by Sarah Staples

Created on: January 16, 2009

Stitches, otherwise referred to as sutures, are used to close wounds; breaks in the skin either sustained accidentally or as the result of a planned surgical procedure. There are many varieties of different suture materials available. Dissolvable stitches are often used during planned surgical procedures whereas non-dissolvable stitches are frequently used in emergency departments for the closure of injuries. Whatever type of suture you have there are some basic tips that can help you look after your stitches, to help promote healing and prevent complications such as infection.

Generally, when you have stitches, they will be covered with a dressing. This will help prevent the wound area from becoming contaminated with anything during the initial healing period. It is important to try to keep the dressing and area clean and dry, especially during the first few days. This may mean you have to cover the area with a glove or plastic bag when showering or washing. If the dressing does become wet or loose it is advisable to arrange to have the dressing changed. Your nurse will be able to do this for you, or they may even provide you with spare dressings to change yourself, depending on the circumstances.

If you have stitches in an arm or leg, it is advisable to elevate the limb in the initial period to help prevent and swelling and promote recovery. It is important to be careful when moving the area that has stitches. For example, if you have stitches over your elbow or knee be careful when bending the area to prevent the stitches bursting.

Keep a close eye for any signs or symptoms of infection, and if they develop, contact your health care provider. Signs and symptoms of a possible infection include increased pain, pus discharge, swelling, redness around the area, fever and generally feeling unwell.

Be sure to follow the instructions you are given regarding removing stitches. Stitches in different parts of the body will need removing after varying lengths of time. Those on the face are sometimes taken out as early as three days after insertion, whereas those over a joint may need to stay in for up to fourteen days. You will need to make an appointment with a health care provider to have the stitches removed; often this will be with your general practitioner nurse.

Finally remember that all wounds will leave a scar when they heal. However, scaring can be greatly reduced by taking good care of your stitches, being mindful of possible infection and reporting any concerns to your health care provider.

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