Do Unremoved Stitches in Head Wounds Cause Infections? Expert Insights

Can leaving sutures in a head wound too long lead to wound infection?

Hello Doctor: My family member had a head injury from a car accident in December 2004, which required four stitches.
Recently, we discovered that there is still a protruding stitch about 0.3 cm at the site of the original injury.
It appears that this stitch has grown into the skin.
Does this 0.3 cm stitch need to be removed during a follow-up visit? Thank you.

Chen, 20~29 year old female. Ask Date: 2005/03/31

Dr. Xiao Furen reply Neurosurgery

It is recommended to return to the outpatient clinic for evaluation; if possible, it is better to remove it.

Reply Date: 2005/03/31

More Info

Unremoved stitches in head wounds can indeed lead to complications, including infections. When stitches are left in for an extended period, especially if they are not dissolvable, they can become embedded in the tissue, which may cause irritation, inflammation, or even infection. The body may react to the foreign material, leading to a localized inflammatory response. This can manifest as redness, swelling, and tenderness around the area, and in some cases, it can progress to a more serious infection.

In your case, where a stitch is protruding approximately 0.3 cm from the skin, it is advisable to seek medical attention. The fact that the stitch appears to have integrated into the skin suggests that it may not be functioning as intended. Stitches are meant to hold the edges of a wound together to promote healing, and if they are not removed in a timely manner, they can hinder proper healing and increase the risk of complications.

When you visit a healthcare provider, they will assess the area to determine whether the stitch can be safely removed. If the stitch is deeply embedded and has become part of the tissue, the doctor may need to take special care to remove it without causing additional damage. They will also check for any signs of infection, such as pus, increased warmth, or systemic symptoms like fever.

In terms of prevention, it is crucial to follow up with your healthcare provider after any procedure that involves stitches. They will typically schedule a follow-up appointment to remove the stitches after a certain period, depending on the type of wound and the healing process. If you notice any unusual symptoms, such as increased pain, swelling, or discharge from the wound, it is important to seek medical attention sooner rather than later.

In addition to the risk of infection, unremoved stitches can also lead to scarring. The longer a stitch remains in place, the more likely it is to cause a noticeable scar. This is particularly relevant in cosmetic areas like the head, where appearance is often a concern.

In summary, it is essential to have any protruding or unremoved stitches evaluated by a medical professional. They can provide the appropriate care, including removal of the stitch if necessary, and assess the wound for any signs of infection or other complications. Taking prompt action can help ensure proper healing and minimize the risk of further issues.

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