التعريف والنظرة العامة
Patients who have had non-absorbable sutures placed following a surgical procedure are scheduled for a routine suture removal once the wound has healed to some extent.
Sutures are commonly used in cases wherein the skin is not expected to come together without being stitched back, primarily due to the size of the wound. In some cases, absorbable sutures are used, which means the body will absorb the suture material within 60 days. However, there are some cases or injuries wherein absorbable sutures are not suitable, such as when the suture has to maintain its strength for longer than 60 days. In such cases, non-absorbable sutures are used, which are removed once the wound has fully healed.
Suturing or stitching the skin back together remains one of the most commonly used techniques in closing wounds despite the rise of other wound closure methods, such as surgical staples, skin glue, and skin tapes.
من يجب أن يخضع للنتائج المتوقعة
The procedure is for patients who underwent surgery wherein an incision was made and sutures were used to close up the wound. It is also performed on patients who had sutures placed as part of their treatment following a traumatic skin injury that caused a deep or large tear on the skin.
Suture removal is performed only when the wound has healed up to a certain extent or when the skin has regained around 10% of its full tensile strength. At this point, the skin is strong enough to keep the wound closed, but is also still flexible enough to make suture removal easy. If sutures are left in place for far too long, it is possible that the skin will heal around them, in which case they will be harder and more painful to remove.
However, the removal procedure is sometimes delayed if wound healing is not achieved in time usually due to:
- Existing diseases
- Disorders or syndromes
- Previous surgery using the same suture location
- The use of certain drugs, such as steroids, anti-inflammatories, or cytotoxic medications
- Poor nutrition
- The condition of the wound, such as if it receives sufficient blood supply or became infected
- Location of the wound
- Humidity or dehydration of the wound
- The patient’s age
Due to the rise of dissolvable sutures and minimally invasive procedures, suture removal is no longer always required in all surgical cases. Nevertheless, it is still a major part of post-surgical care and follow-up in many surgical cases. Surgeons typically inform their patients on when to come back to have the sutures removed. Until then, the patients are instructed on how to properly care for the wound to ensure its prompt healing.
The approximate time during which sutures need to be removed is usually influenced by the location of the wound. Sutures used on facial wounds can be removed after 3 to 5 days, while those on the scalp or trunk need at least 7 to 10 days before they can be removed. Sutures on the arms, legs, and joints are usually left in place for at least 10 days to 2 weeks before they can be safely removed.
كيف يتم إجراء العملية؟
A suture removal is an outpatient procedure that may cause slight discomfort, which has been described as a pulling or stinging sensation. Sutures are typically taken out completely in a single visit, but in some cases, especially if the wound so requires, the sutures may need to be removed gradually over a series of visits.
Prior to removing the sutures, the surgeon first cleans the wound with an antiseptic to make sure that no scar tissue or encrusted blood is left. He then picks up the knot of the sutures using sterile forceps, then cuts the suture with a pair of surgical scissors. This effectively loosens the suture, allowing the surgeon to pull the thread gradually away from the skin.
Once the suture is removed, the surgeon cleanses the wound and places an adhesive strip over it to protect it as the healed skin continues to regain its full tensile strength.
Patients are then given instructions on how to take care of the wound, which still needs to be protected from further injury for at least a month after the suture removal procedure.
المخاطر والمضاعفات المحتملة
The procedure is associated with a number of possible post-removal complications, which include:
- Wound reopening, which may occur if the sutures were removed prematurely
- Severe scarring
- جدرة formation, or when a large and firm mass of scar tissue forms over or near the site of the wound
Silloway KA., Morgan RF., Kenney JG., Edlich RF. “Innovations in skin suture removal.” The American Journal of Surgery. 1985 June; 149(6): 799-801. http://www.americanjournalofsurgery.com/article/S0002-9610(85)80190-2/abstract
Parirokh M., Asgary S., Eghbal MJ. “The effect of different suture removal time intervals on surgical wound healing.” Iran Endod J. 2006 Fall; 1(3): 81-86. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3895885/
Barber G. “Removal of sutures.” Br Med J. 1952 Nov 15; 2(4793): 1103. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2022054/
What is Suture Removal? Overview, Benefits, and Expected Results
Suture removal is the process of removing stitches from damaged tissue in order to facilitate healing. It is a widely used medical procedure that involves an individual carefully removing stitches or sutures from a wound. The purpose of this process is to allow the body to heal following an injury or surgery.
In some cases, sutures may be left in the body for an extended period if they are necessary for the healing process. However, generally, they must eventually be removed or they may cause harm to tissue or create an increased risk of infection.
Similar to suturing or stitching, suture removal is usually done by a qualified healthcare professional such as an experienced nurse or doctor. Typically, the suture removal process is a straightforward one. However, if the wrong type of suture is used or the process is done incorrectly, it may lead to further problems.
In this article, we will discuss suture removal in more detail. We will explain what it is for, the benefits, and what to expect from the process.
What is Suture Removal?
Suture removal is the process of removing stitches from a wound in order to promote healing. This procedure is usually done by a healthcare professional using special tools that remove the sutures without causing additional damage.
Sutures are utilized after surgical procedures or wounds to begin the healing process. They close up the wound edges, which helps to reduce pain and allows the body to begin regenerating cells.
However, if a suture isn’t removed at the appropriate time, it may cause irritation, or infection due to bacteria and debris being trapped in the area. In these cases, suture removal becomes essential for progress healing and restoring a healthy environment.
What are the Benefits of Suture Removal?
Suture removal has various benefits which are:
- Helps to reduce the risk of infection and further damage to the wound.
- Reduces pain and discomfort.
- Reduces scarring.
- Ensures tissue growth in the surrounding area returns to normal.
- Stimulates blood flow to the area, which helps promote healing.
How is Suture Removal Done?
Suture removal is a relatively simple procedure that is usually carried out by a healthcare professional.
First, the healthcare professional will use gloves to avoid the risk of spreading bacteria. They will then apply pressure to the wound area and gently grasp the sutures before slowly removing them in one motion.
In some cases, a special tool may be used to aid in the removal of the sutures, such as tweezers.
What to Expect During Suture Removal
The process of suture removal is generally not very painful, however, you may feel some mild discomfort as the sutures are being removed. It is normal to feel a small tugging sensation as the sutures are pulled away from the skin.
The entire process usually takes less than 10 minutes. After the procedure is completed, the cuts or surgical site may feel tender, however, most people report minimal discomfort afterwards.
Risks of Suture Removal
Suture removal is generally a safe procedure and the risks are minimal. In some cases, the skin may feel irritated, sore, or inflamed after suture removal.
The most common complication associated with suture removal is infection, however, this rare and should be treated quickly to avoid further complications.
Suture removal is the process of removing stitches from a wound in order to encourage healing. It can be completed by a trained healthcare professional and usually requires little more than 10 minutes for completion.
The benefits of suture removal include pain reduction, decreased risk of infection, and faster healing. It is important to understand the risks associated with any medical procedures and to contact your healthcare provider if any concerns arise.