Postoperative complication. How to get rid of the roller after the cesarean section? Seal after Cesarean

Date: 03.11.2019

Rhodework by cesarean section is a surgical procedure, during which the child is extracted through a cut in the abdominal cavity. lasts from 3 to 6 months. As a healing in the uterus, a scar is formed. Problems with seam after cesarean sections arise quite often. They provoke a poor-quality care, violation of the principles of the operation, infection and so on.

Important! If a seal was formed over the seam after Cesarev, it is necessary to refer to the doctor to identify sources of the pathological process.

Causes of seal seal after cesarean section

Surgical manipulations imply a crosslinking of soft tissues of the abdominal cavity using medical instruments. The choice of material is individually carried out, depending on the variety of operation.

After the operational intervention, the seam is gradually covered with a connective tissue, which leads to the formation of the scar. Under the influence of certain factors, the scar is generated incorrectly. This is manifested in redness of the skin and the appearance of the seal. Possible reasons for such phenomena include:

appearance;
infection of tissues;
formation of a purulent process;
an autoimmune response of the body.

Most often, after the cesarean sections of the seam is solid because of infection in an open wound. Wrivered hygiene can provoke a problem during the recovery period or neglect the recommendations of the gynecologist. The first time after delivery may be required. If the seam is solid and hurts, required urgently Visit a specialist. This situation requires timely treatment.

Types of cesarean seams

Complications after surgical procedure can touch any species of seams. In medicine divided: internal, horizontal and vertical seams. In the first case, we are talking about those that are superimposed directly on the region of the uterus. Methods for imposing medical threads are different.

The doctor focuses on the need to prevent bleeding and ensuring the ability of a woman to be heated in the future. When holding a laparotomy, it is customary to make transverse seams. When conducting a corporal operation, the most relevant longitudinal inner. The uterus is stitched with synthetic durable threads, which over time they are resolved. After that, stitches are made on the abdominal wall.

Vertical
Transverse

Vertical seam starts from the pubic zone and ends at the navel. It is imposed at a high risk of hypoxia in a child and abundant blood loss in a woman. Such seam is considered an essential visual defect. He has a tendency to holding in the future.

Most often, it is striving to remove the method of laser exposure or make. Horizontal seam is in a fold over the pubic area. His physiological location makes it as imperceptible as possible. This method of tissue compounds are preferred when the operation passes without complications.

Why appeared bump over the seam

The hardness of the skin at the dissection site at the reducing stage is considered an absolutely normal phenomenon. If there is no pain signal and purulent masses, no need to worry. Softening soft tissues begins only after a year and a half after surgical manipulations. The church on the seam indicates the development of the pathological process. In this case, without visiting the Cabinet of the gynecologist can not do.

Do you have vertical or transverse seam?

VerticalTransverse

Seal in the form of any sizes of the cone can precede the formation. Ideally, a certain period of time after surgery, stitches imposed on the uterus, must solve themselves.

If this for some reason occurs, the inflammatory process begins. Under the skin accumulate purulent masses. After some time, a purulent head is formed on the chish, through which the dead leukocytes come out.

With a ligaturic fiction at the scar, a pulsating pain appears, skin covers begin to blush. There may be sawing sensations. It is extremely important to see the doctor in time and begin therapy.

Sometimes seals after cesarean section provoke disorders of regenerative processes. In medicine, the scar caused by such a reason is called keloid. It does not carry a threat to the patient, but is distinguished by aesthetic unattractiveness, which gives psychological discomfort. Such a scar is recommended to be removed by laser.

Another common complication of surgical manipulations - seroma. It differs from the fistula to the fact that it may disappear independently.

Seroma - It is a pathological seal in the suture zone, inside of which liquid content. It is formed at the place of crossing lymphatic nodes. Sew soft tissues in this area after dissection is almost impossible. In this place the cavity is formed in which Lymph accumulates. After detecting Seroma you should visit the doctor To determine the cause of pathology.

One of the earliest complications is considered. Usually it occurs on 7-10 days after surgery. The reasons for the discrepancy of the seam include raising heavy items weighing more than 4 kg and transferring infectious diseases. This condition is very dangerous for women's health. It is important to turn to the surgeon and / or a gynecologist in time to prevent complications.

Explicit symptoms

After the cesarean section of the seam hurts anyway. Therefore, pain syndrome is considered a subjective sign of the pathological process. Analgesizing preparations are prescribed for pain. They are accepted immediately after the operation. The duration of pain in the area of \u200b\u200bthe seam depends on its variety. Transverse seam for full healing required no more than 6 weeks. The longitudinal seam stops disturbing about 60 days after delivery. To other symptoms of pathologies include:

mercenary sensations;
purulent discharge;
sutures;
subfebrile or high body temperature;
deterioration of well-being;
bleeding seam.

The inner seam after the cesarean section has a tendency to discrepancy. In this case, the woman appears bloody discharges. Since the first time after the delivery, it will be difficult to understand the nature of the origin of the discretion. Their number will increase significantly. There may be unpleasant smell and blood clots.

Excess body temperature - The main sign of inflammation in the body. The phenomenon is observed due to the fact that the immune system is trying to resist the viral or infectious disease. Subfebrile or elevated temperature is accompanied by a decrease in operability and chills.

Many fencers are concerned with the mercenary sensations in the suture area. In fact, they are completely safe, indicate that the wound is tightened with a connective tissue, i.e. heals. With severe itch absolutely forbidden comb soup. If there is a feeling of burning, then you need to see a doctor.

When it is fear

You have already appealed to the doctor

YesNot

The development of complications can not be noted immediately. At the very beginning, the clinical picture is distinguished by blur. By itself, the solid seam after the cesarean section does not represent danger.

It is necessary to pay attention to the concomitant signs of deviations. Normally, the Rubber is not too much toward the skin surface. Nearby must not Be swelling and redness.

The accumulation of pus, open wounds, an unpleasant smell and pulsing pain speak about the development of inflammation. Follow regularly examine the seam And listen to your feelings.

But the most reliable way of diagnosis is timely visits to the gynecologist. The doctor will be able to detect the problem with visual inspection. Special caution should be taken a week after the operation. During this period, it is very easy to infect.

What to do under complications, the doctor decides. Ultrasound is predefined to exclude the likelihood of divergence of scar tissue. Analyzes also give up to detect the presence of inflammation in the body. After collecting data, the method of treatment is selected. Sealing seam after cesarean disappears approximately 10-12 months after surgery. Otherwise, it is removed in the cosmetology clinic.

Treatment

The seal therapy method on the seam after the cesarean section is selected taking into account the cause of pathology. For healing of purulent formations, treatment implies the use of antimicrobial means. The seam area is regularly processed using antiseptic solutions. Antibiotics applies orally or in the form of intramuscular injections.

According to statistics, the discrepancy between the scar is possible in 4-10% of cases. This is due to the anatomical features of the structure of the abdominal wall muscles in women. When discrepancies, seams require a re-operation. The uterus rupture is extremely dangerous for the life of a woman, so it's not worth pulling treatment.

Surgery is treated. The main cause of pathology is the medical thread stuck in soft tissues from which the suppuration went. It is possible to remove it only surgically. The surgeon reveals the wound, removes the foreign element and gets rid of purulent masses. After the operation, the woman shows anti-inflammatory therapy.

A bump over a seam, which is not accompanied by an inflammatory process, may eventually disappear over time. But in any case it is necessary to show a doctor. The need to treat a keloid scar is determined by a woman independently. Such pathology delivers only aesthetic discomfort. Rubet after cesarean sections are removed by the method of surgical excision or more conservative ways:

chemical peeling;
treatment with ultrasound;
laser removal;
mazi on a hormonal basis;
impact of liquid nitrogen.

The most effective method of removing the postpartum scar is a laser procedure. It is distinguished by the lack of painful sensations and a high degree of efficiency. Already after 2-3 procedures from the scar, there will be no trace. The disadvantages of this method include a high cost. In most cases, such an operation is carried out in private clinics.

Tools for topical use are based on hormones. Their use helps to make a scarm less noticeable. The disadvantages of the method include a cumulative effect. To see improvements, it is necessary to use the cream for a long time.

The surgical treatment method has many opponents. During the operation, the scar tissue is completely excised. Then the scar is replaced. No guarantee that the situation will not happen, no.

Preventive measures

The degree of risk of development of undesirable consequences after the operation depends on the quality of preventive measures. The first preventive assistance is the guinea immediately after surgical manipulations. The factors that can provoke infection in the uterus region are eliminated. The belly after the cesarean section is periodically lubricated with green.

After about 7-8 days, the seams are removed. At this stage, the likelihood of complications above all. After the end of the period of stay in the hospital, home care begins, which includes the following nuances:

It is strictly forbidden to raise gravity and play sports.
In the presence of discharge from the scar, it is necessary to regularly carry out the antiseptic solution. How to properly carry out the procedure, tells the attending physician.
At first it is recommended to wear, allowing to support the abnurbing muscles.
One month after Cesarean seam is solid. This is considered a normal phenomenon, but at this stage you can take action on its softening and rapid healing. For this purpose, special regenerating ointments and creams are used. Frequently recommended to use Kontraktex ointment.
Poland at the recovery stage of the body is strictly prohibited.
It is recommended to pay attention to the power in the recovery period. The presence of vitamin E in the diet helps speed up regenerative processes.

The complication may pass on its own, but this does not mean that the problem must be ignored. Regular visits to the doctor will help to identify visible signs of deviations.

Opinion doctors

Seal over the seam after cesarean section is most often appearing as a result of infection. The uterus at the reducing stage is extremely vulnerable to pathogenic microorganisms. The absence of hygiene and the refusal of medical preparations leads to the elevation of the wound. It is dangerous not only for health, but also for the life of a woman. If you do not apply to the doctor on time, the following complications may follow:

internal bleeding;
breaking the uterus;
sepsis;
fatal outcome.

With acute inflammatory processes associated with the advent of Mouth, the surgeon is needed. Only a doctor will be able to exclude further complications, pose a suitable treatment for treatment. In the event of nodules in the seam area after the cesarean section, it is required to immediately consult a doctor, even in the absence of other alarming symptoms. Assistance in the form of surgical intervention in this situation is invaluable.

After the second and subsequent operations, a woman should be adhere to the recommendations prescribed by a specialist.

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Caesarean section - a roworing surgical operation, during which the child is extracted by cutting on the uterus. Despite all its advantages and sufficient popularity today, young mothers care, how time will it look like (not ugly?) Show after cesarean section, how much will be noticeable and how long the healing process goes. It depends on what kind of an incision was made by the surgeon, whether there will be no complications in the postpartum period and how correctly the woman is cautious for the operated area of \u200b\u200bhis body. The better the woman is aware, the smaller the problems of her will arise in the future.

The reasons for which the doctor makes a decision to make a cesarean section can be the most different. Depending on the process of the delivery and arises in its course of complications, cuts can be made in different ways, and as a result, unequal types of seams are obtained that require special care.

Vertical seam

According to history pages. The name of the cesarean section of the section goes back to the Latin language and literally translates as a "royal section" (CaesaRea Sectio).

In the hospital

The first processing of the seam after the cesarean section is still in the hospital.

After inspection, the doctor decides to process the seam: antiseptic solutions are prescribed to avoid infection (they include the same green).
All procedures conduct a nurse.
Daily after Cesarean is changing the bandage.
All this is carried out for about about a week.
After a week (approximately), the seams are removed, if, of course, they are not resolved. First, with the edge with a special tool, the nodules are plugged, which holds them, and then stretch the thread. As for the question, it hurts whether to shoot seams after the cesarean section, it is unlikely to be unambiguous. It depends on different levels of the painful threshold. But in most cases, the procedure is comparable to eyebrows: at least sensations are very similar.
In some cases, the ultrasound seams are prescribed after surgery, to understand how healing is healing, is there any deviations.

But even in the hospital, before discharge, no one can say for sure how long shelves after Cesarean sections: the process is definitely the process of all purely individual and can go on his own trajectory. Much will depend on how high-quality and competent home care for the operated zone will be.

Home care

Before issuing home, young mom must learn from a doctor how to care for a seam after Cesarean sections without medical care, at home, where there will be no qualified medical personnel and professional aids.

Do not lift gravity (everything that exceeds the weight of the newborn).
Avoid large physical exertion.
Do not lie after Cesarean constantly, walk as much as possible and more often.
If there are some complications, it takes the processing of a seam at home with a green, iodine, but it can only be done with the permission of a doctor if the scar will die and wakes up even after discharge from the hospital.
If necessary, look at the special video or ask the doctor to tell you in detail how to handle seam at home. At first, the scar itself is wetted, but only a skin area around it so as not to burn a fresh wound.
As for the deadlines, how much to handle the seam after the cesarean section, this is determined by the nature of the discharge and other features of the scar healing. If everything is in order, there will be enough weeks after discharge. In other cases, the time determines the doctor.
For the prevention of the discrepancy of the seam to wear, fixing the belly.
Avoid after cesarean mechanical damage: so that the scar is not subjected to pressure and rubbing.
Many doubt whether it is possible to wet seam: after discharge from the hospital, you can no doubt take souls. However, it does not need to rub it with a washcloth.
Proper to eat for more quickly restoration of tissues and the fastest healing of scars.
By the end of the 1st month, when the wound heals, and the scar will be formed, you can ask the doctor than to smear the seam after Cesarean section so that it is not so noticeable. In pharmacies, all sorts of creams, ointments, plasters and films, which improve the restoration of the skin are now sold. Directly on the scar can safely apply an ampumen vitamin E: it will accelerate healing. A good ointment for a seam, which is often recommended to use after Cesarean, is a counterfex.
Several times a day (2-3) are no less than half an hour, touch the stomach: air baths are very helpful.
Constantly observed by the doctor. It is he who will tell you how to avoid complications that can be done, but what can not be when to do an ultrasound seam and is there any necessity.

So care of the seam after the cesarean section of the house does not require any special efforts and supernatural procedures. If there are no problems, you just need to comply with these frequency rules and pay attention to any, even minor deviations from the norm. You need to immediately report a doctor about them: only he can prevent complications.

It is interesting! Not so long ago, scientists concluded that if during cesarean peritone, it was subsequently, the risk of formation of the spec is reduced to almost zero.

Complications

Complications, serious problems with seam After cesarean section, a woman may arise on any period: both during the recovery period and several years later.

Early complications

If a hematoma was formed on a seam or he was bloody, most likely, with his impositions, medical errors were allowed, in particular, the blood vessels were poorly sewn. Although often such a complication occurs with incorrect processing or inaccurative dressing change, when the fresh scar was rudely disturbed. Sometimes such a phenomenon is observed due to the fact that the removal of the seams was produced either too early, or not very neat.

A rather rare complication is the discrepancy of the seam when the incision begins to crawl into different directions. This may happen after cesarean by 6-11 days, since the threads are removed within this period. The reasons for which the seam was separated, may become an infection that prevents the full fiction of the tissues, or gravity over 4 kg, which raised a woman during this period.

Speed \u200b\u200binflammation is often diagnosed after cesarean section due to insufficient care or infection. Anxiety symptoms in this case are:

increased temperature;
if the seam is fucked or blood;
his edema;
redness.

So what to do if the seam after the cesarean sections inflamed and fastened? Self-medication does not only be useless, but also dangerous. In this case, it is necessary to consult a doctor in a timely manner. At the same time, antibiotic therapy is assigned (ointment and tablets). Launched forms of the disease are eliminated only with surgery.

Late complications

Ligature fistulas are diagnosed when inflammation begins around the thread, which is stitched with a cesarean cross section of blood vessels. They are formed if the body turns the seam material or ligature infected. Such inflammation is manifested in months later, red-free, painful seal, from a small hole in which can flow by pus. Local processing in this case will be unsuccessful. Ligature can only delete the doctor.

The hernia is a rare complication after Cesarean. It occurs with a longitudinal section, 2 operations in a row, several pregnancies.

The keloid scar is a cosmetic defect, the health threat is not boring, does not deliver discomfort. The reason is uneven increase in fabric due to individual skin characteristics. It looks very inestore how uneven, wide, rude scar. Modern cosmetology offers women several ways to make it less noticeable:

conservative methods: laser, cryo-exposure (liquid nitrogen), hormones, ointments, creams, ultrasound, microdermabrasion, chemical peeling;
surgical: excision of the scar.

Cosmetic seam plastic is selected by a doctor in accordance with the type of incision and individual features. In most cases, everything passes well, so that no external consequences of Cesarean becomes almost visible. Any, even the most serious complications are possible to warn on time, to treat and correct. And especially careful you need to be those women who will give birth after the COP.

Blimey! If a woman no longer plans to have children, a scar after planned caesarean can be hidden under ... the most ordinary, but very elegant and beautiful tattoo.

Subsequent pregnancy

Modern medicine does not prohibit women. However, there are certain nuances relating to the seam that will have to face when to wear subsequent children.

The most common problem is the seam after cesarean section hurts during the second pregnancy, especially in its corners in the third trimester. And the sensations can be so strong, as if he is about to disappear. Many young mammies have a panic. If you know what is dictated by this pain syndrome, fears will leave. If there was a period of 2 years between Cesarean and subsequent conception, the discrepancy is excluded. It's all in spikes that are formed when restoring wounded fabrics. They stretch the increased in the sizes of the stomach - from here and there are unpleasant, pulling pain. This will need to inform your gynecologist so that it will examine the state of the scar on the ultrasound. It can advise any anesthetic and softening ointment.

It is necessary to understand: the healing of the seam after cesarean section is very individual, it occurs in different ways and depends on the set of factors: from the process of childbirth, type of cut, the state of the mother's health, proper care in the postoperative period. If you keep in mind all these nuances, you can prevent many problems and avoid unwanted complications. After all, at this stage it is so important to give all your strength and health to the baby.

Types Features of the reducing period in hospital home care Complications Subsequent pregnancy

Views

Vertical seam

If the sharp hypoxia of the fetus is diagnosed or abundant bleeding began, a cesarean cross section is carried out, which is called corporate. The result of such an operation becomes vertical seam, starting from the navel and ending in the pubic zone. It does not differ in beauty and in the future will spoil the appearance of the body quite strongly, since the scars are a nodule character, very noticeable against the background of the abdomen, prone to seal in the future. This type of operation is carried out quite rarely, only in emergency cases.

Horizontal seam

If the operation is scheduled, lapanotomy is produced by Pfanenschtil. The incision is done cross, above the pubic. Its advantages are that it is located in a natural skin fold, the abdominal cavity remains not opened. Therefore, a neat, continuous (special imposition method), intradermal (so that there is no external manifestation) cosmetic seam after the cesarean section on the body is immeasured.

Internal seams

Internal seams on the wall of the uterus in both cases are varied by the method of their overlay. The doctor is guided here to achieve the best possible conditions for faster wound healing without complications, reduce blood loss. It is impossible to allow mistakes here, since it depends on the following pregnancies. In a corporal operation, a longitudinal inner seam after the cesarean section, with Laparotomy in Pfanenschyl, is transverse:

the uterus is stitched by a continuous single-row seam of synthetic, very durable, self-dissolving material; The peritoneum, like the muscles, after cesarean is sewn with ketguade continuous stitches; Uponeurosis (muscle connecting tissue) is sewn with absorbable synthetic threads.

The healing speed, care characteristics, various complications - all these important points are directly dependent on what kind of incision was carried out during the cesarean. After childbirth, doctors advise patients on all issues that cause doubts about them, anxiety and fears.

About personalities. Hermann Johannes Pfanenshtil (1862-1909) - a German gynecologist, first introduced an operational cross section into practice, which received his name.

Features of the reducing period

It is from the type of the made cut will depend on how much the seam heals after the cesarean section in terms of pain syndrome and other consequences of the operation. With longitudinal will have to be tinted longer, and the risk of complications will be much higher than with a cross.

Pain

After childbirth in the uterus, and on the front wall of the peritoneum remains the wound, so there is nothing surprising in the fact that after the cesarean section, the seam hurts (even strongly) in the first weeks, and then months. This is a natural tissue reaction to a cut made, so that pain syndrome can be blocked by the most common painkillers:

immediately after the operation, analgesics (narcotic) are prescribed: morphine and its varieties, tramadol, canopone; In the subsequent period, analgin, supplemented by otanov, diphedrol and other anti-inflammatory non-steroids, can be applied.

At the same time, do not forget that the instructed anesthesia must appoint a doctor, given the lactation period. As for the question of how long the seam hurts after the cesarean section, it depends on its type. A longitudinal will disturb about 2 months, transverse - weeks 6 with proper care and without complications. However, during the year, a woman can feel drawn, unpleasant sensations in the operated zone.

Hardness

Many are concerned about the fact that after the cesarean sections of the seam solid and hurts: within 2 months it is quite normal. Tissue healing occurs. At the same time, the scar does not immediately become soft and imperceptible. It is necessary to accept some time that can be calculated even for months, but for years.

Vertical (longitudinal) solid scar holds 1.5 years. Only after this period of tissue will gradually begin to soften. Horizontal (transverse) cosmetic heals faster, so hardness and seal over the seam (spikes, scarring of fabrics) should go throughout the year. Many notice that over time a characteristic fold is formed, which does not represent the problem in the absence of pain and suppuration. This is how the scarring of nearby fabrics. In order to avoid unpleasant consequences, it is recommended to do an ultrasound. Much more seriously, if after the cesarean section, a bump appears above the seam. Someone notices it in the first year, some of them manifest themselves much later. Dimensions can be completely different: from a small pea to walnut. Most often it is a crimp or purple shade. In this case, the appeal to the doctor and the ultrasound are mandatory. This can be like a harmless scarring of fabrics and fistula, inflammation, suppuration and even cancer.

The hardness of the scar, all kinds of folds and seals around it in the first year after the operation - a fairly common phenomenon. If all this is not accompanied by severe pain and suppuration, it is not worth worrying. But as soon as the bump appears on the seam and above the symptoms, consultation with a specialist and treatment is inevitable.

Discharge

If the seam after the cesarean section coats the sucrovic (transparent liquid) in the first week, it is not necessary to worry. This is healing, this is a natural process. But as soon as the selection acquire a purulent or bleeding character, they begin to make an unpleasant smell or flow too long, it is worth contacting a specialist immediately.

Itch

Everyone who has suffered a cesarean section, the scar in a week is very much drawn that some scares. In fact, this indicates the healing of the wound and only. This is an indication that everything goes to his way. However, it is categorically prohibited to touch and calculate the stomach. Now, if the scar is not just itches, but already burns and bakes, delivering suffering, you must definitely say about this to the doctor.

In order for the recovery period after Cesarean proceeding without undesirable consequences and complications, a woman needs to learn how to properly care for the operated area.

More detailed about recovery after Cesarean in our separate article.

According to history pages. The name of the cesarean section of the section goes back to the Latin language and literally translates as a "royal section" (CaesaRea Sectio).

In the hospital

The first processing of the seam after the cesarean section is still in the hospital.

After inspection, the doctor decides to process the seam: antiseptic solutions are prescribed to avoid infection (they include the same green). All procedures conduct a nurse. Daily after Cesarean is changing the bandage. All this is carried out for about about a week. After a week (approximately), the seams are removed, if, of course, they are not resolved. First, with the edge with a special tool, the nodules are plugged, which holds them, and then stretch the thread. As for the question, it hurts whether to shoot seams after the cesarean section, it is unlikely to be unambiguous. It depends on different levels of the painful threshold. But in most cases, the procedure is comparable to eyebrows: at least sensations are very similar. In some cases, the ultrasound seams are prescribed after surgery, to understand how healing is healing, is there any deviations.

Home care

Do not lift gravity (everything that exceeds the weight of the newborn). Avoid large physical exertion. Do not lie after Cesarean constantly, walk as much as possible and more often. If there are some complications, it takes the processing of a seam at home with a green, iodine, but it can only be done with the permission of a doctor if the scar will die and wakes up even after discharge from the hospital. If necessary, look at the special video or ask the doctor to tell you in detail how to handle seam at home. At first, the scar itself is wetted, but only a skin area around it so as not to burn a fresh wound. As for the deadlines, how much to handle the seam after the cesarean section, this is determined by the nature of the discharge and other features of the scar healing. If everything is in order, there will be enough weeks after discharge. In other cases, the time determines the doctor. To prevent the discrepancy of the seam wearing a bandage, fixing the stomach. Avoid after cesarean mechanical damage: so that the scar is not subjected to pressure and rubbing. Many doubt whether it is possible to wet seam: after discharge from the hospital, you can no doubt take souls. However, it does not need to rub it with a washcloth. Proper to eat for more quickly restoration of tissues and the fastest healing of scars. By the end of the 1st month, when the wound heals, and the scar will be formed, you can ask the doctor than to smear the seam after Cesarean section so that it is not so noticeable. In pharmacies, all sorts of creams, ointments, plasters and films, which improve the restoration of the skin are now sold. Directly on the scar can safely apply an ampumen vitamin E: it will accelerate healing. A good ointment for a seam, which is often recommended to use after Cesarean, is a counterfex. Several times a day (2-3) are no less than half an hour, touch the stomach: air baths are very helpful. Constantly observed by the doctor. It is he who will tell you how to avoid complications that can be done, but what can not be when to do an ultrasound seam and is there any necessity.

It is interesting! Not so long ago, scientists concluded that if during cesarean peritone, it was subsequently, the risk of formation of the spec is reduced to almost zero.

Complications

Complications, serious problems with seam After cesarean section, a woman may arise on any period: both during the recovery period and several years later.

Early complications

Speed \u200b\u200binflammation is often diagnosed after cesarean section due to insufficient care or infection. Anxiety symptoms in this case are:

increased temperature; If the seam is fucked or blood; His edema; redness.

Late complications

The hernia is a rare complication after Cesarean. It occurs with a longitudinal section, 2 operations in a row, several pregnancies.

conservative methods: laser, cryo-exposure (liquid nitrogen), hormones, ointments, creams, ultrasound, microdermabrasion, chemical peeling; Surgical: excision of the scar.

Blimey! If a woman no longer plans to have children, a scar after planned caesarean can be hidden under ... the most ordinary, but very elegant and beautiful tattoo.

Subsequent pregnancy

Modern medicine does not prohibit women to give birth repeated after Cesarean. However, there are certain nuances relating to the seam that will have to face when to wear subsequent children.

After cesarean section, the main complaints of the patients relate to the state of the seam. Complications may occur for various reasons. The most common complication is considered to be sealing on the seam, but it does not always have a complication of danger and in most cases does not require additional treatment. In order to understand, dangerously or not dangerous seal, it is necessary to seek advice from the surgeon. Independent treatment can only aggravate the situation and lead to the need for urgent surgical intervention.

Dangerous signs

Among the hazardous signs of the developed complication after cesarean section, the sealing and suppuration of the seams can be distinguished. This is a rather frequent phenomenon that is noticeably naked eye when viewing seams. Problems with seams may arise for various reasons, among which may be:

seam infection, low quality of suture material, insufficient surgeon qualification, suture rejection of a woman with a woman's body.

Each woman should understand that the seam must be carefully observed a few months after the operation and when such phenomena are found as seals, pain, redness or suppuration, it is necessary to immediately apply for a counseling for the surgeon.

Ligatured fistula

This complication is the most frequent after the cesarean section. After the operation, the incision is sewn with special threads - ligatures. These threads can be absorbing and non-absorbable. The ligature's quality depends on the lifetime of the scar. If the material was high-quality, used in the permissible expiration date, in accordance with the norms and rules of treatment, the complications are unlikely.

But if the ligature was used after the specified shelf life or in the wound fell infection, an inflammatory process begins to develop around the thread, which a few months after Cesarean can form a fistula.

The fistula to detect is very easy. It has such signs as a non-heated wound, from which a certain amount of pus is periodically distinguished. The wound can be covered with a crust, but then it opens again and the pus stands out again. This phenomenon may be accompanied by an increased body temperature, chills and general weakness.

When the fistula is detected, the surgeon is needed. Only a doctor will be able to detect and remove the infected thread. Without removal of the ligature, the fistula will not pass, but will only increase. Local treatment will not bring positive results. After removing the thread, additional care is needed for the seam that the surgeon will be required to you.

If the infection process has been delayed, or several fistulas were formed on the scar, it may be necessary to remove the scar with re-imposition of seams.

Seroma

Seroma is also a frequent complication after cesarean sections. But unlike the ligature fistula, this complication may pass independently, without additional treatment. Seroma is a seal on the seam filled with liquid. It occurs at the intersection of lymphatic vessels that cannot be sewed after the cut. In places of intersection of lymphatic vessels, a cavity is formed, which is filled with lymph.

Without additional hazardous signs, the Seroma does not require treatment and passes independently for several weeks.

When sulfur is detected, you need to immediately visit the surgeon, to determine the exact diagnosis and exclusion of suppuration.

Keloid Rubet

Another most common complication after cesarean section is the formation of a keloid scar. It is also not difficult to recognize it.

Seam becomes rude, hard and often stands on the skin surface.

At the same time there are no painful sensations, redness around the scar and pus.

The keloid scar does not represent danger to patient health and is only aesthetic problem. The causes of the occurrence of the scar are considered the individual characteristics of the body.

Today there are several methods for the treatment of this unsightly phenomenon:

Laser therapy is based on the grinding of the scar with a laser. Several therapy sessions make it possible to make a scar less noticeable. The blooderamic therapy includes the use of special drugs and ointments with hormone content. The use of creams will help reduce scar tissue and make a scar less pronounced. Surgical treatment is in full excision of scar tissue, followed by the imposition of new seams. This method does not guarantee that a normal scar will be formed on the site of the remote scar.

In order to avoid all these and other complications in the postoperative period, it is necessary to carefully care for the seam and comply with all the recommendations of doctors. With the emergence of any signs of development of complications, immediately visit the doctor, in this case you can avoid surgical treatment.

In the hospital
Home care
Complications
Subsequent pregnancy

Views

Vertical seam

Horizontal seam

Internal seams

the uterus is stitched by a continuous single-row seam of synthetic, very durable, self-dissolving material;
the peritoneum, like the muscles, after cesarean is sewn with ketguade continuous stitches;
uponeurosis (muscle connecting tissue) is sewn with absorbable synthetic threads.

About personalities. Hermann Johannes Pfanenshtil (1862-1909) - a German gynecologist, first introduced an operational cross section into practice, which received his name.

Features of the reducing period

Pain

immediately after the operation, analgesics (narcotic) are prescribed: morphine and its varieties, tramadol, canopone;
in the subsequent period, analgin, supplemented by otanov, diphedrol and other anti-inflammatory non-steroids, can be applied.

Hardness

Vertical (longitudinal) solid scar holds 1.5 years. Only after this period of tissue will gradually begin to soften.
Horizontal (transverse) cosmetic heals faster, so hardness and seal over the seam (spikes, scarring of fabrics) should go throughout the year.
Many notice that over time a characteristic fold is formed, which does not represent the problem in the absence of pain and suppuration. This is how the scarring of nearby fabrics. In order to avoid unpleasant consequences, it is recommended to do an ultrasound.
Much more seriously, if after the cesarean section, a bump appears above the seam. Someone notices it in the first year, some of them manifest themselves much later. Dimensions can be completely different: from a small pea to walnut. Most often it is a crimp or purple shade. In this case, the appeal to the doctor and the ultrasound are mandatory. This can be like a harmless scarring of fabrics and fistula, inflammation, suppuration and even cancer.

Discharge

Itch

In order for the recovery period after Cesarean proceeding without undesirable consequences and complications, a woman needs to learn how to properly care for the operated area.

More detailed about recovery after Cesarean in our separate article.

According to history pages. The name of the cesarean section of the section goes back to the Latin language and literally translates as a "royal section" (CaesaRea Sectio).

In the hospital

The first processing of the seam after the cesarean section is still in the hospital.

After inspection, the doctor decides to process the seam: antiseptic solutions are prescribed to avoid infection (they include the same green).
All procedures conduct a nurse.
Daily after Cesarean is changing the bandage.
All this is carried out for about about a week.
After a week (approximately), the seams are removed, if, of course, they are not resolved. First, with the edge with a special tool, the nodules are plugged, which holds them, and then stretch the thread. As for the question, it hurts whether to shoot seams after the cesarean section, it is unlikely to be unambiguous. It depends on different levels of the painful threshold. But in most cases, the procedure is comparable to eyebrows: at least sensations are very similar.
In some cases, the ultrasound seams are prescribed after surgery, to understand how healing is healing, is there any deviations.

Home care

Do not lift gravity (everything that exceeds the weight of the newborn).
Avoid large physical exertion.
Do not lie after Cesarean constantly, walk as much as possible and more often.
If there are some complications, it takes the processing of a seam at home with a green, iodine, but it can only be done with the permission of a doctor if the scar will die and wakes up even after discharge from the hospital.
If necessary, look at the special video or ask the doctor to tell you in detail how to handle seam at home. At first, the scar itself is wetted, but only a skin area around it so as not to burn a fresh wound.
As for the deadlines, how much to handle the seam after the cesarean section, this is determined by the nature of the discharge and other features of the scar healing. If everything is in order, there will be enough weeks after discharge. In other cases, the time determines the doctor.
To prevent the discrepancy of the seam wearing a bandage, fixing the stomach.
Avoid after cesarean mechanical damage: so that the scar is not subjected to pressure and rubbing.
Many doubt whether it is possible to wet seam: after discharge from the hospital, you can no doubt take souls. However, it does not need to rub it with a washcloth.
Proper to eat for more quickly restoration of tissues and the fastest healing of scars.
By the end of the 1st month, when the wound heals, and the scar will be formed, you can ask the doctor than to smear the seam after Cesarean section so that it is not so noticeable. In pharmacies, all sorts of creams, ointments, plasters and films, which improve the restoration of the skin are now sold. Directly on the scar can safely apply an ampumen vitamin E: it will accelerate healing. A good ointment for a seam, which is often recommended to use after Cesarean, is a counterfex.
Several times a day (2-3) are no less than half an hour, touch the stomach: air baths are very helpful.
Constantly observed by the doctor. It is he who will tell you how to avoid complications that can be done, but what can not be when to do an ultrasound seam and is there any necessity.

It is interesting! Not so long ago, scientists concluded that if during cesarean peritone, it was subsequently, the risk of formation of the spec is reduced to almost zero.

Complications

Complications, serious problems with seam After cesarean section, a woman may arise on any period: both during the recovery period and several years later.

Early complications

Speed \u200b\u200binflammation is often diagnosed after cesarean section due to insufficient care or infection. Anxiety symptoms in this case are:

increased temperature;
if the seam is fucked or blood;
his edema;
redness.

Late complications

The hernia is a rare complication after Cesarean. It occurs with a longitudinal section, 2 operations in a row, several pregnancies.

conservative methods: laser, cryo-exposure (liquid nitrogen), hormones, ointments, creams, ultrasound, microdermabrasion, chemical peeling;
surgical: excision of the scar.

Blimey! If a woman no longer plans to have children, a scar after planned caesarean can be hidden under ... the most ordinary, but very elegant and beautiful tattoo.

Subsequent pregnancy

Modern medicine does not prohibit women to give birth repeated after Cesarean. However, there are certain nuances relating to the seam that will have to face when to wear subsequent children.

Dangerous signs

seam infection
low quality suture,
insufficient surgeon qualifications,
return of suture with a woman with a woman.

Ligatured fistula

If the infection process has been delayed, or several fistulas were formed on the scar, it may be necessary to remove the scar with re-imposition of seams.

Seroma

Without additional hazardous signs, the Seroma does not require treatment and passes independently for several weeks.

When sulfur is detected, you need to immediately visit the surgeon, to determine the exact diagnosis and exclusion of suppuration.

Keloid Rubet

Another most common complication after cesarean section is the formation of a keloid scar. It is also not difficult to recognize it.

Seam becomes rude, hard and often stands on the skin surface.

At the same time there are no painful sensations, redness around the scar and pus.

The keloid scar does not represent danger to patient health and is only aesthetic problem. The causes of the occurrence of the scar are considered the individual characteristics of the body.

Today there are several methods for the treatment of this unsightly phenomenon:

Laser therapy is based on the grinding of the scar with a laser. Several therapy sessions allows the scar less noticeable.
Hormonal therapy includes the use of special medication and ointments with hormone content. The use of creams will help reduce scar tissue and make a scar less pronounced.
Surgical treatment is in complete excision of scar tissue, followed by the imposition of new seams. This method does not guarantee that a normal scar will be formed on the site of the remote scar.

Many patients face such a problem as sealing seam after Cesarean. Pathology can develop under the influence of various reasons. To determine if the danger is a bump in the seam, a woman must pass a survey at the medical center. Only after that you can select the method of treatment. It also needs to be understood that the problem is not always a pathological nature. In many cases, the seal does not represent danger to the life and health of the patient.

Common causes of pathology

Caesarean section is carried out by cutting tissues on the abdominal area. Postoperative incision is fastened with medical materials. Muscular tissue is sewn ligature. Silk thread is superimposed on the skin. The uterus is bonded by various materials. The choice of material from the type of cross section and the characteristics of the operation is depends. After Cesarean, the recovery period comes. At this time, the seams should be covered with a scar cloth. But the process is not always going smoothly. Some patients complain that the seam after the cesarean section blushed. Seal on belly after Cesarean may appear for the following reasons:

development of the purulent process;
infection of tissues;
the use of low-quality material;
postoperative hematoma;
an autoimmune reaction.

Frequent cause of seal seal is a purulent process. Binding is observed under the action of a variety of factors. The process is distributed due to improper processing of the postoperative field. Damaged tissues are accompanied by the death of a part of the cells. The dead cells accumulate on the surface of the wound. To enhance the healing, the cut is covered with leukocyte cells. Mixing dead fabric, leukocytes and burned skin particles leads to the formation of pus. Pnu entails the inflammation of the seam. Fabrics begin to compact.

There is a seal on the seam after cesarean due to infection. Many infections depend on the activities of pathogenic microorganisms. Bacteria can enter the wound during poor-quality operating or after cesarean with rare processing. Powerful microorganisms quickly multiply and cause change in fabric structure. Feed bacteria with tissue cells. The fabric area affected by pathogenic microbes is inflamed. The aggravation of the process is accompanied by a seal. Woman discovers a bump on the wound. Bacterial infection is determined by additional features. The patient notices strong burning and itching. Sukrovitsa may appear on the surface of the seam. So that the doctor quickly picked up effective treatment, it is necessary to undergo an additional examination.

Additional factors

Seam after cesarean section can compact when using poor-quality medical material. Seal appears due to overdue threads. Such material causes the formation of a seal. To get rid of the problem, re-surgical intervention should be held.

In the first days after the cesarean section, the seal is formed due to hematoma. Hematoma after cesarean section is a frequent problem. The bruise appears due to internal bleeding. The plot of the abdominal area on which there is bruises, with palpation is solid and dense. Such a problem in most patients does not require additional intervention. A few days after the surgical intervention, it is absorbed.

An autoimmune reaction manifests itself in women rarely. It is impossible to determine the ailment in advance. Pathology is characterized by rejection of medical material by the human body.

For unknown reasons, the body perceives threads as a foreign body. This leads to the appearance of antibodies in the blood. These are special particles designed to capture alien microorganisms. The reaction of the autoimmune system is unpredictable. It is possible to solve such a problem only by selecting another material or prescribing the drug to eliminate the activity of the system.

Formation of postoperative fistula

Ligature fistulas are a frequent problem after surgery. Pathology gradually appears in the muscular layer of the abdominal cavity. The name problem received due to the features of its appearance. The culprit of the ailment is not unfolded to the end of the ligature. The threads on the muscular layer must completely decompose in a few weeks after the cesarean section. But under the influence of various negative reasons, this does not occur. Part of the ligature is preserved in the abdominal area.

Ligature causes inflammation in damaged tissue. The process is accompanied by the death of the cells of the muscular layer surrounding the thread. The dead cells accumulate on the surface of the ligature. The body reacts to pathology by producing a large number of leukocytes. Together with leukocyte cloth form pus.

The suppuration causes the further death of the abdominal layers. It is impossible to detect the problem. A woman notes that a small shishchka appears on the surface of the seams.

The seal is accompanied by the appearance of a small swelling of the type of furuncule. After some time after the operation on the top of the tumor, a purulent head is formed. The skin is broken. Pump starts output from the fiscaset channel.

Ligatured fistula is accompanied by additional symptoms. Woman should pay attention to the following signs:

pulsing pain in the seam area;
redness of the skin;
sensation of cutting in the area of \u200b\u200bthe scar.

The main feature of the developing internal fitting is a pulsating joint pain. The pulsating pain occurs due to the gradual death of the fabrics. It should also be paid to the feeling of cutting the scar tissue. It is also provoked by purulent liquid.

The doctor also determines the diagnosis after the primary processing of the fistula channel. An antiseptic solution is introduced into the lumen. A good effect has a hydrogen peroxide. The peroxide splits the pus and displays it from the channel. After careful cleaning the fistula, the doctor inspects the cavity. The muscular layer detects the balance of ligature. It is impossible to leave the material in the channel. It will cause further tissue destruction.

Treatment is carried out by surgical intervention. The doctor removes the remains of the threads from the channel. The new seam on the wound is not superimposed. After intervention, the woman remains in stationary treatment. This is necessary for further tracking the healing speed. It is also necessary to ensure that the new fistula is not formed.

New formation with lymphoy

Seal over the seam after cesarean section can be formed due to the formation of a lymphatic cavity. It happens on the background of the dissection of lymphatic channels.

All layers of tissue are powered by a lymphatic system. With cesarean section, several layers of tissue are cut. Channels are also damaged. After the operation, the tissue is fastened with threads. Lymphatic channels and vessel walls remain in a damaged state. Most women have vessels and channels heal independently. In some cases, the internal lymphatic channel does not grow. The liquid that moves through the channel falls into the free space. A small cavity filled with lymph is formed in the peritoneum.

Such a neoplasm is called gray. To determine its presence, you need to pay attention to the following signs:

rounded neoplasm on the skin;
redness of the skin on the affected area;
the feeling of burning.

The main sign of Seroma is the formation of a rounded red neoplasm on the skin. In most cases, serma does not require treatment. She is able to heal on their own. If the serma is preserved for a long time, it is necessary to open the surface of the sulfur, and release excess lymphs. The wound is washed with chlorhexidine solution or sterile liquid furaciline. Gradually, damage taughty ones.

Uncharacteristic scar cloth

Seam after cesarean section can compact for other reasons. The surface of the wound after the operation is covered with a thin film that forms a scar. Normal scar tissue should not rise above the skin. Immediately after formation, the fabric has a red color. After some time, the seam brightens and becomes less noticeable for others. But sometimes the scar is formed incorrectly. Under the influence of negative factors, the scar cells begin to actively multiply. The wound is formed a keloid scar. The causes of the keloid scar are as follows:

transferred infection;
violation of the update process.

Celaoid fabric can not harm the health of the patient. There is a problem of psychological character. Scar spoils appearance. Doctors recommend to treat a keloid scar with cosmetic techniques.

The solid scar can be eliminated with a laser. Laser beam has a warming effect on the fabric. It melts. The scar is formed burns. Cork on the burn is not recommended to eliminate yourself. She must disappear completely after a while.

You can resort to grinding. The working surface of the grinding apparatus rotates at high speed. Under the influence of friction, the convex part of the scar is gradually eliminated. To achieve a good result, you may need several procedures.

Preventive measures

So that there are no problems, it is necessary to follow the advice of the doctor. To obtain a good result, you need to correctly transfer the recovery period. The first days after the cesarean section, you need to follow the rules for processing the cut. For several days, the processing of seams is conducting medical personnel. The procedural nurse can teach the patient to clean the wound independently. In order for the seams to heal correctly, it is necessary to use an antiseptic solution and a drying drug.

Initially, seam is washed with antiseptic fluid. Processing is performed until complete removal of contaminants. After eliminating the crust of the edge of the wound, you should lubricate the drying drug. For this purpose, you can use green or fuccin. Processing must be carried out at least once a day. This will help avoid the development of infection or inflammation.

It is also necessary to stick the surface of the seam by postoperative bandage. The dressings can be purchased at the pharmacy. Manufacturers offer a large selection of dressings from various materials.

After the formation of a fine scar tissue, a woman should carefully follow the state of his health. The alarm must call the following phenomena:

the appearance of redness around the seam;
the appearance of blood or sucrovic from the wound;
changes in the characteristics of vaginal discharge;
pain in the area of \u200b\u200bthe section.

Redness of the fabrics surrounding the seams may be observed due to the development of inflammation or infection of the wound. It is dangerous to the appearance of blood and sucrovitsa from the wound a few weeks after the cesarean section. Such a phenomenon may occur with the initial fit of the suppuration.

Cesarean section is a complex and traumatic operation for a woman. After surgical intervention, it is recommended to carefully monitor the seam characteristics. If a solid scar is detected during palpation, you need to visit the doctor. The specialist will establish the reason for the seal and will select effective treatment.

development of the purulent process;
infection of tissues;
the use of low-quality material;
postoperative hematoma;
an autoimmune reaction.

Additional factors

An autoimmune reaction manifests itself in women rarely. It is impossible to determine the ailment in advance. Pathology is characterized by rejection of medical material by the human body.

Formation of postoperative fistula

The suppuration causes the further death of the abdominal layers. It is impossible to detect the problem. A woman notes that a small shishchka appears on the surface of the seams.

Ligatured fistula is accompanied by additional symptoms. Woman should pay attention to the following signs:

pulsing pain in the seam area;
redness of the skin;
sensation of cutting in the area of \u200b\u200bthe scar.

New formation with lymphoy

Seal over the seam after cesarean section can be formed due to the formation of a lymphatic cavity. It happens on the background of the dissection of lymphatic channels.

Such a neoplasm is called gray. To determine its presence, you need to pay attention to the following signs:

rounded neoplasm on the skin;
redness of the skin on the affected area;
the feeling of burning.

Uncharacteristic scar cloth

transferred infection;
violation of the update process.

Celaoid fabric can not harm the health of the patient. There is a problem of psychological character. Scar spoils appearance. Doctors recommend to treat a keloid scar with cosmetic techniques.

Preventive measures

After the formation of a fine scar tissue, a woman should carefully follow the state of his health. The alarm must call the following phenomena:

the appearance of redness around the seam;
the appearance of blood or sucrovic from the wound;
changes in the characteristics of vaginal discharge;
pain in the area of \u200b\u200bthe section.