Managing Post-Surgery Wound Care After Traumatic Lacerations - Plastic Surgery

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Laceration from a car accident: After debridement and removal of stitches, there is still a small hole in the wound?


Hello, doctor.
I sustained a laceration from a car accident, and the first hospital did not handle it well, so I went to another hospital for debridement and suturing.
The surgeon debrided and sutured two layers, and the stitches were removed on the eighth day.
However, now, a week later, there are four small holes in the wound.
After removing the stitches, the doctor applied silicone scar sheets and advised me to use them for at least three months.
I'm really worried about how to promote healing for the wound.
Thank you for taking the time to respond amidst your busy schedule.
Here is a photo of the wound one week after the stitches were removed: https://photos.app.goo.gl/iVPjYUmZuBbkmTV88.

11, 20~29 year old female. Ask Date: 2021/12/31

Dr. Zhou Hongzhang reply Plastic Surgery


This issue is quite complex and requires an actual examination of the wound to understand fully.
It is recommended to consult a nearby plastic surgery outpatient clinic.
Thank you.

Reply Date: 2021/12/31

More Info


Managing post-surgery wound care, especially after traumatic lacerations, is crucial for ensuring proper healing and minimizing complications such as infection or scarring. Given your situation, where you experienced a traumatic laceration from a car accident and underwent a debridement and suturing procedure, here are some comprehensive guidelines and recommendations for managing your wound care effectively.


1. Wound Inspection and Hygiene
After surgery, it is essential to regularly inspect the wound for any signs of infection, such as increased redness, swelling, warmth, or discharge. Since you mentioned that there are four small holes in the wound after the stitches were removed, it’s important to keep the area clean. Gently wash the wound with mild soap and water, avoiding any harsh scrubbing. Pat the area dry with a clean towel.


2. Moisture Management
Keeping the wound moist can promote healing and reduce scarring. The use of silicone gel sheets, as recommended by your physician, is an excellent choice. These sheets help to hydrate the wound and create an optimal healing environment. Apply the silicone gel sheets as directed, ensuring they cover the entire wound area. It’s advisable to leave them on for the recommended duration, typically 12-24 hours a day, and replace them as needed.


3. Avoiding Irritation
Be cautious about clothing or other materials that may rub against the wound. Loose-fitting clothing can help prevent irritation. If you notice any discomfort or increased drainage, consider using a non-stick dressing over the area to protect it.


4. Monitoring for Complications
Keep an eye on the wound for any signs of complications. If you notice increased pain, swelling, or any unusual discharge, contact your healthcare provider immediately. It’s also important to follow up with your surgeon or primary care physician for any scheduled appointments to monitor the healing process.


5. Pain Management
If you experience pain at the wound site, over-the-counter pain relievers such as acetaminophen or ibuprofen can help manage discomfort. However, always consult with your healthcare provider before taking any medication, especially if you have other underlying health conditions or are taking other medications.


6. Nutrition and Hydration
Proper nutrition plays a vital role in wound healing. Ensure you are consuming a balanced diet rich in vitamins and minerals, particularly vitamin C and protein, which are essential for tissue repair. Staying well-hydrated is also crucial, as it supports overall health and healing.


7. Activity Modification
Limit activities that may stress the wound, especially if you notice any discomfort or if the wound appears to be reopening. Gradually increase your activity level as the wound heals, but avoid high-impact activities until cleared by your healthcare provider.


8. Scar Management
In addition to using silicone gel sheets, once the wound has healed, you may consider other scar management techniques such as massage therapy or additional topical treatments as recommended by your healthcare provider. These methods can help improve the appearance of scars over time.


9. Follow-Up Care
Regular follow-up appointments with your healthcare provider are essential to monitor the healing process. They can assess the wound's condition and make any necessary adjustments to your care plan.


Conclusion
Managing post-surgery wound care after traumatic lacerations requires diligence and attention to detail. By following these guidelines and maintaining open communication with your healthcare provider, you can promote optimal healing and minimize the risk of complications. Remember, healing takes time, and being proactive about your care will contribute significantly to your recovery. If you have any further questions or concerns, do not hesitate to reach out to your healthcare team for personalized advice.

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