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How long will the stitch hurt after surgery? Why does the surgical suture hurt?

For any person, surgery is a serious step. The postoperative period that follows is no less complex and dangerous. Sometimes it lasts for a long time. If long period The stitch hurts after surgery, you need to see a doctor.

Causes of pain

Unpleasant sensations and pain at the suture site can occur after any surgical intervention. Are damaged nerve fibers soft tissues, the sensitivity of the injured part of the body increases. This process is natural and understandable - they grow together damaged tissue, the stitches are healing.

But if over time painful sensations only intensify, the temperature periodically rises, this is a reason to seek help. Internal tissue suppuration may occur even if the external incision is closed.

Why does the seam hurt after surgery and how long will it take for it to heal? This directly depends on the complexity and duration of the operation, the qualifications of the surgeon, and the cleanliness of the instruments and materials used. Pain may occur due to the following reasons:

  • the seam area has been rubbed by clothing;
  • formation of adhesions, hernias;
  • inflammation at the site of the ligature - the body rejects the threads;
  • discrepancy internal seams due to muscle tension;
  • aching pain as a reaction to sudden change weather conditions.

Duration of pain

IMPORTANT TO KNOW: Pain and crunching in the joints over time can lead to dire consequences- local or complete restriction of movements in the joint, including disability. People, taught by bitter experience, use natural remedy, which is recommended by Professor Bubnovsky... Read the full article.

How long can a stitch hurt? Unpleasant sensations can be constant or occur periodically, for example, with muscle tension, coughing, sneezing. Pain and swelling around the wound may be accompanied by other symptoms. Fluid or pus may leak through the stitches. Characterized by general weakness and lethargy, sleep and appetite disturbances, decreased concentration.

It is impossible to say exactly how long the stitch will hurt after surgery. Everyone's deadlines are different. Typically, pain in the suture area lasts a little more than a week, depending on the characteristics of the body. The average healing time for surgical wounds depends on their location:

  • for wounds from abdominal surgery– this is about two weeks;
  • sutures after appendicitis and laparoscopy are tightened after 7 days;
  • circumcision involves a regeneration period of up to 15 days;
  • The sutures in the chest area take a long time to heal;
  • healing of the postpartum suture occurs within 10 days;
  • external sutures after cesarean section are removed on the 6th day.

Seams can be internal and external. The first ones are applied using catgut made from sheep intestines. They dissolve independently in the body. The outer ones are more durable; they are made with natural (silk, linen) or synthetic threads. Through certain time such stitches are removed. Metal staples are also used. At the same time, you need to understand that connective tissue completely increases within 2–3 months.

Painful stitches after cesarean section

After the intervention, the wound is present on the skin, fatty tissue, muscles, and uterine wall. Often women complain that the suture hurts after a cesarean section. Pain makes it difficult for a woman to recover and care for her baby.

The pain is sharp, does not subside, lasts two days, is relieved with medications. It gradually decreases, discomfort and itching can be observed for about two weeks. The sensitivity of the skin is impaired, and numbness of the abdomen in the area of ​​the incision may occur. Symptoms disappear completely within six months. Regular inspection of the condition of the seam by a specialist is necessary.

When the suture hurts after a cesarean section for a long time, or complications arise - suture dehiscence, swelling, redness, fever, purulent discharge - a visit to the doctor is required. Sometimes the consequences take a long time to make themselves felt. In a few years, fistulas may form from the suture material. The scar thickens, its color changes, and the fistulas periodically fester.

Features of seam care

Restoration of the skin and healing of sutures depends on the body’s immunity and the skin’s ability to regenerate. After laparoscopy, small incisions remain; they are not sutured, but glued together with adhesive tape. A postoperative scar may be large sizes, have drainage, it takes a long time to heal, requires quality care.

Treatment of the wound in a hospital is carried out by medical staff. After discharge, the patient takes care of the suture at home, in accordance with the doctor’s recommendations. In order for the seam to tighten quickly and well, you need to:

  • follow doctor's orders;
  • maintain personal hygiene;
  • adequate sleep is necessary;
  • proper nutrition.

For the first 10 days it is not recommended to take a bath; you can wash in the shower. The scar is carefully dried with a bandage, then treated with an antiseptic. Iodine, brilliant green, Fukortsin, alcohol and others are suitable. You should not use cotton wool for processing, as fibers may remain on the seams. A protracted seam can be lubricated sea ​​buckthorn oil or Levomekol ointment. If the wound is clean and dry, a bandage is not needed.

Circumcision is the most frequently performed procedure by urologists. After the operation, the patient independently makes dressings with Furacilin solution at home. Before removing, the bandage must be soaked in hydrogen peroxide so as not to injure the wounds. When the bandage is easily removed, the dressings are stopped. The wounds can be lubricated with brilliant green or applied antiseptic ointment. To avoid complications and pain in postoperative sutures, circumcision should be performed by an experienced and qualified urologist.

How to get rid of pain

After any violation of the integrity of the skin, scars form. Sometimes they cause not only physical pain, but also emotional discomfort, being cosmetic defect. In the affected area, connective tissue cannot replace healthy skin, since it does not have greasy and sweat glands. Changes also occur in the nerve endings located in the skin. Painful formations – neuromas – appear in the thickness of the suture.

Neuropathic pain syndrome. Pain occurs not only in the scar, but also around it. It can be burning, shooting, and can get worse after coughing or sneezing. In addition to analgesics, they use hormonal drugs, antidepressants. Patients do not tolerate physiotherapeutic procedures well, since the suture is very sensitive to touch. If drug therapy does not have an effect, the scars are removed surgically.

Over time, the seam fades and becomes less noticeable. To restore skin, food must contain enough protein, vitamins and microelements. In summer, the seam should be protected from sun rays, thin delicate skin can get burned. There are drugs in pharmacies that promote the resorption of sutures. The scars can be massaged daily, while rubbing in vitamin E or “Star” balm.

tutbolinet.ru

Why does the stitch hurt after surgery?

For any person faced with the need for surgical intervention, upcoming surgery- quite a serious step. And the period following the operation, just like the operation itself, is a very important and crucial stage in the recovery process. Quite often postoperative period stretches for long time, during which all damaged tissues should grow together and the sutures should heal. However, in some situations, the expected does not happen, and the patient begins to be bothered by various painful sensations. So why do the stitches hurt after surgery? And how dangerous is it? In this article we will answer this question for you.

Why does the suture hurt after surgery: reasons

So, pain in the suture area after surgery is a completely natural phenomenon, which is due to the fact that during any surgical intervention the nerve fibers of the soft tissues are damaged, and the sensitivity of the operated part of the body increases, which ultimately leads to painful sensations. With the passage of time, all wounds heal, as a result of which the pain becomes less intense, however, in some cases, the painful sensations not only do not subside, but, on the contrary, become more intense. As a rule, an increase in pain intensity in the postoperative period is also accompanied by an “additional” symptom such as an increase in body temperature. So why might the suture hurt after surgery? There are several reasons for this:

    close contact of clothing and seam;

    the presence of inflammation at the site of the ligature - the body simply “does not perceive” the suture threads;

    the presence of an adhesive process at the suture site;

    divergence of internal seams due to muscle strain.

It is worth considering that, despite the fact that the incision is externally tightened, at the same time internal tissue suppuration may occur, which is why if pain regularly occurs in the suture area, as well as with periodic increases in body temperature, you should consult your doctor .

Duration of pain in the suture area after surgery

Of course, the duration of pain in the suture area after surgery directly depends on the duration and complexity of the procedure itself, which is why it is not possible to say exactly how long the healing time will take. In addition, an important role in this issue is played by individual characteristics body.

In the first postoperative days, regardless of what kind of operation the patient underwent, pain in the area of ​​the sutures is usually quite intense. At the same time, for any muscle tension, as well as when sneezing or coughing, such pain will only intensify. In addition to the pain itself, the patient may also be accompanied by symptoms such as general malaise and weakness, drowsiness, and loss of appetite.

So how long should stitches take to heal? As we already said, this period healing largely depends on the type of surgery. Next we will give approximate period healing of sutures after certain surgical procedures:

    Caesarean section: sutures heal on about 6 days;

    Postpartum suture- approximately on the tenth day;

    Circumcision procedure – approximately on the 15th day;

    Removal of the appendix and latoroscopy – the sutures heal on the 7th day;

    Abdominal surgery - the sutures heal after about two weeks.

It is also worth noting that the seams can be internal and external. Internal sutures are made from sheep intestines, which allows them to simply dissolve in the body; external seams, in turn, are made of synthetic or natural threads (silk, linen), which requires their subsequent removal. As a rule, external sutures are removed approximately 10-14 days after the operation itself, but the connective tissue “grows” only after several months.

How to care for a suture after surgery

Of course, at the moment while you are in medical institution, all care is provided by the clinic staff, and your main task during this period is to show any physical activity. After discharge, the suture care process can be done at home on your own, and you will only need to visit your doctor occasionally. In order for the healing process to proceed quickly, it is necessary to adhere to all the doctor’s instructions and recommendations; You should also listen to the following tips:

    observe the rules of personal hygiene;

    avoid excessive activity and muscle strain;

    provide yourself with proper nutrition;

    regularly treat the scar with an antiseptic, such as brilliant green, iodine or fucorcin;

    periodically the scar can be lubricated with levomekol or sea buckthorn oil;

    Avoid exposure to direct sunlight directly on the area in which the seam is located;

    after complete healing of the sutures, scars remain in this place, which last for quite a long period, and in order to speed up this process, you can resort to daily massaging of this area. Rubbing vitamin E or Zvezdochka balm into the scar also helps speed up the restoration of the skin.

doctoroff.ru

What to do if the stitch hurts after surgery?

What to do if the stitch hurts after surgery? This question is often asked by people who have undergone surgery. Often, pain in the abdominal area is not related to the complicated course of tissue scarring. It can occur during the process of wound healing, skin fusion, and the return of organs to their usual places. Pain in such cases should not be a cause for concern; it is completely normal. However, it also happens that discomfort does not leave a person even several months after surgery.

Cause of the problem

If the cosmetic stitch begins to hurt several weeks or even months after surgery, you should consult a doctor. There can be quite a few reasons for this phenomenon. First of all, these are inflammatory processes associated with the attachment bacterial infection. The appearance of unpleasant sensations depends on the characteristics of the body, susceptibility to stressful situations, and the presence of disturbances in work immune system. An important role is played by the qualifications of the surgeons, the complexity of the intervention, the type of instruments used, the technique of applying suture material and the correctness of all manipulations.

Normal surgical suture should be sick for no more than 7 days, minor deviations from this values ​​are acceptable. People's skin and muscle tissue may differ, so it is impossible to accurately determine the duration of pain.

It is necessary to consult a doctor if discomfort persists for several weeks. It is possible that errors were made during the surgical intervention, as a result of which an acute inflammatory process developed.

If the pain cannot be relieved with standard pain medications, a full examination is necessary. The operation may need to be repeated.

The suture almost always hurts after surgery if it was a cavity operation. In such cases, not only the skin and subcutaneous tissue, but also muscle tissue and large vessels. To reduce the intensity of unpleasant sensations, the doctor prescribes special medications and procedures, the use of which requires compliance with a number of rules. During the treatment period, it is recommended to refrain from driving, especially if the person is not sure how he will behave in emergency situations. Slow walks are useful, but it is recommended to avoid climbing stairs.

Long flights and transfers adversely affect the well-being even healthy person, in the postoperative period they can lead to severe consequences. You cannot lift weights weighing more than 3 kg, or carry children or animals. After improvement general condition the body can be introduced into the daily routine of lungs physical activity. You need to avoid visiting bathhouses, saunas and solariums.

Daily care of the postoperative scar is necessary. The seam must be cleaned of dirt and crusts and treated antiseptic solutions and cover with a protective bandage. Slight redness of the affected area is considered normal. You should not peel off the patch yourself; after a certain period of time it will come off on its own. Lumps and a feeling of tightness in the scar area may appear. There is no need to worry, these are natural sensations that accompany the healing process.

Exposure to direct sunlight can disrupt the scarring process, so it is recommended to wear covered clothing in the first months after surgery. In the first days after surgery, blood spots may be found on the bandage. If they are small in size, there is no need to worry. If the scar bleeds heavily, you should immediately consult a doctor.

Do not use any external agents without a doctor's permission. You can shower no earlier than 3 days after surgery. Over the course of several months, the crust comes off the scar and it becomes less hard and bright. Why does the stitch hurt after a cesarean section? This question worries many young mothers who have undergone this operation.

Causes of suture pain after cesarean section

This operation can be produced in several ways. Corporal caesarean section is prescribed for the development of massive bleeding during childbirth. This method is used quite rarely, since it leaves a large scar that expands over time. Corporal surgery - dissection of tissue from midline belly to pubis. A longitudinal incision is made on the wall of the uterus. In the absence of complications, Pfannenstiel laparotomy is used. The incision runs along the suprapubic fold.

Unlike a longitudinal one, a transverse incision becomes less noticeable over time and postoperative pain is less intense, which is the main advantage of this operation. The operation is completed with the application of absorbable suture material. During a corporal caesarean section, the postoperative scar must be highly durable, so a cosmetic suture is not used in this case. In the first days after surgery, the patient feels sharp pain associated with the presence of incisions in the uterus and abdominal wall. It is practically no different from that of other surgical interventions.

In the postoperative period, the doctor prescribes antibacterial and painkillers. On the first day they are used narcotic analgesics: Tramadol, Morphine, Omnopon. Over time, they are replaced with weaker agents, the action of which is aimed at reducing the intensity of pain. It is the pain of the suture after surgery that is the reason why women fear a cesarean section. Unpleasant sensations disappear quickly, you just need to take all the medications prescribed by your doctor and properly care for the suture.

medoperacii.ru

Let's find out if the stitch hurts after surgery, what should I do?

Doctors are often asked the question: if the stitch hurts after surgery, what should I do? Sometimes it happens that abdominal pain has nothing to do with the stitches. It can be from the fact that wounds are healing, from skin fusion, from undergone surgery. In this case, the pain is justified and is absolutely normal in this situation. However, it may happen that the pain does not go away for quite a long time.

Duration of suture pain after surgery

Pain after surgery may arise from huge amount factors affecting the human body and its tolerance to such stressful situations. It all depends on the professionalism of the surgeons, on the complexity of the operation, on the objects used during it, on the sutures themselves, the correctness of their application and material, but these are not all the factors that provoke pain.

Basically, the stitches hurt for about a week, maybe a little more. But the features should be taken into account human body: They are individual for everyone, so you can never say for sure.

And that's completely normal. It's another matter if the pain does not go away for a long period of time. Perhaps something was accidentally done wrong during the operation, and now there is an inflammatory process. Well, if the pain is so severe that no painkiller helps, then you need to immediately visit a doctor so that he can figure it out and tell you exactly why the pain does not go away.

Suture pain after abdominal surgery

Suture pain after abdominal surgery torments many people. To get rid of it, doctors recommend following several rules that will be presented in this text. It is contraindicated to start driving unless you stop taking painkillers. Moreover, in no case should you get behind the wheel if you are not absolutely sure that in an emergency you will be able to control it. In addition, all kinds of walking and climbing stairs are allowed. Travel abroad should be avoided: intolerance to long journeys or flights is possible. It is strictly forbidden to lift weights over 5 kg, as well as children, women and heavy animals. If the body condition is in perfect order, it is allowed to do a little light exercise. It is better not to visit saunas, steam baths and swimming pools for some time.

Any operation is a serious intervention in the functioning of the body, after which time for rehabilitation is simply necessary. Stitches are one of the consequences of surgery, which requires serious care and compliance with the recommendations of a specialist. In this article you will learn whether you should worry if your surgical suture hurts, how to monitor your health and prevent complications.

The seam hurts

Why do stitches hurt?

Unpleasant sensations and discomfort in the area of ​​surgical procedures are absolutely normal. Damaged nerve endings of soft tissues are restored, grow together, and complete recovery requires some time. How long do the stitches hurt? It is impossible to answer this question unambiguously, because the result depends on a number of factors:

  • severity of the operation;
  • localization of wounds;
  • surgeon's qualifications;
  • compliance sanitary standards during surgery;
  • compliance with all doctor’s recommendations (personal hygiene, bed rest, etc.).

On average, surgical sutures can bother the patient for 7-10 days. For example, sutures after a cesarean section are removed on the 7th day, just like after appendicitis. During rehabilitation, it is necessary to adhere to the rules of personal hygiene and scar treatment:

  • During the first week, it is not recommended to wet the area of ​​manipulation; it is recommended to completely protect the wound from water;
  • treating the area with an antiseptic (any as prescribed by a doctor: alcohol, iodine, furatsilin, etc.), using a sterile dressing, medications aimed at tissue regeneration (contractubex, bepanthen, etc.);
  • proper daily routine, healthy eating.

The seam hurts: what to do?

Do not self-medicate. Unfortunately, pain in the area of ​​the old suture is the first sign of the appearance of scar tissue. In addition, dehiscence, swelling, discoloration, suppuration, elevated temperature body, discharge from the suture - all these symptoms indicate the necessary hospitalization.

No woman is immune from ruptures during childbirth. Some new mothers do not pay enough attention to them, because with the birth of the baby, more important things arise. However, any suture placed by a doctor after a rupture must be monitored and cared for.

What types of stitches are there and when are they applied to a woman in labor?

During childbirth, for one reason or another, there is a high risk of ruptures. The doctor may use an episiotomy (cut in the perineum) to avoid injury to the fetus in the following cases:

  • when there is a threat of perineal rupture;
  • during premature or rapid labor;
  • with breech presentation of the fetus;
  • with inelasticity of the perineal tissue or the presence of a scar remaining from a previous birth;
  • due to problems for which you cannot push.

Doctors are forced to stitch:

How to treat stitches after childbirth

Typically, sutures located on the vagina and cervix do not require treatment, but for perineal sutures it is required. The main thing is to maintain personal postpartum hygiene and do not lift heavy objects. Self-absorbing threads will disappear in 2-3 weeks (depending on the degree of the suture), and the scars will heal quickly and painlessly.

Sutures after cesarean section require special care. While the woman is in the maternity hospital, the nurse treats them with antiseptics and then applies a sterile bandage. After a week, the non-absorbable sutures are removed, and the sutures continue to be processed.

Treatment of seams with Vishnevsky ointment

Vishnevsky ointment is used for inflammation of sutures. Sterile gauze wipes are impregnated with it, which are changed 2-3 times a day for three days. The ointment has an antiseptic and local irritant effect and accelerates regeneration processes. A contraindication to the use of the drug is its individual intolerance.

The price ranges from 20–40 rubles.

Vishnevsky ointment is used for inflammation of sutures

Use of Chlorhexidine

Disinfection is important for internal and external seams. Chlorhexidine is applied to a sterile gauze pad and then applied to the suture. Such procedures are carried out 2-3 times a day until the suture heals. Chlorhexidine - effective drug, used as a disinfectant. However, it is better not to use it for dermatitis and hypersensitivity.

The cost of Chlorhexidine is about 10 rubles.

Chlorhexidine is used to disinfect external and internal postpartum sutures

How to use Bepanten ointment

Bepanten can be applied to the seam after each treatment. If you no longer need it, then use the ointment after each procedure. hygiene procedures. Apply it using a sterile gauze pad, and if the seam has almost healed, then use regular cotton swabs. Bepanten helps within a few hours after use, and a contraindication to its use is individual intolerance.

The cost of the drug ranges from 400 to 800 rubles.

Bepanten can be applied to seams after each hygiene procedure

I only used Bepanten ointment, which will definitely come in handy when caring for the baby (it will help with heat build-up, etc.). I had a small tear in my perineum that started to itch a few months after giving birth. After using the ointment, everything went away quickly. My daughter has very delicate skin, which sometimes causes problems. And again Bepanten ointment came in handy for me: I applied it to damaged areas of the skin under a diaper, and my daughter’s skin quickly recovered.

How long does it take for stitches to heal after childbirth?

The healing process of sutures can occur in different ways. It depends on the following factors:

  • general condition of the body;
  • correct care;
  • size of damage;
  • materials used for suturing.

If synthetic absorbable materials are used for suturing, the wound will heal in 10–14 days, and the stitches themselves will dissolve in about a month. If metal brackets and non-absorbable material are used, they are removed in the maternity hospital, approximately on the fifth day. This usually happens before discharge. In this case, the wounds will take longer to heal: from two weeks to a month.

When using metal braces, the sutures are removed in the maternity hospital - on about the fifth day

I only had a small perineal tear once in all my pregnancies. I was discharged from the maternity hospital on the third day, and it bothered me for another week: it was painful to sit, I could only sit down on one side of my buttocks. And then everything suddenly passed and I forgot about the breaks.

How long do stitches hurt and how to prevent it?

Be prepared for the possibility of discomfort and pain for a long time. This is due to the following pathological reasons:

  • formation of adhesions;
  • internal suppuration;
  • rejection of the stitching material by the body, etc.

On average, a postoperative suture may hurt for two weeks. All situations are individual, but there are averages depending on the type of operation and location of the suture:

  • postpartum incessant pain in the area of ​​sutures in the perineum disappears after the wounds heal (approximately 10 days after birth);
  • after a caesarean section, the external suture is removed on the sixth day, and it heals within two to three weeks.

Before the stitches heal, get ready for the fact that they will remind you of themselves, although not regularly. You can alleviate the condition using the recommendations below:

  • if pain occurs when squatting or lifting heavy objects, then you need to limit the weight of objects lifted and try not to sit on both buttocks;
  • when pain in the suture area is accompanied by constipation, you need to drink more fluid:
    • green tea;
    • warm milk;
    • herbal infusion;
    • juice;
  • During sexual intercourse, there is a natural load on the perineum, vaginal dryness may occur, and as a result, the stitches begin to hurt. Use a moisturizing gel or change your position to a more pain-free one;
  • When tissues become inflamed, the sutures can pull and hurt. These sensations are accompanied by redness and purulent discharge. Contact your gynecologist and do not take risks by using self-medication methods.

Pain in the suture area in the first weeks after childbirth is a normal reaction of the body. If there are no complications, the doctor will recommend:

  • cold or warm compress(depending on the situation);
  • cream;
  • spray;
  • candles;
  • special exercises.

When the weather changes, the seams will remind you of themselves for a long time. They may “whine”, which is quite normal, but over time all unpleasant sensations should pass. Many young mothers have itchy stitches. This happens due to antiseptic treatment or wound healing.

Postpartum sutures hurt when the weather changes and itch when wounds heal

Possible complications and what to do about them

A young mother should regularly examine the stitches and “listen” to her feelings. This will help to recognize complications in time and take timely measures.

Bleeding stitches

Most often, bleeding occurs due to suture dehiscence due to the following reasons:

  • frequent sitting down;
  • violations of sterility;
  • sudden movements;
  • poor comparison of tissues during suturing;
  • failure to comply with hygiene rules.

This complication is rare and most often occurs in women with deep perineal tears. In this situation, you need to visit a gynecologist as soon as possible to prevent the occurrence of purulent infection. The doctor will treat the wound with special antiseptics, and in some cases surgery will be required.

Bleeding at the suture is not always due to its divergence: perhaps you just move a lot and disturb it. But if the appearance of the suture or its pain bothers you, then it is best to visit a gynecologist.

Continuous pain in the area of ​​the stitches

If you are worried about pain in the area of ​​the sutures, then it is better to play it safe and consult a specialist. He will help solve the problem by prescribing warming up. The procedure can be performed two weeks after birth, one session lasts no longer than ten minutes.

Within two weeks after natural birth pain in the area of ​​the stitches is quite justified, because the tissues have not yet healed. In the case of a cesarean section, pain in the suture area may bother the woman for a month. If after this time they do not stop, then the young mother needs to see a doctor and tell him about the problem.

Feeling of heaviness in the perineum

If a young mother feels fullness, heaviness, or pain in the perineum, this may indicate accumulation of blood and the formation of a hematoma at the site of injury. Most often, the problem manifests itself in the first three days after childbirth, when the woman is still in the maternity hospital. She should notify the doctor about her feelings.

Painful swelling of wounds

Any deviation from the norm should be shown to a doctor. Swelling in the suture area after an episiotomy is called a keloid scar and is normal occurrence. This complication is classified as cosmetic and does not pose a health hazard. This scar does not cause pain. It can be eliminated later using laser technologies or special ointments.

The cause of swelling at the seam may be an inflammatory process. Unlike keloid scars, this complication is accompanied by severe pain. The seam also changes its appearance: it becomes dense and sometimes turns red. In advanced cases, pus is released from the wound. Sometimes the complication is accompanied by an increase in temperature. With all these manifestations, you need to urgently consult a gynecologist. The problem with this complication is that it can show itself for a long time only as a slight redness and at the last moment become aggravated.

Fistula after childbirth

A fistula may appear at the site of the suture - a canal that connects body cavities or hollow organs to each other or to external environment. In appearance, it resembles a post-burn blister of liquid, which periodically bursts and reappears.

The fistula resembles a post-burn blister of fluid, which periodically bursts and reappears

This complication most often occurs after episiotomy due to inflammation of the suture. If a fistula appears, you need to consult a specialist.

The fistula can also be ligature (ligature is the threads with which the suture is applied). Ligature fistula- a neoplasm that sometimes occurs after inflammation and suppuration of non-absorbable surgical sutures that are used to sew together the tissues of the skin or mucous membrane.

Suppuration

This complication is always noticeable immediately, but it is not necessary to wait for purulent discharge to determine it. If slight redness appears at the suture site, then in this case you should consult a gynecologist. Usually suppuration is accompanied high temperature and swelling in the suture area. On initial stage complications, the gynecologist will treat the wound, and in advanced cases, surgical intervention will be required.

Seam granulation

This is a neoplasm at the suture site that does not develop into malignant tumor. With such a problem, you need to contact a gynecologist: usually the granulation is excised, but it can grow back. However, as practice shows, it is not recommended to have surgery in the first year after childbirth, because the body will begin to recover and the complication will resolve on its own. It is not necessary to excise the tumor: it is recommended to do this only in case of discomfort.

I had no complications after giving birth, but my friend had suppuration of the internal sutures, because of which she was kept in the maternity hospital for a long time. After each treatment of the seams, she left the office and climbed onto a chair standing next to the door. On this chair, the woman stood on all fours and howled in an inhuman voice. I felt very sorry for her, and it was difficult for me to imagine her pain, because I myself gave birth without ruptures.

Prevention during pregnancy to prevent ruptures during childbirth

Any to the expectant mother I want to avoid breakups. To give birth without them, pay attention to some recommendations:

  • do everything possible to give birth to the child on time;
  • take care of local “nutrition” of the perineum;
  • learn to control your muscles pelvic floor and vagina, so that when pushing, you can control the process of your own birth.

Premature birth can be associated not only with physical, but also with psychological problems women. But in any case, throughout pregnancy, a woman should not forget about exercises for pregnant women.

The expectant mother needs to take daily leisurely walks and generally be constantly on the move. At feeling unwell On the contrary, the loads need to be limited.

To prepare the perineum for childbirth, you can carry out the oiling procedure. Moreover, experts advise oiling not only the perineum, but the entire body. To do this, you need to purchase a special oil for perineal massage. However, the procedure can be carried out using any vegetable oil. Almond is the most valuable, but you can also use sesame, olive, sunflower, flavoring it with a few drops of aromatic oil.

To avoid gaps, you need to try to give birth to the baby on time

Prepare the oil and lubricate the entire body, including the intimate area. Sit for 10-15 minutes, then apply the oil again, and after 5-10 minutes begin to wash it off. To do this, prepare in advance the composition “warm water + oatmeal, corn and pea flour”. Thanks to this “porridge” the skin will be nourished useful substances In addition, the product will absorb excess oil.

Special intimate gymnastics will help prepare the perineum for childbirth: alternately tensing and relaxing the vaginal muscles, which requires maximally squeezing the muscles of the anus and the entrance to the vagina.

I think that birth without gaps is possible thanks to correct behavior women in labor: she needs to focus on the process and think about the baby. I did exactly this: I tried to relax and breathe, and the pain went away. Thanks to this, everything unfolded quickly. This allowed me to be distracted for a while, which was enough, and I did not call the doctors several times. But I immediately realized when it was really time to go to the chair. If you wait until the right moment, the delivery itself occurs quickly.

A woman is ready to endure the most terrible breakups in order to receive the long-awaited baby, whom she managed to fall in love with while the baby was under her heart. But a young mother is simply obliged to take care of her health: she must not only know what to do if a particular complication occurs and how to care for stitches after childbirth, but also protect herself from possible problems through careful preparation during pregnancy.

Delivery operations are being performed more and more often today. Some women experience various complications, for example, the suture hurts after a cesarean section, suppuration or hernias appear. No less popular among mothers is the question of how ugly the scar looks after surgical childbirth, whether it is very noticeable and how long it takes to heal. All these factors depend on the type of seam made, the flow postpartum period, quality of care after cesarean section, etc.

Types of sutures after cesarean section

There are many indications for a cesarean section, but there are much fewer ways to perform the operation, and one of their differences is the sutures, which require careful care.

  1. Horizontal seam. When a caesarean section is planned, a laparotomy Pfannenstiel operation is performed. The incision is made transversely in skin fold right above the pubis. In this case, the abdominal cavity is not opened. As a result, after healing the seam is practically invisible.
  2. Vertical scar. If a pregnant woman experiences intense bleeding, or the fetus develops acute form oxygen starvation, then a corporal caesarean section is performed. As a result of the operation, a scar is left from the pubis to the navel, which disfigures the abdomen with nodular scars. Typically, such operations are performed in emergency cases.
  3. Internal sutures are applied to the uterine wall depending on the direction of the incision - transversely or longitudinally.

Complications, healing time, care details - all this is determined in accordance with the type of incision.

How long does it take for a seam to heal?

If there are no complications such as suppuration and sepsis, then by the end of the first week a postoperative scar will form. The type of suture material determines how long a woman will walk with it. If the scar is silk, then it is removed after about a week (vertical after 10 days), and self-absorbing cosmetic threads disappear on their own after 60-80 days.

Removing the suture material does not mean that everything has healed. In order for healing to occur without consequences such as hernia, keloid scars and adhesions, it is necessary to begin actively walking on the second day. Being active will help you avoid intestinal paresis and speed up post-operative recovery. At first, the suture scar has a red-violet tint and a textured surface, which makes it stand out from the rest of the skin. But gradually it will smooth out and brighten. During the healing process, the patient may experience burning, itching, tingling and numbness.

How to properly care for a scar

To avoid postoperative inflammation, it is imperative to provide the patient with proper care. A bandage is applied to the scar daily during the first postpartum week. When the mother is discharged home with the baby, there is usually no need for special care, although sometimes the scar needs to be treated with brilliant green for some time after discharge.

Even with painful sensations, doctors strongly advise walking, starting from short distances. When the wound heals, no harm will harm it. water treatments And hygiene products. Therefore, after discharge, you can safely take a shower, but just do not rub the scar with a sponge or washcloth, while it is recommended to do without mechanical impact.

During the day, postpartum women are recommended to wear a special bandage, which promotes faster healing of the incision. By the way, when wearing such a medical device, the scar begins to stop hurting much earlier than without a bandage. The elastic belt protects it from unnecessary contact and irritation, keeps it in a motionless state, which eliminates divergence. In addition to holding, the bandage helps muscle tissue return to normal faster, removes the tummy and reduces the load on the lower back and spine.

For speedy healing, it is recommended to follow a special diet. The wound healing effect is provided by proteins, tocopherol and other additives. Moreover, it is recommended to rub tocopherol in the form of oil into the rumen. The healing effect is also provided by primrose oil, which also needs to be rubbed into the seam.

Causes of pain

Many postpartum women are faced with the problem of why the suture hurts after a cesarean section. There are several reasons for this phenomenon and each has its own symptoms and characteristics, so when careful attention In terms of your well-being, it will not be difficult to determine the cause of the pain in the suture.

Postoperative complications

Some health problems appear immediately after surgery, while others are detected after relatively long periods of time, so complications associated with the suture can be classified as early or late.

Early

If, after a cesarean section, swelling or a hematoma has formed in the scar area, then the number of recovery and rehabilitation days will increase slightly. Usually this happens due to doctors who make mistakes during the operation. If the surgeon performed vascular truncation incorrectly, pain and bleeding may occur after the operation.

The postoperative period may be complicated by discrepancy, which usually happens in the first 5-10 days after cesarean section. At this time, the sutures are usually removed, which increases the risk of dehiscence. If the abdomen in the area of ​​the scar periodically pulls painfully, this may indicate the development of endometritis, which is inflammation in the mucous structures of the uterus. In addition to nagging discomfort, the patient experiences hyperthermia, pain and bloody discharge.

Late

The number of late complications is not so great, but they still occur. These may include hernial lesions, keloid scarring or ligature-type fistulas. Hernias in the suture area after cesarean section are usually formed during a longitudinal incision in the uterus. Keloid scarring is usually accompanied by a pulling sensation in which the tissues grow unevenly.

In the places of incisions, small gaps may form, which provoke the development of the inflammatory process. A similar complication occurs if the body rejects synthetic suture material. In this case, the patient is worried about weakness and hyperthermia; in addition to the suture, the stomach may hurt, and the pain is cutting in nature.

Elimination of pain

It is not recommended for a mother to take serious painkillers during the first year of her baby’s life. Of course, the stitch can stop hurting on its own, but only after healing. Therefore, to alleviate the condition, it is recommended to use medications local action like pain-relieving sprays, ointments, etc. But they can only be used after medical consultation.

If poor healing is observed, the specialist may recommend taking tablets that restore uterine tissue, for example, Demoxytocin or Hyfotocin, Dinoprost or Ergotal. These medications do not pass into milk and are quickly eliminated from the body. If the pain syndrome is pronounced and the scar heals slowly, then the doctor prescribes a single dose of stronger painkillers. Before this, the woman must express milk for feeding, and by the next feeding, the active components of the medications taken will have already left the body.

Seam correction

Quite a lot of patients remain dissatisfied appearance seam made. IN similar situation they will benefit from cosmetic correction, which is usually done through laser resurfacing. Complete fusion of all tissue layers will occur only after 8 months or a year.

Why does the pain persist after surgery? How to relieve pain after surgery? What are the causes of pain after surgery? – in this article we will help you find answers to these and similar questions, namely, we will talk about an effective and safe method of treating pain after surgery, the causes and symptoms of this disease, as well as the most popular myths associated with it.

what is pain after surgery

Pain after surgery is an excruciating or unpleasant sensation experienced by a patient who has undergone surgery. Pain is felt not only in the suture area or adjacent to it, but also in distant areas.

The nature of the pain depends on the disease for which the operation was performed. Most often, such pain develops after hernia surgery. intervertebral disc, inguinal hernia, gallbladder, joint prosthetics, gynecological operations, as well as after cesarean section, injuries and burns.

causes and symptoms of pain after surgery

Pain after surgery to remove a herniated disc has special manifestations: lower back pain may disappear, but appear after some time; The foot may begin to go numb, the pain in the leg may intensify, the entire leg may tingle and a feeling of “crawling goosebumps” may appear, and it is often painful to lean on the leg. Relative relief occurs only in bed in a certain position (on your side, lying on your stomach, etc.).

Pain after other types of operations is similar in its manifestations: pain and stiffness when moving, muscle spasms, It's a dull pain in the seam area.

The reasons for the development of pain after surgery to remove a herniated intervertebral disc, both in the immediate and distant postoperative periods, are:

  • narrowing spinal canal from scars and stagnation of venous blood, compression spinal cord and nerves;
  • progression of osteochondrosis, the appearance of new hernias in adjacent intervertebral discs;
  • inflammation in the spinal canal of the spine;
  • inflammation of the intervertebral joints (arthrosis);
  • spasm of the muscles of the lower back and pelvis in the area of ​​the surgical suture;
  • incomplete removal of the hernia, which continues to put pressure on the nerve root;
  • damage to the nerve trunks, leading to numbness and dysfunction of the limb.

After other operations, pain occurs for the following reasons:

  • deep and superficial postoperative scars, which compress painful nerve endings, blood vessels and nerve trunks;
  • muscle spasm in the area of ​​the surgical suture;
  • inflammatory process in soft tissues around the surgical suture;
  • disruption of metabolic processes in the soft tissues around the surgical suture;
  • formation of adhesions between the suture and the membranes internal organs;
  • venous and lymphedema in the limbs.

pain after surgery: myths and reality

Today, there are a number of misconceptions about the treatment of pain after surgery, generated mainly by the lack of objective information about the proposed therapy in the person facing this problem. We will try to clarify this issue and debunk the most popular myths.

After surgery, only the skin scar hurts

Most often, it is not the skin scar that hurts, but other tissues that have been damaged surgical intervention. Under the skin, fascia, muscles, ligaments may ache, scar compactions may form, which, when proper treatment soften or dissolve.

Massage is effective for postoperative pain

Massage does improve blood circulation in the operated area, but deep postoperative scars do not resolve from massage. Or the massage must be harsh and long-lasting for relief to occur. Injection is much more effective drug treatment, or plasma therapy, which give effect within the next few days from the start of treatment.

Folk remedies are effective for pain after surgery

Fresh post-operative pain may be relieved folk remedies(ointments, compresses). The more time has passed since the operation, the more difficult it is to obtain any effect.

If your back hurts after surgery vertebral hernia, then the hernia came out again or in another place

It may not be the hernia that hurts, but the scars after the operation, which compress the blood vessels and nerve endings.

Postoperative scars are safe, although they hurt, but the pain will gradually go away

Continued or increasing pain after surgery is a sign that tissue repair is a scarring process and more and more tissue is being drawn into the scar. It is important to stop this process, and soften and dissolve scars, because with age there is a tendency for scarring and pain to increase.

As can be seen from the examples described above, an objective look at the problem of pain after surgery from the point of view of ways to solve it helps a person who has been diagnosed with this disease to promptly and thoughtfully approach the choice of effective and safe method treatment.

about our treatment of pain after surgery

Our treatment postoperative pain different from standard systematic approach.

The fundamental difference between the academic approach of conventional treatment and the systematic approach of our treatment is that academic medicine diagnoses and eliminates the symptom, and systems medicine– the cause of postoperative pain.

Pain after surgery usually develops from a combination of causes. For effective treatment each of them needs to be eliminated. If the cause of the development of the disease for which the operation was performed was one and eliminated surgically, then the body recovers and the pain goes away. This operation is considered “successful”. If there was a combination of reasons and only one was eliminated during the operation, then pain after the operation develops due to the remaining reasons, to which another one is added - a postoperative suture. Such an operation is considered “unsuccessful.”

What a set of causes is can be explained using the example of postoperative pain due to the removal of a herniated intervertebral disc.

Before surgery, the back pain experienced by a person diagnosed with a herniated disc appears from compression of a nerve by a prolapsed hernia. The pain may also be associated with muscle spasms, inflammatory processes in intervertebral joints, from irregular structure of this part of the spine, or from a previous injury to the soft tissues of this area (muscles, ligaments).

After the operation appears additional reason increased pain - postoperative scar - tissue compaction during fusion of the postoperative suture. Seals in the form of scars form not only on the skin, but also in deep tissues (muscles, ligaments, in some cases, tissues of internal organs).

Post-operative scars put pressure on the nerves, exacerbating the pain.

Thus, to the set of reasons existing before the operation, one more is added - postoperative scars. Over time, the pain increases, the function of movement worsens.

To treat postoperative pain, we prescribe the patient a course of subcutaneous microinjections with absorbable drugs to eliminate excessive suture seals and adhesions in soft tissues, a course of muscle mesotherapy to relieve spasms and triggers (seals) in the muscles, a course of osteopathy to restore movement function, a course of nutraceuticals for better regeneration tissues and relieve inflammation in intervertebral joints.

Relief occurs on the first day after starting treatment. Over the next month, the pain decreases significantly. Within a few months, the person returns to his normal lifestyle.

We begin treatment for pain after surgery

Treatment of pain after surgery in our center begins with an appointment with a neurologist. The appointment is conducted by the chief physician and leading specialist of our center, neurologist (vertebroneurologist), candidate of medical sciences Mazheiko Lyudmila Ivanovna.