How to Care for a Healing Wound After Stitches Are Removed

Q: How to Care for a Healing Wound After Stitches Are Removed

Hello： Sometimes the area beneath a scab is not necessarily a healing wound; it may be purulent or contain unhealthy tissue underneath. <br>Determining this relies on the assessment of the wound and the expertise of a physician. <br>It is advisable to consult a plastic surgeon fo

What to do after scabbing?

I have a wound on my calf where the stitches were removed, and it has formed a large scab (5 cm wound).
However, some areas in the middle of the wound still have unhealthy skin and are somewhat necrotic, with a small amount of bleeding.
I consulted a surgeon who said the wound has not yet healed and even removed the scabbed part.
Is this okay? Will removing the scab slow down the healing process and leave a bad scar? What should I do to help the wound heal as quickly as possible?

dot underscore dot, 20~29 year old female. Ask Date: 2005/05/27

Dr. Huang Junxiong reply Surgery

Hello: Sometimes the area beneath a scab is not necessarily a healing wound; it may be purulent or contain unhealthy tissue underneath.
Determining this relies on the assessment of the wound and the expertise of a physician.
It is advisable to consult a plastic surgeon for follow-up on the wound.

Reply Date: 2005/05/27

More Info

Caring for a healing wound after stitches have been removed is crucial for ensuring proper healing and minimizing scarring. It sounds like you are dealing with a significant wound on your calf that has not fully healed, and you are experiencing some concerns about the condition of the skin and the presence of bleeding. Here are some recommendations based on your situation:
1. Keep the Wound Clean: It is essential to keep the wound clean to prevent infection. Gently wash the area with mild soap and water. Avoid using harsh chemicals or scrubbing the wound, as this can irritate the skin and delay healing.

2. Moisture is Key: Keeping the wound moist can promote faster healing and reduce scarring. You can use a non-stick sterile dressing or a hydrogel dressing that maintains moisture without sticking to the wound. Avoid letting the wound dry out completely, as this can lead to scab formation that may crack and reopen the wound.

3. Avoid Picking at Scabs: It is common for scabs to form over healing wounds, but it is crucial not to pick at them. Picking can disrupt the healing process and increase the risk of scarring. If the scab is thick and causing discomfort, consult your healthcare provider for advice on how to manage it.

4. Monitor for Signs of Infection: Keep an eye on the wound for any signs of infection, such as increased redness, swelling, warmth, or pus. If you notice any of these symptoms, contact your healthcare provider immediately.

5. Use Appropriate Ointments: After the stitches are removed, you may consider applying a topical antibiotic ointment, such as Neosporin, to help prevent infection. However, if the wound is still oozing or bleeding, it’s best to consult your doctor before applying any ointments.

6. Follow Up with Your Doctor: Since you mentioned that the surgeon removed some of the scab and indicated that the wound is not fully healed, it is essential to follow up with your healthcare provider. They can assess the wound's healing progress and determine if any additional treatment is necessary.

7. Avoid Strain on the Area: Be cautious not to put too much strain on the healing area. Avoid activities that could stretch or pull at the wound, as this can hinder the healing process.

8. Nutrition and Hydration: Ensure you are eating a balanced diet rich in vitamins and minerals that support skin healing, such as vitamin C, zinc, and protein. Staying hydrated is also essential for overall healing.

9. Scar Management: Once the wound has healed, you can start using silicone gel sheets or silicone gel to help minimize scarring. These products can be applied once the skin has closed and is no longer open or weeping.

10. Patience is Important: Healing takes time, and it is essential to be patient with your body as it recovers. Scarring may take several months to mature, and the appearance of the scar can change over time.

In summary, caring for your healing wound involves keeping it clean and moist, avoiding picking at scabs, monitoring for infection, and following up with your healthcare provider. By taking these steps, you can help ensure that your wound heals properly and minimize the risk of scarring. If you have any further concerns or questions, do not hesitate to reach out to your healthcare provider for personalized advice.

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