Postoperative suture infiltration is the infiltration or impregnation of tissue with exudate in the suture area at a distance of at least five centimeters from its edges. We usually say that postoperative suture is inflamed. This condition is one of the complications that can develop after surgery. Let’s take a closer look at what to do if the postoperative suture is inflamed and does not heal, and because of what it happens.
Why is postoperative suture inflamed
There are several reasons for which postoperative suture can be inflamed:
- wound infection;
- inadequate postoperative wound drainage in obese patients;
- trauma of the subcutaneous fat layer during the operation with the formation of hematomas and areas of necrosis;
- use for the suture superimposed on the subcutaneous fat layer of a material having a high tissue reactivity.
These reasons may be the only ones, but most often their combination occurs.
Symptoms of postoperative infiltration
The first signs that the postoperative suture is inflamed, as a rule, develop on the third or sixth day after the operation. First, edema is formed in the area of the wound and hyperemia of its edges. The patient complains of the feeling of pain, which is growing every day. On palpation in the postoperative suture area, a painful induration, which has no clear boundaries, is groped. The patient’s general condition is gradually deteriorating: the temperature rises, weakness, muscle pain and other manifestations of intoxication appear. This all leads to the fact that the postoperative suture does not heal.
If postoperative suture festers
Purulent inflammation, as well as infiltrate, has the same reasons, but wound infection is always present. Usually suppuration develops as a result of unnoticed hematoma and the subsequent formation of infiltration.
The clinical picture will be the same, but more pronounced, acute and rapidly evolving. The first signs may develop a week after surgery. It begins with a sharp rise in temperature to high numbers, chills, fever and pronounced symptoms of intoxication. The postoperative suture does not heal, an area of hyperemia is formed, which is sharply painful and protrudes. With anaerobic infections, the first symptoms appear already by the end of the first day, a maximum of the second after surgery, the condition progresses very quickly and in a few days approaches septic.
What to do if postoperative suture is inflamed
With the development of conventional infiltration spend sensing wounds and evacuation of exudate. To reduce tissue pressure, some stitches can be removed. Postoperative suture is kept warm, physiotherapy is prescribed. The patient is prescribed rest.
With purulent inflammation, the sutures are necessarily removed, the wound is cleaned and drainage is established. With the defeat of an anaerobic infection, excision of damaged tissues is carried out, and with a deep lesion additional sections are made. Antibiotics are required. The wound during any infection is cleaned and drained daily. As the process is relieved, either a secondary suture is applied, or in the case of extensive wounds, they are transferred to the application of ointment dressings.