Surgical wounds can be closed with regular or dissolvable sutures.
A dissolving suture is a form of wound closure used after surgery. Because they are absorbed by the body, sutures can be used on internal or external wounds, being a good option for oral surgeries and surgical procedures on internal organs. Sutures are made from natural materials, rather than synthetics, which cause the body to see the suture as a foreign substance and try to get rid of it. The most common materials used to make a dissolvable suture are polyglactin and polyglycolic acid.
The most common materials used to make a dissolvable suture are polyglactin and polyglycolic acid.
The body’s natural enzymes and fluids work to dissolve the suture internally. Dissolvable sutures are not often used on superficial wounds because the surface of the skin does not receive enough blood and fluid to dissolve the stitches naturally in most cases. Most dissolvable stitches take several weeks to begin to break down and can last for several months before they completely disappear. The time the stitches take to dissolve depends on how many stitches there are, the depth of the wound, and the stitch material. Polyglycolic acid spots dissolve faster and more completely than polyglactin spots.
Dissolvable sutures do not require manual removal.
Closing a wound with one or more soluble sutures is desirable because the patient does not need a follow-up appointment with the doctor or surgeon to remove the stitches. Sutures are made at various strengths to allow the body to absorb them quickly or slowly, depending on how long it takes for the wound to heal. In some cases, a dissolvable suture does not go away completely. If this happens, the doctor can easily remove the suture after the wound is completely closed and healed.
Dissolvable sutures are usually a good choice for oral surgery.
It is important that patients follow their doctors’ instructions regarding wound care after an injury or surgery. Dissolvable sutures sometimes protrude from the skin, but pulling or pulling them can delay wound healing, result in more severe scarring, and make the wound more susceptible to infection. The area should be kept clean and the stitches should fall out or dissolve on their own.
Most sutures are done with curved needles, as this allows the doctor to suture the tissue with access to only one surface.
As with any type of wound, areas closed with soluble stitches can become infected. Because many wounds closed with these types of sutures stay inside the body, patients may not be able to see the outward signs of infection, such as redness, pus, or swelling. It is important for patients to see their doctor if they develop a fever or severe discomfort near the wound site after surgery, as these could be signs of a serious infection or an indication that the body is rejecting the stitches.