Post-Stitch Care: Managing Wound Healing After Surgery - Plastic Surgery

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Wound after suture removal?


Two weeks ago, I cut the palm of my hand with a utility knife and received three stitches.
Today marks five days since the stitches were removed, but the epidermis does not appear to have healed.
It looks red and white and continues to ooze (not in a dry state), and I also experience sudden sharp pain.
Currently, I am using beauty tape with a waterproof dressing and an additional layer of elastic bandage on top.
I would like to know how to better manage the wound.

LSY, 20~29 year old female. Ask Date: 2023/12/11

Dr. Lü Mingchuan reply Plastic Surgery


Wound assessment can be performed in an outpatient setting.

Reply Date: 2023/12/11

More Info


Post-surgical wound care is a critical aspect of recovery, especially after a procedure that involves stitches. It is essential to monitor the healing process closely and take appropriate measures to ensure that the wound heals properly without complications. Based on your description, it appears that your wound is not healing as expected, which can be concerning. Here are some guidelines and recommendations for managing your wound care effectively.


1. Wound Assessment
First and foremost, it is crucial to assess the wound regularly. Look for signs of infection, which may include increased redness, swelling, warmth around the wound, and any discharge that may have an unusual odor. The presence of persistent drainage or serous fluid (clear or slightly yellow fluid) can be normal in the early stages of healing, but if it continues beyond a week or two, it may warrant further evaluation.


2. Cleaning the Wound
When caring for your wound, it is essential to keep it clean. Use a saline solution or mild soap and water to gently cleanse the area around the wound. Avoid using hydrogen peroxide or alcohol, as these can be too harsh and may impede healing. Pat the area dry with a clean towel or gauze, and avoid rubbing the wound.


3. Dressing the Wound
It sounds like you are currently using a combination of beauty tape, waterproof dressing, and elastic bandage. This is generally a good approach to protect the wound while allowing it to breathe. However, ensure that the dressing is not too tight, as this can restrict blood flow and hinder healing. Change the dressing regularly, especially if it becomes wet or soiled.

4. Managing Drainage
If your wound continues to produce drainage, consider using a more absorbent dressing that can handle excess moisture. Hydrocolloid or foam dressings can be beneficial for wounds with moderate to heavy drainage. These types of dressings help maintain a moist environment, which is conducive to healing.


5. Pain Management
The sudden sharp pain you are experiencing could be due to nerve regeneration or irritation around the wound site. Over-the-counter pain relievers such as acetaminophen or ibuprofen can help manage discomfort. However, if the pain persists or worsens, consult your healthcare provider.


6. Monitoring for Infection
As mentioned earlier, keep an eye out for signs of infection. If you notice any of the following symptoms, contact your healthcare provider immediately:
- Increased redness or swelling
- Pus or foul-smelling drainage
- Fever or chills
- Increased pain or tenderness around the wound

7. Follow-Up Care
Since you had your stitches removed five days ago, it is advisable to schedule a follow-up appointment with your healthcare provider if you have not done so already. They can assess the wound's healing progress and determine if any additional interventions are necessary, such as antibiotics or further wound care strategies.


8. Lifestyle Considerations
In addition to proper wound care, consider your overall health and nutrition. A balanced diet rich in vitamins and minerals, particularly vitamin C and zinc, can support wound healing. Staying hydrated is also essential for maintaining skin elasticity and overall health.


Conclusion
In summary, managing wound healing after surgery requires diligent care and monitoring. Keep the wound clean and protected, watch for signs of infection, and consult your healthcare provider if you have any concerns. With proper care, your wound should continue to heal, and any complications can be addressed promptly. Remember, patience is key, as healing can take time, especially for deeper wounds.

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