Subcutaneous Stitch Issues After Injury: What to Do?

The sutures have extruded tissue from beneath the skin?

I will try to explain clearly.
I fell yesterday and sustained a minor injury to my hand that required three stitches.
Upon closer inspection of the sutured area at home, I noticed that there is a small piece of tissue that seems to be compressed by the suture and is not covered beneath the skin.
What does this situation indicate?

Chen, 10~19 year old female. Ask Date: 2016/10/07

Dr. Zhou Hongzhang reply Plastic Surgery

In this situation, it may be necessary to have photos or to see it in person to understand.

Reply Date: 2016/10/07

More Info

When dealing with subcutaneous stitches after an injury, it is essential to understand the healing process and what to look out for in terms of complications. Based on your description, it seems that you have sustained a minor injury that required stitches, and you are now noticing some unusual changes at the stitch site.

Firstly, it is not uncommon for stitches to create a slight bulge or to appear as if they are pressing against the surrounding tissue. This can happen for several reasons, including the way the stitches were placed, the tension on the skin, or even the body's natural healing response. However, if you notice that the area around the stitches appears red, swollen, or increasingly painful, it may indicate an infection or other complications.

Here are some steps you can take to address your concerns:
1. Monitor the Site: Keep an eye on the stitch area for any signs of infection, such as increased redness, warmth, swelling, or discharge. If you notice any of these symptoms, it is crucial to seek medical attention promptly.

2. Keep the Area Clean: Ensure that the wound is kept clean and dry. You can gently clean the area with mild soap and water, but avoid scrubbing the stitches. After cleaning, you may apply a sterile bandage if necessary.

3. Avoid Irritation: Try to avoid any activities that may put stress on the stitched area, such as heavy lifting or vigorous movement of the affected limb. This will help prevent the stitches from pulling and potentially causing further issues.

4. Pain Management: If you experience pain, over-the-counter pain relievers such as acetaminophen or ibuprofen can help manage discomfort. However, ensure that you are not allergic to these medications and follow the recommended dosages.

5. Follow-Up with a Healthcare Provider: Since you are concerned about the appearance of the stitches and the surrounding tissue, it is advisable to follow up with your healthcare provider. They can assess the wound, determine if the stitches are placed correctly, and decide if any intervention is necessary.

6. Consider Stitch Removal: If the stitches are causing significant discomfort or if they are not healing properly, your doctor may consider removing them earlier than planned. This is particularly relevant if the stitches are causing pressure on the surrounding tissue.

7. Healing Time: Generally, stitches can take about 7 to 14 days to heal, depending on the type of injury and the location of the stitches. During this time, it is essential to monitor the area closely.

8. Avoid Self-Diagnosis: While it is good to be observant, avoid diagnosing yourself based on what you see. Medical professionals have the training and tools to accurately assess and treat any complications that may arise.

In conclusion, while some swelling or bulging around stitches can be normal, it is essential to monitor the area for signs of infection or complications. Keeping the wound clean, avoiding irritation, and following up with a healthcare provider are crucial steps in ensuring proper healing. If you have any doubts or concerns, do not hesitate to seek medical advice. Your health and recovery should always be the priority.

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