Postoperative suture removal site hole
Hello Doctor: Your daughter is 10 years old and had a knee injury that required 9 stitches.
After two weeks of healing, the stitches were removed, but about 20 days later, one of the stitch holes became larger, with a small amount of serous fluid that is light yellow in color.
It does not continuously ooze, but dries and crystallizes.
After bathing, a little fluid reappears in the hole, which is not painful, itchy, or red and swollen.
Does this indicate an inflammatory response? Will the hole heal, and will the tissue become flat? Should we return to the original doctor for an examination, or should we avoid water and apply disinfectant and medication daily?
Ting, 30~39 year old female. Ask Date: 2020/07/14
Dr. Lü Mingchuan reply Plastic Surgery
Hello: Amber-colored tissue fluid is a normal phenomenon and not indicative of inflammation.
If you are concerned, you may visit the outpatient department of the Ministry of Health and Welfare Changhua Hospital for further evaluation.
Reply Date: 2020/07/14
More Info
After a surgical procedure, especially one involving stitches, it is common for patients and their caregivers to have concerns about the healing process. In the case of your daughter, who is experiencing a larger stitch hole with some discharge after the removal of stitches, it is important to understand what this could mean and how to manage it effectively.
Firstly, the presence of a small amount of yellowish fluid from a stitch hole can be concerning but does not necessarily indicate a serious problem. This fluid may be a serous exudate, which is a normal part of the healing process. It is important to differentiate between normal healing and signs of infection. Infections typically present with symptoms such as increased redness, swelling, warmth around the area, pain, or a foul odor. Since you mentioned that the area is not painful, itchy, or red, this is a positive sign. However, the fact that the hole has enlarged and is producing fluid warrants careful monitoring.
Regarding the healing of the stitch hole, it is possible for the body to continue healing even if the hole appears larger. The body can gradually fill in the tissue and close the gap over time. However, if the hole does not show signs of improvement or continues to worsen, it may be necessary to consult with the original surgeon or a healthcare professional for further evaluation. They may want to assess the wound to ensure that there is no underlying issue, such as a foreign body or infection, that could impede healing.
In terms of care, it is advisable to keep the area clean and dry. Here are some tips for managing the stitch hole:
1. Avoid Water Exposure: Until the area has fully healed, it is best to avoid submerging the wound in water (e.g., baths, swimming pools). Showers are generally acceptable, but try to keep the area dry or cover it with a waterproof bandage.
2. Daily Cleaning: Gently clean the area with mild soap and water. Pat it dry with a clean towel. Avoid scrubbing the area, as this could irritate the skin and delay healing.
3. Disinfection: If advised by a healthcare provider, you can apply a topical antiseptic to the area to prevent infection. However, be cautious with the frequency and type of antiseptic used, as some can be irritating.
4. Moisture Management: If the area continues to produce fluid, consider using a sterile gauze pad to absorb any discharge. Change the dressing as needed to keep the area clean.
5. Monitor for Changes: Keep an eye on the wound for any changes in color, size, or the presence of additional symptoms. If the discharge increases, or if you notice any signs of infection, contact your healthcare provider.
6. Follow-Up Care: It is always a good idea to have a follow-up appointment with the original surgeon or a healthcare provider if you have concerns about the healing process. They can provide a thorough examination and determine if any additional treatment is necessary.
In conclusion, while the situation you described may not immediately indicate a serious issue, it is essential to monitor the healing process closely. Proper care and hygiene, along with regular assessments, will help ensure that your daughter's stitch hole heals appropriately. If there are any doubts or concerns, do not hesitate to reach out to a healthcare professional for guidance.
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