seroma of the postoperative suture is also assigned the code “T 80” in ICD 10, but in practice such complications are recorded very rarely.

If the surgical intervention was on a small area of ​​skin, and the suture turned out to be small (accordingly, the doctor’s traumatic manipulations affected a small volume of tissue), the seroma, as a rule, does not manifest itself in any way. In medical practice, there are cases where patients did not even suspect it, but such a formation was discovered during instrumental studies. Only in isolated cases does a small seroma cause minor pain.

How to treat it and is it necessary to do it? The decision is made by the attending physician. If he deems it necessary, he may prescribe anti-inflammatory and painkillers. Also, for faster wound healing, the doctor may prescribe a number of physiotherapeutic procedures.

If the surgical intervention affected a large volume of the patient’s tissue or the suture was too large (the wound surface is extensive), the occurrence of seroma in patients is accompanied by a number of unpleasant sensations:

• redness of the skin in the suture area;
• nagging pain that gets worse when standing;
• during operations in the abdominal region, pain in the lower abdomen;
• swelling, bulging of part of the abdomen;
• temperature increase.

In addition, suppuration of both large and small seromas of the postoperative suture may occur. Treatment in such cases is very serious, including surgical intervention.

We have already discussed why seroma of a postoperative suture can occur and what it is. Treatment methods for seroma, which we will consider below, largely depend on the stage of its development. In order not to start the process, this complication must be detected in time, which is especially important if it does not announce itself in any way. Diagnostics is carried out using the following methods:

Examination by the attending physician. After surgery, the doctor is required to examine his patient's wound daily. If undesirable skin reactions are detected (redness, swelling, suppuration of the suture), palpation is performed. If there is a seroma, the doctor should feel fluctuation (flow of liquid substrate) under the fingers.

Ultrasound. This analysis perfectly shows whether or not there is accumulation of liquid in the seam area.

In rare cases, a puncture is taken from the seroma to clarify the qualitative composition of the exudate and decide on further actions.

This type of therapy is most often practiced. In this case, patients are prescribed:

• antibiotics (to prevent possible further suppuration);
• anti-inflammatory medications (they relieve inflammation of the skin around the suture and reduce the amount of fluid released into the resulting subcutaneous cavity).

Nonsteroidal drugs such as Naproxen, Ketoprofen, and Meloxicam are more often prescribed.

In some cases, the doctor may prescribe steroidal anti-inflammatory drugs, such as Kenalog, Diprospan, which block inflammation as much as possible and accelerate healing.

According to indications, including the size of the seroma and the nature of its manifestation, surgical treatment may be prescribed. It includes:

1. Punctures. In this case, the doctor removes the contents of the resulting cavity with a syringe. The positive aspects of such manipulations are as follows:

• can be performed on an outpatient basis;
• painlessness of the procedure.

The disadvantage is that the puncture will have to be done more than once, and not even twice, but up to 7 times. In some cases, it is necessary to perform up to 15 punctures before the tissue structure is restored.

2. Installation of drainage. This method is used for seromas that are too large in area. When drainage is placed, patients are simultaneously prescribed antibiotics.

It is important to know that regardless of the reasons for the seroma of the postoperative suture, this complication is not treated with folk remedies.

But at home, you can perform a number of actions that promote healing of the suture and prevent suppuration. These include:

• lubricating the seam with antiseptic agents that do not contain alcohol (“Fukorcin”, “Betadine”);
• application of ointments (Levosin, Vulnuzan, Kontraktubeks and others);
• inclusion of vitamins in the diet.

If suppuration appears in the suture area, you need to treat it with antiseptic and alcohol-containing agents, for example, iodine. In addition, in these cases, antibiotics and anti-inflammatory drugs are prescribed.

In order to speed up the healing of stitches, traditional medicine recommends making compresses with an alcohol tincture of larkspur. Only the roots of this herb are suitable for its preparation. They are washed well from the soil, crushed in a meat grinder, put in a jar and filled with vodka. The tincture is ready for use after 15 days. For a compress, you need to dilute it with water 1:1 so that the skin does not get burned.

There are many folk remedies for healing wounds and scars after surgery. Among them are sea buckthorn oil, rosehip oil, mumiyo, beeswax, melted with olive oil. These products should be applied to gauze and applied to the scar or seam.

Complications in women whose obstetrics were performed by caesarean section are common. One of the reasons for this phenomenon is the mother’s body, weakened by pregnancy, which is unable to ensure rapid regeneration of damaged tissues. In addition to seroma, a ligature fistula or keloid scar may occur, and in the worst case scenario, suppuration of the suture or sepsis. Seroma in women giving birth after a cesarean section is characterized by the fact that a small dense ball with exudate (lymph) inside appears on the suture. The reason for this is damaged blood vessels at the site of the incision. As a rule, it does not cause concern. Seroma of postoperative suture after cesarean does not require treatment.

The only thing a woman can do at home is to treat the scar with rosehip or sea buckthorn oil to speed up its healing.

Postoperative suture seroma does not always go away on its own and not in everyone. In many cases, without a course of therapy, it can fester. This complication can be provoked by chronic diseases (for example, tonsillitis or sinusitis), in which pathogenic microorganisms penetrate through the lymph vessels into the cavity formed after surgery. And the liquid that collects there is an ideal substrate for their reproduction.

Another unpleasant consequence of seroma, which was not paid attention to, is that the subcutaneous fatty tissue does not fuse with the muscle tissue, that is, the cavity is constantly present. This leads to abnormal skin mobility and tissue deformation. In such cases, repeated surgery must be used.

On the part of the medical staff, preventive measures consist of strict adherence to the surgical rules of the operation. Doctors try to perform electrocoagulation more gently and injure less tissue.

On the part of patients, preventive measures should be as follows:

1. Do not agree to surgery (unless there is an urgent need) until the thickness of the subcutaneous fat reaches 50 mm or more. This means that you first need to do liposuction, and after 3 months, surgery.
2. After surgery, wear high-quality compression stockings.
3. Avoid physical activity for at least 3 weeks after surgery.

A herniated disc was removed 2 weeks ago. The seam was clean, on the 10th day the stitches were removed, but I was allergic to the eraser. Bandages, adhesive plaster. There was redness on the back. On the 5th day after removing the sutures, bubbles appeared around the suture, liquid flowed out of them, and the suture began to get wet. The seams were treated with chlorhexidine and brilliant green. When the seam began to get wet, the doctor prescribed bandages with levomekol, but it didn’t help.

ANSWERED: 08/30/2015 Gusev Alexander Viktorovich Gatchina 0.0 general practitioner, head

Hello Svetlana. Continue daily dressings with Levomikol; if ineffective, try using Bepanten plus. Also take the antibacterial drug Cifran 500 mg 1 tablet 2 times a day (7-10 days) - (if you are not allergic to cephalosporins). If necessary, go for an in-person examination by a surgeon at your local clinic.

date	Question	Status
15.08.2017

Exactly a month has passed since the day of the operation, but the seam is red and there are small pimples around that are very itchy and light liquid leaks from them, but when the pimple dries, it becomes covered with a yellowish crust. I thought it was an allergy to brilliant green. And for some reason the surgeon today at the clinic prescribed me Acyclovir or Zovirax to apply 2 times a day to the suture and treatment with brilliant green. Although the seam itself has already healed and there is no open wound. So is greenery necessary?

A 78-year-old man underwent surgery to remove a prostate tumor. The bladder was also cut. The seam has been getting very wet for two weeks now. The temperature rose to 37-38 for the first week almost every evening. It happens now too. They constantly do dressings, but the fluid accumulates and flows out very copiously. It was mixed with blood, then it became homogeneous. Three days ago, the surgeon changed the dressing himself, and it was dry for 24 hours. Now everything has broken through again and there is large discharge again. We have already replaced several chickens.

Hello. On December 18, the stitches were removed after laparoscopy. They told me to smear it with brilliant green, but we smear it with iodine, since brilliant green causes allergies. Today is day 6 and there is redness around the stitches, and the navel area is wet. Is it possible to apply Syntomycin ointment to redness around the stitches? What else can I put on it? Can I apply zinc ointment?

Hello! During the year, 3 operations were performed: an obstruction in the intestines, removal of the gallbladder, and a hernia operation using a mesh. After the last operation, there is a hematoma in the abdominal cavity. The surgeon recommended applying Trombless and Indovazin ointments around the suture. I've been using it for 5 months now. Isn't this harmful? Will this dissolve the mesh or something else that is not what is needed? With respect to you.

Hello, May 2012 We had surgery (laparoscopy) to remove the gallbladder. After discharge, the pain around the suture and inside has not stopped for 8 months. Externally, it is clearly visible that the skin on the abdomen is pulled obliquely towards the seam. The swelling and internal pain do not stop, it is painful to touch around the stitch with your hand, there is no redness, I take painkillers every day. I contacted the attending surgeon, they did an ultrasound, the doctor said that everything was fine. What to do, where else to go to find the cause.

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Often, patients who have undergone surgery develop allergies after surgery? What is causing this problem? What symptoms does it accompany? Is it possible to get rid of it?

In fact, an allergic reaction is rarely directly related to surgery. After all, by and large, an allergy is a reaction of the nominal system to a particular substance. Therefore, disorders arise already in the postoperative period. But, of course, there are exceptions.

For example, some patients are allergic to latex, which is what surgical gloves are made from. In addition, an allergic reaction may result from tissue contact with certain metals used in surgical instruments. In addition, the immune system often rejects various implants or prostheses, which is accompanied not only by skin manifestations, but also by weakness, the development of an inflammatory process, suppuration and even sepsis.

But, as a rule, doctors manage to find out about the presence of such a specific form of allergy even before surgery, which makes it possible to select more suitable materials. This is why allergies rarely occur after surgery for the reasons described above.

In most cases, disorders are associated with a period of rehabilitation. It's no secret that after a major operation, patients must undergo a course of treatment with antibacterial agents - this is a reasonable measure of protection against possible infection. On the other hand, antibiotics are precisely those substances that often cause an allergic reaction. It is accompanied by the appearance of spots and rashes on the skin, itching, swelling, burning, peeling, etc.

In addition, antibiotics kill not only pathogenic microbes, but also beneficial intestinal microflora, which affects the functioning of the digestive and immune systems. Dysbacteriosis is usually accompanied by nausea, vomiting, problems with stool, abdominal pain, and accumulation of gases in the intestines. A deficiency of beneficial microorganisms also increases the likelihood of allergies.

In addition, immune system reactions may occur as a result of the use of other medications. For example, during ophthalmic operations, patients are prescribed eye drops, and skin sutures are often recommended to be treated with special ointments - any of these drugs can lead to the appearance of allergy symptoms. Moreover, some patients notice skin reactions even when wearing special compression garments.

In any case, if you have such disorders, you should immediately consult a doctor, preferably an allergist or immunologist.

(Female, 51 years old, Sterlitamak RB, RF)

Hello. Dad had an operation to remove a stone from the adenoma; in a month and a half the adenoma will be operated on. We inserted a tube, 2 weeks have passed since the operation and for a week now there has been severe redness of the skin all over the abdomen, itching and irritation we cannot do anything to remove. Sprinkle with baby powder. Irritation even with adhesive plaster. We fix the bandage with a gauze pad on the stomach, and an elastic bandage on top. Please tell me what can be done to bring the skin back to normal?

Try using ointments that contain steroid hormones (prednisolone, hydracortisone ointments, Flucinar ointment, Fluorocort ointment and many others.

(Guest) Elena 30.07.2013 23:27

Hello! After surgery on the leg (a plate was placed on a fracture of both bones), the leg is red, not the seam, and it burns. Tell me what to do?

(Guest) Elena 16.02.2014 10:36

My husband had surgery on his leg in January, lumps began to appear around the seam and fluid was leaking out, what should I do?

Contact your doctor and rule out osteomyelitis.

(Guest) Boris 03.02.2015 16:32

On the 20th day after surgery (total arthroplasty on the left hip joint), white liquid began to bubble out along the wound. The suture was removed on the 14th day after the operation, the wound was clean and dry, the first treatment was an iodine solution, on the second day, brilliant green, and then on the 20th day, white liquid began to appear in the form of bubbles along the wound itself and a red rash appeared around the wound . There is no fever, no pain in the suture area, general condition is good, I bandage my legs with an elastic bandage, I walk with the help of crutches without pain. Please advise how to eliminate this problem, I will be very grateful...

On October 14, we had surgery to remove an umbilical hernia. Today I noticed redness around the navel. What could this be?

Anything, see your doctor.

Good evening. After a cesarean section, a month later, the brilliant green started to fall off from the seam, I noticed blisters and liquid inside in this place. What could this be?

Zelenka has not been used by reputable establishments for a long time.

See an outpatient surgeon or dermatologist (only those who do not use brilliant green).

(Guest) Natalia 05.11.2016 17:20

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Hello! My husband underwent surgery on March 18 - eversion carotid endarterectomy on the left. On March 25, his stitches were removed, the seam was treated with green paint and he was discharged home. By evening, redness and watery blisters appeared on the skin around the suture. Everything turned red and ran, the redness spread very quickly, the scale of the redness increased. I ran to see a surgeon and he prescribed Flucinar ointment mixed in half with baby cream. The redness gradually began to subside on the 3rd day, we did not touch the seam, it was treated only with furatsilin, and so the redness went away on the 5th day, the bubbles disappeared, but now the seam itself began to get wet and turned red. So my husband is allergic to green stuff, but what should we use to treat the seam? On the Internet they write everywhere: treat with peroxide, then with green paint, but we can’t smear it with green paint. Tell me, what should we do next?

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