Removal of stitches after laparoscopy: does it hurt when, what day?
Laparoscopic surgeries have many benefits over open surgery. This, above all:
- Less trauma and, consequently, a shorter recovery time.
- Less pronounced adhesions.
That’s why laparoscopy doctors use more often, especially when interventions on the uterus, ovaries, fallopian tubes, gall bladder, etc. Range of our operations is constantly expanding.
Bed rest after this surgery the patient usually observes only a few hours during the first day he was already allowed and even encouraged to walk (the degree of activation depends on the type and severity of surgical intervention).
After laparoscopic surgery the abdominal wall is a few small stitches closing the incisions used for insertion of instruments.
In this article we will talk about when sutures are removed, it hurts whether or not to remove the stitches after laparoscopy how this is done and what are the signs that healing is wrong.
Healing postoperative wound care is provided care for her. Postoperative care includes the treatment of the skin with antiseptic solutions, the imposition of clean gauze and bandage fixation plaster. The dressing should be changed regularly, along with those examining the postoperative wound for signs of the slightest signs of complications (swelling, redness, discharge).
Doctors can use several types of stitches.
They can be made absorbable threads (for connecting the edges of the wound are used both natural and synthetic materials). These sutures dissolve on the skin usually on the 6th day after the surgery.
There are also removable sutures, if used, the suture material is removed after fusion of the wounds.
On what day can remove the stitches after surgery? No clear deadlines, which day to remove the stitches, in each case, the question the doctor decides individually. Usually this period varies from 6 days to two weeks. The patient often has long been discharged from the hospital (if the operation was not carried out on an outpatient basis). At discharge, the attending physician tells how to properly care for post-operative wound and tells the patient the day when he needs to be to remove the stitches.
If the sutures are removed on time, they do not grow into the skin and if healing takes place without complications, the pain should not be, there may be a small discomfort. Correct the imposition of suture material, timely removal and proper technique removal of sutures help to minimize these unpleasant sensations.
An independent removal
To attend to the removal of suture material is not recommended because the high risk of infection. Required conditions of the dressing room. This procedure in out-patient conditions is justified only if it is impossible or, for any reason, the unavailability of a doctor. Also needed complete confidence in the healing of wounds. In order to remove the stitches need to comply with sterility. To remove the stitches after laparoscopy need antiseptic, sterile cloth, tweezers, scissors.
You should also make sure that all the tools were sterile!
The algorithm is as follows:
- Before the procedure you must wash your hands, wear gloves.
- Removed the bandage, the skin is treated liberally with an antiseptic solution.
- Tweezers to hook the edge of the seam, pulls up, incision with scissors at the skin and removed so that the plot threads that were outside did not pass under the skin (thus the scar remains «clean», minimal risk of infection).
- The scar re-treated with an antiseptic and sterile bandage. Sterile dressing change daily.
How to understand that something went wrong?
If the wound gets an infection, it manifests itself in the following way:
- Discomfort in the joint area does not subside, over time the area becomes increasingly painful.
- Visually, the skin raised, tender, red.
- The bandage gets wet, there may be different discharge (mucus, pus, blood).
- The General condition of the patient worse, can increase the body temperature, weakness, pain in the head and muscles.
The appearance of the above symptoms should immediately go to the doctor. Depending on the severity of the condition, he will be able to choose adequate to the situation treatment.
Sometimes you can deal with the inflammation with physiotherapy (UFO). When the process is already running may even require the removal of stitches, re-treatment of the wound, a drainage installation, the appointment of antibiotic therapy.
In any case, the decision on further tactics of conducting the patient accepts the doctor.