A synthetic braided suture often used for repairing hand or facial lacerations. Types of Nonabsorbable Sutures Nonabsorbable sutures can be used for most types of soft tissue repair, including cardiovascular and neurological procedures.
Nylon, polyester, and polypropylene. Synthetic monofilament sutures often coated with teflon, polybutilate, or silicone to make them easier to handle. A braided, natural suture offering high tensile strength and easy handling. However, as an animal protein, silk carries a significant risk of infection.
The following, as noted by the American Family Physician , provides a good guideline: Face: 3 to 5 days Scalp: 7 to 10 days Arms: 7 to 10 days Chest: 10 to 14 days Legs: 10 to 14 days Hands and feet: 10 to 14 days Palms and soles: 14 to 21 days Are There Alternatives to Sutures?
While sutures have stood the test of time, they still present a number of challenges: They can be time-consuming to apply and may require a return trip to the doctor. They require the use of a needle, which can lead to needlestick injuries. They can result in significant scarring, especially in an emergency situation when scar-reduction is not a priority. The suture materials can cause infection. Eliminates the risk of needlestick injuries. Results in less scarring than sutures or staples. It's also best to avoid alcohol-based products as well.
Many people worry when they can feel their dissolvable stitches under their incision, even after it appears to have completely healed. Usually, this is not a cause for concern. It is normal to be able to feel internal sutures.
While most dissolvable stitches do absorb within about six months, there is a wide range of normal. For example, yours may be gone quicker, or they may take far longer to dissolve completely. Feeling your stitches is not cause for alarm.
Sometimes what you feel may not even be the sutures—it may also be feeling scar tissue , which is typical for a surgical incision. Try to avoid rubbing or poking at your incision site. Your skin may close far faster than the deeper parts of your incision.
Therefore, repeatedly scratching your surgical site can delay your healing process. Dissolvable stitches are a convenient way to suture wounds and incisions. Unlike regular stitches that require removal, your body absorbs dissolvable stitches so that they do not require removal. To care for dissolvable stitches, wash with a gentle cleanser. Avoid scrubbing, picking at scabs, and hydrogen peroxide. Absorbable sutures are standard and very safe.
The best part is there is no need for a follow-up procedure to remove the stitches once the wound heals. Dissolvable stitches aren't appropriate for every injury but are an excellent way to close many surgical incisions. If you wonder if dissolvable stitches are a good option for your wound or incision, ask your doctor about it.
Sign up for our Health Tip of the Day newsletter, and receive daily tips that will help you live your healthiest life. Comparison of absorbable with nonabsorbable sutures in closure of facial skin wounds. Arch Facial Plast Surg.
Acute wound management: revisiting the approach to assessment, irrigation, and closure considerations. Int J Emerg Med. Ugeskr Laeg. Closure techniques. Emerg Med Clin North Am. The effect of a hydrogen peroxide wound care regimen on tensile strength of suture. A comparison of cosmetic outcomes of lacerations on the extremities and trunk using absorbable versus nonabsorbable sutures.
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They will dissolve with time or will fall away. Do not clean your absorbable sutures with hydrogen peroxide. Scab forming is a natural part of wound healing. Do not pick the scabs as they form over the stitches. Do not scratch the wound even if you experience an itching sensation.
In these cases, it is best to apply the ointment recommended by the doctor to hasten the healing process. If the doctor has bandaged the wound, it may be necessary to change the bandages at regular intervals. Check with your doctor about the frequency and changing process. These days you can order most medical supplies such as bandages, sutures, and adult diapers online. Once the dissolvable stitches start to fall off, some little parts of these may stick out.
Do not try to forcibly remove them. These will either be absorbed by the body or will fall off eventually.
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