Post-Surgery Concerns: What to Do with Long Stitches? - Urology

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Surgical sutures?


Hello Dr.
Hsu: My son had a hernia repair surgery with you a few weeks ago.
I would like to ask about a long thread that is left after the surgery.
Should we cut it ourselves, or will it fall off on its own? I remember you mentioned that stitches do not need to be removed.
What should we do with the thread that is about 2 centimeters long? Thank you.

Yan, 20~29 year old female. Ask Date: 2007/12/25

Dr. Xu Wencang reply Urology


Hello: Please return for a follow-up examination, to be handled by the physician.

Reply Date: 2007/12/25

More Info


After a hernia repair surgery, it is common for patients to have concerns about the stitches or sutures used during the procedure. In your case, it seems that your son has a long stitch end that is approximately 2 centimeters long. Here’s how to handle this situation based on medical knowledge and practices.

First, it’s important to clarify the type of sutures used during the surgery. In many hernia repair surgeries, surgeons may use absorbable sutures, which are designed to dissolve over time without the need for removal. If this is the case, the long stitch end you see is likely a part of the absorbable suture that will eventually fall off on its own as the body absorbs the material. Typically, absorbable sutures can take anywhere from a few days to several weeks to dissolve completely, depending on the specific material used.

However, if the sutures used were non-absorbable, then the situation would be different. Non-absorbable sutures require removal after a certain period, usually within 7 to 14 days post-surgery, depending on the surgeon's protocol and the healing process. If your son’s surgery involved non-absorbable sutures, the long stitch end may need to be trimmed or removed by a healthcare professional.

Here are some steps you can take regarding the long stitch end:
1. Do Not Cut It Yourself: Unless specifically instructed by a healthcare provider, do not attempt to cut or remove the stitch yourself. This could lead to complications such as infection or improper healing.

2. Monitor for Signs of Infection: Keep an eye on the surgical site for any signs of infection, such as increased redness, swelling, warmth, or discharge. If any of these symptoms occur, contact your healthcare provider immediately.

3. Follow-Up Appointment: Ensure that you have a follow-up appointment scheduled with your son’s surgeon. During this visit, you can discuss the long stitch end and whether it needs to be trimmed or if it will dissolve on its own.

4. Ask Questions: Don’t hesitate to reach out to the surgeon’s office with any questions or concerns you may have. It’s important to have clear communication regarding post-operative care.

5. Care for the Surgical Site: Continue to care for the surgical site as advised by the surgeon. This may include keeping the area clean and dry, avoiding strenuous activities, and following any specific instructions provided.

In summary, the management of the long stitch end after your son’s hernia repair surgery depends on the type of sutures used. If they are absorbable, they will dissolve on their own, and no action is needed. If they are non-absorbable, a healthcare professional should handle any trimming or removal. Always prioritize communication with the surgical team to ensure proper post-operative care and address any concerns you may have.

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