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After an open surgery, different types of stitches (sutures) or wound closure methods can be used to close the incision and promote proper healing. The choice of sutures depends on factors such as the type of surgery, the location of the incision, the patient's medical condition, and the surgeon's preference. Here are some common types of stitches used after open surgery:
Sutures:
Absorbable Sutures: These sutures break down over time and
are eventually absorbed by the body. They eliminate the need for suture
removal.
Polyglactin (Vicryl): Commonly used for deeper tissue
layers.
Polydioxanone (PDS): Used for internal layers of tissue.
Non-Absorbable Sutures: These sutures do not break down and
may need to be removed by a healthcare provider after the incision has healed.
Nylon (Ethilon): Used for skin closure.
Polyester (Mersilene): Used for deeper layers of tissue.
Polypropylene (Prolene): Often used for areas under tension.
Staples:
Surgical staples are metal devices that can be used to close
incisions quickly. They are particularly useful for long incisions or in areas
where there is tension. Staples are usually removed after a certain period of
healing.
Adhesive Glue:
Medical adhesive glue can be used to hold the edges of an
incision together. It is often used for smaller incisions or superficial
wounds. It eventually wears off as the wound heals.
Steri-Strips:
Sterile adhesive strips are placed over the incision to help
hold the edges together. They are often used in combination with other closure
methods.
Interrupted Sutures:
These are individual stitches placed at intervals along the
incision. They allow for more precise alignment of wound edges and better
control over tension.
Continuous Sutures:
Also known as running sutures, these are a series of
stitches that run continuously along the length of the incision. They are
quicker to place but may cause more tension along the wound edges.
Subcuticular Sutures:
These sutures are placed just under the skin's surface,
eliminating the need for visible stitches. They promote a cosmetically
appealing outcome.
The choice of suture type will depend on the surgeon's judgment, the type of tissue being closed, the risk of infection, and other factors. Proper wound care after surgery is essential regardless of the type of closure used. This includes keeping the incision clean, dry, and protected to prevent infection and ensure optimal healing. Always follow your surgeon's post-operative care instructions for the best results.
