Do I Need to Change Dressings After Stitch Removal Post-Surgery?

Do I need to change the dressing after the stitches are removed?

Hello, Dr.
Shi! I just had surgery to remove the plate from my clavicle fracture.
After the stitches are taken out, will I need to change the dressing? Thank you very much!

Liu Xiansheng, 40~49 year old female. Ask Date: 2018/01/22

Dr. Shi Guozheng reply Orthopedics

After the stitches are removed, if the wound is clean, there is no need to change the dressing.
You should be able to get the area wet and take a shower three days after the stitches are removed.

Reply Date: 2018/01/22

More Info

After undergoing surgery, particularly for something like a clavicle fracture where plates may have been used, it's essential to follow proper post-operative care to ensure optimal healing and minimize complications. Once the stitches are removed, the need for changing dressings depends on the condition of the surgical site and the surgeon's recommendations.

In general, after stitch removal, the wound should be assessed for healing. If the incision appears clean, dry, and without signs of infection (such as redness, swelling, or discharge), it may not be necessary to continue dressing the wound. However, if the area is still healing or if there are any concerns about exposure to dirt or bacteria, your healthcare provider may recommend keeping a dressing on for a few more days.

Here are some key points to consider regarding wound care after stitch removal:
1. Wound Assessment: After stitches are taken out, inspect the wound for any signs of infection or complications. If the wound looks healthy, you may not need to cover it. If it looks inflamed or there is any discharge, consult your doctor.

2. Moisture and Protection: Keeping the wound slightly moist can promote healing. If your doctor advises you to keep it covered, use a breathable dressing that allows moisture to escape while protecting the area from external irritants.

3. Follow-Up Care: It's crucial to attend any follow-up appointments with your surgeon. They will monitor the healing process and provide specific instructions based on your individual case.

4. Signs of Infection: Be vigilant for any signs of infection, such as increased redness, swelling, warmth, or pus. If you notice any of these symptoms, contact your healthcare provider immediately.

5. Activity Restrictions: Depending on the surgery's nature, your doctor may advise you to limit certain activities to avoid stressing the healing tissue. Follow these guidelines closely to prevent complications.

6. Scar Management: Once the wound has healed, you may want to discuss scar management options with your doctor. Treatments can include silicone gel sheets, massage therapy, or topical treatments that can help improve the appearance of scars.

In summary, whether you need to change dressings after stitch removal largely depends on the condition of your wound. Always follow your surgeon's specific instructions and reach out to them if you have any concerns about your healing process. Proper post-operative care is crucial for a successful recovery and minimizing the risk of complications.

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