Delayed Stitches Removal After Hand Injury: What to Expect - Surgery

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When it comes to the delayed removal of stitches after a hand injury, several factors can influence the healing process and the timing of stitch removal. In your case, having sustained a cut from a fish tank glass on November 14, and now approaching a month without stitch removal, it is understandable to have concerns about whether this is normal and what it might indicate regarding the depth of the injury.

Firstly, the healing process varies significantly from person to person and can depend on multiple factors, including the nature and depth of the wound, the location of the injury, and individual healing capabilities. Generally, stitches are removed between 7 to 14 days post-surgery, but deeper wounds or those that are healing more slowly may require stitches to remain in place longer.
If your injury was indeed deep and involved not just the skin but also underlying tissues, it is possible that the stitches were placed to support deeper layers, and the healing of these layers can take longer. If only the superficial layers were stitched, and the deeper tissues were not adequately addressed, this could lead to complications such as delayed healing or even infection, which might necessitate further intervention.

Sweating can also affect wound healing. If the area is covered and not allowed to breathe, moisture can accumulate, potentially leading to maceration of the skin around the stitches, which can delay healing. It is essential to keep the wound clean and dry, and if you notice any signs of infection (such as increased redness, swelling, warmth, or discharge), it is crucial to seek medical attention promptly.

Regarding your concern about whether the stitches need to be redone if the muscle wasn't stitched, this would depend on the assessment of a medical professional. If the wound is healing well and there are no signs of complications, it may not be necessary to re-stitch. However, if there are concerns about the depth of the wound or inadequate healing, a thorough examination by a healthcare provider is warranted.

I recommend that you follow up with your healthcare provider or a specialist at a larger hospital for a comprehensive evaluation. They can assess the wound's healing status, determine whether the stitches can be safely removed, and check for any underlying issues that may need to be addressed.
In summary, while it is not uncommon for stitches to remain in place longer than expected, especially for deeper wounds, it is essential to monitor the healing process closely. If you have any concerns about the wound's appearance or healing, do not hesitate to seek medical advice. Proper care and timely intervention can significantly impact your recovery and overall hand function.