Post-Suture Concerns: When to Seek Medical Advice After Wound Healing

Issues After Suture Removal

Hello Doctor, I previously had a deep cut on my finger joint from a kitchen knife.
After eight days of suturing, the stitches were removed, and the doctor said it had healed.
That same day, I applied a hydrocolloid dressing to keep it dry while showering, but I noticed that there was still some serous fluid oozing out.
When I removed the dressing, I found that the wound had reopened.
I applied a new hydrocolloid dressing and observed it for a few days, but there was no more serous fluid.
I continued to use the hydrocolloid dressing for five more days, and upon removal, the wound still had not healed.
There was no redness, swelling, pain, serous fluid, or blood, just a slight numbness when pressing on the fingertip.
Now, it has been ten days since the stitches were removed, and I observed that there is still a gap in the wound.
Should I return for a follow-up appointment, or can I continue to monitor the situation for a bit longer? Thank you.

Xiao Cai, 30~39 year old female. Ask Date: 2023/03/16

Dr. Li Zhonghuai reply Surgery

Hello! It is recommended to return for a follow-up to assess the wound and determine whether it needs to be sutured again or if it can be treated with gradual dressing changes, primarily for cosmetic reasons.
Take care! Changhua Hospital cares about you!

Reply Date: 2023/03/16

More Info

After a surgical procedure, especially one involving sutures, it is crucial to monitor the healing process closely. In your case, you experienced a deep cut on your finger joint that required suturing. Although the initial assessment post-suture indicated that the wound was healing well, the subsequent observations of fluid drainage and the wound reopening raise some concerns.

Firstly, it is important to understand that wound healing can vary significantly from person to person. Factors such as the depth of the cut, the location, the individual's overall health, and any underlying conditions (like diabetes or vascular issues) can all impact healing. In your situation, the fact that you initially had fluid drainage and then observed a reopening of the wound suggests that there may have been some complications, such as inadequate closure or infection.

The absence of redness, swelling, or significant pain is a positive sign, indicating that there may not be an active infection. However, the presence of a crack or gap in the wound after ten days is concerning. It is essential to ensure that the wound is not only closed but also healing properly to prevent further complications, such as scarring or loss of function in the finger.

Given your description, here are some recommendations:
1. Seek Medical Advice: It is advisable to return to your healthcare provider for a follow-up examination. Even if the wound does not appear infected, the fact that it has not healed completely and has reopened warrants professional evaluation. Your doctor can assess the wound's condition, determine if any further intervention is necessary, and provide guidance on how to care for it moving forward.

2. Wound Care: Continue to keep the area clean and dry. If you are using artificial skin or a similar protective covering, ensure that it is applied correctly and changed regularly to prevent moisture buildup, which can lead to infection. If you notice any signs of infection (increased redness, warmth, swelling, or pus), seek medical attention immediately.

3. Monitoring Symptoms: Pay attention to any changes in sensation, such as increased numbness or tingling, which could indicate nerve involvement or other complications. If you experience any new symptoms, such as fever or increased pain, it is crucial to seek medical help.

4. Patience with Healing: Wound healing can take time, and while it is frustrating to see a wound that is not healing as expected, it is essential to follow your doctor's advice regarding care and follow-up appointments.
5. Avoid Self-Diagnosis: While it may be tempting to monitor the wound and decide on your own when to seek help, it is always best to err on the side of caution. If you have any doubts or concerns about the healing process, consulting with a healthcare professional is the best course of action.

In summary, while it is encouraging that you do not have signs of infection, the reopening of the wound and the lack of complete healing after ten days suggest that a follow-up visit is necessary. Your healthcare provider will be able to provide you with the best advice tailored to your specific situation and ensure that your finger heals properly.

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