Dissolvable Stitches Sticking Out What You Should Know

Dissolvable stitches, also known as absorbable or soluble sutures, are commonly used in surgical procedures to close wounds. They are designed to break down and be absorbed by the body over time, eliminating the need for suture removal. However, sometimes dissolvable stitches can protrude from the skin, causing discomfort and concerns. In this article, we will delve into the reasons why dissolvable stitches may stick out, potential risks, and how to handle this situation.

1. Understanding Dissolvable Stitches

Dissolvable stitches are made of materials that are absorbed by the body, such as polyglactin or polydioxanone. Unlike traditional stitches, they do not require removal, as they naturally degrade and are metabolized by enzymes in the body. The rate of absorption varies depending on the type of suture used, ranging from a few days to several weeks.

However, despite their purpose to dissolve, there are instances where dissolvable stitches can become visible on the skin surface, causing concern for patients.

Reasons why dissolvable stitches might stick out:

1.1. Inflammatory Response: The body's natural healing process can trigger inflammation, causing the surrounding tissues to swell. This swelling can push the dissolvable stitches out from under the skin, making them visible.

1.2. Premature Absorption: In some cases, dissolvable stitches may dissolve too quickly, leading to inadequate wound closure. When this occurs, the remnants of the dissolved stitches may protrude through the wound site.

1.3. Improper Placement: If dissolvable stitches are not placed deep enough into the tissue or with incorrect tension, they may surface prematurely.

2. Risks Associated with Sticking Out Dissolvable Stitches

While dissolvable stitches sticking out can be bothersome, they typically do not pose significant risks. However, there are a few possible complications to be aware of:

2.1. Infection:

When dissolvable stitches extrude from the skin, there is a slight risk of infection. Bacteria may enter the wound through the exposed stitches, leading to localized redness, swelling, and tenderness. If you suspect an infection, it is important to seek medical attention promptly.

2.2. Delayed Wound Healing:

If dissolvable stitches are not fully dissolved and are sticking out, they can impede the healing process. The prolonged presence of these stitches can cause irritation and result in delayed wound healing.

3. Handling Sticking Out Dissolvable Stitches

If you notice your dissolvable stitches sticking out, it is essential to follow the appropriate steps to minimize discomfort and reduce the risk of complications:

3.1. Avoid Pulling or Cutting:

Resist the temptation to pull or cut the visible part of the stitch. Doing so can cause injury or potentially disrupt the wound, leading to further complications.

3.2. Keep the Area Clean and Dry:

Gently clean the area around the protruding stitches with mild soap and water. Pat the area dry using a clean towel or let it air dry. Keeping the wound clean and dry will help prevent infection.

3.3. Consult a Healthcare Professional:

If the discomfort persists or if you notice signs of an infection, it is crucial to consult your healthcare provider. They can assess the situation, provide appropriate guidance, and determine if the stitches need to be removed manually.

4. Prevention Techniques

To minimize the likelihood of dissolvable stitches sticking out, healthcare professionals can employ the following preventive techniques:

4.1. Proper Suture Placement:

Ensuring that dissolvable stitches are placed at the appropriate depth within the tissue helps prevent premature visibility as the wound heals.

4.2. Appropriate Tension:

Properly adjusting the tension of the suture during placement can reduce the chances of stitches becoming prominent on the skin surface.

4.3. Use of Supporting Materials:

In certain cases, healthcare professionals may use additional supporting materials, such as adhesive strips or surgical glue, to aid the dissolvable stitches in wound closure.

5. FAQ

5.1. Can I remove sticking out dissolvable stitches by myself?

No, it is not recommended to remove dissolvable stitches by yourself. Consult your healthcare provider to ensure proper removal and assess the healing progress of the wound.

5.2. How long does it take for dissolvable stitches to dissolve?

The duration of dissolvable stitches' absorption varies depending on the type used. It can range from a few days to several weeks.

5.3. Will dissolvable stitches leave scars if they stick out?

In most cases, dissolvable stitches that stick out do not lead to significant scarring. However, the appearance of scars can vary based on individual factors, such as skin type and wound healing process.

Conclusion

Dissolvable stitches sticking out can be a common occurrence during the healing process. While it may cause discomfort and concern, they usually do not pose significant risks. It is essential to follow proper care instructions, keep the wound clean, and consult a healthcare professional if complications arise. Remember, each case is unique, and professional medical guidance is crucial for optimal healing.