Stitches after laparoscopy: how to treat at home?
Laparoscopic surgery is gradually replacing the operations performed by classical access (laparotomy). This is caused by the shortening of healing period disability. By itself, the procedure becomes less painful, minimally traumatic and safe. However, despite the apparent predominance of the advantages of the methods of treatment, there are some challenges that will surely face the patient and his doctor. One of them is the stitches after laparoscopy in the postoperative period. Patients often ignore the recommendations of doctors. This leads to unpleasant consequences.
Healing after the intervention
Usually laparoscopy is used for medicinal purposes. The surgeon enters the abdominal cavity and repetiruet part of the body or a body or makes an incision (as in cholelithiasis). The second option is diagnosis in laparoscopic surgery. The number of transects will depend on what goals the attending surgeon.
Laparoscopic surgery for reason of salpingitis or oophoritis, cholecystitis is accompanied by wound infection in most cases. For this reason, expect the initial tension is not necessary. The seam heals by a secondary tension with the formation of rough scar.
How to avoid complications of healing of the stitches?
The most frequent complications in wound healing are:
- The suppuration.
- The discrepancy between the joints.
If the joint area there is a tumor, a solid knot or lump it talks about the possibility of purulent inflammation. It is often associated with pain. The detection of leukocytosis (increased number of leukocytes more than 9 million in 1 ml of blood) is with certainty to talk about the development of purulent complications. To avoid this dangerous complication you need every day to explore the area of the wound for the presence of swelling and pain.
First reason for this is non-compliance with the recommended regime of physical activity. The seam healed on time, you should avoid heavy static and dynamic loads for at least a month. The best prevention is wearing special bandages. They are implemented in conventional pharmacies or orthopedic salons.
It is necessary to monitor the consumption of food and water diet. Coarse fiber, fatty foods and excess of carbohydrates should be excluded while the restoration of the postoperative period. These foods increase peristalsis and promote flatulence.
In compliance with dietary recommendations risk of divergence of stitches is minimized.
A special group of patients – diabetics. In the presence of diabetes in a patient to decrease all of the reparative and regenerative capacity. Therefore, any wounds heal worse. That’s why diabetics pay special attention when carrying out surgical interventions, including laparoscopy. Compensation of glycemia using oral hypoglycemic therapy or insulin therapy at appropriate doses is the key to the normal postoperative course and rapid healing of wounds.
When you suture a wound should be considered as infected. So it is every day treated with antiseptic solutions. This parallel is carried out systemic antibiotic therapy. Overlap the seams again. If eventrations possible laparotomy.
The postoperative period is the most vulnerable time when you might encounter a variety of problems with the operating wound. Failure to comply with the recommendations on diet and physical activity under the seam can occur divergence of tissues. It is fraught with separation of sutures and mantrala bowel is a dangerous complication in which a loop body is visible through the incision wound. This is particularly the case in operations on the navel (after a laparoscopy).
Therefore, in the day of the procedure the patient is recommended bed rest. The first 5 hours after the intervention should lie, but at the same time make active movements of the limbs, roll from one side to the other.
Finding the patient in the Department under observation may last from 3 days to a week, depending on the state. In the absence of indications for monitoring of the patient with sutures can send home.
Mode of physical activity is gradually expanding. The same applies to eating behavior. The first day the patient is recommended to refrain from eating at all. Is permitted only mineral water. In a day you can use enveloping and milk products: jelly (oatmeal or berries), yogurt, fermented baked milk. Gradually switching to low-fat soups, soups. Exclude fried, spicy foods.
When you remove the seam?
Time of removal of suture material for each case individually. It all depends on the severity of the condition, the regenerative capacity of the skin and many other factors.
The average term in uncomplicated seams up to 2 weeks. With good healing without the discomfort and signs of inflammation can be remove them after 8-10 days.
After the stitches are eliminated, the home area of the wounds treated. For this purpose, iodine or any other antiseptic which will recommend a doctor. After surgery, scars are initially purple-red. Then over time they become paler and very bright.
To after the laparoscopy traces were less visible, you can use physiotherapeutic methods of influence. It is UHF, electrophoresis with potassium iodide or lydasum. But this should be done only after consultation with the doctor.