Internal stitches are commonly used in various surgical procedures to close incisions and promote proper wound healing. While these stitches are designed to dissolve over time, occasionally, they may tear or break prematurely. In this article, we will look at what happens if you tear internal stitches from the perspective of a professional plastic surgeon or a patient. It is essential to note that this information is meant for general awareness and should not replace medical advice. Consulting with a healthcare professional is always recommended in such situations.
1. Introduction
Internal stitches are typically made of absorbable materials, such as polydioxanone (PDS) or polyglactin. Their purpose is to hold tissues together during the initial phase of healing. After a specific period, these stitches are designed to dissolve, reducing the need for additional removal procedures.
2. Causes of Torn Internal Stitches
Torn internal stitches can occur due to various reasons, including excessive physical activity, trauma to the surgical site, inadequate wound care, poor surgical technique, or the presence of underlying health issues such as compromised immune function or metabolic diseases.
In some cases, individuals may unknowingly strain their incision sites, leading to the tearing of internal stitches. For example, lifting heavy objects, engaging in intense exercise, or sudden movements can put stress on the healing tissues.
3. Symptoms and Signs
Torn internal stitches may present with several symptoms and signs, although not everyone will experience them. Common indicators include:
- Increasing pain or discomfort at the surgical site
- Appearance of a gap or opening in the incision area
- Redness, swelling, or warmth around the wound
- Development of an abscess or lump near the incision
- Drainage of pus or fluid from the wound
- Delayed healing or prolonged recovery time
- Increased scar visibility or abnormal scar formation
If you notice any of these symptoms, it is essential to contact your healthcare provider promptly.
4. Potential Complications
When internal stitches tear, several complications can arise. These complications may include:
- Infection: A torn stitch can create an avenue for bacteria to enter the incision site, leading to a localized or systemic infection. Common signs of infection include redness, swelling, fever, and increased pain.
- Wound Dehiscence: Wound dehiscence refers to the separation or reopening of a previously closed wound. This complication can delay healing, increase the risk of infection, and may require additional treatment.
- Scar Abnormalities: Torn internal stitches can potentially affect the healing process, resulting in abnormal scarring, such as hypertrophic scars or keloids. These types of scars are raised, thickened, and may be aesthetically displeasing.
5. Immediate Steps to Take
If you suspect that you have torn internal stitches, taking the following steps is essential:
- Contact your healthcare provider: Inform your surgeon or doctor about your symptoms and seek their guidance on the next steps to take.
- Follow wound care instructions: Ensure you are properly caring for the wound by adhering to the provided instructions. This typically involves keeping the area clean, dry, and protected.
- Avoid physical strain: Minimize activities that could further strain the incision site, such as heavy lifting or intense exercise. Following your healthcare provider's advice in this regard is crucial to promote optimal healing.
6. Evaluation and Treatment
Upon contacting your healthcare provider, they may recommend an evaluation to assess the extent of the damage caused by the torn internal stitches. This evaluation may involve:
- Physical examination: The healthcare provider will visually inspect the wound, looking for signs of infection, inflammation, or separation.
- Imaging tests: In certain cases, imaging tests like ultrasound or MRI may be conducted to assess the deeper layers of the wound and evaluate if any structures have been compromised.
- Potential treatment options: Treatment will depend on the severity of the tear and associated complications. Options may include wound dressings, antibiotics, surgical revision, or the placement of new stitches.
7. Prevention and Aftercare
To minimize the risk of tearing internal stitches and promote proper wound healing, adhering to the following preventative and aftercare measures is crucial:
- Follow post-operative instructions: Strictly follow all instructions provided by your surgeon or healthcare provider, including wound care, activity restrictions, and medication usage.
- Avoid excessive strain: Refrain from engaging in activities that can strain the incision site, especially during the initial healing phase.
- Attend follow-up appointments: Attend all scheduled follow-up appointments to allow your healthcare provider to monitor the healing progress and address any concerns promptly.
- Maintain a healthy lifestyle: A healthy lifestyle, including a well-balanced diet, regular exercise within recommended limits, and avoiding harmful habits like smoking, can significantly contribute to the proper healing of surgical wounds.
8. Psychological Impact
Tearing internal stitches can have psychological implications for patients. It is essential to acknowledge the potential emotional distress that can arise from complications or setbacks during the healing process. It is recommended to seek support from friends, family, or professional counselors to address these concerns and maintain a positive mindset throughout the recovery period.
Conclusion
Tearing internal stitches can lead to various complications and delay the healing process. Consulting with a healthcare professional is vital if you suspect any issues with your surgical incision. Strictly follow their guidance and adhere to proper wound care to minimize the risk of complications. By being proactive and attentive, you can help in improving the healing outcome and achieve the desired results.
References:
1. American Society of Plastic Surgeons. (n.d.). Surgical Scars. Retrieved from https://www.plasticsurgery.org/reconstructive-procedures/surgical-scar
2. MedlinePlus. (2021, April 6). Surgical site infections—aftercare. Retrieved from https://medlineplus.gov/ency/patientinstructions/000474.htm
3. Wu, X., Cheng, B., Li, G., Zheng, D., Meng, S., Wu, Z., ... & Wang, M. (2021). Influence and prevention of surgical scar on physical and mental health. Chinese Medical Journal, 134(14), 1664-1666. doi:10.1097/CM9.0000000000001606
