The surgical suture has come apart. After the operation the stitch came apart

There are internal

and
external
sutures, which are applied as a result of the obstetrician’s intervention in the birth process.
The incisions are made without painkillers to facilitate the birth process and speed up the passage of the fetus through the cervix. The most common situation is postpartum suture dehiscence
. In this case, surgery is not performed. The first sign of suture dehiscence is redness of the perineum, swelling and pain.

Suture materials:

1. absorbable threads (natural and synthetic);
2. metal brackets;
3. non-absorbable threads.

When are stitches removed after appendicitis?

Maybe the seam is not healing because there is an infection and an inflammatory process is taking place. After all, there are people for whom everything heals quickly, be it post-operative sutures, and there are those for whom this process drags on for many months.

Hello! You can treat the seams with furatsilin or an alcohol solution, only the alcohol solution must be diluted one to one.

My husband had hemorrhoids removed through surgery and I treated his stitches with these very products. To be honest, I don’t have experience treating sutures after surgery with it, but it heals open wounds, even large ones, well.

One of the reasons for this problem may be premature removal of sutures. Another reason is increased body weight. The third is a violation of reparative processes in the body. Such a seam must be wiped with special napkins soaked in alcohol!

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.

Complications after appendectomy

My stitch after a caesarean section was also a little wet. The first week, when I was in the hospital, the seam was sealed.

Suture rupture after cesarean section occurs in quite rare cases, but still, if you have such a problem, do not panic ahead of time.

Obstetricians and gynecologists advise that during the first two months, in order to avoid suture dehiscence, lift weights that exceed the weight of the child. To prevent this condition, immediately after the operation, the woman is prescribed antibacterial drugs.

Hello. 16 days ago I had surgery to excise the coccygeal tract (I had a relapse). On the 13th day my stitches were removed, but the next day the stitches came apart. And if it doesn’t work, what should I do? If you cut it out, is the operation dangerous for that age?

Everything was fine, but 6 weeks after the cleaning, decay began again. The information presented below is available to a wide range of readers and can be used as a reminder before surgery to remove appendicitis.

The wound should be treated with a disinfectant and, if necessary, bandaged again. For women, if a suture has come apart after a caesarean section, it is recommended to shift the responsibilities of caring for the child to close people for a while until the mother’s condition improves.

After the operation, my stitches itched terribly. What to do if the seam comes apart - first of all, do not panic. Sometimes there are situations when the suture comes apart after surgery. In this case, contact the surgeon who performed the operation.

This feels like a painful lump that runs almost from the commissure of the labia, often to the side and back, rarely exceeding 2-3 cm in length. In the first days they rub a lot, causing a lot of suffering, after removing them you will feel relief. Sometimes a cosmetic intradermal suture is applied; it is not felt and is easier to tolerate.

Why do my stitches hurt after childbirth?

Because this is a sutured wound that appears as a result of a rupture or incision in the perineum.
In a week it will be much easier for you, but you will fully recover in about 8 weeks, or even six months... Let's figure out what types of suturing there are, how they are applied and how the woman is treated in the future.

Internal - applied to tears in the cervix and vagina, they usually do not hurt and do not require any special care. They are applied from absorbable materials, there is no need to remove them, there is no need to process them in any way, there is no need to smear or douche, you just need to ensure complete sexual rest for at least 2 months, because here they are in far from ideal conditions.

In order for the wound to heal well, it needs rest and asepsis. Neither one nor the other can be fully provided; the mother will still have to get up to the child, she will have to walk. It is impossible to apply any bandage in this area, and postpartum discharge creates a breeding ground for microbes, which is why it is quite common for the sewn areas to diverge.

You can sew up the perineum using different techniques and materials, but these are almost always removable options (they will need to be removed within 5-7 days). Most often, if everything goes well, they are removed in the maternity hospital, before discharge.

The treatment of stitched areas in the maternity hospital is carried out by a midwife. This can be done both on the examination chair and directly in the ward. Usually treated with brilliant green 2 times a day. In the first two weeks, the pain is very pronounced, it is difficult to walk, and sitting is prohibited; mothers feed while lying down, eat either standing or lying down.

After the surgical threads are removed and discharged from the maternity hospital, the woman will not be able to sit normally for almost another month. At first, you can only sit sideways on something hard, and even from the maternity hospital you will have to return reclining, in the back seat of the car.

How long does it take for stitches to heal after childbirth?

You will feel discomfort in the area where the perineum was torn for at least 6 weeks. Yes, and care at first will have to be very thorough.

Caring for stitches after childbirth

— Self-absorbing options in the vagina and cervix area do not require special care.
External threads require careful care. Their application is most often done in layers, using removable material.

After applying them, after each visit to the toilet you will have to wash yourself with clean water with the addition of potassium permanganate, and thoroughly dry the perineum with a clean towel.

The pads will need to be changed very often as the wound needs to be dry. While you are in the maternity hospital, the midwife will perform the treatment.

Removing the threads is a low-painful procedure that significantly relieves discomfort.

In the first days, it will be necessary to delay the first bowel movement as much as possible, especially with grade 3 ruptures; in the future, it will be induced using suppositories.

It will be necessary to abstain for some time from cereals and bread, vegetables and other stool-stimulating foods. Usually this does not cause big problems since a cleansing enema is performed before childbirth, which in itself can delay stool.

Dehiscence of suturings most often occurs in the first days or immediately after their removal, rarely later. The cause may be early sitting down, sudden movements, as well as complications such as suppuration. This is not a common complication, which occurs with serious ruptures of the perineum, 2-3 degrees.

If there is inflammation, redness, sharp pain in the perineum, premature removal of the material restraining the perineal rupture before the wound has completely healed is not good, because this will form a rough scar. Your gynecologist will tell you how to treat the wound.

If the early period went well, healing proceeds without complications, after discharge from the hospital only hygienic measures will be required. Bepanten or another softening and healing ointment may be recommended.

When do sutures heal completely after childbirth?

On average, discomfort disappears after 2 weeks, but sex will be unpleasant for at least 2 months after the birth of the child.
As it heals, a scar forms, which somewhat narrows the entrance to the vagina, making sex painful. Choosing the most painless position, which is different for each couple, and using ointments against scars, for example, contractubex, will most likely help you cope with this.

Strange sensations in the vaginal area can bother you for quite a long time, up to six months. However, later they completely resolve.

When you need to suspect that something is going wrong:

- If you have already been discharged home, and the stitched area is bleeding.
Sometimes bleeding occurs as a result of wound dehiscence. You won’t be able to fully examine yourself on your own, so hurry back to the doctor. If internal stitched wounds hurt. Normally, after suturing vaginal tears, there may be slight pain for 1-2 days, but it quickly passes. A feeling of heaviness, fullness, or pain in the perineum may indicate the accumulation of hematoma (blood) in the area of ​​injury. This usually happens in the first three days after giving birth, you will still be in the maternity hospital, tell your doctor about this feeling.

Sometimes suturings fester after discharge from the hospital. In this case, a painful swelling is felt in the wound area, the skin here is hot, and a high temperature may rise.

In all these cases, you should not think on your own what to apply to the wound; you should urgently consult a gynecologist.

Sometimes after childbirth it becomes necessary to put stitches on the perineum of the mother in labor. The reason for this may be narrow birth canals, a large fetus, the presence of a scar after a previous birth and poor tissue elasticity. After such manipulation, a woman must be very careful, because at the slightest non-compliance with medical recommendations, her wound may open again. Let's take a closer look at what needs to be done if a seam breaks after childbirth and how to prevent this.

Seam drainage

Drainage is installed in a postoperative wound in order to speed up healing by removing blood clots, lymph, and pus from it.

Typically, wound drainage is indicated for no more than 3-4 days. This term is enough for the wound to cleanse and heal by secondary intention.

Author: doctor Iordanskaya A.V.

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 drainage of the wound 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 a seam made on a layer of subcutaneous fatty 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: - an increase in suture pain over time; - redness and swelling appear around the wound (looks like 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 signs 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.

The doctor in your maternity hospital is illiterate, I was forbidden to use it in the housing complex because... it contains Chloramphenicol Use during pregnancy and breastfeeding If taken orally, it passes into the breast milk of nursing women and may cause serious adverse reactions in breastfed children. When applied topically, systemic absorption is possible. In this regard, nursing women should stop either breastfeeding or using the drug.

Side effects of the substance Chloramphenicol Systemic effects From the gastrointestinal tract: dyspepsia, nausea, vomiting, diarrhea, irritation of the mucous membrane of the mouth and pharynx, dysbacteriosis. From the cardiovascular system and blood (hematopoiesis, hemostasis): leukopenia, thrombocytopenia, reticulocytopenia, hypohemoglobinemia, agranulocytosis, aplastic anemia. From the nervous system and sensory organs: psychomotor disorders, depression, impaired consciousness, delirium, optic neuritis, visual and auditory hallucinations, taste disturbance, decreased hearing and visual acuity, headache. Allergic reactions: skin rash, urticaria, angioedema. Other: dermatitis, secondary fungal infection, cardiovascular collapse (in children under 1 year). When applied to the skin and conjunctival use: local allergic reactions.

Well, if you drink this Chloramphenicol, then probably yes)) and diarrhea will attack and the mucous membrane of the mouth will be all irritated) and not only that. Smear yourself with brilliant green, madam. it will be calmer this way

p/s/ these, as you put it, illiterate doctors helped me and my child. none of the horror you cited above followed. everything healed well.

It’s well written here about the treatment of weeping wounds. And most importantly, keep an eye on it, sometimes it makes sense to add syntomycin ointment or levomekol in time, so that later you do not drink AB orally if the wound festers.

To treat a wound at home, you need to prepare in advance:

A clean oilcloth on which everything necessary for dressing will be laid out. Antiseptic for treating hands. Hand soap. Clean towel for hands. Alcohol-containing antiseptic for treating the skin around the wound (alcohol solution of iodine, brilliant green, calendula tincture or salicylic alcohol is quite suitable) Aqueous solution of antiseptic (solution furacillin, 3% hydrogen peroxide solution, miramistin) Tweezers and scissors treated with an alcohol antiseptic (they must be treated before and after each dressing) Medicine for wound treatment Sterile dressing material (bandage, gauze pads) Non-sterile clean dressing material for a fixing bandage.

Rules for dressing and treating wounds

Before starting the dressing, you must thoroughly wash your hands with soap and dry them with a clean towel. After this, lay out everything that is needed for dressing. Next step: remove the previously applied external bandage.

Then we wash our hands again or treat them with a disinfectant solution, or put on sterile gloves.

It's time to remove the tissue directly covering the wound from the wound. If the napkin sticks, moisten it with an aqueous antiseptic solution (in this case it is better to use a 3% hydrogen peroxide solution) and wait until the napkin gets wet. We remind you that you cannot tear off the napkin.

After removing the napkin, treat the skin around the wound with an alcohol-based antiseptic solution and inspect the wound without touching it.

The purpose of the examination is to assess the condition of the wound: is it dry or weeping (wet).

A wound with a wet, pink, easily injured surface and a significant amount of discharge is considered a weeping wound. If the surface of the wound is dry, with crusts and cracks, this wound is dry.

Also, with each dressing change, it is necessary to evaluate how the healing process is progressing. The following criteria will help assess the healing process: wound size (a healing wound, albeit slowly, but decreases in size), a dry or weeping wound (the transition from a weeping wound to a dry one indicates successful treatment of the wound), depth of the wound (with successful treatment, the wound becomes more and more and more superficial).

If upon examination you see that the amount of discharge from the wound has increased, or it has acquired a different smell (no matter whether it is unpleasant or even pleasant, for example, sweetish) and color (primarily yellow, greenish, gray). If the wound does not decrease in size, but, on the contrary, increases, especially if it deepens. If the pain in the wound increases every day or has sharply intensified. If there is a tugging and (or) throbbing pain in the wound area. If treatment of the wound does not produce any positive results. If there is swelling and redness of the skin around the wound. If the body temperature has increased, chills have appeared, and there are no other reasons for this condition. In all of the above cases, you should urgently show the wound to a surgeon!

After examination, the wound is washed with an aqueous antiseptic solution using sterile wipes. They are moistened with an antiseptic solution and the wound is carefully treated. Then the wound is dried with a dry sterile cloth.

The next step is to apply a wound healing agent. A very important point: ointments are used to treat dry wounds, and jelly or gels for weeping wounds. The difference is explained by the fact that a dry wound requires protection in the form of a film, under which it will soften. Ointment is not suitable for a weeping wound, as it will create an environment that will prevent the release of fluid and the entry of oxygen, which will slow down the healing of the wound. Therefore, jelly (gel) is applied to the weeping wound. Jelly (gel) will protect the wound from drying out and possible infection, and will not allow the wound to suffer from lack of oxygen.

So, we have decided on the form - we apply the required amount of medicine directly to the wound or to a napkin, but you cannot touch the wound or napkin with the tube. It is time to replace the gel wound treatment with ointment only when the wound begins to dry out.

Choosing the right drug to treat a wound

It's time to figure out which medicine can effectively treat wounds at different stages of healing. It is optimal when the active substance is universal and the same at all stages of wound treatment. The drug Solcoseryl has all these qualities. The drug was developed by Swiss scientists and is available in both jelly (gel) and ointment form, which is very convenient. Solcoseryl has a powerful wound-healing effect and is a universal wound-healing agent.

Important! When the wound is large, it may have both wet and dry areas, then Solcoseryl gel and ointment are used simultaneously for these areas, respectively. In such a situation, Solcoseryl is applied directly to the wound surface (not on a napkin) in order to accurately reach the desired area.

After applying Solcoseryl, the wound is covered with a sterile napkin, after which a fixing bandage is applied.

When the wound has healed so much that it is covered with thin young skin, a small amount of Solcoseryl ointment is applied to it and the protective bandage is no longer applied. If areas of young skin alternate with areas of a dry wound, the bandage is applied 20-30 minutes after dressing, giving the wound the opportunity to remain open. As the wound continues to heal, it is advisable to leave the wound open for a longer period of time.

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A drug for the treatment of difficult-to-heal sutures and postoperative wounds

Despite advances in surgical technology, the use of modern sterile materials and the skill of surgeons, there are frequent cases of complications from a postoperative wound, when the healing time is noticeably prolonged.

Why is this happening?

On the one hand, the reason for the difficult healing of a postoperative wound directly depends on the degree of its microbial contamination

. Thus, with “clean” wounds the number of complications reaches 1.5-7.0%, with conditionally “clean” wounds - 7.8-11.7%, with contaminated wounds (wounds that come into contact with organs contaminated with microbes) - 12.9 -17%, for “dirty” (purulent) wounds – more than 20%.

On the other hand, this is due to the general condition of the human body

who underwent surgery. Unfavorable factors include: age over 70 years; nutritional status (hypotrophy, malabsorption syndrome, obesity); concomitant infectious diseases; violation of anti-infective defense systems, including immune status (oncological process, radiation therapy, treatment with corticosteroids and immunosuppressants, parenteral nutrition); concomitant chronic diseases (diabetes, chronic inflammatory processes, circulatory failure, renal and liver dysfunction).

At the same time, natural (physiological) healing mechanisms are significantly reduced, reparative (restorative) processes are sharply inhibited

, a manifestation of which is
difficult healing of postoperative wounds and sutures
.

How to effectively help healing?

Of course, you can diligently engage in general strengthening and systemic therapy, thus affecting the entire body “as a whole.” And wait for months for normal physiology to be restored. But when it comes to chronically non-closing wounds, more effective means are needed.

Stellanin ® ointment

– a new generation drug for the treatment of wounds and sutures in patients who have undergone surgery:

• Eliminates infection, swelling and pain, prevents the synthesis of inflammatory mediators - prostaglandins, biologically active substances that initiate and maintain the inflammatory process. As a result, even extensive inflammation stops very quickly
  .
• Activates vascular growth factors vegf-A and vegf-B. Newly arriving cells are specialized into tissue cells, which leads to restoration of the structure
  of the lowest basal (germ) layer of the skin, damaged during surgery.

To solve the whole complex of accumulated problems, together with scientists from the Russian Academy of Sciences and the Institute of Surgery named after. Vishnevsky (Moscow) developed an innovative approach

to the treatment of long-term non-healing wounds, which is implemented in original preparations:
Stellanin ointment
and
Stellanin-PEG ointment
. To create them, some of the best specialists in the country were involved and the latest achievements of molecular biology were used.

The active ingredient of Stellanin-containing ointments is the substance Stellanin (1,3-diethylbenzimidazolium triiodide). Stellanin is a complex chemical compound - organic

part of the molecule affects the activity of the cell’s gene apparatus, powerfully activating regeneration processes in it.
At the same time the inorganic
part of the molecule has a pronounced effect on the entire spectrum of pathogenic microorganisms.

Stellanine is the only one

from wound healing agents that directly activate previously
SUPPRESSED
regeneration processes.
It
increases the number of fibroblasts in the wound - the main cells involved in the restoration of damaged skin - 7.5 times

It is especially important that all pathogens

wound infections
have neither
natural nor acquired resistance to Stellanin.

In the presence of pus, thanks to the excipient (polyethylene glycol) included in the Stellanin-PEG ointment, the wound is quickly cleared of purulent

content. At the same time, inflammation is blocked, pain and swelling are eliminated.

«Already on the first day

Treatment of wounds with Stellanin-PEG ointment shows positive dynamics in the healing process, and inflammation decreases.
Young cells with a high level of metabolic processes appear in the wound.” ( From the Report approved by the Director of the A.V. Vishnevsky Institute of Surgery, Academician of the Russian Academy of Medical Sciences V.D. Fedorov).

What to do if the seam diverges after childbirth: the main causes of thread rupture

Most often, sutures may come apart after childbirth for the following reasons:

1. Infection in the wound.

2. Sitting down too early.

3. Excessive physical activity (heavy lifting).

4. Making sudden movements.

5. Early resumption of sexual activity.

6. Failure to comply with hygiene rules.

7. Constipation, which led to overstrain of the maz muscles and rupture of the suture.

9. Improper care of seams.

10. Wearing tight or too tight underwear.

A seam has broken after childbirth - what to do and how to recognize it

A sudden dehiscence of a postpartum suture can be recognized by the following symptoms:

1. A burning sensation in the wound area.

2. Pain and tingling in the suture area.

3. The appearance of swelling of the perineum.

4. A feeling of fullness and heaviness in the wound area may indicate the development of a hematoma and accumulation of blood.

5. Bloody or purulent discharge.

6. Increased body temperature (can occur when an infection gets into the wound). In this condition, it is very important to quickly consult a doctor, otherwise the woman may lose the opportunity to breastfeed.

7. Weakness.

8. Redness in the suture area.

Folk remedies

You can speed up wound healing using folk remedies. For this purpose, herbal mixtures are used internally in the form of infusions, extracts, decoctions and local applications, herbal ointments, rubbing. Here are some of the folk remedies used:

Pain and itching in the suture area can be relieved with herbal decoctions: chamomile, calendula, sage. Treatment of the wound with vegetable oils - sea buckthorn, tea tree, olive. The frequency of treatment is twice a day. Lubricating the scar with a cream containing calendula extract. Applying a cabbage leaf to the wound. The procedure has an anti-inflammatory and healing effect. The cabbage leaf must be clean; it must be doused with boiling water.

Before using herbal remedies, you should definitely consult a surgeon. He will help you choose individual treatment and give the necessary recommendations.

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Skin scars are an inevitable consequence of any open wound or injury. In most cases, surgery leaves behind postoperative sutures. The healing of these scars is facilitated by prevention after surgery: the surgeon should give recommendations that will make the postoperative scar almost invisible.

The seam came apart after childbirth: what to do and what to do

At the first suspicion of a suture rupture, you should contact your observing gynecologist as soon as possible. After the examination, the doctor will prescribe the necessary medications and procedures.

Traditional treatment for dehiscence involves:

1. Use of anti-inflammatory and healing ointments (Levomekol, Sintomycin, Vishnevsky ointment). These remedies will help get rid of swelling, pain and redness. They will also disinfect the wound and promote its rapid healing.

2. If the sutures were still very “fresh” and came apart literally on the second day after birth, then most likely the doctor will prescribe re-suturing. In this case, the wound must be washed with antiseptics so that infection cannot enter it.

It is important to know that when applying postoperative sutures, a woman in labor is recommended to stay in the hospital for five days under medical supervision, and not rush to go home, since it is in the conditions of the hospital and its sterility that you can protect yourself more.

3. If the sutures come apart after the wound has healed, then there are two treatment options:

If the wound does not pose a threat to the woman’s health, then the doctor can leave everything as is and not apply repeated stitches;

If the seam is completely torn, then the edges of the wound are cut again and the threads are reapplied, otherwise an infection can easily get into the seam, and this condition will always cause discomfort in the young mother.

4. In the case when it is not the seam itself that has come apart, but only a few of its stitches, then this situation does not require repeated surgical intervention. Instead, the wound should be treated with disinfectant ointments and solutions.

5. Dehiscence of the suture after a caesarean section is much more dangerous, since in this case the wound runs through the entire anterior part of the peritoneum. In addition, it is quite large and more prone to tearing (due to the fact that the suture is placed on the abdominal muscle, which contracts with almost any physical movement).

It is much easier to see such a divergence of the seam, because it is clearly visible, unlike the seam on the perineum, the rupture of which can only be accurately determined by a gynecologist. In this case, the woman will feel severe pain and burning while standing and sitting. In addition, blood will ooze from her wound.

In this case, you need to consult a doctor as soon as possible. Doctors usually re-stitch the stitches.

6. If the wound is severely suppurated and the woman has a high temperature, she is prescribed strong antibiotics, antipyretic and anti-inflammatory drugs. After taking them, breastfeeding will, unfortunately, be impossible.

Typically, the time it takes for a wound to heal depends on the type of sutures used to suture it. Today, natural, synthetic and self-absorbable threads are used. Metal staples are very rarely used.

The healing period for absorbable materials takes two to three weeks. As for non-absorbable synthetic threads, they take longer to heal - from two to three months.

How to treat stitches on wounds

When processing, it is not recommended to use cotton wool, as its particles can remain on the wound and cause inflammation. It is better to use gauze pads. The sutures are treated once a day for five to six days. The dressing must be changed daily until the threads are removed. In clinics and hospitals, dressings are performed in specially designated areas (dressing rooms). Daily dressing procedures contribute to faster healing of the wound, since the air helps the suture dry out.

After applying the suture, you should carefully monitor the condition of the wound. Alarm signals include the bandage becoming wet with blood, pus, and the appearance of swelling, edema, and redness around the suture. Discharge from the wound indicates that it has become infected and may spread further. Infected, purulent sutures cannot be treated independently. In these cases, you need to urgently consult a doctor.

Sutures are usually removed within 7-14 days, depending on the location of the wound. The procedure is painless and does not require anesthesia. Before removing the seam, it is processed; after removing the threads, the seam is not covered with a bandage. After removing the threads, the seam needs to be processed for a few more days. Water treatments can be taken after two to three days. When washing, do not rub the seam with a washcloth, so as not to damage the scar. After a shower, you need to blot the seam with a bandage and treat it with hydrogen peroxide, after which you need to apply brilliant green to it. Two to three weeks after removal of the threads, phonophoresis with special absorbable solutions can be used. In this case, the sutures heal faster and the scars become less noticeable.

Sources:

• what to do if there is a postoperative suture

The chance of suture divergence is present regardless of the type of operation, the experience of the doctor or the material of the threads. From this article you will learn what to do if this happens and how to avoid such a situation.

The divergence of the seams can only be determined after a thorough examination. The reasons may be different: improper treatment of purulent wounds, some sudden movement or activity that is prohibited for you (for example, trying to sit down/stand up, depending on the operation), suppuration in the sutures themselves. This is a rare case that occurs with serious wounds. If the suture comes apart, then after it heals, a rougher and more difficult scar will remain, so be careful and do not neglect the instructions of your doctor, follow the rules for caring for the suture:

1. Treat the seams with antiseptics (for example, simple brilliant green), bandage them twice a day.
2. Lubricate the wound with ointments based on panthenol or sea buckthorn or milk thistle oil, they will speed up healing.

What to do to prevent the suture from coming apart after childbirth: wound care

Proper care of the suture after childbirth is the key to rapid wound healing and prevention of infection. To do this, you should follow these recommendations:

1. Regularly lubricate the wound with antibacterial agents. In the first days after birth, the suture is usually processed by the gynecologist himself, however, even after arriving home, it is important to continue these procedures independently.

2. Wash the seams with soap.

3. Wash after each urination and bowel movement to prevent infection.

4. Change the gasket every two hours.

5. Dry yourself after a shower with a clean towel.

6. On the first day after birth, you need to delay the act of defecation so as not to “strain” the suture. To do this, a woman should eat only liquid foods in small portions.

7. Treat the wound daily with brilliant green. You can also apply absorbable and healing ointments, but only if prescribed by a doctor.

In addition, with prolonged healing, irradiation can be used using special lamps. This procedure is done by a gynecologist.

As an additional preventive measure, a woman is recommended to visit a gynecologist once a week and undergo a control examination of the wound.

What to process?

During the acute phase, it is necessary to carefully care for the resulting damage - treat it with antiseptic solutions, as well as powders. This removes the inflammatory process well. Please note that you cannot peel off a dried napkin. It must first be moistened in a 3% solution of hydrogen peroxide. Then it will move away from the skin. The bandage should be pulled from the periphery of the wound to its center. Next, the wound is treated with the same solution. Pour a little of it onto the wound and wait until the hydrogen peroxide “fizzes.” Then blot the wound with a clean bandage and repeat the procedure until the area is clean. After this procedure, the wound should be kept open for 15 minutes. Ideally, 3-5 minutes of irradiation of the wound with an ultraviolet lamp. It clears up the infection and also speeds up healing.

The doctor may also recommend treatment with a solution of brilliant green, “Fukortsin”, “Iodinol”, “Iodopyron”.

After the procedure, you need to apply a bandage with dimexide, which is diluted with saline in a ratio of 1:3. As an addition, a 1% solution of dioxidine is poured onto the compress. If there is suppuration in the wound, the specialist installs drainage or removes all skin sutures from this area. In the future it will be tightened by secondary tension. When the inflammation subsides, the edges of the injury can be tightened with a bandage.

Levomekol, ointments with panthenol and sea buckthorn oil are considered excellent wound healing agents. Milk thistle oil fights inflammation well, improves complete healing and resolves existing scars.

At the scarring stage, after two months, “Contractubex” or “Mederma” is used.

For more severe concomitant diseases that interfere with wound healing, a permanent or temporary mesh is applied. This prevents the damage from expanding.

What to do to prevent sutures from coming apart after childbirth: prevention tips

To minimize the risk of sutures coming apart after childbirth, you should follow these tips:

1. In the first days after childbirth, a woman should not sit. All manipulations (including nutrition, feeding the child, etc.) must be performed in a lying or standing position. Moreover, even after discharge, when traveling home, you need to leave lying down, having first unfolded the chair in the car. Only after four weeks (if everything is fine and no complications arise) can you sit down fully.

2. You should abstain from sexual activity until the sutures are removed, since it is usually this factor that provokes earlier divergence of the threads. In addition, sexual activity can contribute to infection in a fresh wound, which will only prolong the rehabilitation process.

3. Observe the rules of personal hygiene.

4. Wash with baby soap without dyes and fragrances that can cause irritation.

5. You should wear seamless, loose underwear made from natural fabrics or special disposable panties. You should not wear tight models or shapewear until the wound has completely healed.

6. Treat the seam with antiseptics twice a day.

7. Maintain hygiene in the perineal area and in case of bloody or mucous discharge that may occur after childbirth, change pads as often as possible.

8. Particular attention should be paid to nutrition so as not to cause constipation. Thus, it is better to temporarily stop eating flour and sweets. Instead, it is better to give preference to fermented milk products (kefir, cottage cheese), as they will not only normalize stools, but will also improve the overall intestinal microflora.

It is important to know that you cannot take painkillers on your own, especially when a young mother is breastfeeding her baby. This is explained by the fact that most medications can be excreted from the body along with biological fluids, including breast milk, which the baby will then drink. This, in turn, can cause serious problems in the newborn.

Before taking any medications, you should always consult with your supervising physician.

If the rules of rehabilitation after surgery are not followed, cases of wound rupture may occur. What to do if the suture suddenly breaks after surgery? A postoperative suture is an inevitable part of surgical intervention in the human body, and the consequences of improper wound care can lead to unpleasant complications.

After cesarean

Sutures after a cesarean section are most at risk of divergence, since they are long and take on the load from almost any movement of the woman, not to mention the excessive weight of the newborn baby.

After surgery, two scars form in the female body: internal and external.

• An internal scar connects the walls of the uterus after the incision is made.
• The outer one connects the walls of the abdominal cavity.

The suture on the uterus takes a week to form, so the ligatures are removed approximately on the seventh day after birth. If the incision was sutured with self-absorbing threads, the suture is not removed. These threads remain on the wound for approximately 1.5–2 months, reliably fixing the walls of the incision, so such sutures are considered more reliable.

The final formation of a scar on the uterus ends approximately 10–15 months after birth.

A woman who gave birth to a child by cesarean section needs to be periodically examined by the attending gynecologist during this time so that the doctor monitors the process of scarring of the internal suture. For a better examination, you will need to do an ultrasound.

During the first time after childbirth, the internal suture on the uterus causes such severe pain that women in labor are prescribed pain medications. However, over time, these pains gradually decrease.

• It is very important to do regular antiseptic treatment of the external seam. The tissues in which the inflammatory process begins and suppuration do not grow together, so the health of the suture is directly related to the rate of scarring. If the doctor detects the process of tissue suppuration, then he carries out drainage to remove the released pus from the wound, and after cleaning the wound, anti-inflammatory treatment must be done.
• In some cases, the inflammatory process in the scar area can be triggered by the individual characteristics of the female body, in particular, an unfavorable reaction to surgical material. In such cases, early removal of the fixing threads is required. After a thorough examination of the scar, the doctor decides on further treatment. In the case of a slight divergence of the seam, special treatment is prescribed, which helps the wound heal faster. In particularly difficult cases, the doctor may recommend re-application of tying threads, but this happens extremely rarely.
• Women in labor after cesarean section should carefully follow the doctor’s recommendations regarding the weights allowed to be moved. Under no circumstances should they pick up a child after childbirth if his weight exceeds the permitted 3 kg. Very often, the suture comes apart 2–3 days after the ligatures are removed precisely due to violation of these requirements. Not every mother can show sufficient willpower not to take such a long-awaited baby into her arms. In order to avoid such problems in the first days after childbirth, a woman after a cesarean section needs the help and support of loved ones who can help her care for the child.
• In addition to lifting heavy weights, excessive physical activity, for example, bending over, sharp turns, can provoke scar divergence. Any tension in the abdominal muscles causes a sharp increase in intrauterine pressure. And this, in turn, can lead to divergence of the inner seam. To avoid this, women after a cesarean section should definitely wear a special elastic bandage after childbirth, which will fix the scarring tissue. In the absence of a special bandage, you can make a tight constricting bandage on the abdomen to fix the abdominal tissue. Such a bandage or bandage should be put on by a woman in labor before she gets out of bed in the morning, and worn throughout the entire time she is in a standing or sitting position.

Technique for applying surgical sutures

A surgical suture is the simplest and highest quality way to connect tissues for healing. Any doctor will tell you that the main task is to carry out the procedure carefully. It is important to keep the edges of the wound smooth and firmly unite the layers of organs.

The types of techniques depend on the materials and tools with which you have to work. For example, hand stitching is done by simply stitching fabrics together using a needle and holder. The surgeon does not hold the needle in his hands. He takes it with tweezers or a special needle holder. Biological and synthetic threads and wire are used.

But a mechanical seam is a connection of tissues using a device with metal staples. The procedure takes less time, but is not suitable for all injuries.

Additionally, we can distinguish types of sutures, taking into account the complexity of the wound and its depth:

• continuous intradermal suture and simple interrupted suture (simple wounds with smooth edges, do not leave scars);
• horizontal mattress U-shaped suture (deep wounds, inside of which blood or pus can accumulate);
• suture according to Donatti (deep wounds, when it is necessary to connect several layers of tissue at once, eventration).

High-quality work is characterized by rapid wound healing and the ability to remove the threads within 4-12 days (depending on location and complexity).

Interesting fact! According to records, around 1000 BC. e. Instead of thread, large ants were used during operations. They were brought to the wound so that they would bite the skin. Then they were killed, the body was cut off, and the jaws were left behind.

Preparations for treating seams

Normal wound healing after suturing will only be possible if it is sterile. In this case, the sutures themselves must be placed in such a way as to exclude the possible formation of a cavity between the edges of the wound. Uninfected sutures are processed daily, but not earlier than one day after their application. Various antiseptics are used for treatment: iodine, brilliant green, potassium permanganate solution, alcohol, Iodopyron, Fukortsin, Castellani liquid. Healing wounds are treated with an ointment containing panthenol. Sea buckthorn ointment and milk thistle ointment promote healing. To prevent the formation of keloid scars, you can use Contractubex ointment or a silicone patch.

Causes of seam divergence

Dehiscence of sutures after surgery can be caused by two factors - medical error or complications. Let's look at the most common reasons:

But wounds can break apart even without these conditions. We are talking about the risk that certain groups of patients are exposed to:

1. Fat people. Their skin is stretched in many places. It has lost elasticity and cannot tighten quickly.
2. Diabetes. The diagnosis carries many complications. It is always difficult for a doctor to assess risk.
3. Bad habits. Even smoking or alcohol can cause repeated ruptures. But it is not enough to abandon their harmful influence on the recovery time. As a rule, the body is already sufficiently poisoned.
4. Aged people. Their tissues are difficult to heal.
5. Poor nutrition. A lack of vitamins and minerals is as harmful as alcohol. You need to think about your diet.
6. Oncology. It is difficult to combine chemotherapy and tissue strengthening.
7. Chronic diseases that constantly cause coughing, vomiting, constipation.

Preparations for healing and resorption

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

Basically, such products and ointments are created on the basis of silicone, with which you can get rid of the itching that inevitably occurs during wound healing . Regular care of the seam helps it shrink and become less noticeable. The substances are applied in a thin layer, but their application may be ineffective. In such situations, at least six months of active use of the ointment is required. The most effective ointments for these purposes are:

• Contractubex gel smoothes the skin, accelerates cell regeneration and improves blood circulation.
• Mederma gel - resolves scar tissue, improving it through blood supply and hydration.

You can also use other means that speed up the resorption of sutures. Such medicines often contain onion extract. It is this component that is able to penetrate deeply into tissues, providing an anti-inflammatory and soothing effect.

Other gels and creams

It is necessary to choose a gel or ointment for caring for a scar based on its depth and scale. The most popular ointments are antiseptic. Such means include:

• Vishnevsky ointment. This classic healing agent has powerful tightening properties and removes pus from wounds if the suture does not heal after surgery, and the patient does not know what to do.
• Vulnuzan is a healing ointment made from natural ingredients.
• Levosin is an ointment with powerful anti-inflammatory and antibacterial effects.
• Eplan - has healing and antibacterial effects.
• Actovegin - can improve healing, relieve inflammation and improve blood supply to tissues. It is recommended to use if the scar has festered and turned red.
• Naftaderm relieves pain well and improves the resorption of scars.

Special patch

In addition, there is another new generation product that effectively combats postoperative sutures: a special plaster that must be applied to the suture site after surgery. The patch is a plate that fastens the incision site and nourishes the wounds with the necessary nutrients. The main beneficial properties of this patch:

• Made from a material that absorbs discharge from wounds.
• Does not allow pathogenic bacteria to enter wounds.
• Does not irritate the skin.
• Nourishes the wound with air.
• Allows the seam to be smooth and soft.
• Does not allow the resulting scar to grow.
• Together, the scar retains the necessary moisture.
• It is comfortable to use without injuring the wound.

What to do if the seam comes apart

A broken seam is easy to spot. He gathers around himself many unpleasant symptoms: acute pain; open bleeding or simply a change in skin color; temperature; edema; an open wound is visible.

Self-treatment is prohibited. Only the doctor has the right, after examination, to determine the course of action. There are two algorithms:

Another problem is that the stitches can come apart due to disease. In such cases, surgeons are almost powerless. They can stitch the wound, but there is little chance of success. For example, patients with diabetes mellitus or vascular damage can be cited. Weak immunity also limits the possibilities of medicine.

If your stitch has come apart after surgery and you don't know what to do, try to follow this plan:

• call an ambulance;
• get examined by a surgeon;
• determine with him the reason for the breakup (don’t hide anything, even if it’s very embarrassing);
• receive a written treatment order (see table);
• try to follow all directions.

Recovery largely depends on the patient’s adequate behavior. Excessive physical activity, disruption of the daily routine, poor diet and alcohol do not allow wounds to heal quickly.

General recommendations for operated patients

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

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

Consequences of seams coming apart

Let's start with such a concept as “eventration”. This term means a complication during suture separation, and in meaning it can be compared to “depressurization.” Violation of the integrity of the tissues leads to the release of the insides of the body.

Eventration is the most difficult consequence, as it requires surgical intervention. Internal seams are much more dangerous than external ones.

With high-quality suturing, the wound heals in 10 days (statistical average). The discrepancy leads to an increase in the period by several months, especially if the patient refused surgery and chose dressings.

Another complication involves infections. Once the wound opens, it becomes a target. In a short time, suppuration begins, which completely stops the healing process.

If the sutures were located deep, then their violations cause the appearance of a hernia. Doctors have to perform another operation to cut everything out. The last physical consequence is scarring. They, of course, do not harm your health, but they can affect your appearance.

Eventration can cause psychological disorders. Patients begin to get nervous and become depressed. This point cannot be written off, as it also weakens the body.

Many problems can be avoided if you take your responsibilities seriously. The surgeon must carefully monitor the edges of the wound after surgery, choose the right type of suture and materials, do not overtighten the thread and maintain sterility.

The patient, in turn, must comply with the following points:

• do not keep the wound closed all the time;
• take antibacterial drugs;
• wear the bandage at the specified time;
• do not pull the bandage;
• make sure the bandage is clean;
• listen to the doctor;
• show up for dressing changes on time;

Well-coordinated cooperation between the patient and the doctor will help you quickly recover after surgery and forget about any complications forever.

Waiting for the birth of a child is a magical time, but some women face various complications during labor that overshadow the first days, weeks and even months of motherhood. If during the process of delivery the tissues of the perineum, vagina or cervix are torn or cut, immediately after the baby is born, the obstetrician-gynecologist resorts to using a needle and suturing the wounds. But this imposes additional restrictions on the young mother, because the seams cannot be allowed to diverge.

Self-removal of stitches

Sometimes postoperative sutures can be removed independently at home, but subject to the doctor's permission. You need to know that there are two main types of seams.

Immersion - applied with thread, made of natural materials. Its advantages are that the material is independently absorbed by the human body and is not rejected. The disadvantage is that it is less durable. Removable - removed only when the edges of the incision are fused and are able to show how well the healing is proceeding. It is applied using silk, nylon, nylon, wire thread, and also a staple.

When removing threads at home, it is also necessary to take into account the timing after the operation. The approximate timing of suture removal after surgery will be as follows:

• From 1 to 2 weeks - for head surgery.
• From 2 to 3 weeks - in case of amputation.
• About 2 weeks - when opening the abdominal wall. In this case, the period will depend on the depth of penetration.
• From 1.5 to 2 weeks - on the chest.
• 2.5 weeks - for stitches in an elderly person.
• From 5 days to 2 weeks - after childbirth.
• From 1 to 2 weeks - for caesarean section.

As mentioned earlier, stitches can be removed at home yourself . Some rules must be followed:

1. It is necessary to remove postoperative sutures carefully and carefully, remaining calm - only in the absence of an inflammatory process.
2. To remove stitches, you will need two tools: tweezers and nail scissors. Before the process itself, the instruments must be thoroughly treated with alcohol.
3. Before work, wash your hands thoroughly with soap and water twice and put on medical gloves. You can treat your hands with an antiseptic.
4. All manipulations must be carried out under a bright lamp in order to carefully see the entire process.
5. Next, the seams are cut and the maximum number of threads is removed. The edges of the protruding threads need to be picked up with tweezers and gently pulled until the piece comes out of the skin.
6. When absolutely all the pieces are pulled out, treat the wound with antiseptic ointment with antibiotics.

You need to have sterile bandages and tissues and a furatsilin solution with you - for the safety of the suture removal process, so that infection does not get inside.

Dehiscence is a complication that occurs after childbirth.

In most cases, sutures heal after childbirth without causing any unpleasant consequences. But sometimes complications are also possible - separation of the edges of the wound, which leads all women into a depressed depressive state.

Seam dehiscence after childbirth is the cause of tears and depression for many young mothers

Reasons for discrepancy between internal and external seams in a nursing mother

The reasons for the discrepancy between external and internal seams are similar:

• lifting weights;
• sudden movements;
• failure to comply with the terms of the ban on sitting down;
• constipation, which causes excessive pressure on the tissues of the vagina and perineum;
• wearing shapewear;
• early return to sexual activity;
• infection as a result of neglect of personal hygiene.

Thus, the divergence of the seams, as a rule, is caused by the careless actions of the woman herself.

If the internal seams have come apart

As practice shows, internal seams very rarely come apart. But if this happens, the woman will notice the following changes.

1. Increased pain.
2. Changes in the nature of vaginal discharge, in particular the appearance of blood or pus (if the cause of the suture dehiscence is a bacterial infection).
3. Swelling and redness of the tissues of the genital organs.
4. Increased body temperature.

If the above-described signs appear, it is necessary to consult a gynecologist as soon as possible, because suture dehiscence can only be determined during examination on a gynecological chair.

The discrepancy of internal seams can only be determined by visiting an obstetrician-gynecologist.

How to determine the divergence of external seams

The same signs as internal ones indicate the divergence of external seams. The difference is that a woman can detect the problem herself by visually examining the perineum.

Most often, separation of the external seams is observed after the threads are removed, so the young mother needs to be careful and be attentive to herself in the first days after the procedure.

Experienced midwives, when the seams diverge, recommend that a woman completely abandon pads in favor of a sterile cotton piece of fabric. Personal hygiene products sold in stores do not allow air to pass through and create a kind of greenhouse effect, which does not contribute to the contraction and healing of wounds.

Consequences of divergence of external seams

Dehiscence of external seams does not pose a threat to a woman’s life. However, this unpleasant circumstance increases the healing time of the wound, can lead to infection, and causes the formation of scars and unsightly scars. Sometimes the divergence of the edges of the wound leads to an increase in the entrance to the vagina, which subsequently reduces the quality of sexual life.

To solve some problems, they resort to plastic surgery, reducing the entrance to the vagina and removing unsightly scars. But after such operations, natural childbirth becomes impossible, because, despite the external beauty of the genitals, there is a lot of inelastic scar tissue in the perineal area.

Prevention of damage to the integrity of the scar

Most often, sutures after childbirth are placed in the perineal area, although there are sutures in the pelvic floor, on the uterus after cesarean section, in the vagina, on the cervix, etc. All these stitches require careful adherence to the woman’s personal hygiene, as well as very low physical activity. There are cases when such a scar split due to a sudden movement made by a woman or as a result of shifting a child.

• In most cases, the sutures come apart within the first hours after removing the medical threads that held them together. This may be the result of any sudden movement, excessive load on the seam, or an inflammatory process that interferes with good tissue fusion. Sometimes, premature removal of surgical material, when the scar has not yet formed, can also cause problems with the suture. In such cases, the scar itself may not separate, but it will be wide and rough.
• It is considered normal to experience pain in the perineal area while sitting in the first time after childbirth. To reduce them, and also to prevent the scar from spreading, a woman is strictly forbidden to sit for a month after giving birth. Absolutely all procedures, including feeding the baby, eating, pumping, watching TV, traveling in a car or other transport, etc. can only be done in a semi-lying position, without sitting down completely, so as not to load the perineum. The less stress the stitches experience, the faster they will heal. Gradually loading the perineum can begin after four weeks after birth. Moreover, first you should sit on a soft surface, and over time, on a harder one.
• Poor tissue fusion can be caused by a history of diabetes mellitus in the woman in labor. If the doctor discovers that tissue fusion does not occur, the woman is hospitalized and further treatment is carried out under special medical supervision.

Unfortunately, in very rare cases, a woman can ensure complete absence of stress and sterility of the suture area.

Lochia released for several weeks after birth creates favorable conditions for the development of various pathogenic bacteria.

And the need to lift the baby in your arms for feeding, bathing or swaddling can provoke a violation of the integrity of the scar. A suture placed in the perineal area, due to the peculiarities of its location, cannot be fixed with a sterile bandage, therefore, the woman in labor can control and influence its condition exclusively with her own efforts.

In what cases are the seams re-sutured?

There are two types of seam divergence:

• complete;
• partial.

As a rule, in case of partial divergence, when one or two stitches have come apart, the wound is not re-sutured. The woman is prescribed antibacterial and healing ointments (Levomekol, Vishnevsky). For internal injuries, they are applied to a homemade tampon and inserted into the vagina overnight; for external injuries, they are soaked in a bandage and applied to the perineum.

In case of partial suture dehiscence, re-suturing is not necessary.

If the dehiscence is complete, the need for re-suturing is determined based on the condition of the wound. In some cases, needles are used two to three months after birth, when lochia stops. If the doctor does not see the need for this, he recommends the young mother use ointments.

How to avoid seams coming apart

You can avoid suture dehiscence if you follow all the recommendations received from medical personnel regarding the care of the tear/incision sites and the behavior of the woman herself.

1. A young mother should avoid physical activity, not lift heavy objects, even a newborn should be held and placed in the crib with caution and without sudden movements.
2. You should not return to sexual activity too early. As a rule, two months are enough for healing, but if the doctor recommends avoiding sexual intercourse for a longer time, you should listen to him.
3. It is important to eat in a way that prevents constipation. To do this, you need to drink more liquid, reduce or completely eliminate strengthening foods from your diet (white bread, rice, potatoes), give preference to vegetables and dishes containing a lot of dietary fiber.
4. It is not recommended to sit down earlier than recommended by the doctor. If a specialist says that you can’t sit down for two weeks, then there is a need for it. The inconveniences associated with the ban are less burdensome than the problems that arise when the seam diverges.
5. Personal hygiene must be strictly observed. Pads should be changed every two hours, and washed after each visit to the toilet, because lochia is a breeding ground for the proliferation of pathogenic microorganisms.
6. You need to give up shapewear. It creates excessive pressure on the pelvic organs and perineum, which can cause the seams to diverge.

Taking care of yourself will help prevent troubles associated with sutures coming apart after childbirth. But even if this could not be avoided, do not despair. The help of specialists and the use of healing ointments will promote tissue scarring. And although the recovery period will last longer than usual, in the end all tears and cuts will definitely heal, because the female body is endowed with enormous power of self-healing.

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, properly carry out antiseptic treatment, and at the first symptoms of inflammation, take measures to eliminate it.

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

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.