Process surgical sutures. Treatment of sutures at home using traditional medicine

After the completion of the surgical intervention, aseptic postoperative sutures are applied to prevent the entry of microorganisms into the tissues and to create a seal.

A suture is a surgical manipulation that is performed using a thread and a special needle to connect tissues of biological origin.

There are different types of sutures that are placed at the end or during operations.

Depending on the nature of the origin and the size of the operational field, there are:

• bloodless - made with a special adhesive adhesive without the use of suture material.
• bloody - superimposed with the help of special tools - suture threads, tweezers, needles and Hegar's needle holder.

Blood sutures are divided into:

1. simple nodal - needle puncture - triangular, due to its shape keeps the material in place;
2. intradermal continuous - the most reliable, since after its removal there is no cosmetic defect left;
3. mattress - superimposed during abdominal operations and extensive damage to organocomplexes;
4. purse-string - used in plastic surgery and gastric resection;
5. encircling - resembles circular movements, is used for stitching blood vessels and perforated organs (stomach, bladder, intestines).

Depending on the instrumentation with which sutures are applied, there are:

• manual suture - superimposed with a needle, needle holder, tweezers and suture material;
• mechanical seam - which is applied with a special device resembling a stapler.

Depending on the type of tissue damage, the suture can be applied in one or more rows.

Seams are also divided into:

1. submersible - superimposed inside the abdominal cavity in organs and tissues;
2. removable - superimposed on the skin, head tissues and other integumentary areas).

After the surgical procedure for suturing the wound, a period of healing begins. It depends on the location of the postoperative wound, its size, the patient's condition, age, limitation of physical activity.

The healing period is influenced by its sterility and the materials used for its processing after surgery.

Stages of suture healing after surgery

Healing of sutures after surgery is carried out in 3 stages.

At the first stage, the synthesis of connective tissue begins to increase from the collagen fibers formed by fibroblasts.

At the second stage, epithelial cells change their localization, moving from the periphery to the center to the site of injury. These cells provide a barrier function, preventing microbes from entering the wound surface. The second stage ends by 4-6 days, if everything proceeds without complications.

At the third stage, complete closure of the wound defect occurs.

Important! Wounds should only be treated after hand treatment, first with soap and water, then with alcohol. Tools must be disinfected before use.

How long does it take for stitches to heal after surgery?

The healing time of postoperative sutures ranges from 3 days to several weeks.

The duration of resorption of the suture material depends on the material of the thread with which the surgical suture was applied. If the thread is catgut, then the material is absorbed 3-4 months after healing. If the seam is made of lavsan, then after 7-14 days. Vicryl sutures disappear after 4-5 months.

How to process seams at home?

Postoperative sutures are treated with special antiseptic preparations. Daily in hospital or at home, until the stitches have been removed, use:

1. a solution of potassium permanganate (the doctor should explain the correct dosage and method of dilution in order to prevent the development of edema and burns);
2. iodine solution (use in small quantities, as it can cause dry skin);
3. brilliant green solution;
4. hydrogen peroxide solution (may cause burning and foaming);
5. anti-inflammatory drugs in a pasty or gel-like consistency.

How to speed up the healing of the seam after surgery?

For rapid healing of the postoperative suture, it is necessary to use wound healing ointments.

These include levomekol, ichthyol ointment, solcoseryl, bepanten and others.

Levomekol has antibacterial properties and causes an accelerated regenerative ability of cellular elements. The ointment is applied to a cotton swab or ball and the seam is processed. The duration of application is 5-7 days.

Use is contraindicated in dermatological diseases (psoriasis, various skin rashes), with intolerance to the main component - methyluracil.

Ichthyol ointment has anti-inflammatory and antiseptic properties. It must be applied in a thin layer to the damaged area. Apply a sterile bandage and a bandage on top.

Solcoseryl is used to activate fibroblasts. It improves metabolic processes in connective tissue elements. Apply a thin layer on the disinfected wound surface.

Do not use in case of hypersensitivity to para-aminobenzoic acid.

How to remove stitches?

At home, stitches after abdominal operations are prohibited to be removed. You can remove the sutures when suturing skin defects on the upper and lower extremities.

Rules and technique for removing the postoperative suture

1. It is necessary to prepare sterile instruments, disinfect hands up to the elbow. Provide access to the seam.
2. Using an antiseptic, treat the suture site with a cotton swab.
3. Then, taking the tweezers in your hand, slightly lift the first knot.
4. Taking scissors in hand, cut the suture thread.
5. Do this for all nodes.
6. Ensure that the entire suture material is removed.
7. Treat the place of the removed suture with an antiseptic solution.
8. Apply an aseptic bandage.

How to treat the place of the seam after its removal?

After removal, the site of the surgical wound can be treated with a solution of furacillin, brilliant green or hydrogen peroxide. The course of treatment is 4-7 days, until the complete disappearance of the wound surface.

Sutures after surgery provide connection and fusion of tissues of various origins. It is necessary to properly process the suture site in order to prevent the penetration of infectious agents. Antiseptic healing ointments will help to ensure rapid healing. After healing, the suture should be removed only in the surgical department. It is not recommended to remove the shock yourself. This can lead to the development of inflammation, suppuration, swelling, etc.

Video: Inspection and processing of the seam

Undoubtedly, all people sooner or later face various diseases. Some of them necessarily require surgical intervention. Such treatment never goes unnoticed. From manipulation, a person always has a postoperative suture. You need to know how to properly care for such a scar, and in what cases to seek help from a specialist.

Types of seams

Depending on the scale of the operation, the size of the suture can vary significantly. From some interventions, for example, after laparoscopy, a person has small centimeter incisions. Sometimes such seams do not require the use of special threads and are simply glued together with a plaster. In this case, you need to ask your doctor how to properly care for the damaged area and when you can remove the patch.

Also, the postoperative suture can be of impressive size. In this case, the fabrics are sewn in layers. First, the doctor combines the muscles, tissues of the blood vessels, and only after that he makes an external seam, with the help of which the skin is combined. Such scars grow together longer and require careful care and special attention.

What you need to know about seams

The postoperative suture always needs processing. From the moment the doctor puts the threads on the skin, the medical staff will wash your stitched tissues daily. In some cases, processing must be carried out several times a day. The doctor will inform you about this after the procedure. If complications occur or microbes enter the wound, it may be necessary to use additional antiseptic and antibacterial agents for treatment.

The suture is removed after the operation in about a week. With slow tissue healing, this period can increase to two weeks or even up to one month. During this time, it is necessary to properly process postoperative sutures. Wound healing is determined by the attending physician. It is he who sets the period when the threads can be removed.

In some cases, removal is not required. Sometimes doctors use special absorbable threads. They are superimposed in most cases on soft tissues and mucous membranes. Often this method of tissue bonding is used in gynecology and plastic surgery. Despite the fact that such threads are not removed, it is also necessary to process these postoperative sutures. Wound healing occurs when the tail of the protruding stapling fabric simply falls off.

How to care for stitches?

In some cases, the postoperative suture must be removed much later than the patient is discharged from the medical facility. In such a situation, a person needs to be told and shown how to care for stitched fabrics. After removing the threads, the processing of postoperative sutures should be carried out for some more time. So how do you take care of a wound yourself?

Necessary materials

First you need to purchase all the necessary materials. You can do this at any pharmacy chain located near your home. If you find it difficult to walk, ask relatives or neighbors to buy everything you need.

Treatment of a postoperative suture requires the presence of conventional brilliant green, hydrogen peroxide 3%, alcohol solution and hypertonic fluid. You will also need tweezers, appropriately sized post-op patches, and cotton swabs.

In some cases, the processing of postoperative sutures is carried out with cotton wool. When self-care for damaged tissue, it is better to refuse to use this material. When wiping the skin, small pieces of cotton can cling to the superimposed threads and remain on the wound. As a result, inflammation may occur. That is why it is worth giving preference to sterile bandages or special dressings.

Preparation of the treated area

Before you need to open it. Wash your hands with soap and disinfect them Carefully remove the bandage and examine the skin. There should be no liquid on the scar. If ichor or pus oozes from the wound, then it is necessary to consult a doctor as soon as possible. This means that there is an inflammatory process in the wound.

Treatment of the surface of the scar In the event that the surface of the tissues is completely dry, you can proceed to self-treatment of the seam. To do this, take a comfortable position and prepare all the necessary materials.

First, roll up a small piece of sterile bandage and soak it in an alcohol solution. Gently wipe the scar with a damp cloth. Make sure that all wounds and holes on the body are moistened with liquid. After that, let the skin dry and proceed to the next step.

If you experience pain, pulsation and burning in the area of ​​the seam, you must do the following. Roll it up into four layers and soak it in hypertonic saline. Put the fabric on the seam and cover it with a band-aid. Such a compress will help relieve pain and swelling in the wound area. If you are not bothered by discomfort, then skip this step and proceed further according to the instructions.

Take a cotton swab and soak it in greenery. Gently treat all wounds that were obtained during suturing, as well as the scar itself. After that, apply a sterile dressing to the cleaned area and seal with a plaster.

If the doctor has allowed, then you can leave the seam open. In the air everything is faster. Remember that in this case, you must be careful not to damage the scar.

How to care for the seam after removing the threads?

If you have already removed the stitches, this does not mean that the scar does not need to be looked after. Remember that after water procedures it is necessary to treat the injured surface. Ask your surgeon how long the scar treatment should take. On average, doctors recommend taking care of the damaged surface for about one more week.

After taking a shower, pour hydrogen peroxide on the seam in a thin stream. Wait for the reaction to take place and the liquid to sizzle. After that, blot the seam with a sterile bandage and proceed to the next step.

Moisten a cotton swab in brilliant green and treat the seam and existing postoperative wounds. Repeat this procedure after every bath.

Conclusion

Carefully monitor the condition that your postoperative sutures have. You can see photos of properly healing scars in this article. At the time of discharge, ask your doctor for detailed recommendations. Let the doctor tell and show you how to properly care for damaged tissue. Remember that from the moment you are discharged, your health is solely in your hands. That is why ask the medical staff about everything that interests you. This will help to avoid various unpleasant consequences.

If you have any complications or questions, please contact your local doctor. In emergency situations, call an ambulance. Remember that still unfused tissue can disperse. That is why be careful, avoid unnecessary stress and rest more. Be healthy!

When all the fears associated with the operation are behind, you should think about. Stitches should be treated immediately after surgery. When a person is still in the hospital, the state of the postoperative suture is monitored by the medical staff. But after being discharged home, you will have to take care of the scar yourself.

Will there be a scar? Of course it will. But whether it will be thin and almost imperceptible or thick and convex largely depends on how you care for it. If the suture is left untreated, complications are possible.

First postoperative days

After the operation, it is necessary to carefully monitor the suture, there should not be any discharge from it. In the first days after the operation, the seam must be lubricated with brilliant green, iodine or vodka. Before removing the stitches, a bandage is applied to the wound.

Fact! In places with active blood supply and a large accumulation of blood vessels, for example, on the face, the healing of the postoperative suture is faster.

Due to the ingress of microorganisms into the seam, the wound may fester. Infection also occurs from hematomas, because the blood is a good breeding ground for bacteria. At the first sign of suppuration, the seam should be lubricated with hydrogen peroxide or chlorhexidine solution, this will reduce the risk of further infection.

Advice! To avoid serious consequences, it is better to consult a doctor.

Medicines will relieve the consequences

After discharge from the hospital, the doctor should give clear instructions on what to do with the stitches and hand over a list of recommended drugs. But if for some reason this did not happen, then do not worry. There is a huge selection in pharmacies and suture care that will help the skin heal without complications, you just need to make the right choice.

Ointment Contractubex

Before using the ointment, you should consult your doctor. The fact is that the seam after the operation can begin to be lubricated with ointment only 2 weeks after the operation. But if there is a tendency to form keloid scars, then Contractubex should be used as early as possible, because in 2 weeks the keloid is already fully formed.

The composition of the ointment includes:

• allantoin;
• onion extract;
• sodium heparin.

Thanks to this composition, Contractubex ointment improves blood circulation, which contributes to rapid healing. It has anti-inflammatory, fibrinolytic and antiproliferative effects. In order to minimize the formation of scars after wound healing, the ointment must be applied daily for at least 3 months. Great for treatment and.

Solcoseryl gel (ointment)

Available in the form of a gel or ointment. The gel contains deproteinized dialysate from the blood of dairy calves - this is an active substance that enhances blood circulation in damaged tissues.

The active substance of the gel encourages cells to regenerate and repair, so that the wound healing process is faster, and tissue scarring is without pathologies.

Important! Apply the ointment only on dry wounds. But the gel, on the contrary, has proven itself well in working with weeping wounds.

Solcoseryl gel is applied to fresh disinfected sutures 2 times a day. It is applied until the formation of a crust and drying of the wound.

Solcoseryl ointment can be applied using a bandage, since, unlike the gel, the ointment is quite oily. Apply to dry joints at least 2 times a day until scar tissue forms.

There are no serious contraindications for use. In rare cases, slight reddening of the skin may occur. In this case, the use of the drug is better to stop or reduce the number of procedures.

Acerbin spray

Available as a liquid solution. A convenient sprayer allows you to evenly apply the solution to the wound. The composition includes malic, salicylic and benzoic acids. It has a noticeable antiseptic and analgesic effect. Prevents the formation of fluid in the wound. Malic acid removes excess carbon dioxide in the wound, has an excellent drying effect, and the wound quickly epithelizes.

Acerbin spray is applied 1-2 times a day. When a crust forms, the number of procedures can be reduced to once a day. It has no contraindications, but sometimes allergic reactions may occur. A slight burning sensation at the time of application passes quickly and is a normal wound reaction to the drug.

Traditional medicine to help

Of course, it is better to use pharmacological preparations for the care of postoperative wounds. But if it is not possible to purchase drugs at a pharmacy, you can resort to simple ones.

Important! When using folk remedies, strictly observe sterility so that the wound does not fester.

Folk recipes do not have a serious therapeutic effect, but they certainly make the scar less noticeable. Making wound care products at home is very easy and does not take much time. Here are some simple recipes:

1. Aloe juice has effective wound healing properties, in addition, it is an excellent antiseptic. Aloe juice should be smeared with a fresh seam regularly, this will help scarring of the tissue and prevent inflammation of the seams. Effectively treats fresh wounds on the face.
2. Onion juice heals wounds well. To do this, you need to chop the onion until a slurry is formed, wrap it in gauze and apply to the wound 1-2 times a day. Onion juice kills all kinds of germs, the seams will not fester, the wound will heal quickly, and the scar will be less noticeable.
3. A mixture of garlic and honey will help kill harmful bacteria, tissue epithelization will be much faster. In addition, honey improves blood circulation in tissues, which helps to avoid rough scarring. It is necessary to smear the seam with the mixture 1-2 times a day, after the honey has been absorbed, the remnants must be carefully removed with a sterile damp cloth.

Procedures using medications and home care products must be done in the process of scarring of the skin, then they will be effective. If diligently and systematically treated, it will not give complications and will be less noticeable in the future.

To eliminate the already formed scar, it will be possible to apply more serious methods, such as mesotherapy. But this is only a year after the formation of the scar. With proper wound care after suture removal, there will be no need to resort to radical methods of scar removal.

If you find an error, please highlight a piece of text and click Ctrl+Enter.

In some people who have experienced surgery, the suture does not heal after the operation. Few people know what to do in this situation. Proper wound care depends on the location, size, individual characteristics, but in general, wound care has general rules and recommendations.

In order for the seam and the wound to heal quickly, you must strictly adhere to the recommendations of doctors. With proper care, postoperative sutures should heal in such an approximate time frame.

Stitches after surgery are processed 2 times a day

Table. Normal timing of suture healing after surgery regarding localization on the body

Wound localization	Healing time (days)
face, head	3-4
Anterior surface of the neck
Back of the neck
Lateral chest and abdomen
Midline abdominal wounds
Back
Shoulder
Forearm
Brush
Hip
Shin
Foot

Treatment of seams with antiseptic solutions

Basic tips for fast healing of sutures after surgery:

• proper sterile treatment of the postoperative suture or wound;
• use for the treatment of the seam only those solutions that were prescribed by the doctor;
• regular inspection and processing of the seam several times a day.

Proper wound care allows the suture to heal much faster after surgery. Antiseptics such as iodine, alcohol, hydrogen peroxide, potassium permanganate, chlorhexidine help with this. It is also possible to use brilliant green or its substitute - fucorcin.

Important to remember! The stitches after the operation are processed 2 times a day. In some more complicated cases, perhaps more often. Procedures cannot be skipped. Wash hands thoroughly before handling.
After each treatment, it is necessary to change the sterile dressing. This is done up to the removal of threads.

You must be extremely careful when removing the dressing, as it often sticks to the wound. After that, a thin stream of hydrogen peroxide should be poured over the seam, then treated with an antiseptic solution.

Note! It is impossible to tear off crusts, growths, raids and other layers formed on the seam. This suggests that the process of tissue fusion is proceeding in the right direction.

If they are removed, then complications such as:

• inflammation;
• deepening of the seam, skin irregularities;
• seam break;
• fistula.

Ointments for healing stitches after surgery

Immediately after surgery, the suture and wound are treated with ointments or gels that do not allow inflammation to form, help to quickly cope with damage and begin healing.

Levomekol

Non-healing postoperative sutures, which make the process a little long, after the removal of the threads, they also continue to be treated with ointments until a scar begins to form.

The following effective ointments do an excellent job with their intended purpose:

Name	Compound	Operating principle	Mode of application	Price
Levomekol	methyluracil, chloramphenicol, excipients	promotes cell regeneration, has antimicrobial and bactericidal effect	It is applied to a sterile bandage or napkins, superimposed on a non-healing suture after surgery	130 rub.
Vishnevsky ointment	Tar, aerosil, xeroform, castor oil	Antiseptic, anti-inflammatory, Local irritant that accelerates cell regeneration	Apply to the surface of the seam, or to a sterile dressing	40 rub.
Solcoseryl	deproteinized dialysate from the blood of healthy dairy calves, cetyl alcohol, cholesterol, white vaseline, water for injections	It has a regenerating, wound-healing effect. Increases collagen production	Apply a thin layer on the surface of the wound, after washing it. It is possible to use bandages	250 rub.
Contractubex	Onion extract, heparin, allantoin, sorbic acid, methyl 4-hydroxybenzoate, xanthan, polyethylene glycol, purified water	Anti-inflammatory, regenerating, antithrombotic agent	Rub into the scar tissue of the seam 2-3 times a day	700 rub.

If the suture does not heal after the operation, not only an experienced doctor will tell you what to do, but also instructions for use for the drug prescribed by the doctor.

The use of healing ointments lasts until the wound and the seam are completely healed, and the scar begins to lighten.

Plaster for healing postoperative sutures

Modern medicine does not stand still and for the speedy safe healing of sutures after operations Increasingly, plasters based on medical grade silicone are being used.

Plasters made of such material are more tightly pressed against the surface of the skin and scars, which allows hardened tissues to dissolve faster. The compacted silicone perfectly passes air, which is important for the healing of postoperative sutures. This makes it very useful in complex wound care. At the same time, it does not allow water and other moisture to pass through.

Interesting fact! The silicone gel patch is a non-surgical method for tightening postoperative sutures, making it one of the most popular and affordable means of rapid skin healing.

It is very light, convenient, practical and comfortable.

The principle of operation of the silicone patch is as follows:

• causes softening of scar tissue, reducing its density, due to the retention of moisture in the skin;
• there is a compression tension and smoothing of the scar with the help of the adhesive base of the patch;
• improving the structure of the skin, increasing its elasticity, preventing scarring and hardening of the skin.

Before using the patch based on medical silicone gel, remove the protective film from the sticky side.

The seam, scar or scar must first be washed with soap and water, then apply the patch tightly and smooth it out.

If there is hair in this area, then they must be shaved off for closer contact between the skin and the patch. At the first application, the patch is glued for no more than 2 hours.

Folk remedies for healing postoperative sutures

In addition to medications, doctors often prescribe treatment with folk remedies and methods.

In complex treatment, such procedures for the care of postoperative non-healing sutures work wonders. In a short time, if everything is done strictly according to the recommendations of surgeons, the wounds begin to heal.

If the suture does not heal after surgery, you need to see a doctor to find out what to do.

Among the folk remedies used, the most popular are:

• tea tree oil;
• calendula extract is considered one of the most effective remedies if the suture does not heal after surgery. How and what to do - the instructions for the cream will tell;
• Echinacea Blackberry Syrup is also great for post-surgery wounds.

Tea tree oil

Real quality tea tree oil has powerful bactericidal, anti-inflammatory, antifungal, analgesic and wound healing properties.

It is used in the following ways:

• in its pure form, applied to the seam or wound with a sterile napkin, cotton swab or stick;
• dissolve 3-5 drops in a glass of clean warm water, dip a gauze pad and apply as a compress to the damaged area of ​​the skin.

Natural quality oil smells like refreshing spicy wood. If it has a different foreign smell, then it is a fake.

Tincture of calendula

Cream with calendula extract

Natural cream based on calendula extract perfectly heals wounds and stitches after surgery, accelerates skin regeneration, disinfects, softens the skin (scars) and makes it elastic.

Cream with calendula extract is applied to the surface of the seam, wound or scar, in the absence of pain, massaged. It can be used continuously as needed.

Blackberry Echinacea Syrup

This tool is also antibacterial, disinfectant, soothing and wound healing. Due to its composition of natural natural ingredients, the syrup has no contraindications for both children from 2 years old and for patients with diabetes.

Take this remedy inside before meals, 1 tablespoon a day, or 1 teaspoon 3 times a day.

Seam care for special occasions

There are such special cases when the stitches do not heal as they should. They need careful care. They are not very different from the processing behind conventional postoperative sutures, but still require a little more attention.

Dry scar care

When the postoperative suture begins to form a dry scar, it should never be removed. Dry skin will fall off by itself, or with the help of medicinal and folk remedies. In the shower or in the bath, you should try not to wet the scar to avoid bacteria and inflammation. Systematically treat the scar with aseptic agents, smear with creams or gels.

What to do if the seam gets wet

If the seam begins to get wet, it means that inflammation has formed in it. To prevent its development and accelerate the process of recovery, as well as healing, it is necessary to constantly treat the surface of the seam with aseptic, bactericidal and anti-inflammatory agents.

As necessary, smear the seam with anesthetic creams. Apply a sterile bandage after each procedure. When the seam more or less begins to heal, you can do air baths for no more than 5 minutes.

What to do if the seam festered

In case of suppuration of the sutures, you should urgently contact the surgeon. He will examine the seam, cut it in the place of suppuration or, if there are threads, dissolve them. Then he will wash the wound, treat it with antimicrobial, anti-inflammatory solutions and apply a sterile bandage lubricated with a wound healing cream.

After that, the seam must be carefully monitored and looked after. Otherwise, the healing process will take a long time.

Long non-healing postoperative sutures in many people cause concern for their health. No need to worry. It is enough to more carefully, regularly process and care for the seam, do everything according to the doctor's recommendations. After a short time, the seam will heal and stop bothering.

Take care of yourself and be healthy!

Do not miss the most popular articles of the rubric.

How to bandage after surgery, you should ask your doctor at the time of discharge. He should recommend antiseptics that are suitable for treating sutures at home. In the hospital, the treatment and dressing of wounds is the responsibility of the medical staff. In the surgical departments there is a dressing room for clean wounds, where healing sutures are processed. They use antiseptic liquids that inhibit the growth of pathogenic microflora, sterile wipes and bandages. As protection, special adhesive plasters with an antibacterial pad and postoperative dressings can be used.

Purulent dressing rooms are equipped with tools that allow you to clean the wound, make drainage, and treat it with antiseptics. They have special lamps that inhibit the growth of pathogenic microflora and accelerate healing. Wounds that are festering or oozing with blood are recommended to be treated in a hospital so that the doctor can observe the healing process and, if necessary, can prescribe stronger antibacterial agents.

Dressings after surgery at home are recommended only for clean, well-healing wounds. If it is necessary to treat a poorly healing wound at home, all conditions must be created to improve the patient's condition, and not harm him.

How to prepare for dressing

To make dressing at home, you need to arrange a workplace. For manipulations, a coffee table, stool, or corner of a large table is suitable. The selected place is treated with warm water with the addition of chlorine and soap, wiped with a clean towel and waiting for the surface to dry. Then cover with a clean piece of cotton fabric, ironed with a hot iron. All the tools and materials necessary for the work are laid out on the fabric. They must be clean and sterile. It can be:

All manipulations must be carried out in compliance with the rules of asepsis and antisepsis. Asepsis involves preventing the entry of an infectious agent into the wound during dressing, and antisepsis is aimed at destroying pathogenic microflora on the surface of the seam.
Wound healing is affected by the rate of outflow of fluids and the process of scarring. A wound in a healthy young person with well-functioning internal secretion organs heals faster than in an elderly person with fading functions of the endocrine system. The appearance of wet spots on the dressing means that the vessels of the damaged lymphatic system have not yet overgrown, and the healing of the seam has not begun. A long process of regeneration is observed in cancer patients and the elderly.

As long as the dressing is soaked with bodily fluids, dressings should be done daily, if necessary several times a day. The bandage should be changed if it has gone astray and does not fulfill its function. The appearance of pain under the bandage is a sign of infection. The appearance of painful sensations requires an urgent examination, treatment with an antiseptic and the application of a sterile bandage. A clean bandage is applied every time the wound is examined and manipulated.

Stages of wound treatment, algorithm

Treatment of the surgical wound requires accuracy and caution. A person who decides to play the role of a nurse on his own is faced with the task of examining the wound, cleaning it and changing the bandage painlessly. Dressing consists of the following manipulations:

• removal of the old bandage;
• skin disinfection;
• performing the necessary manipulations;
• carrying out protection of the skin from secretions;
• applying a sterile bandage;
• its strong hold.

How to remove a bandage that has dried to a wound

If the bandage is stuck to the wound, then it should not be torn off. Completely dried dressing material is cut with scissors. If only the last layers of gauze are stuck, they must be soaked with Hydrogen Peroxide or Sodium Chloride solution. Then they wait for a while until the layers of woven material get wet and fall behind. Adhering strips are removed in the direction along the wound. It is impossible to pull the bandage across the non-healing seam. This causes severe pain and can cause the edges of the wound to open. When removing the bandage, try to keep the scab on the healing seam.

Under it, tissue repair occurs. Damage leads to the appearance of blood and a slowdown in all regeneration processes. When removing a bandage or plaster, the skin is held with a spatula, tweezers with a gauze ball, or a gloved hand. Do not allow the skin to reach for the bandage. If, when removing the bandage, capillary bleeding appears, then it should be stopped by pressing the wound with a sterile napkin.

Then proceed to the treatment of the skin around the wound surface. To do this, prepare warm soapy water by adding a little ammonia to it in a ratio of 1:200. Processing is carried out with wet wipes or cotton balls from the edge of the wound to the periphery. The liquid must not get into the wound.
In case of severe contamination of the skin, the wound is closed with a sterile gauze cloth, and everything is washed with soap and a brush. After treatment, the skin is dried and treated with any antiseptic. Clean skin around the wound avoids the development of opportunistic microflora under the dressing, which threatens with serious skin diseases.

• 10% sodium chloride solution;
• potassium permanganate solution;
• hydrogen peroxide solution;
• Brilliant green;
• Chlorhexidine;
• Miramistin.

As an antiseptic at home, the seam is smeared with alcohol tincture of calendula or Betadine is used.

After treatment, the seam is covered with a sterile cloth soaked in an antiseptic, and a bandage is applied. If bandages are difficult to apply, a dressing patch is used to secure the dressing. First, it is applied to the entire length of the napkin in 2 strips, and then the patch strips are placed across, at a distance of 5 cm, capturing up to 10 cm of healthy skin.

Seam care with patches

In the pharmacy, you can purchase various products intended for the care of postoperative wounds. For dressings at home, manufacturers offer a large number of patches. These are sterile self-adhesive postoperative dressings with various antiseptics, which help to take good care of surgical sutures after surgery. They have the ability to absorb liquids, and this allows you to change dressings less often, allowing the suture to scar more quickly.

The patches do not cause skin irritation, are removed without pain and do not leave behind a piece of adhesive after application. They are equipped with special meshes that allow the wound to breathe and the fabrics not to stick to the seam:

1. For infected wounds, a colloidal silver patch is recommended.
2. Clean wounds can be sealed with a plaster without antiseptic additives.
3. For problematic skin, perforated film-based patches are recommended.
4. A healing wound can be covered with the lightest film alcohol bandage with an absorbent pad.

To select a patch, you need to come to the pharmacy and describe to the pharmacist the condition of the wound surface. He will help you choose the right option and advise on this issue.
After dressing work is completed, the treatment site should be disinfected with chlorine-containing products, and the instruments should be boiled. After that, it is recommended to keep them in a closed container until the next use.

Detect Language Azerbaijani Albanian Amharic English Arabic Armenian Afrikaans Basque Belarusian Belarusian Bengali Burmese Bulgarian Bosnian Welsh Hungarian Vietnamese Hawaiian Haitian Galician Dutch Greek Georgian Gujarati Danish Zulu Hebrew Igbo Yiddish Yiddish Indonesian Irish Icelandic Spanish Italian Yoruba Kazakh Kannada Catalan Kyrgyz Chinese Tra e Chinese Simplified Korean Corsican Kurmanji Khmer Khosa Lao Latin Latvian Lithuanian Luxembourgish Macedonian Malagasy Malay Malayalam Maltese Maori Marathi Mongolian German Nepalese Norwegian Punjabi Persian Polish Portuguese Pashto Romanian Russian Samoan Sebuan Serbian Sesotho Sinhala Sindhi Slovak Slovenian Somali Swahili Sundanese Tajik Thai Tamil Telugu Turkish Uzbek Ukrainian Urdu Filipino Finnish French Frisian Hausa Hindi Hmong Croatian Chewa Czech Swedish Shona Scottish (Gaelic) Esperanto Estonian Javanese Japanese

Azerbaijani Albanian Amharic English Arabic Armenian Afrikaans Basque Belarusian Bengali Burmese Bulgarian Bosnian Welsh Hungarian Vietnamese Hawaiian Haitian Galician Dutch Greek Georgian Gujarati Danish Zulu Hebrew Igbo Yiddish Indonesian Irish Icelandic Spanish Italian Yoruba Kazakh Kannada Catalan Kirghiz Chinese Trad Chinese Pr Korean Corsican Kurmanji Khmer Khosa Lao Latin Latvian Lithuanian Luxembourgish Macedonian Malagasy Malay Malayalam Maltese Maori Marathi Mongolian German Nepalese Norwegian Punjabi Persian Polish Portuguese Pashto Romanian Russian Samoan Sebuan Serbian Sesotho Sinhala Sindhi Slovak Slovenian Somali Swahili Sundanese Tajik Thai Tamil Telugu Turkish Uzbek Ukrainian Urdu Filipino Finnish French Frisian Hausa Hindi Hmong Croatian Cheva Czech Swedish Shona Scottish (Gaelic) Esperanto Estonian Javanese Japanese