Sutures dissolve after. When the threads dissolve after childbirth. What to do if the seam hurts after surgery

13.07.2021 Recipes

The postpartum period for a woman is not always “cloudless”. Other troubles are added to the daily worries of the little man. It all depends on the course of labor. Recently, and or with incisions during childbirth, few people are surprised. The result of these "procedures" is the stitches that raise a lot of questions for newly minted mothers. Inner seams are especially "unpredictable" and "mysterious". It is understandable, because the outer seam can always be felt or even seen, but the inner seams are covered with "darkness".

How did they come about

Let's first remember what the inner seams are and where they come from. The cause of the internal seams - or the walls of the vagina. Most often, the cervical tissue "breaks" in when the cervix opens slowly, and the woman begins to push prematurely, that is, push the fetus out. Almost every woman has premature attempts, but they need to be "held" in every possible way until the cervix is fully dilated. The head of the fetus, during attempts, exerts strong pressure on the cervix, and if it has not yet fully opened, then it simply breaks. For the same reason, the walls of the vagina can rupture.

Internal breaks are not always visible. However, after childbirth, each doctor carefully examines the woman in labor and provides her with the necessary assistance in case of ruptures, that is, stitches. This procedure is absolutely painless, because the cervix has no pain receptors, so the woman is not given anesthesia. Sutures are performed in several ways, depending on the severity of the rupture, with special self-absorbable sutures. Basically, for this they use catgood - a suture material that is made from the intestines of cattle or sheep - or vicryl.

What to do with them

Absolutely nothing. Internal seams are only "pleasant" because they do not require special care, and do not need any ointments, douches, and even more pills. Since the tears are sutured with self-absorbable sutures, they do not need to be removed accordingly. Over time, they "self-destruct". When will this happen and how can you find out about it? It all depends on the suture material and the severity of the tear. Usually the threads are completely absorbed after 90 days. But there are those that "fall away" much earlier, but not earlier than the complete fusion of damaged tissues. Sometimes "residues" of thread are visible on the laundry, but this is not the main indicator. Doctors say that you should not worry if you do not find parts of the thread, but at the same time you absolutely do not feel any other discomfort.

Personal hygiene is essential for quick and safe healing of internal sutures. This includes both the cleanliness of the external genital organs and the whole body. Don't forget about your diet too. After all, constipation is extremely undesirable: unnecessary "attempts" adversely affect the condition of the wounds, which should "grow together". A woman must also comply with the following requirements:

Do not lift weights;
Do not make sudden movements, especially in the first days after childbirth;
Refrain from sexual intercourse for 1-2 months.

When to see a doctor

Many women complain of abdominal discomfort after internal sutures. Painful sensations, a feeling of twitching and pulsation very often occur. In the first 2-3 days after childbirth, these phenomena are very normal, but if they continue further, then you need to urgently consult a doctor. You also need to see a specialist immediately if you have:

Pain in the area of sutures does not stop;
There is a feeling of heaviness in the uterus or vagina;
The body temperature rises;
Purulent discharge with an unpleasant odor appears.

All these symptoms can indicate either seam ruptures or inflammatory processes in the area of internal seams. In any case, the diagnosis, and even more so the treatment should be prescribed by a doctor. You may be prescribed either ice pack, ointment or antibiotic treatment, or a second surgical procedure.

However, even if absolutely nothing bothers you in the postpartum period, you should not postpone a visit to the gynecologist. The physician must "assess" the condition of the scars. With improper tissue fusion, or seam rupture, most often the cervix is deformed, as a result of which chronic inflammation of the cervix and other sores appear.

Comes after 3-6 months.

Patience and health!

Specially for- Tanya Kivezhdiy

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

Ask your surgeon or healthcare professional:

what stitches you have;
how much they will be absorbed.

What are absorbable sutures?

Stitches are considered absorbable if they have almost completely lost their strength within 60 days. Suture threads dissolve under the influence of the following factors:

enzymes found in body tissues (enzymes are proteins that speed up and control chemical reactions in the body);
hydrolysis (a chemical reaction with water in the body).

What material are absorbable sutures made of?

Absorbable sutures are most often made from the following materials:

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

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

When are absorbable sutures used?

Absorbable sutures are used to suture surgical wounds located on the surface of the skin and in deeper layers of tissues. They are usually used to close surgical wounds deep below the surface of the skin. For example, they can be used during heart surgery or organ transplant.

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

One study found that polyglactin sutures used for perineal rupture resolved 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, after the wound has healed, they continue to cause you inconvenience, make an appointment with the surgeon. It will gently remove the remaining ends of the stitches.

What else is used when suturing wounds?

Other methods used when suturing wounds:

non-absorbable sutures;
clamps;
staples.

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

Sutures after the extraction of a wisdom tooth are very often superimposed, since this event, as a rule, is equated with an operation. Removing the 8 is sometimes very difficult. As a result, you have to cut the gum, and after the extraction of the tooth, sew it up.

The seams vary greatly in quality. They can resolve on their own or require specialist action in the future. In any case, after the operation, it is imperative to check with the dental surgeon which type of thread 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.

Stitches are often used to remove a major dental problem such as a wisdom tooth. It is very difficult to rid the patient of this element without damaging the gums; therefore, it is often necessary to additionally suture the tissues.

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

When removing a wisdom tooth, stitches are often needed. They can be applied even when signs of swelling appear on the gums. Swelling of tissues is a completely natural process after trauma to the gums with incisions.

If the specialist places the stitches correctly, the wounds should heal efficiently. In this case, severe bleeding should not occur, since the first blood clot will not be displaced due to the stitches.

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

Oksana Shyka
Dentist therapist
Regardless of what kind of threads will be used by the dentist, suturing does not take much time. Nevertheless, self-absorbable materials are more convenient, because in this case, you do not have to additionally injure the body.
The quality of the scar and the time it takes for the wound to heal after wisdom tooth extraction depends not only on how the suture will be sutured, but also on possible complications. Extraction of an extreme tooth is one of the most difficult dental operations, so additional complications are not excluded.
With difficult removal, the sutures can be applied like this.
It is worth noting that when the removal of a wisdom tooth occurs without complications, and the doctor uses conventional suture materials, the threads can be removed after a week. However, the specialist must first assess the condition of the oral cavity and exclude the development of pathology. Only after that it will become clear whether the stitches can be removed or whether they should be left for a more complete wound healing.
How long does the thread dissolve
Special sutures for suturing are very convenient, since when using them there is no need to additionally injure the site of the operation. But not all patients know how long it takes to wait for the thread resorption to complete.
Oksana Shyka
Dentist therapist
As a rule, if a high-quality suture material is used, there will be no trace of it within 20-30 days after the operation.
It should be noted that the threads simply disintegrate, and then the person imperceptibly swallows them. There is no discomfort or danger when the remains of the threads get into the stomach.
The advantage of using such a material for suturing is that there is no need for an additional visit to the doctor with them. However, a week or two after the operation to remove the wisdom tooth, you should still visit the dentist to make sure that the surgery 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 terms for each type of material.
In medical practice, 2 types of threads are widely used:
The first type, namely the classic catgut, has been used for more than a dozen years. This material has been used for more than a century, but recently new types of retainers have begun to replace it. 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 of the body. Nowadays, catgut is very often used when removing a wisdom tooth. This operation is rarely complete without stitches, but if you put them in half the trouble, it is very difficult to remove them. Absorbable sutures will be very helpful.
Oksana Shyka
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.
The more modern materials 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 work of the surgeon. Resorption of synthetic materials occurs through hydrolysis. For the complete disappearance of seams of this type, it takes about a month. Vicryl dissolves much faster than Dexon.
Oksana Shyka
Dentist therapist
The advantage of synthetic thread is that it can be used for suturing even in areas where there is a high risk of complications. Vicryl and Dexon do not cause inflammation, so they can be used for any operation, even the most difficult.
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 there are no complications at all, dentists try to get rid of the stitches before they dissolve on their own.
Possible complications
By itself, this element is very difficult, and its removal often provokes additional problems in treatment. Therefore, if a couple of days after the operation there is severe discomfort at the suture site, you should consult a doctor. This can be severe pain or increased swelling. By the third day, the postoperative edema should go away. If it increases by this time, most likely, we are talking about the development of complications.
Bleeding can also be troublesome. Small amounts of blood in the saliva on 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 contact your dentist. Most likely, the stitches will have to be reapplied.

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

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

What sutures were applied.

information

Catgut
Lavsan
Vicryl(60-90 days).

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

Signs of seam divergence:

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

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

remember

During surgery, absorbable sutures are increasingly being applied - the so-called threads, which perform a fixing function: they hold the damaged tissue and promote their healing. How long such threads are absorbed depends on several factors - the place of their overlap, the individual characteristics of the organism, but the main one is the material for making the base of the threads.

This is the name of the retaining threads, which lose their fixing properties in up to 4 months. In surgical practice, the following types of self-absorbable sutures are most commonly used:

Catgut is an organic type of yarn made from cow intestines. Moreover, it is the most absorbable for the longest time - catgut "lasts" up to 4 months;
Lavsan - synthetic threads based on polyesters. They are used when long-term fixation is not required, since the material rapidly loses its holding force;
Vicryl is another representative of synthetic seams that are actively used in medicine, including cosmetic.

In addition to these, there are many other types of materials used. Their choice depends on the type of intervention performed and the mobility of the tissues in the area of the operation, therefore only a doctor can individually select threads that will not subsequently leave behind scars, but at the same time will dissolve in a short time.

The main factors contributing to the self-destruction of such threads in human tissues are called:

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

It is they who provoke the dissolution of the postoperative threads, which tighten the surgical incisions of the tissues for a short time.

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

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

It is also advisable to use absorbable sutures in cases where the patient will not be able to return to the surgeon to remove the imposed braces, clamps or sutures made of strong materials.

The most common use of absorbable sutures in gynecology is to suture the perineum and tears in the vagina or cervix during vaginal delivery. Studies have shown that in the postpartum period, the threads self-removed within 2-4 months.

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

But in the general case, to be guided by how long the threads are absorbed, you need to look like the threads used during the operation:

Catgut begins to lose its fixing properties after a month, while the threads finally dissolve only by the end of the 4th month of wound healing;
Lavsan is often used in cosmetology, since the material begins to deteriorate as early as 10-12 days, 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 an amendment for the correct care of the postoperative wound according to the scheme recommended by the observing surgeon. If it is improperly handled and the rules of personal hygiene are neglected, healing can be delayed, and the process of resorption of the stitches can be aggravated.

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

Pay attention to the following important rules for the care of postoperative sutures:

The most important point is the sterility of all manipulations. Before treating a wound, be sure to wash your hands, thoroughly disinfect all instruments.
Depending on the nature of the sutured wound, it must be treated with an antiseptic - brilliant green, Fukortsin, a solution of potassium permanganate, hydrogen peroxide, and medical alcohol. What exactly to use, it is better to check with the observing surgeon. You may need to combine medications and use with anti-inflammatory ointments.
During water procedures, exclude 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 observe intimate hygiene - this will prevent complications.

So, in order to find out how long the successful resorption of the imposed stitches after surgery will take place, you first need to 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-term healing wounds, then be prepared for the fact that the complete resorption of the postoperative threads can take up to six months, especially if organic materials were used during wound suturing.

Overview

what stitches you have;

non-absorbable sutures;
clamps;
staples.

The birth process often involves rupture of the uterus or vagina. Subsequently, there are problems with scars. To warn them, you need to know after what time the stitches dissolve after childbirth, how to remove them correctly.

When tissue is damaged in a woman, an external rupture occurs. Postpartum external sutures are required when stitching the perineum. The manipulation is carried out using a non-absorbable material: silk or polypropylene. When the fusion has occurred, the threads are removed. The rupture of the cervix and vagina leads to the imposition of internal threads, materials of such a type are used so that the seams dissolve on their own.

Damage to the perineum results in damage 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.

Thread types:

nylon;
silk;
absorbable.

The suture after cesarean section can be nodular 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 required. After a week, scars are formed, at the same time, the silk outer seams are removed. Threads come out after childbirth within a month.

Adhesions can be prevented with the help of an active lifestyle, it normalizes blood circulation and restores the body. It is recommended to get out of bed as soon as the doctor permits. This does not depend on the pain in the adhesion area.

Sutures are applied in layers. First, the internal injuries are removed, then they move on to the muscles, and the skin is sewn last. For her, materials are taken that do not dissolve. The threads are impregnated with antibiotics to reduce the risk of inflammation. Superficial seams are removed before discharge from the hospital, internal seams disappear by themselves.

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

Most often, catgut sutures are used to suture the perineum, tears in the vagina or cervix during a natural process. Cosmetic stitches after childbirth will be needed if a cesarean section was performed. The type of tear and size affects which drug the doctor prescribes. 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. At the same time, the woman in labor does not experience 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-absorbable sutures heal after childbirth within a month;
Vicryl. It is used when performing a cesarean section. Absorbs in 8-9 weeks;
Maxson. Resorption occurs after three months.

The material is applied in the perineum, on the cervix, in the vagina. Absorbable sutures are used after childbirth, the procedure is carried out with tissue processing with Novocaine or with the introduction of intravenous anesthesia. Pain relievers are selected depending on the gap and its size. The threshold of sensitivity for stitching in the vagina or perineum is different.

How long do the external sutures dissolve after childbirth? Doctors call a period of five to seven days when using absorbable material. The staples and threads are removed after 3-7 days. Complete healing will take place 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 inconvenience, not pain. A woman has pinpoint and sharp tingling sensations. The manipulation takes about 10 minutes, including the preparation and treatment of the scars. At this time, there is a burning sensation and easy tingling.

External seams can provoke inflammation, suppuration, infection. To prevent this, you need to know the rules of care. The healing time is different from how much the woman will take care of herself. Cuts and tears heal quickly if a woman is resting, abstaining from sexual activity, treating wounds with antiseptics.

Discharge from the uterus increases the healing time, acts as foci for the development of infection. Sutures after childbirth quickly dissolve if the woman adheres to hygiene.

To exclude the ingress of bacteria, mom needs:

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

If catgut is used, then after five days the sutures will dissolve. 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. What to use at home, the obstetrician will say after examining the condition of the adhesions. It is recommended to use Levomekol, Chlorhexidine, Hydrogen peroxide. With proper treatment, the resorption of the sutures after childbirth occurs quickly. The absence of negative consequences and cosmetic defects is noted.

Do not be afraid of the process of defecation, if you skip it, an additional load on the muscles is created, and the pain intensifies. To facilitate the process, the use of glycerin suppositories is allowed so as not to injure the perineum. If stitches have been put on it, you cannot sit down in the period from 7 to 14 days. It is allowed to go to the toilet on the first day after childbirth. After a week, you can sit down on the buttock, which is on the opposite side of the one where the damage was.

Postpartum stitches are often uncomfortable. It is important to respond to pain in time to prevent complications. When a woman is in a satisfactory condition, weights should not be lifted. The usual way of life will return when half a year after suturing has passed, using physiotherapy at home helps.

During rehabilitation, the following problems are noted:

pain;
divergence of scars;
suppuration.

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

Discrepancy. This happens most often if the stitches are located on the perineum. The reason is early sexual activity, infection, sudden movements. The woman observes swelling, fever, the wound is bleeding.

The divergence of the seams is most often noted when the mother is doing physical exercises, 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 fever.

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

Suppuration of the wound results in fever, weakness, foul odor, fever, and pain. Treatment takes place after examination with ointments and antibiotics.

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

For quick healing of stitches, you must adhere to simple rules and recommendations. Six months after giving birth, a woman needs to monitor her personal hygiene, take care of herself, take care of scars and wait until the body is fully restored.

In some cases, for example, during surgery, as well as after childbirth, absorbable sutures are required. For this, a 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-absorbable sutures dissolve?

To answer this question, you should clarify what the main types of seams exist. As a rule, these are:

Internal. Similar sutures are applied to injuries resulting from mechanical stress. Certain types of tissue are used to connect tissues at the rupture site. These self-absorbable sutures heal quickly enough. Often they are applied to women after childbirth on the cervix. In this case, anesthesia is not required, since this part of the genital organ is devoid of sensitivity.
Outdoor. They can also be applied using absorbable material. After childbirth, such sutures are made at rupture or at dissection of the perineum, as well as after operations. If ordinary material is used, then it must be removed 5-7 days after surgery.

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

Self-absorbable sutures are almost always applied. It is extremely rare for wound healing to use surgical material that is resistant to hydrolysis. Sutures are considered to be absorbable if they lose their strength by 60 days. Dissolution of threads occurs as a result of exposure to:

Enzymes that are present in the tissues of the human body. In other words, these are proteins that control and accelerate the course 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.

Analogs of such a surgical material are "Safil", "Polysorb", "Vikril".

Self-absorbable sutures after surgery or after childbirth can be applied using the MedPHA 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 the tissue.

Self-absorbable sutures applied with MedPHA thread undergo hydrolytic degradation, which is strictly controlled. It should be noted 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 the "MedPHA" threads is insignificant.

It should be noted that such a surgical material is widely used for suturing all tissues, with the exception of those that are under tension, and also do not heal for a long time. Most often, MedPHA 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 a surgical material are "Safil Quick", "Vicryl Rapid".

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

Analogs of such surgical material are "Safil", "Polysorb", "Vikril".

"MedPGA-910" is an absorbable thread made on the basis of polyglyglactin-910. The surgical material is also treated with a special coating, which allows to reduce the "sawing" effect when passing the material through the tissue, as well as to reduce capillarity and wicking.

So, when do the self-absorbable sutures, imposed with the use of the surgical material "MedPGA-910", dissolve? Such threads have a high strength index. 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, the threads are completely resorbed.

This product is used for suturing soft tissues that are not under tension, as well as those that heal quickly, in plastic, chest and abdominal surgery, gynecology, urology and orthopedics. Do not use "MedPGA-910" when suturing nerve and cardiovascular tissues.

There are not so many analogs of such surgical material. This is "Biosin", as well as PDS II. Such threads are characterized by a high rate of biological inertness, are non-phytile and non-capillary, hydrophobic, do not injure tissues when passing through them, elastic, strong enough, knit well and hold the knot.

Monofilament "PDO" is amenable to hydrolysis. 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 filaments occurs within 180-210 days.

As for the field of application, the surgical material "PDO" is used for suturing and joining soft tissues of any type, including for suturing the cardiovascular tissues of a child's body, which are subject to further growth. However, there are also exceptions. Monofilaments are not suitable for stitching tissues where wound support is required for up to 6 weeks, as well as those that are exposed to heavy loads. Do not use suture material when installing implants, artificial heart valves, or synthetic vascular prostheses.

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

What sutures were applied.
What material were the threads made of.
Approximate time for dissolution of suture material.

Self-absorbable sutures are often used when suturing surgical wounds that are located in the deep layers of tissues, as well as on the surface of the skin. For example, with organ transplants.

The same surgical material is used for suturing wounds and tears received during childbirth. At the same time, a lot of research has been carried out. Their results showed that sutures made from polyglycolic acid completely disappear after only four months, and material based on polyglactin after three months. In this case, self-absorbable 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 your doctor.

Ask your surgeon or healthcare professional:

what stitches you have;
how much they will be absorbed.

Stitches are considered absorbable if they have almost completely lost their strength within 60 days. Suture threads dissolve under the influence of the following factors:

enzymes found in body tissues (enzymes are proteins that speed up and control chemical reactions in the body);
hydrolysis (a chemical reaction with water in the body).

Absorbable sutures are most often made from the following materials:

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

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

One study found that polyglactin sutures used for perineal rupture resolved 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, after the wound has healed, they continue to cause you inconvenience, make an appointment with the surgeon. It will gently remove the remaining ends of the stitches.

Other methods used when suturing wounds:

non-absorbable sutures;
clamps;
staples.

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

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Recovery after childbirth
Self-absorbable sutures

Self-absorbable threads are often used in surgical interventions, including after childbirth. To apply such stitches, various materials are used that dissolve on their own within a certain time (catgut, lavsan, vicryl).

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

With tears and incisions of the perineum, various sutures can be applied: both self-absorbing and requiring the removal of threads.

The suture resorption time depends on the threads with which it was performed:

Catgut... 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 stitches in the postpartum period are inconsistency (divergence) of the stitches and their suppuration (penetration of infection).

Inconsistency of internal seams (on the cervix and in the vagina) is extremely rare. Basically, there is a divergence of the external seams imposed on the perineum.

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

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

Signs of seam divergence:

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

In most cases, the penetration of wound infection occurs when personal hygiene is not followed and the seams are not properly maintained.

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

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

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

remember The sutures applied to the vagina and cervix do not require additional treatment: a woman just has to follow the rules of personal hygiene to prevent the development of purulent-inflammatory complications. The stitches on the perineum, on the other hand, require increased attention and careful observance of all recommendations by the postpartum woman.

During surgery, absorbable sutures are increasingly being applied - the so-called threads, which perform a fixing function: they hold the damaged tissue and promote their healing.How long do they dissolve such threads , depends on several factors - the place of their overlap, the individual characteristics of the organism, but the main one is the material for making the base of the threads.

This is the name of the retaining threads, which lose their fixing properties in up to 4 months. In surgical practice, the following types of self-absorbable sutures are most commonly used:

Catgut is an organic type of yarn made from cow intestines. Moreover, it is the most absorbable for the longest time - catgut "lasts" up to 4 months;
Lavsan - synthetic threads based on polyesters. They are used when long-term fixation is not required, since the material rapidly loses its holding force;
Vicryl is another representative of synthetic seams that are actively used in medicine, including cosmetic.

The main factors contributing to the self-destruction of such threads in human tissues are called:

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

It is they who provoke the dissolution of the postoperative threads, which tighten the surgical incisions of the tissues for a short time.

When absorbable sutures are used

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

It is also advisable to use absorbable sutures in cases where the patient will not be able to return to the surgeon to remove the imposed braces, clamps or sutures made of strong materials.

How long do the threads dissolve after surgery?

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

But in the general case, be guided in that, how long do they dissolvethreads, you need to look like threads used during the operation:

Catgut begins to lose its fixing properties after a month, while the threads finally dissolve only by the end of the 4th month of wound healing;
Lavsan is often used in cosmetology, since the material begins to deteriorate as early as 10-12 days, 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.

How to care for absorbable sutures

Having dealt with the question,how many threads are absorbed, it is important to understand how to properly care for the suture after the operation, so that the healing proceeds safely, the threads are safely torn away, and at the same time as quickly as possible, and there are no scars at the site of intervention.

Pay attention to the following important rules for the care of postoperative sutures:

The most important point is the sterility of all manipulations. Before treating a wound, be sure to wash your hands, thoroughly disinfect all instruments.
Depending on the nature of the sutured wound, it must be treated with an antiseptic - brilliant green, Fukortsin, a solution of potassium permanganate, hydrogen peroxide, and medical alcohol. What exactly to use, it is better to check with the observing surgeon. You may need to combine medications and use with anti-inflammatory ointments.
During water procedures, exclude 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 observe intimate hygiene - this will prevent complications.