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Surgical sutures: how surgical sutures are applied. Surgeon consultation. How long does it take for stitches to dissolve?

As a rule, having given birth to a baby, a new parent feels incredible relief on the one hand, but on the other hand, she almost immediately becomes immersed in new worries associated with the newborn, and quite often forgets about herself. It’s good if the birth took place without complications, and the young mother can immediately begin her duties. It is much more difficult for those whose health is after important event requires long-term treatment and recovery. So, after caesarean section The woman will face a lot of hassle related to caring for the sutures, and it will take a lot of time to recover after the operation. Having already arrived home from the maternity hospital, the parent is faced with many questions that she did not have time to get answers to, being under the constant supervision of specialists. Among the important and popular ones: when do threads dissolve after childbirth?

In fact, every second woman has to be stitched up after childbirth, and we are not talking about a caesarean section at all. Very often, during labor, ruptures or cuts of the perineum, vagina or cervix of varying degrees of severity occur. It is clear that after childbirth it is necessary to return everything to its place, and it is necessary to apply stitches to connect the torn tissues. How this happens (under general anesthesia or local), what kind of suture the doctor will make will depend on many factors (as well as the choice of suture material for this procedure). IN Lately Fortunately, they almost always use self-absorbable threads, which do not require removal but disappear on their own.

Timing of thread resorption after childbirth

Before you get acquainted with the resorption times of threads, you need to know what they are, what they are made of and, in fact, how they dissolve. Absorbable threads are made from natural or synthetic material, and they can disintegrate and be eliminated from the body by the action of enzymes (a kind of digestion occurs) or water ( chemical reaction called hydrolysis). Most often, catgut, maxon, and vicryl are used after childbirth:

Catgut is a suture material of a protein nature, which is made from purified connective tissue obtained from the layers of the large intestine cattle or sheep. Catgut sutures dissolve completely within a month, the first “detachments” of the threads are observed already on the 7th day. After birth tears and incisions, catgut is most often used to connect both internal and external tissues.
Vicryl- a modern suture material of synthetic origin, which is most often used during caesarean section. Complete resorption of the threads occurs after 60-90 days.
Maxon (PDS)- synthetic thread with high term maintaining strength, which is used to connect tendons (including after cesarean section). The threads dissolve completely only by the 210th day.

Possible complications

Postpartum sutures with self-absorbing threads do not require special care or removal. It is enough just to comply general rules personal hygiene, pay special attention to hygiene when applying sutures to the perineum:

wash yourself after every trip to the toilet;
dry the perineum with a towel;
treat seams with antiseptic agents;
change sanitary pads every 2 hours;
wear only loose underwear;
Wear shapewear only after the scars have completely healed.

Among possible complications If the doctor’s recommendations are not followed correctly, the following may occur:

suture divergence requiring re-application;
inflammation of the sutures, which provokes the development of various infections.

Increased pain at the suture site, as well as bleeding and increased body temperature are serious reasons to immediately consult a doctor. To avoid trouble, you should refrain from sexual intercourse for the first two months after giving birth when sutures are applied, and you are also not allowed to sit down for 2-3 weeks. A woman can only lie or stand (occasionally a half-sitting position is allowed).

Please also note that the resorption of threads and healing of the wound itself has different terms. So, the threads are already weakening, but the wound will still heal for some time. Normally, internal sutures do not cause any discomfort to a woman, but external sutures are often accompanied by painful sensations for the first 2-3 days. It is necessary to follow the instructions of the attending physician, then the postpartum period will fly by quickly, unnoticed, and most importantly - without complications.

Childbirth does not always go flawlessly; if it is accompanied by ruptures, then stitches are placed on them in mandatory. This also applies to caesarean section, but you shouldn’t worry too much - although the presence of stitches has a certain impact on the quality of life, over time the body recovers. In this situation, how long it takes for the sutures to dissolve after childbirth is directly related to where they are located.

Location of seams

They can be placed either in the vagina, in the perineum or on the cervix.

Absorbable materials are used for this; the operation itself is performed either under intravenous anesthesia, or after treatment with Novocaine or Lidocaine. The choice of pain relief depends on the number of tears and their size. A certain amount of soreness in the suturing area is present, regardless of whether the perineum or vagina is sutured. In this regard, sutures on the cervix cause the least discomfort. Being inside, they are not as painful as external stitches, which are felt with every movement.

Sutures in the perineum can be a consequence of both ruptures and artificial dissection. The latter heal easier. They also differ in severity:

Skin tears at the posterior commissure are considered the mildest;
moderate severity of rupture of vaginal skin and muscles;
the most severe are ruptures accompanied by injury to the walls of the rectum. In this case, it is best to ask your doctor about how long it takes for sutures to heal after childbirth.

How are the stitches sutured?

First, the issue of anesthesia is decided, so you should not be afraid that this will be done “live.” Although often the release of adrenaline into the blood after childbirth is so great that even stitching without anesthesia does not feel as painful as childbirth itself. Sutures are applied to the perineum in layers, first the internal injuries are sutured, then the muscles and lastly the skin. Non-absorbable materials can be used for it. For greater safety, such threads are impregnated with antibiotics so as not to cause an inflammatory process. Removal of superficial sutures is usually carried out before discharge from the maternity ward. The internal sutures dissolve on their own.

Suture after caesarean section

It requires special mention. Depending on what kind of incision is made, longitudinal or transverse, the suture can be intradermal cosmetic or nodal. The latter is applied during transverse dissection, as it is more durable. In this case, the healing of sutures after childbirth takes longer. Both types of suture are quite painful, but the internal subcutaneous one is more aesthetic appearance. Regardless of which suture is applied, antibiotic therapy is mandatory. The scar forms on the skin approximately 7 days after the operation, at the same time the silk external sutures are removed. The internal ones dissolve on their own, 2-3 months after birth, without causing discomfort to the mother in labor. the main problem sutures after cesarean section - this is the possibility of the formation of adhesions. It is impossible to prevent them with a guarantee, but it is believed that an active lifestyle, naturally within reasonable limits, helps normalize blood circulation and normal restoration of the body. Therefore, it is recommended to get out of bed as early as possible, as soon as the doctor allows it, regardless of pain in the suture area and fears associated with its strength.

Suture dissolution time

The main indicator of what determines how long it takes for sutures to heal after childbirth is the type of thread with which they were made. If the base material for them is catgut, then the duration of the resorption period can vary from a month to four. The location of application and the diameter of the thread also have a significant influence on this. Dacron threads dissolve much faster, from one and a half weeks to two months. Seams with vicryl threads disappear in 2-3 months. Do not confuse the timing of suture resorption with the timing of wound healing. For the latter, one and a half to two weeks is enough, while the sutures dissolve much later. If they are not made of threads, but in the form of metal brackets, then removal is indispensable. Typically, braces are removed 5-7 days after birth. You should not worry about the pain of this process; most often it causes nothing more than discomfort. The place where the stitches are placed can hurt much longer than the actual removal of the stitches after childbirth.

Complications of postpartum wounds

Alas, they also occur and the size of the seam is not the most important indicator here. The most common complication is suture dehiscence. Most often, this occurs with external seams, and the reasons for this may be the following:

sudden movements;
squats and premature landings;
inflammatory processes;
sex life.

If the stitches are placed on the perineum, then you cannot sit down fully in the first days. At best, you can sit on lateral surface thighs, in order to eliminate the load directly on the suture site. Ideally, it is best to either stand or lie down.

It is not difficult to understand that removal of stitches after childbirth will not be necessary, since the latter have come apart. First sign this phenomenon- a feeling of inflammation, bleeding or severe discomfort. It is not at all necessary that the sutures should “burst”; much more often there are situations where, due to the load experienced, they diverge slightly, this area becomes a gateway for infection, and then events develop more than typical. First, there is a feeling of distension in the area where the suture is applied, then inflammation is felt even on palpation, often painful; this process may be accompanied by an increase in temperature. In particularly aggravated cases, purulent discharge may be present, but for them to appear, you need to significantly improve your health. Therefore, if there are doubts about the quality of the seam, or unpleasant sensations in its area, you should not wait for discharge. A timely visit to a gynecologist will help to avoid many problems in the future, simplify treatment and get as close as possible to answering the question of how long it takes for sutures to dissolve after childbirth.

Caring for seams

In the conditions of the maternity hospital, it is fully entrusted to medical workers. The classic scheme is a daily examination, rinsing with antibacterial drugs, and treatment with wound-healing drugs. The most characteristic and frequently used among them is the common brilliant green. Sutures inside the uterus or vagina do not require special care, but compliance simple rules, relevant after childbirth, are only welcome. Therefore, to avoid infection, you should abstain from sexual activity until the discharge is over and the sutures are reabsorbed, do not expose them to excessive heat, and do not soak them. Therefore, you can forget about a bath for the next few weeks, just a shower. Special attention attention should be paid to nutrition, since in case of problems with stool, excessive impact on the damaged area is obvious. In order to prevent possible constipation, you need to plan the menu so that it does not contain an excess of flour products. But you should also be more careful with vegetables: an upset stomach in this situation is absolutely unnecessary.

Regardless of how long the sutures dissolve after childbirth, high-quality intimate hygiene is mandatory. It is advisable to wash your genitals after each visit to the toilet. There are no special requirements for the treatment of sutures after a cesarean section, since it is assumed that doctors discharge a woman from the maternity hospital only after they are finally convinced of the consistency of the suture and other indicators characterizing the patient’s normal recovery.

When does it stop hurting?

The scar after a cesarean section becomes barely noticeable almost half a year after the suture is applied. Before this, sensations of heaviness, spasms and “whining” in this area are quite possible. Sutures in the perineum do not require such a long recovery time, but here, too, much depends on the woman herself and on how strictly she follows the doctor’s recommendations. There are often situations when, even after the sutures have been absorbed, a certain dryness and tightness of the vagina is felt, which is most pronounced during lovemaking. Fear of pain can be a significant barrier, but two months after suturing, it is not only possible, but necessary to try. And it is not so important how long the sutures dissolve after childbirth; the recommendations of the attending physician and self-confidence are much more important. Despite the fact that the mother’s body has undergone significant changes, this is not a reason to deny herself intimate relationships. Using lubricant or more will help smooth out the situation in the first days. careful attitude to a woman.

The birth process often occurs with ruptures of the uterus or vagina. Subsequently, scarring problems arise. To prevent them, you need to know how long it takes for sutures to dissolve after childbirth and how to remove them correctly.

When a woman's tissue is damaged, an external rupture occurs. External sutures after childbirth are necessary when suturing the perineum. The manipulation is carried out using a material that does not dissolve: silk or polypropylene. When fusion has occurred, the threads are removed. Rupture of the cervix and vagina leads to the application of internal threads; materials of this type are used so that the sutures dissolve on their own.

When the perineum is damaged, damage occurs to the skin, muscles, and tissues up to the walls of the rectum. Doctors select different materials, the choice is influenced by the type and degree of rupture.

Types of threads:

nylon;
silk;
absorbable.

The suture after a cesarean section can be interrupted or cosmetic intradermal, depending on how the longitudinal and transverse incision was made. Both types are painful, however, internal or absorbable sutures after childbirth are more aesthetically pleasing. Regardless of the type chosen, antibiotic therapy is mandatory. After a week, scars are formed, at the same time the silk external sutures are removed. The threads come out within a month after childbirth.

Adhesions can be prevented by using active image life, it normalizes blood circulation and restores the body. It is recommended to get out of bed as soon as your doctor allows. This is independent of pain in the area of the commissure.

Stitches are applied in layers. First, internal damage is removed, then they move on to the muscles, and the skin is sewn last. For it, materials are taken that do not dissolve. The threads are impregnated with antibiotics to reduce the risk of inflammation. Superficial sutures are removed before discharge from the hospital; internal sutures fall off on their own.

When performing a caesarean section, use abdominal surgery, in which several layers of tissue are cut. Most often, an incision is made into the uterus to minimize blood loss and help wounds heal quickly. After stitching, the threads dissolve within a month. It is important to lead a healthy lifestyle and follow medical recommendations.

Deadlines

Most often, catgut sutures are used to stitch up the perineum, ruptures in the vagina or cervix during the natural process. Cosmetic stitches will be needed after childbirth if a caesarean section was performed. The type of rupture and size affects what drug the doctor will prescribe. Pain sensations differ when stitching the vagina or perineum. Internal adhesions on the uterus are less noticeable.

When do self-absorbable sutures dissolve after childbirth? It will take about three months. In this case, the woman in labor does not experience any discomfort.

Sutures are applied using the main types of threads:

Catgut is a self-absorbing material, the remnants of which come out by the end of the week after stitching. Self-absorbing sutures heal within a month after childbirth;
Vicryl. Used during caesarean section. Dissolves in 8-9 weeks;
Maxon. Resorption occurs after three months.

The material is applied in the perineum, on the cervix, and in the vagina. Absorbable sutures are used after childbirth, the procedure is carried out with tissue treatment with Novocaine or with the introduction of intravenous anesthesia. Painkillers are chosen depending on the rupture and its size. The sensitivity threshold for suturing in the vagina or perineum differs.

How long does it take for external sutures to dissolve after childbirth? Doctors estimate a period of five to seven days when using absorbable material. Staples and threads are removed after 3–7 days. Complete healing will occur within two weeks to one month. Discomfort and pain are felt for about six weeks. The scar hurts, like after surgery.

Removing stitches is a procedure that causes discomfort, not pain. The woman experiences pinpoint and sharp tingling sensations. The manipulation takes about 10 minutes, including preparation and treatment of scars. At this time, a burning sensation and a slight tingling sensation are felt.

Care

External sutures can provoke inflammation, suppuration, and infection. To prevent this, you need to know the rules of care. The healing time varies depending on how much the woman takes care of herself. Incisions and tears heal quickly if the woman rests, abstains from sexual activity, and treats the wounds with antiseptics.

Discharge from the uterus increases the healing time and acts as a foci for the development of infection. Stitches dissolve quickly after childbirth if a woman maintains hygiene.

To prevent bacteria from entering, the mother must:

change the gasket frequently;
treat scars with antiseptics;
wipe the perineum with sterile wipes;
do not sit down for ten days to prevent the seams from coming apart;
do not eat foods that cause constipation;
use natural underwear or disposable panties;
take a shower more often and wash your genitals with soap.

If catgut is used, the sutures will dissolve within five days. Only in some cases do they have to be removed. The treatment is carried out in the maternity hospital, antenatal clinic or at home. The hospital uses brilliant green and potassium permanganate. The obstetrician will tell you what to use at home after examining the condition of the adhesions. It is recommended to use Levomekol, Chlorhexidine, Hydrogen Peroxide. With proper treatment, sutures dissolve quickly after childbirth. Note absence negative consequences and cosmetic defects.

You should not be afraid of the process of defecation; if you skip it, it creates additional stress on the muscles and increases pain. To facilitate the process, the use of glycerin suppositories is allowed so as not to injure the perineum. If stitches were placed on it, you cannot sit down for the period from 7 to 14 days. You are allowed to go to the toilet on the first day after birth. After a week, you can sit on the buttock, which is located with opposite side from where the damage was.

Complications

Postpartum stitches often lead to discomfort. It is important to respond to pain in a timely manner to prevent complications. When a woman is in satisfactory condition, she should not lift weights. The usual way of life will return when six months have passed after suturing; the use of physiotherapy at home helps.

The following problems are noted during rehabilitation:

pain;
scar divergence;
suppuration.

Pain. Appears after childbirth, so the use of special ointments and dry warming will be required. Strong medications should not be used if the newborn is breastfed.

Discrepancy. Most often this happens if the seams are located on the perineum. The cause is early sexual activity, infection, sudden movements. The woman observes swelling, increased temperature, and the wound is bleeding.

Suture dehiscence is most often noted when performing mama physical exercise, sudden movements. It is recommended to call a doctor if blood is oozing from the wound. The condition is dangerous because an infection enters the muscle tissue, which leads to inflammation, fever, and increased temperature.

Itching. Indicates the elimination of pathology or infection in the wound. The severity is reduced by washing with warm water. Medicines do not use.

Suppuration of the wound leads to fever, weakness, unpleasant smell, fever and pain. Treatment occurs after examination using ointments and antibiotics.

How long does it take for tears to heal after childbirth? Within a month. In order for the wound to heal successfully, you need to maintain hygiene, use antiseptics and get plenty of rest. Be sure to follow a diet for proper bowel function. Treatment is practiced for a month.

To quickly heal sutures, you must follow simple rules and recommendations. For six months after giving birth, a woman needs to take care of personal hygiene, take care of herself, care for scars and wait until the body has fully recovered.

Sutures are applied very often after the removal of a wisdom tooth, since this event is usually equated to an operation. Removing the eight can sometimes be very difficult. As a result, you have to cut the gum and sew it up after extracting the tooth.

The seams vary greatly in quality. They may resolve on their own or require specialist action in the future. In any case, after the operation it is necessary to check with the dental surgeon exactly what type of threads was used. But with the right approach, the specialist himself, without reminding the patient, will inform about the need for the next visit to remove the stitches.

Sutures are often used when removing a large dental problem such as a wisdom tooth. It is very difficult to rid the patient of this element without damaging the gums, so it is often necessary to additionally stitch the tissue.

Even with the most careful work of a dentist, it is difficult to get rid of a wisdom tooth without problems. It is located very deeply and is attached to the gum by two roots at once. To remove the outer teeth, the surgeon makes 1 or 2 incisions in the gum (see pictures below). After this, careful extraction is performed.

When wisdom teeth are removed, there is often a need for sutures. They can be applied even if there are signs of swelling on the gum. Tissue swelling is a completely natural process after trauma to the gums through incisions.

If the specialist applies the stitches correctly, the wounds should heal well. In this case, there should not be severe bleeding, since the first blood clot will not be displaced due to the sutures.

This procedure is also a preventive method, since the wound is closed and the risks of penetration of pathogenic microorganisms, of which there are quite a lot in the oral cavity, are minimized. That is, the smaller the wound, the less often it becomes infected and the faster it heals.

Oksana Shiyka
Dentist-therapist
Regardless of what threads the dentist uses, suturing does not take much time. And yet, self-absorbing materials are more convenient, because in this case there will be no additional trauma to the body.
The quality of the scar and the wound healing time after wisdom tooth removal depend not only on how the suture is applied, but also on possible complications. Removing the last tooth is one of the most difficult dental operations, so additional complications are not excluded.
For difficult removal, sutures can be placed like this.
It is worth noting that when the removal of a wisdom tooth occurs without complications, and the doctor uses ordinary materials for suturing, the threads can be removed within a week. However, a specialist must first assess the condition of the oral cavity and exclude the development of pathology. Only after this will it become clear whether the stitches can be removed or whether they should be left in place for more complete healing of the wound.
How long does it take for threads to dissolve?
Special threads for suturing are very convenient, since when using them there is no need to further injure the surgical site. But not all patients know how long they need to wait for the process of thread resorption to complete.
Oksana Shiyka
Dentist-therapist
As a rule, if high-quality suture material is used, not a trace will remain of it within 20–30 days after the operation.
It should be noted that the threads simply fall apart, and then the person unnoticed swallows them. There is no discomfort or danger if thread residues enter the stomach.
The advantage of using such material for suturing is that with them there is no need for an additional trip to the doctor. However, a week or two after surgery to remove a wisdom tooth, you should still visit the dentist to make sure that the surgical intervention did not lead to complications, for example, to an inflammatory process.
The exact time after which the seams will completely disappear is impossible to determine. But there are still approximate deadlines for each type of material.
In medical practice, 2 types of threads are widely used:
The first type, namely classic catgut, has been used for decades. This material has been used for more than a century, but recently it has begun to be replaced by new types of retainers. Classic threads can hold seams from 10 to 140 days. Over time, enzymes will begin to attack them, which will lead to their complete breakdown and elimination by the body. Nowadays, catgut is very often used when removing wisdom teeth. This operation is rarely done without stitches, but if you put them in, it’s very difficult to remove them. Absorbable sutures will be very useful.
Oksana Shiyka
Dentist-therapist
But it must be borne in mind that catgut cannot be used in situations where the risks of complications and inflammatory processes are very high.
More modern materials that are used today for suturing are synthetic threads such as Dexon and Vicryl. They are based on polyglycomic acid and polyclatin. It is convenient to create knots with such threads, which simplifies the surgeon’s work. Resorption of synthetic materials occurs through hydrolysis. It takes about a month for stitches of this type to completely disappear. Vicryl dissolves much faster than Dexon.
Oksana Shiyka
Dentist-therapist
The advantage of synthetic thread is that it can be used to suture even in areas where the risk of complications is high. Vicryl and Dexon do not cause inflammation, so they can be used during any operations, even the most complex ones.
In any case, the patient must visit the doctor a week or two after the removal of the wisdom tooth. When using synthetic threads and the complete absence of complications, dentists try to get rid of stitches before they dissolve on their own.
Possible complications
This element itself is very complex, and its removal often provokes additional problems in treatment. Therefore, if severe discomfort appears at the suture site a couple of days after the operation, you should consult a doctor. This may be severe pain or increased swelling. By the third day, postoperative swelling should subside. If it increases by this time, most likely we are talking about the development of complications.
Trouble may also arise with bleeding. Small amounts of blood in saliva in the first day after tooth extraction are considered quite normal. If the bleeding is severe and does not go away for several days, you should definitely consult a dentist. Most likely, the stitches will have to be re-stitched.

Contents [Show]

"MedPGA-R" is a synthetic thread made on the basis of polygliglactin-910. This surgical material is coated with a special absorbable polymer. This reduces friction as the thread passes through body tissue, and also reduces wicking and capillarity. Thanks to this surgical material, self-absorbing sutures can be applied.

"MedPGA-R" is a material that is susceptible to hydrolytic decomposition. Such threads are quite strong. After five days, 50% of their strength properties are retained. Complete resorption occurs only on day 40-50. It is worth noting that the tissue reaction to the MedPGA-R surgical material is insignificant. In addition, threads do not cause allergies.

What stitches were placed?

information

Catgut
Lavsan
Vicryl(60-90 days).

Early sitting down;
Sudden movements;
Sex life;
Suture infection.

Signs of seam dehiscence:

Pain in the wound area;
Painful swelling;
Temperature rise(if infected);

Heat;
Hyperemia(redness) of the wound area;
Soreness;

remember

During surgical intervention Increasingly, absorbable sutures are applied - the so-called threads, which perform a fixing function: they hold damaged tissues and promote their healing. How long such threads take to dissolve depends on several factors - the place where they are applied, the individual characteristics of the body, but the main one is the material used to make the base of the threads.

This is the name given to retaining threads that lose their fixing properties within up to 4 months. In surgical practice, the following types of self-absorbing sutures are most often used:

Catgut is an organic type of thread made from cow intestines. At the same time, it is the longest absorbable - catgut “lasts” up to 4 months;
Lavsan is a synthetic thread created on the basis of polyesters. They are used when long-term fixation is not required, since the material quickly loses its holding power;
Vicryl is another representative of synthetic sutures that are actively used in medicine, including cosmetics.

Besides those mentioned, there are many other types of materials used. Their choice depends on the type of intervention performed and the mobility of tissue in the area of the operation, so only a doctor can individually select threads that will not subsequently leave scars, but will resolve in a short time.

The main factors contributing to the independent destruction of such threads in human tissues are:

Chemical reactions of the body based on the interaction of proteins;
Chemical reactions of the material with water contained in the human body.

They provoke the dissolution of postoperative threads, which are used to tighten surgical tissue incisions for a short time.

This type of medical materials is used when suturing surgical wounds: such manipulations are carried out both on the surface of the skin, during cosmetic operations, and in deep layers of tissue, for example, during transplantation of internal organs.

The main function of such sutures is to maintain internal tissues in a stable condition until they grow together and begin to function without outside support.

It is advisable to use absorbable sutures in cases where the patient does not have the opportunity to return to the surgeon to remove the applied staples, clamps or sutures made of durable materials.

The most common use of absorbable sutures in gynecology is for suturing the perineum, tears in the vagina or cervix during natural childbirth. Studies have shown that during the postpartum period, the threads removed themselves within 2-4 months.

To understand how many days it takes for the threads to dissolve, you must first ask your surgeon what material was used for suturing. The doctor will not only clarify the information you are interested in, but will also advise how long it will take for the stitches to completely dissolve. Only a specialist can competently assess this process, taking into account the individual characteristics of the patient.

But in general case To determine how long the threads take to dissolve, you need to look at the type of threads used during the operation:

Catgut begins to lose its fixing properties after a month, while the threads finally dissolve only at the end of the 4th month of wound healing;
Lavsan is often used in cosmetology, since the material begins to deteriorate already on the 10-12th day, but this process can take up to 1.5 months;
Vicryl has an average degree of resorption: the threads lose their strength after 2-3 months.

In this case, it is worth making allowances for proper care for the postoperative wound according to the scheme recommended by the supervising surgeon. If it is not handled correctly and the rules of personal hygiene are neglected, healing may be delayed and the process of suture resorption may worsen.

Having dealt with the question of how long it takes for the threads to dissolve, it is important to understand how to properly care for the suture after surgery so that healing proceeds safely, the threads are safely torn away, as quickly as possible, and there are no scars left at the site of the intervention.

Please note the following the most important rules postoperative suture care:

The most important point is the sterility of all manipulations performed. Before treating a wound, be sure to wash your hands and thoroughly disinfect all instruments.
Depending on the nature of the sutured wound, it must be treated with an antiseptic - brilliant green, Fukortsin, potassium permanganate solution, hydrogen peroxide, medical alcohol. It is better to check with the supervising surgeon what exactly to use. You may have to combine medications and use them together with anti-inflammatory ointments.
During water procedures, avoid friction; the wound can only be washed with warm water or a decoction of herbs.
If we talk about postpartum sutures, then it is imperative to comply intimate hygiene– this will prevent complications.

So, in order to find out how long it will take for the sutures to be successfully absorbed after surgery, you must first find out the material from which they are made. It is also worth taking into account the individual characteristics of the body: if you have a tendency to long-healing wounds, then be prepared for the fact that complete resorption of postoperative threads can take up to six months, especially if organic materials were used during suturing of the wound.

Review

what stitches did you get;

non-absorbable sutures;
clamps;
staples.

Types of threads:

nylon;
silk;
absorbable.

You can prevent adhesions with an active lifestyle; it normalizes blood circulation and restores the body. It is recommended to get out of bed as soon as your doctor allows. This is independent of pain in the area of the commissure.

When performing a caesarean section, abdominal surgery is used, in which several layers of tissue are cut. Most often, an incision is made into the uterus to minimize blood loss and help wounds heal quickly. After stitching, the threads dissolve within a month. It is important to lead a healthy lifestyle and follow medical recommendations.

When do self-absorbable sutures dissolve after childbirth? It will take about three months. In this case, the woman in labor does not experience any discomfort.

Sutures are applied using the main types of threads:

Catgut is a self-absorbing material, the remnants of which come out by the end of the week after stitching. Self-absorbing sutures heal within a month after childbirth;
Vicryl. Used during caesarean section. Dissolves in 8-9 weeks;
Maxon. Resorption occurs after three months.

How long does it take for external sutures to dissolve after childbirth? Doctors estimate a period of five to seven days when using absorbable material. Staples and threads are removed after 3–7 days. Complete healing will occur within two weeks to one month. Discomfort and pain are felt for about six weeks. The scar hurts, like after surgery.

Discharge from the uterus increases the healing time and acts as a foci for the development of infection. Stitches dissolve quickly after childbirth if a woman maintains hygiene.

To prevent bacteria from entering, the mother must:

change the gasket frequently;
treat scars with antiseptics;
wipe the perineum with sterile wipes;
do not sit down for ten days to prevent the seams from coming apart;
do not eat foods that cause constipation;
use natural underwear or disposable panties;
take a shower more often and wash your genitals with soap.

If catgut is used, the sutures will dissolve within five days. Only in some cases do they have to be removed. Treatment is carried out in a maternity hospital, antenatal clinic or at home. The hospital uses brilliant green and potassium permanganate. The obstetrician will tell you what to use at home after examining the condition of the adhesions. It is recommended to use Levomekol, Chlorhexidine, Hydrogen Peroxide. With proper treatment, sutures dissolve quickly after childbirth. The absence of negative consequences and cosmetic defects is noted.

The following problems are noted during rehabilitation:

pain;
scar divergence;
suppuration.

Pain. Appears after childbirth, so the use of special ointments and dry warming will be required. Strong medications should not be used if the newborn is breastfed.

Dehiscence of the seams is most often noted when the mother performs physical exercises or sudden movements. It is recommended to call a doctor if blood is oozing from the wound. The condition is dangerous because an infection enters the muscle tissue, which leads to inflammation, fever, and increased temperature.

Itching. Indicates the elimination of pathology or infection in the wound. The severity is reduced by washing with warm water. Medicines are not used.

Suppuration of the wound leads to fever, weakness, unpleasant odor, fever and pain. Treatment occurs after examination using ointments and antibiotics.

How long does it take for tears to heal after childbirth? Within a month. In order for the wound to heal successfully, you need to maintain hygiene, use antiseptics and get plenty of rest. Be sure to follow a diet for proper bowel function. Treatment is practiced for a month.

In some cases, for example, during surgery or after childbirth, absorbable sutures are required. For this, special material is used. There are many types of absorbable sutures. The healing time of such wounds depends on many factors. So how long do self-dissolving sutures take to dissolve?

To answer this question, it is necessary to clarify what the main types of seams exist. Typically this is:

Internal. Such sutures are applied to injuries resulting from mechanical impact. Certain types of tissue are used to connect tissue at the site of the tear. Such self-absorbing sutures heal quite quickly. They are often placed on the cervix of women after childbirth. In this case, anesthesia is not required, since this part of the reproductive organ is devoid of sensitivity.
External. They can also be applied using absorbable material. After childbirth, such sutures are made when there is a rupture or dissection of the perineum, as well as after operations. If regular material is used, it must be removed 5-7 days after surgery.

It is worth considering that self-absorbing sutures can heal after several weeks. It all depends on the type of material and its composition.

Self-absorbing sutures are almost always applied. It is extremely rare that surgical material that is resistant to hydrolysis is used for wound healing. Sutures that lose their strength after 60 days are considered absorbable. The threads dissolve as a result of exposure to:

Enzymes that are present in tissues human body. In other words, these are proteins that control and accelerate the occurrence of chemical reactions.
Water. This chemical reaction is called hydrolysis. In this case, the threads are destroyed under the influence of water, which is present in the human body.

Analogues of such surgical material are “Safil”, “Polysorb”, “Vicryl”.

Self-absorbing sutures after surgery or after childbirth can be applied using MedPGA thread. This surgical material is made on the basis of polyhydroxyacetylic acid. These threads are coated with an absorbable polymer. This is required to reduce wicking and capillarity, as well as to reduce the sawing effect that occurs when the material is passed through tissue.

Self-absorbing sutures applied using MedPGA thread undergo hydrolytic disintegration, which is strictly controlled. It is worth noting that this material is quite durable. After 18 days, the threads retain up to 50% of their strength properties.

Complete resorption of the surgical material occurs only after 60-90 days. At the same time, the reaction of body tissues to MedPGA threads is insignificant.

It is worth noting that such surgical material is widely used for suturing all tissues, with the exception of those that are under tension and do not heal for a long time. Most often, MedPGA threads are used in thoracic and abdominal surgery, gynecology, urology, plastic surgery and orthopedics. However, it is not used on nervous and cardiovascular tissues.

Analogs of such surgical material are Safil Quick and Vicryl Rapid.

This material is used for suturing mucous membranes, skin, soft tissues, as well as in situations where short-term wound support is necessary. However, there are exceptions. Such threads are not used on nervous and cardiovascular tissues.

Analogs of such surgical material are “Safil”, “Polysorb”, “Vicryl”.

"MedPGA-910" is an absorbable thread made on the basis of polygliglactin-910. The surgical material is also treated with a special coating, which reduces the “sawing” effect when the material passes through tissue, as well as reduces capillarity and wicking.

So, when do self-absorbing sutures applied using the surgical material “MedPGA-910” dissolve? Such threads have high rate strength. However, they also undergo hydrolytic degradation. After 18 days, the surgical material can retain up to 75% of its strength properties, after 21 days – up to 50%, after 30 days – up to 25%, and after 70 days, complete resorption of the threads occurs.

Applicable this product when suturing soft tissues that are not under tension, as well as those that heal quickly, in plastic, thoracic and abdominal surgery, gynecology, urology and orthopedics. MedPGA-910 should not be used when suturing nervous and cardiovascular tissues.

There are not many analogues of such surgical material. This is Biosin, as well as PDS II. Such threads are characterized by a high level of biological inertness, are non-wicking and non-capillary, hydrophobic, do not injure tissue when passing through them, are elastic, quite strong, knit well and hold a knot.

PDO monofilaments are hydrolyzable. As a result of this process, dihydroxyethoxyacetic acid is formed, which is completely eliminated from the body. 2 weeks after suturing, the surgical material retains up to 75% strength. Complete dissolution of the threads occurs within 180-210 days.

As for the scope of application, the surgical material “PDO” is used for suturing and connecting soft tissues of any type, including for suturing cardiovascular tissues of the child’s body, which are subject to further growth. However, there are exceptions. Monofilaments are not suitable for suturing tissues that require wound support for up to 6 weeks, as well as those that are subject to heavy loads. Suture material should not be used when installing implants, artificial heart valves, or synthetic vascular prostheses.

Next, we will consider everything about what self-absorbing sutures are after childbirth: when they dissolve, do they require care. Do not forget that the timing of wound healing and complete disappearance of threads is influenced by many factors. First of all, you need to know what raw materials the surgical material is made from. In most cases, the threads begin to dissolve 7-14 days after suturing. To speed up the process, a healthcare professional may remove the nodules after the wound has healed. To determine the timing of thread resorption, you should check with your doctor:

What stitches were placed?
What material were the threads made from?
Approximate time frame for dissolution of suture material.

Self-absorbing threads are often used when suturing surgical wounds that are located in the deep layers of tissue, as well as on the surface of the skin. For example, during organ transplantation.

The same surgical material is used to stitch up wounds and tears received during childbirth. At the same time, a lot of research has been carried out. Their results showed that suture material made from polyglycolic acid completely disappeared after only four months, and material based on polyglactin after three. In this case, self-absorbing sutures will hold the edges of the wound until it is completely healed, and then gradually begin to collapse. If the threads persist for a long time and cause discomfort, then you should seek help from a surgeon or attending physician.

It depends on what material they are made of. Most absorbable sutures will begin to dissolve within 1-2 weeks. However, it may take several months for complete resorption. After the surgical wound has healed, the nurse may remove the remaining suture ends to speed up the process.

Ask your surgeon or healthcare provider:

what stitches did you get;
How long will they take to dissolve?

Sutures are considered absorbable if they lose almost all of their strength within 60 days. Suture threads dissolve under the influence of the following factors:

enzymes found in body tissue (enzymes are proteins that speed up and control the body's chemical reactions);
hydrolysis (chemical reaction with water contained in the body).

Absorbable sutures are most often made from the following materials:

polyglactin: loses approximately 25% of its strength after two weeks, 50% after three, completely resolves in 3 months;
polyglycolic acid: loses approximately 40% of its strength after one week, 95% after four, completely dissolves in 3-4 months.

There are several other types of suture threads. On average, absorbable sutures should begin to disintegrate within four weeks. Some materials completely dissolve after six months.

Absorbable sutures are used for suturing surgical wounds located on the surface of the skin and in deeper layers of tissue. They are usually used to close surgical wounds located deep under the surface of the skin. For example, they can be used during heart surgery or organ transplantation.

Absorbable sutures are also used to close wounds on the surface of the skin. For example, they can be used after childbirth to stitch up a tear in the perineum (the area of skin between the vagina and anus).

According to the results of one study, polyglactin sutures used for perineal rupture dissolved after three months, and polyglycolic acid sutures - after four.

Absorbable sutures will connect the edges of the wound until it is completely healed, and then gradually dissolve.

If they continue to cause you discomfort after the wound has healed, make an appointment with your surgeon. He will carefully remove the remaining seam ends.

Other methods used when suturing wounds:

non-absorbable sutures;
clamps;
staples.

They should be removed by your healthcare provider once the wound has begun to heal.

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Recovery after childbirth
Self-absorbing sutures

Self-absorbing threads are often used during surgical interventions, including after childbirth. To apply such sutures, they are used various materials, which dissolve on their own over a certain period of time (catgut, lavsan, vicryl).

information Self-absorbing sutures after childbirth are in most cases used for ruptures of the internal genital organs (vagina, cervix), because access to these organs is difficult and will be easier if there is no need to subsequently remove sutures there.

For ruptures and cuts in the perineum, various sutures can be applied: both self-absorbing ones and those requiring the removal of threads.

The resorption time of sutures depends on the threads with which it was made:

Catgut. The resorption time depends on the diameter of the thread and the place of its application and ranges from 30 to 120 days;
Lavsan. There are threads with different resorption periods (from 10-12 days to 40-50 days);
Vicryl(60-90 days).

The main complications of sutures in the postpartum period are failure (divergence) of the sutures and their suppuration (infection).

Failure of internal sutures (on the cervix and in the vagina) is extremely rare. Basically, the divergence of the external sutures applied to the perineum occurs.

The main reasons for the divergence of the wound on the perineum:

Early sitting down;
Sudden movements;
Sex life;
Suture infection.

Signs of seam dehiscence:

Pain in the wound area;
The appearance of wound bleeding;
Painful swelling;
Temperature rise(if infected);
Feeling of heaviness and fullness in the area of the postoperative wound(indicates an accumulation of blood - a hematoma).

In most cases, wound infection occurs when personal hygiene rules are not followed and sutures are not properly cared for.

The main signs of purulent-inflammatory complications of sutures in the perineum are:

Heat;
Hyperemia(redness) of the wound area;
Soreness;
The appearance of purulent discharge from the sutures.

At the first sign of complications, you should immediately contact your obstetrician-gynecologist for help. The doctor will carry out the necessary procedures and prescribe treatment.

remember Sutures placed on the vagina and cervix do not require additional treatment: the woman just has to follow the rules of personal hygiene to prevent the development of purulent-inflammatory complications. Sutures in the perineum, on the contrary, require increased attention and careful adherence by the mother to all recommendations.

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Suture after caesarean section

Suture dissolution time

Complications of postpartum wounds

Caring for seams

When does it stop hurting?

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Possible complications

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