Post-Surgery Concerns: Unabsorbed Sutures in the Anus

The sutures in the anal area have not absorbed post-surgery?

Hello, Dr.
Ke...
I underwent surgery to remove internal and external hemorrhoids on April 8, 2021, and I have healed well with no significant issues since then.
However, while applying the ointment to reduce swelling, I noticed that the sutures inside the anus have not yet dissolved.
I am quite concerned about this and would like to know if I need to return to the clinic for the attending physician to remove the sutures, or if I can ignore them as they will eventually fall out on their own.
Alternatively, can I remove the sutures myself? Thank you for your response...

Zhang Chen, 40~49 year old female. Ask Date: 2021/05/13

Dr. Ke Fangxu reply Surgery

Sutures will eventually come out.
If you experience pulling pain or difficulty in cleaning, you may ask your physician to remove them during an outpatient visit.
Please do not pull on them yourself to avoid causing excessive bleeding from the wound.

Reply Date: 2021/05/13

More Info

After undergoing a hemorrhoidectomy, it is understandable to have concerns about the sutures that remain in the anal area. In general, sutures used in surgical procedures can be either absorbable or non-absorbable. Absorbable sutures are designed to dissolve over time, while non-absorbable sutures need to be removed by a healthcare professional.

In your case, since you mentioned that the sutures have not absorbed after a significant period since your surgery in April 2021, it is advisable to consult your surgeon or a healthcare provider. Here are some important points to consider regarding your situation:
1. Absorbable Sutures: If the sutures used during your surgery were absorbable, they typically dissolve within a few weeks to a few months. However, the rate of absorption can vary based on the type of suture material used, the location of the sutures, and individual healing processes. If they have not dissolved after a considerable time, it may be worth discussing with your doctor.

2. Non-Absorbable Sutures: If the sutures are non-absorbable, they will need to be removed. Leaving them in place can lead to complications such as irritation, infection, or the formation of scar tissue. It is not advisable to attempt to remove or cut the sutures yourself, as this can lead to injury or infection.

3. Signs of Complications: If you experience any unusual symptoms such as increased pain, swelling, discharge, or bleeding from the surgical site, it is crucial to seek medical attention promptly. These could be signs of infection or other complications that need to be addressed.

4. Follow-Up Care: Regular follow-up appointments with your surgeon are essential for monitoring your recovery. If you have concerns about the sutures, it is best to bring them up during your next visit. Your surgeon can assess the situation and determine whether the sutures need to be removed or if they will eventually dissolve on their own.

5. Self-Care: While waiting for your appointment, continue to practice good hygiene in the anal area. Avoid any harsh scrubbing or irritation, and follow any post-operative care instructions provided by your surgeon. If you are using topical medications, ensure they are appropriate for your condition.

In summary, while it is understandable to be concerned about the sutures in your anal area, it is essential to consult your healthcare provider for an accurate assessment and appropriate management. Do not attempt to remove the sutures yourself, as this could lead to complications. Your surgeon will be able to provide the best guidance based on your specific situation and ensure that your recovery continues smoothly.

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