How is the stitches removed?

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How are the seams removed? Does the procedure to remove the stitches hurt? Does removing sutures after laparoscopy require anesthesia? Are stitches always removed by a doctor? Are there any recommendations to follow after the stitches are removed? The question is answered by the drug. Anna Mitschke.

How are the seams pulled down?

Good morning, I would like to ask how the mileage is removal of stitches after laparoscopic surgery. Last week I passed laparoscopic ovarian cyst removal. The procedure went smoothly and I was in hospital for a very short time. Unfortunately, I forgot to ask the doctor for more specific information about the procedure of removing the stitches. It is true that the list of records contains information about the removal of stitches, but it is only information about how many days to remove the stitches. However, there is no more detailed information on how exactly this is happening.

Does it hurt to remove the stitches? And if so, are any applicable anesthesia for removing sutures after laparoscopy? I also wanted to ask who should remove the stitches after the procedure – do the stitches have to be removed by the doctor? I am asking because theoretically I should go to the hospital, or rather a hospital clinic, to remove the stitches. However, there are queues there, and I know that in my private clinic there is such an option, but I do not know whether to use it, because the nurse is responsible for removing the stitches. In such a situation, is it a good idea to remove the stitches privately? After removing the stitches, are there any special precautions I should follow? I am asking for clarifications on this matter.

The doctor explains the process of removing the stitches

Various types of thread can be used to establish the seams. The choice largely depends on the tissue in which we operate. We distinguish between absorbable and non-absorbable threads. The threads can be made of natural fibers such as: catgut, linen, silk and also synthetic fibers, e.g. metal, polyamide, polyester, polypropylene, polyglycolide.

There are many methods of suturing wounds. We can distinguish a single knotted seam, a horizontal mattress seam, a vertical mattress seam, a continuous seam, a continuous interleaved seam, a continuous horizontal mattress seam, and an intradermal seam. The thread thickness is selected depending on the type of tissue supplied. Threads are marked with numbers. The higher the number, the thinner the thread. The tissue can be joined using a mechanical suture. It is a semi-automatic method of sewing wounds using special staples that resemble those in well-known office staplers.

Removal of such sutures is slightly different than those of surgical sutures. Removing the stitches is a simple and quick procedure that is performed without anesthesia. The stitches can be removed by the doctor and a trained nurse. If the wound heals properly, the procedure of removing the stitches is not painful. Of course, there may be slight pinching, a pulling sensation due to the disinfection of the wound and the pulling of the stitches to remove them.

Wounds after laparoscopic surgery they are usually small in size. Usually it is enough to use a few stitches to supply them. Therefore, their removal will probably not cause problems and the entire procedure will take quickly and efficiently. I suggest that you go to the Hospital Clinic as recommended in the Information Card. It is important to have the stitches removed on time. Removing the stitches too early may cause the wound to separate. However, removing them late may make it more difficult to remove.

— Lek. Anna Mitchke

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