How many sutures heal?
Any surgical intervention with a violationIntegrity of the skin integument ends with the imposition of postoperative sutures. Very many factors affect how much the seams will heal and if scar tissue is formed at this site. Let's find out how long it takes to heal the seams and what it's on.
How many sutures heal: approximate dates
Postoperative wound is delayed after 7-9days after surgery. It is through this interval of days that seams are removed, if they were made by non-absorbable materials. In this case, for an operation on a particular part of the body, it is possible to distinguish such average healing times:
- After laparoscopy or removal of appendicitis, the sutures heal on the 6-7th day;
- after extensive cavitary operations on wound healing may take up to 12 days;
- long wounds heal and after operations in the sternum - up to 14 days;
- seams from operation on a meniscus can be removed on the 5th day;
- wounds on the head heal on the 6th day;
- post-mutilation wounds heal on the 12th day.
However, it should be borne in mind that the connective tissue, which is responsible for the durability of scarification, grows in 2-3 months.
Influencing factors
In the absence of any complications afteroperations, concomitant pathologies and complicating factors described below, postoperative sutures are quickly tightened. How long does the suture heal? Already in 5-7 days after the operation the patient can be discharged home. Approximately 6 months after the operation, he still can not lift weights and perform heavy work. Let's consider more in detail, on what the speed of healing of seams depends.
- Age of the patient: the younger the person, the faster the processes of tissue fusion and scar formation take place.
- The weight of the patient and the presence of fatty subcutaneous deposits affect the healing process of the joints. In people suffering from obesity, healing of postoperative sutures takes longer and usually with complications.
- The patient's diet is influenced - in fact, the more diverse a person eats after the operation, the sooner the wounds heal.
- Water depletion of the body (dehydration)provokes the appearance of imbalance of electrolytes. This leads to violations in the work of the kidneys and the heart. The tissues are not saturated with oxygen in sufficient quantity, and as a result, the healing processes are inhibited.
- The rate of healing of the joints depends on the type of blood supply in the surgical intervention area. Therefore, for example, the wounds on the face are tightened more quickly.
- The state of the patient's immunity directly affectswound healing speed. In patients with HIV status or immunodeficiency, the healing process is sometimes very prolonged, so they need to process a postoperative wound much more often.
- One of the factors is the presence of chronic or endocrine diseases. So, for example, diabetes mellitus greatly complicates the healing of sutures.
- The healing of sutures is affected by pathogenic organisms or suppuration in the wound. The process of healing of sutures slows down and because of secondary infection of postoperative wounds.
- The healing time depends on the size of the wound. The larger the area, the longer the healing process takes place.
Suture material and methods of suturing
Seams can be made natural orsynthetic threads. In recent years, increasingly self-absorbing suture materials, since the healing of such wounds occurs much easier and faster. In addition, such seams do not need to be removed, and this greatly facilitates the recovery process after surgery, because the patient does not suffer from unnecessary unpleasant sensations during the extraction of threads. Such yarns that can be resorbed can be of natural origin (for example, bovine veins) or synthetic (polyfilament: polysorbate, vicryl, monofilament: polydioxanone, catgut, makson, etc.).
Non-absorbable sutures (silk, capron,prolene, etc.) require extraction from the wound after its edges are consolidated. But the fact that such strings are in the wound during its healing, increases the possibility of infection. In addition, during their extraction, the wound surface is again slightly damaged, which makes it difficult to heal the joints. More precisely, to find out when to remove such stitches, you can from our article: Through how many are removed stitches.
How much time the seams heal depends,how they were imposed. So, single-row seams (the simplest, superficial) heal and can be removed after 3-5 days. A multi-row, when several layers of tissues are sewn together, heal longer and heavier, besides, there is a high probability of their suppuration. Therefore, these seams are removed no earlier than 7-10 days.
Sutures after childbirth
How many sutures heal after birth, if they werenatural, depends on how many ruptures occurred during childbirth. So, you can put seams on the cervix. They are carried out by absorbable threads. These seams do not require special care, you just need to give up sex for 1-2 months. But the seams on the vagina and perineum heal longer and more difficult. It is impossible to impose any bandages on this zone, therefore the seams here constantly become wet, and at movement they are stretched, that even more complicates their coalescence. Therefore, it is necessary to treat them as often as possible with the help of antiseptics. The duration of healing of deep ruptures can reach up to 3 months.
The seam from the wound at caesarean section is done onuterus and on the skin around. At the same time, the suture on the uterus, made by absorbable threads, heals quickly and painlessly. However, he is scarred only two years after the operation, so doctors do not recommend planning a pregnancy before this time. But the seam on the skin is usually large enough and causes painful sensations during healing. Such seams are superimposed by non-absorbable materials that will need to be removed in a week, or resorbable, which will completely dissolve within two months.