Post-Surgery Care for Hemorrhoid Sutures - Surgery

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Postoperative Instructions for Hemorrhoid Surgery Sutures


Dr.
Ke: I apologize for the interruption, but I would like to add that the absence of any discharge indicates that healing is nearing completion, correct? If the stitches have not loosened, is that a cause for concern? I'm a bit worried!

M, 60~69 year old female. Ask Date: 2019/05/26

Dr. Ke Fangxu reply Surgery


The sutures used in hemorrhoid surgery are absorbable, and the absorption time varies depending on the type of suture chosen by the physician, ranging from as short as 3-7 days to as long as 2-4 weeks.
If there is no discharge from the wound, it can be considered healed.
If the sutures have not yet fallen out, you can visit the outpatient clinic to have the physician remove them.

Reply Date: 2019/05/26

More Info


Post-surgery care for hemorrhoid sutures is an essential aspect of recovery that can significantly influence the healing process and overall comfort of the patient. After undergoing a hemorrhoidectomy or any procedure involving sutures in the anal region, it is crucial to follow specific care guidelines to ensure proper healing and minimize complications.

Firstly, the absence of any discharge from the surgical site is generally a positive sign, indicating that the wound is healing well. However, it is important to monitor the area for any signs of infection, such as increased redness, swelling, or discharge that may develop later. If any of these symptoms occur, it is advisable to contact your healthcare provider immediately.

Regarding the sutures, it is common for them to remain intact for a period after surgery. Sutures used in hemorrhoid surgeries are often absorbable, meaning they will dissolve on their own over time. The timeline for this can vary depending on the type of suture material used and the individual’s healing process. If the sutures appear to be tight or if there is discomfort, it is essential to discuss this with your doctor, as they can assess whether the sutures are causing any issues or if they are indeed healing as expected.

Here are some key post-operative care tips for managing hemorrhoid sutures:
1. Hygiene: Maintain proper hygiene by gently cleaning the anal area with mild soap and water after bowel movements. Avoid using harsh soaps or scrubbing the area, as this can irritate the sutures.

2. Sitz Baths: Taking sitz baths (sitting in warm water) several times a day can help soothe the area, reduce discomfort, and promote healing. Ensure the water is warm but not hot, and soak for about 15-20 minutes.

3. Dietary Adjustments: A high-fiber diet is crucial to prevent constipation and straining during bowel movements, which can put pressure on the sutures. Incorporate plenty of fruits, vegetables, and whole grains into your diet, and consider using a fiber supplement if necessary. Staying well-hydrated is equally important.

4. Pain Management: Over-the-counter pain relievers such as acetaminophen or ibuprofen can help manage discomfort. Always follow the dosage instructions and consult your doctor if you have any concerns about medication.

5. Avoid Straining: It is vital to avoid straining during bowel movements. If you feel the urge to go but are having difficulty, consider using a stool softener or laxative as recommended by your healthcare provider.

6. Activity Level: While it is important to remain active, avoid heavy lifting or strenuous activities that could strain the surgical site. Gentle walking can promote circulation and healing.

7. Follow-Up Appointments: Attend all scheduled follow-up appointments with your healthcare provider. They will monitor your healing progress and address any concerns regarding the sutures or overall recovery.

8. Signs to Watch For: Be vigilant for any signs of complications, such as increased pain, fever, or unusual discharge. If you experience any of these symptoms, seek medical attention promptly.

In conclusion, while the absence of discharge is a good indicator of healing, it is essential to remain attentive to the condition of the sutures and the surrounding area. Following the outlined care tips and maintaining open communication with your healthcare provider will help ensure a smooth recovery process. If you have any specific concerns about your healing or the sutures, do not hesitate to reach out to your doctor for personalized advice and reassurance.

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