Wound after suture removal?
Doctor, I had my stitches removed and have been using silicone gel on the wound for three weeks.
Recently, I've been feeling some itching and swelling.
Should I continue using it? Thank you.
Xi Bao, 10~19 year old female. Ask Date: 2011/05/10
Dr. Lin Zhiguang reply Surgery
Hello, after removing the stitches, it is generally recommended to keep the scar covered with silicone gel for at least two weeks.
You have been using it for three weeks, so it is fine to stop now.
It is normal for the wound to feel itchy and slightly swollen.
As long as there is no significant pain or discharge, it should be okay.
Reply Date: 2011/05/10
More Info
After the removal of stitches, the care of the wound is crucial for proper healing and to minimize the risk of complications. It is common to experience some itching and swelling around the area where stitches were removed, as this can be a part of the normal healing process. However, whether or not to continue using adhesive strips (such as silicone strips or other types of wound dressings) after stitches have been removed depends on several factors.
1. Healing Process: After stitches are removed, the skin is still in a vulnerable state. The use of adhesive strips can help protect the wound from external irritants and can also provide support to the healing skin. If the area feels itchy or swollen, it may be a sign that the skin is still healing, and keeping it covered can help reduce irritation from clothing or other environmental factors.
2. Type of Adhesive: If you are using a silicone adhesive strip, these can be beneficial for scar management and can help keep the area moisturized, which is important for healing. Silicone strips are often recommended for several weeks post-stitch removal to improve the appearance of scars.
3. Signs of Infection: If you notice increased redness, warmth, or discharge from the wound, or if the itching is accompanied by pain, it may indicate an infection. In such cases, it is essential to consult a healthcare provider. If the area is simply itchy but not showing signs of infection, it may be fine to continue using the adhesive for a little longer.
4. Duration of Use: Generally, it is advisable to continue using adhesive strips for at least a week or two after stitches are removed, especially if the wound is still tender or if you are concerned about scarring. However, if the itching becomes bothersome or if you feel that the adhesive is causing irritation, it may be appropriate to stop using it.
5. Consulting a Healthcare Provider: Since you have been using the adhesive for three weeks post-stitch removal and are experiencing some discomfort, it would be wise to consult with your healthcare provider. They can assess the wound and provide personalized advice based on its condition. They may recommend continuing with the adhesive, switching to a different type of dressing, or allowing the skin to breathe without any covering.
In summary, while it is generally beneficial to use adhesive strips after stitch removal to protect the area and support healing, individual circumstances can vary. Monitoring the wound for signs of infection and consulting with a healthcare provider for tailored advice is the best course of action. Remember, proper wound care is essential for optimal healing and minimizing scarring.
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