Post-Bartholin Gland Cyst Surgery: When to Remove Stitches? - Obstetrics and Gynecology

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Post-operative issues after ostomy surgery?


Hello doctor, last month I underwent a Bartholin gland cyst excision, and my condition has improved.
However, the sutured area is slightly uncomfortable, and the suture ends have not yet dissolved.
The doctor did not mention whether I need to return for suture removal.
What should I do? Should I go back for suture removal?

Lin, 40~49 year old female. Ask Date: 2016/12/05

Dr. Huang Yiwen reply Obstetrics and Gynecology


Hello Ms.
Lin: The sutures used in pouch surgery are generally absorbable, so it doesn't matter whether they are removed or not; they will eventually be absorbed by the body.
If the wound is not inflamed and there is no pain, it is fine if you do not return for a follow-up appointment.

Reply Date: 2016/12/05

More Info


After undergoing Bartholin gland cyst surgery, it's common to have questions about the recovery process, particularly regarding stitches and when they should be removed. Generally, the timing for stitch removal can depend on several factors, including the type of stitches used (dissolvable vs. non-dissolvable), the location of the incision, and the individual healing process.

In most cases, if non-dissolvable stitches were used, they are typically removed within 7 to 14 days post-surgery. If the stitches are still in place and causing discomfort, it is advisable to consult your healthcare provider. They can assess the healing progress and determine if the stitches need to be removed or if they can be left in place for a bit longer. If the stitches are dissolvable, they may take longer to dissolve and fall out on their own, usually within a few weeks to a couple of months.

It's important to monitor the surgical site for any signs of infection, such as increased redness, swelling, warmth, or discharge. If you notice any of these symptoms, or if the discomfort at the stitch site persists or worsens, you should definitely reach out to your doctor for further evaluation.

In terms of post-operative care, here are some recommendations to help manage discomfort and promote healing:
1. Keep the Area Clean: Gently clean the area with mild soap and water. Avoid using harsh soaps or scrubbing the area too vigorously.

2. Avoid Irritation: Wear loose-fitting clothing to minimize friction against the surgical site. Avoid activities that may irritate the area, such as vigorous exercise or sexual intercourse, until you receive clearance from your doctor.

3. Pain Management: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help manage discomfort. However, consult your healthcare provider before taking any medication, especially if you have other health conditions or are taking other medications.

4. Follow-Up Appointments: Attend any scheduled follow-up appointments with your healthcare provider. They will assess your healing and provide guidance on when to resume normal activities.

5. Watch for Complications: Be vigilant for signs of complications, such as excessive bleeding, severe pain, or fever. If you experience any of these symptoms, seek medical attention promptly.

In summary, if you are unsure about whether to have your stitches removed, it is best to contact your healthcare provider for advice. They can provide personalized recommendations based on your specific situation and ensure that your recovery continues smoothly. Remember, your comfort and safety are paramount, and your healthcare team is there to support you through your recovery process.

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