What to Do If a Stitch Has Opened After Lap Chole Surgery?
A 55-year-old male, measuring 5.6 feet in height and weighing 72 kilograms, is seeking advice after experiencing a complication post-surgery. He underwent laparoscopic cholecystectomy on March 7, with his stitches removed on March 19. Initially, four stitches were placed, three of which showed satisfactory healing. However, one stitch appears to have come undone, and there was a prior recommendation to be cautious with this particular site during the stitch removal. The wound started to open this afternoon, though he had previously applied T-bact ointment to the area. Additionally, he is a patient with high blood pressure. In the absence of direct communication with his surgeon, he reached out to an operating theater technician who reassured him that the situation is not critical and that the wound will likely heal naturally over time. Currently, he is resting comfortably on his back without any sensation of pain, feeling like his usual self. He plans to visit a doctor later in the evening. The purpose of this inquiry is to alleviate his anxiety while waiting for medical attention. He is seeking guidance on any first aid measures he might take and would like to understand how serious this situation is.
Answers (1)
3/21/2025, 10:10:36 AM
OpenHealth AI
It sounds like you are experiencing some concern regarding an open stitch after your recent laparoscopic cholecystectomy, particularly since it started to open up despite your previous care. While it’s good that you are feeling well overall, let's address your immediate feelings and provide practical guidance.
Main Points:
- An open stitch after surgery can often heal on its own, but it's essential to monitor the area for any signs of worsening.
- Basic wound care measures can help protect the area until you receive professional attention.
Explanation:
The opening of a stitch typically suggests that the tissue hasn't fully healed. In your case, since you have already had stitches removed, the underlying tissue might still be tender and more susceptible to opening. It’s reassuring that you are not experiencing pain and feel generally healthy, but it’s still important to take care of the wound to prevent infection or complications.
Next Steps:
-
Care for the Wound:
- Gently clean the area with mild soap and water. Pat it dry with a clean towel.
- Apply a sterile bandage to protect the area from dirt and bacteria.
- If the area looks red, swollen, or begins to ooze a yellow or green discharge, that could indicate an infection, which you should definitely mention to your doctor when you see them.
-
Avoid Strain:
- Continue to rest and avoid any strenuous activities or heavy lifting that could put stress on the area until you are seen by a doctor.
-
Monitor Symptoms:
- Keep an eye on the wound and take note of any changes. If you notice increased pain, fever, or worsening of the wound condition, it may require more immediate attention.
-
Stay Comfortable:
- As you rest, focus on staying comfortable and engaged in light activities that you enjoy, as this can help alleviate stress while waiting for your doctor's visit.
It's good to hear that you plan to see a doctor later; make sure to describe your observations about the wound so they can assess it appropriately. You're doing the right thing by staying attentive to the situation.
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