Doctor insights on:
Non Absorbable Stitch
How can you check if a fragment of a non absorbable stitch was left in the skin? Ultrasound? The stitches were removed 1.5 months ago
I had a mole removed on my nose and my plastic surgeon used non absorbable stitches to internally close the wound. Now they stick out. What do I do?
Foreign bodies: Non absorbable sutures are used the doctor is concerned about the tissues in the area and their ability to heal. Commonly on skin to protect against trauma and then removed when doctor feels healing has occurred. Left too long and scarring worsens and foreign body reactions like infection can occur. Too short and the tissues may separate. The key is knowing when to use them and remove them. ...Read more
Wound care: Gently wash the area with mild soap & warm water; rinse; pat dry; apply clean dressing if one was present (ideally, antibiotic ointment, non-stick dressing, topper gauze/tube gauze if available & appropriate to the wound site). Watch for signs of infection: heat, redness, increased pain, pus, separation of wound edges. ...Read more
Not really.: It's common for skin to grow over sutures. It may make them a little more difficult to remove, and the area may have to be numbed up a bit in order to remove them, but it's nothing to be concerned about. You may wish to call your surgeon and ask if he/she wants to take the sutures out a bit sooner than planned. ...Read more
Fold in the pleura: This is a knife-like pain that happens from time to time to many of us and taht gets worse as we breathe in. There are many myths, but what is actually happening is that the pleura folds on itself, like underwear might do. A very deep breath will generally end this, or it will self-cure. It's almost never related to disease and if you have no other symptoms, ignore it. ...Read more
Depends: Your doc should have provided you with instructions on how to take care of it. The problem is that it depends on the location of the wound, the type of wound and the type of repair done. Normally, there is a period after repair that the wound needs to stay dry and covered. After that exposure to water is recommended but when, again depends on the wound, location and type of repair. ...Read more
Let a pro do it: Removing stitches isn't rocket science, although sometimes can be harder if there are scabs or hidden stitch. However, having them removed by a medical professional allows them to make sure the wound is healing well, & that surrounding tissue doesn't get injured in the process. Shouldn't be any charge if removed by same provider that put them in. ...Read more
Simple cleaning OK: Many wounds will continue to ooze a bit of serum after closure & that can build up & provide food for skin germs that could later invade & infect it. A brief cleaning of the area with soap & water or peroxide being sure to leave it dry can remove the serum & prevent infection. Working around stitches with a wet q tip is also helpful. ...Read more
May need to ask: Be sure to follow the directions you were given, different sutured wounds will require different techniques and some may not need changed for several days. In general use washed hands and be sure the old dressing isn't sticking to either the wound edges or the stitches. In most cases it would be replaced with some type of non stick dressing. If in doubt call whoever put them in! ...Read more
Generally,: About six hours after injury but must consider type of wound, location, age, health, how heavily soiled, etc. ...Read more
Stitches: No absorbable stitches should be removed as they can become infected ...Read more
Unsure how to answer: As I am not sure how long ago the stitches were placed, or where or why. If it from old stitches, scar manipulation can help break up adhesions and myofascial triggers. However, this would not be recommended with fresh sutures. There are creams that can help as well. I wish I could help more, but without knowing more, that's about all I can suggest. Best of luck! ...Read more
Stitches where?: Depends. Where are the stitches? Is the wound nicely healed? ...Read more
Real time: Because we can't see inside your body as it's happening, it's nearly impossible to say if there could be a problem with the stitches or not. Even if the stitches are in perfect place, there can definitely be pain and a pulling sensation. Depending on the type of surgery you had, you may want to go back to your doctor. Sometimes an imaging study is used to assess the integrity of the wound. ...Read more
Synthetics, & silk:
Absorbable sutures were originally made from catgut (bovine intestines), now made from synthetic materials like polyglycolide acid or polydioaxanon.
Non absorbable sutures for skin closure are made from special silk or synthetic polyproylene, polyester or nylon.
And stainless steel wire sutures are commonly used in orthopedic surgery and in cardiac surgery to close sternum. ...Read more
Cerclage: A cervical stitch is a procedure called a cerclage. A cerclage is a surgical procedure to close and support the cervix for people who have pregnancy loss in the second trimester due to a weak or incompetent cervix. Typically a "purse-string" stitch is placed around the cervix in the early second trimester to give support. The most common type is called a mcdonald cerclage. ...Read more
Stitches: It depends on the technique of suturing and the thickness of the sutures.Usually 2 or 3 weeks, but they are easily removed from the long ends. More importantly is how long it takes to form an epithelial tract down and around the suture. Again this is related to suture thickness but 3 to 6 weeks. ...Read more