Suture after cesarean seal under the skin. The suture after cesarean section is firm inside

Date: 03.11.2019

After a cesarean section, the main complaints of patients relate to the condition of the suture. Complications can arise for various reasons. The most common complication is considered to be compaction at the seam, but this complication is not always dangerous and in most cases does not require additional treatment. In order to understand whether the seal is dangerous or not, it is necessary to consult a surgeon. Self-treatment can only aggravate the situation and lead to the need for urgent surgical intervention.

Dangerous signs

Among the dangerous signs of a developing complication after a cesarean section, one can single out compaction and suppuration of the seams. This is a fairly common occurrence, which is noticeable with the naked eye when examining the seams. Suture problems can arise for a variety of reasons, including:

seam infection
poor quality of suture material,
insufficient qualification of the surgeon,
rejection of suture material by a woman's body.

Every woman should understand that the suture must be carefully monitored for several months after the operation, and if such phenomena as seals, soreness, redness or suppuration are detected, it is necessary to immediately consult a surgeon.

Ligature fistula

This complication is the most common after a cesarean section. After the operation, the incision is sutured using special threads - ligatures. These threads can be absorbable and non-absorbable. The scar healing time depends on the quality of the ligature. If the material was of high quality, used within the acceptable shelf life, in accordance with the rules and regulations of treatment, complications are unlikely.

But if the ligature was used after the specified expiration date or an infection got into the wound, an inflammatory process begins to develop around the thread, which can form a fistula a few months after cesarean.

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

How long does it take for a scar to heal after a cesarean section?

If a fistula is found, the help of a surgeon is needed. Only a doctor will be able to locate and remove the infected thread. Without removing the ligature, the fistula will not go away, but will only increase. Local treatment will not be beneficial. After the suture has been removed, the suture needs additional care, which the surgeon will prescribe for you.

If the infection is prolonged, or multiple fistulas have formed on the scar, surgery may be required to remove the scar with re-suturing.

Seroma

Seroma is also a common complication after a cesarean section. But unlike a ligature fistula, this complication can go away on its own, without additional treatment. Seroma is a liquid-filled seal at the seam. It occurs at the intersection of the lymphatic vessels, which cannot be sutured after an incision. At the intersection of the lymphatic vessels, a cavity is formed, which is filled with lymph.

Without additional dangerous signs, seroma does not require treatment and goes away on its own within a few weeks.

If a seroma is found, you need to immediately visit a surgeon to determine an accurate diagnosis and exclude suppuration.

Keloid scar

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

The seam becomes rough, hard and often protrudes above the surface of the skin.

At the same time, there is no pain, redness around the scar and pus.

A keloid scar does not pose a threat to the health of patients and is only an aesthetic problem. The reasons for the occurrence of a scar are considered to be the individual characteristics of the organism.

Today there are several treatments for this unsightly phenomenon:

Laser therapy is based on laser resurfacing of the scar. Multiple therapy sessions can make the scar less visible.
Hormone therapy includes the use of special medications and ointments containing hormones. Using creams will help reduce scar tissue and make the scar less pronounced.
Surgical treatment consists in the complete excision of the scar tissue, followed by the imposition of new sutures. This method does not guarantee that a normal scar will form at the site of the removed scar.

How long can the uterus contract after cesarean and how can this process be stimulated

In order to avoid all these and other complications in the postoperative period, it is necessary to carefully look after the suture and follow all the recommendations of the doctors. If any signs of complications appear, visit a doctor immediately, in this case, you can avoid surgical treatment.

2012-10-26 06:00:00

Elena_LS asks:

About a month ago, in the area of the transverse cosmetic suture after a cesarean section, local itching began, a few days later a ball, at first painless, the size of a pea, began to be felt. which began to increase and painful sensations appeared on palpation. Today in the morning the seal is no longer local, more painful to the touch. Yesterday, a doctor you know suggested inflammation of the internal suture material ... how dangerous is it?

Answers Safonov Igor Vladimirovich:

Good afternoon. It is not a fact that this is a foreign body. Inspection is still indispensable. I recommend contacting the surgeon who operated on you or sign up for a consultation at our clinic: 044 235 00 08, 235 40 60

2014-02-16 19:07:46

Natalia asks:

After a cesarean section, seals appeared under the skin at the place of the beginning of the suture and at the end of the suture, they felt like balls. Please tell me what it could be. Thank you in advance.

Answers Safonov Igor Vladimirovich:

It can be local fibrosis, ligature remnants. It is better to contact the surgeon who performed the operation.

2012-01-22 22:27:19

Ale asks:

Hello, I have a problem after a cesarean section. On the third day after the operation, the temperature jumped a lot, they could not determine the cause for a long time, it turned out that a hematoma formed inside, which was opened. Three years later, a seal of 13 mm was formed just above the postoperative suture, the pain was localized in one place (in the place of compaction) with menstruation especially. Did the ultrasound really did not say anything, in this place the doctor noted a reduced echogenic zone. What is the likelihood of endometriosis of the scar or keloid? What additional examination do I need to undergo (I'm afraid of the inevitability of laparoscopy)?

Caesarean section often backfires. As with any surgical intervention, it can entail postoperative complications. The most common problem faced by women in childbirth is a hardening of the suture after a cesarean section. For example, induration, redness, purulent formations, inflammation may occur. All this poses a threat to the life and health of a young mother. Many women are worried about an ugly scar that easily spoils even a very beautiful figure. In addition to being unattractive, a scar can also be painful at times.

There are several reasons for the occurrence of postoperative complications. The most common of these is infection in the scar. In advanced cases, the inflammatory process can result in sepsis. Some complications can go away on their own without the intervention of doctors. How to understand that it is worth contacting a specialist? What are the causes and types of complications? Details can be found by reading the article further.

Every woman should carefully monitor her health. This is especially true for the appearance of complications after a cesarean section. A seemingly good inner seam can begin to fester six months after surgery for no apparent reason.

The most common causes of complications are:

getting an infection;
poor quality ligature;
unscrupulous surgeon;
rejection of the ligature by the body.

Infectious contamination usually manifests itself shortly after the operation. It can occur at the time of performing surgical procedures, suturing. With poor-quality performance or insufficient sterility of medical equipment, infection can occur during its subsequent processing. A ligature fistula after a cesarean occurs as a result of the use of poor-quality surgical suture. The process of suturing during such an operation is a very complex process. It is performed in several stages. Performing this work requires real skill from the surgeon. A negligent attitude towards one's own duties can lead to subsequent complications.

Due to individual intolerance, the body itself may begin to reject the ligature. No seals, redness, abscesses should form on the scar. In addition, the scar itself should be flush with the rest of the skin and not appear inflamed. Any of these symptoms can lead to medical attention. It often happens that surgical intervention is required to eliminate the consequences.

It is important! A poorly executed seam can make itself felt after a fairly long time. The scar should be inspected every day during morning or evening dressing. A superficial examination and palpation for the presence of seals is enough.

Timely detection of complications and an appeal to a doctor for help will minimize the negative consequences of the operation.

Complications after caesarean section: examples

Some of the negative consequences of a cesarean section do not require treatment and go away on their own. To figure out when to visit a specialist, you need to understand what the main complications that arise after this operation are and whether they require treatment.

Most often, the following consequences appear:

seroma;
ligature fistula;
keloid scar.

Seroma after a cesarean section, it passes without medical intervention. With this complication, a seal appears on the seam, in the form of a small ball, inside which there is lymph. It appears in places where the cut vessels intersect. It is not possible to sew them together. This disease does not require treatment. However, if such symptoms are found, you should visit a doctor to confirm this diagnosis.

Ligature fistula appears only if low-quality lichen was used. An unscrupulous surgeon could use material with an expired shelf life, or perform a suture with non-sterile sutures, introducing an infection into it. A fistula is a small suppuration located at the seam. In the event of a breakthrough, the lump secretes pus. Periodically, it can become covered with a short-lived crust. The fistula is accompanied by symptoms of fever: an increase in body temperature, chills, weakness. The stomach hurts and shoots in the seam area. A surgeon will be able to help in the treatment of this formation. Suppuration comes from the thread. In order to stop this, you need to remove their tissue from the focus and eliminate the consequences. After completing all the actions, the doctor prescribes special treatment to eliminate the consequences of the fistula.

Note! If there are several fistulas on the suture, the surgeon may decide to remove part of the skin in the scar area as a treatment and apply a new suture.

Keloid scar unlike other complications, it has one problem - an unattractive appearance. The incision site with this complication is significantly compacted. The scar turned red, became very hard. The scar begins to protrude noticeably above the rest of the skin. The seam does not pose a threat to health and therefore does not require treatment. There are several ways to remove this scar: laser removal, surgery, and hormone therapy.

In fact, there can be much more complications after a cesarean section. In order to protect your health, you need to carefully monitor your health and the condition of the seam. It is also fundamentally important to comply with all medical prescriptions regarding postoperative rehabilitation. To prevent infection from entering the scar, it is imperative to follow the rules of personal hygiene, to ensure that only sterile devices and materials are used during the dressings. In case of any changes in the appearance of the seam and its sensations, you should immediately seek help from a surgeon. The doctor will develop an adequate treatment tactics.

In the hospital
Home care
Complications
Subsequent pregnancies

Caesarean section is a delivery surgery in which the baby is removed through an incision in the uterus. Despite all its advantages and sufficient popularity today, young mothers are worried about how after a while the seam after a cesarean section will look (isn't it ugly?), How much it will be noticeable and how long the healing process takes. It depends on what kind of incision was made by the surgeon, whether complications will arise in the postpartum period and how competently the woman takes care of the operated area of her body. The more knowledgeable a woman is, the fewer problems she will have in the future.

Kinds

The reasons why a doctor decides to have a caesarean section can be very different. Depending on the delivery process and the complications that arise during delivery, incisions can be made in different ways, and as a result, different types of sutures are obtained that require special care.

Vertical seam

If acute fetal hypoxia is diagnosed or profuse bleeding has begun in the woman in labor, a caesarean section is performed, which is called corporal. The result of such an operation is a vertical suture, starting from the navel and ending in the pubic area. It does not differ in beauty and in the future it will spoil the appearance of the body quite strongly, since the scars are nodular in nature, are very noticeable against the background of the abdomen, and are prone to compaction in the future. This type of surgery is rarely performed, only in emergency cases.

Horizontal seam

If the operation is performed as planned, a Pfannenstiel laparotomy is performed. An incision is made transversely, above the pubis. Its advantages are that it is located in the natural skin fold, the abdominal cavity remains unopened. Therefore, a neat, continuous (special technique of imposition), intradermal (so that there are no external manifestations) cosmetic suture after a cesarean section on the body is invisible.

Internal seams

Internal seams on the wall of the uterus in both cases are varied in the way they are applied. The doctor is guided here in order to achieve the best possible conditions for faster wound healing without complications, and to reduce blood loss. Mistakes cannot be made here, since the course of the next pregnancies depends on this. With a corporal operation, a longitudinal internal suture is made after a cesarean section, with a Pfannenstiel laparotomy - a transverse one:

the uterus is stitched with a continuous single-row suture made of synthetic, very durable, self-absorbable material;
the peritoneum, like the muscles, after cesarean is sutured with catgut continuous stitches;
the aponeurosis (muscle connective tissue) is sutured with absorbable synthetic threads.

The speed of healing, the features of care, various complications - all these important points directly depend on what kind of incision was made during the cesarean. After childbirth, doctors advise patients on all issues that cause them doubts, anxieties and fears.

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

Features of the recovery period

It will depend on the type of incision made how much the seam heals after a cesarean section in terms of pain and other consequences of the operation. The longitudinal one will have to tinker with longer, and the risk of complications will be much higher than with the transverse one.

Pain

After childbirth, a wound remains on the uterus, as well as on the front wall of the peritoneum, so it is not surprising that after a cesarean section, the seam hurts (even strongly) in the first weeks, or even months. This is a natural tissue reaction to the incision made, so pain can be blocked with the most common pain relievers:

immediately after the operation, analgesics (narcotic) are prescribed: morphine and its varieties, tramadol, omnopon;
in the subsequent period, you can use analgin, supplemented with ketanovy, diphenhydramine and other anti-inflammatory nonsteroidal drugs.

At the same time, do not forget that the applied pain relievers should be prescribed by a doctor, taking into account the lactation period. As for the question of how long the suture hurts after a cesarean section, it depends on its type. The longitudinal will bother about 2 months, the transverse - 6 weeks with proper care and without complications. However, even within a year, a woman may feel pulling, unpleasant sensations in the operated area.

Hardness

Many are worried by the fact that after a cesarean section, the seam is hard and painful: within 2 months, this is quite normal. Tissue healing occurs. In this case, the scar does not immediately become soft and invisible. You need to come to terms with the fact that some time must pass, which can be calculated not even in months, but in years.

A vertical (longitudinal) hard scar lasts 1.5 years. Only after this period will the fabrics gradually begin to soften.
Horizontal (transverse) cosmetic heals faster, so the hardness and induration above the seam (adhesions, scarring of tissues) should go away within a year.
Many people notice that over time, a characteristic fold forms over the seam, which, in the absence of pain and suppuration, is not a problem. This is how nearby tissues are scarred. In order to avoid unpleasant consequences, it is recommended to do an ultrasound scan.
It is much more serious if, after a cesarean section, a lump appears over the seam. Someone notices it already in the first year, for some it manifests itself much later. Sizes can be completely different: from a small pea to a walnut. Most often it is of a purple or purple hue. In this case, an appointment with a doctor and an ultrasound scan are required. It can be both harmless scarring of tissues and fistula, inflammation, suppuration and even oncology.

The hardness of the scar, all kinds of folds and seals around it in the first year after surgery is a fairly common phenomenon. If all this is not accompanied by severe pain and suppuration, you should not worry. But as soon as a lump appears on the seam and the above mentioned symptoms, consultation with a specialist and treatment are inevitable.

Allocations

If the suture after a caesarean section oozes with ichor (clear liquid) in the first week, there is no need to worry. This is how healing takes place, it is a natural process. But as soon as the discharge becomes purulent or bleeding, begins to emit an unpleasant odor or flows for too long, you should immediately contact a specialist.

Itching

For everyone who underwent a cesarean section, the scar itches very much after a week, which frightens some. In fact, this indicates wound healing and nothing more. This is an indicator that everything is going its own way. However, touching and combing the belly is strictly prohibited. Now, if the scar does not just itch, but already burns and bakes, causing suffering, you must definitely tell the doctor about it.

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

More details about recovery from cesarean in our separate article.

Through the pages of history... The name of the caesarean section goes back to the Latin language and literally translates as "royal cut" (caesarea sectio).

In the hospital

The first treatment of the suture after a cesarean section is performed in the hospital.

After the examination, the doctor decides how to handle the seam: in order to avoid infection, antiseptic solutions are prescribed (the same green stuff belongs to them).
All procedures are performed by a nurse.
The dressing is changed daily after cesarean.
All this takes about a week.
After a week (approximately), the stitches are removed, if, of course, they are not absorbable. First, from the edge with a special tool, pinch off the knot that holds them, and then pull the thread. As for the question, is it painful to remove the stitches after a cesarean section, the answer can hardly be unambiguous. It depends on the different level of pain threshold. But in most cases, the procedure is comparable to plucking eyebrows: at least the sensations are very similar.
In some cases, an ultrasound of the suture is prescribed after the operation in order to understand how the healing is going, if there are any abnormalities.

But even in the hospital, before discharge, no one will be able to tell you exactly how long the suture heals after a cesarean section: the process is uniquely individual for everyone and can follow its own, separate trajectory. Much will also depend on how high-quality and competent home care for the operated area will be.

Home care

Before leaving home, a young mother needs to ask a doctor how to care for a suture after a cesarean section without medical help, at home, where there will be no qualified medical personnel and professional aids.

Do not lift weights (anything that exceeds the weight of the newborn).
Avoid strenuous physical activity.
Do not lie down after cesarean all the time, walk as much and often as possible.
If there are any complications, you will need to treat the seam at home with greenery, iodine, but this can only be done with the permission of the doctor, if the scar gets wet and ooses even after being discharged from the hospital.
If necessary, watch a special video or ask your doctor to tell you in detail how to handle a seam at home. At first, not the scar itself is moistened, but only the area of the skin around it, so as not to burn a fresh wound.
As for the timing of how long the suture needs to be processed after a cesarean section, this is determined by the nature of the discharge and other features of scar healing. If everything is in order, a week after discharge will be sufficient. In other cases, the doctor determines the time.
To prevent suture divergence, wear a bandage that fixes the abdomen.
Avoid mechanical damage after cesarean: so that the scar is not subjected to pressure and rubbing.
Many people doubt whether it is possible to wet the seam: after being discharged from the hospital, you can undoubtedly take a shower at home. However, you do not need to rub it with a washcloth.
Eat right for faster tissue repair and faster scar healing.
By the end of the 1st month, when the wound heals, and the scar has formed, you can ask your doctor how to smear the suture after a cesarean section so that it is not so noticeable. Pharmacies now sell all kinds of creams, ointments, patches and films that improve skin regeneration. You can safely apply ampoule vitamin E directly to the scar: it will accelerate healing. A good suture ointment that is often recommended for use after a cesarean is Contratubex.
Several times a day (2-3) for at least half an hour, bare your belly: air baths are very useful.
See your doctor regularly. It is he who will tell you how to avoid complications, what can and cannot be done, when to do an ultrasound of the suture and whether there is a need for it.

So caring for a seam after a cesarean section at home does not require any special efforts and supernatural procedures. If there are no problems, you just need to follow these ingenuous rules and pay attention to any, even minor deviations from the norm. They must be immediately reported to the doctor: only he can prevent complications.

It is interesting! Not so long ago, scientists concluded that if the peritoneum is not stitched up during cesarean, subsequently the risk of sintering is reduced to almost zero.

Complications

Complications, serious problems with the suture after a cesarean section in a woman can occur at any time: both during the recovery period and after several years.

Early complications

If a hematoma has formed on the suture or it is bleeding, most likely, during its application, medical errors were made, in particular, the blood vessels were poorly sutured. Although this complication often occurs with improper treatment or careless dressing change, when a fresh scar has been rudely disturbed. Sometimes this phenomenon is observed due to the fact that the removal of the stitches was done either too early or not very carefully.

A fairly rare complication is the divergence of the seam, when the incision begins to crawl in different directions. This can happen after a cesarean for 6-11 days, since the threads are removed within this period. The reasons why the suture has parted may be an infection that prevents the full fusion of tissues, or a severity over 4 kg, which the woman lifted during this period.

Suture inflammation after a cesarean section due to insufficient care or infection is often diagnosed. Alarming symptoms in this case are:

high temperature;
if the seam festers or bleeds;
his swelling;
redness.

So what if the suture after the cesarean section is inflamed and festering? Self-medication is not only useless, but also dangerous. In this case, it is necessary to consult a doctor in a timely manner. In this case, antibiotic therapy is prescribed (ointments and tablets). The neglected forms of the disease are eliminated only with the help of surgical intervention.

Late complications

Ligature fistulas are diagnosed when inflammation begins around the thread that sutures the blood vessels during a cesarean section. They form if the body rejects the suture material or the ligature is infected. Such inflammation manifests itself months later as a hot, reddened, painful lump, from a small hole in which pus can flow. Local processing will be ineffective in this case. Only a doctor can remove the ligature.

Hernia is a rare complication after cesarean. It occurs with a longitudinal incision, 2 operations in a row, several pregnancies.

A keloid scar is a cosmetic defect, does not pose a threat to health, does not cause discomfort. The reason is the uneven growth of tissue due to the individual characteristics of the skin. It looks very unaesthetic, like an uneven, wide, rough 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.

The cosmetic plastic of the seam is selected by the doctor in accordance with the type of incision and individual characteristics. In most cases, everything goes well, so that no external consequences of cesarean are practically visible. Any, even the most serious complications can be prevented, treated and corrected in time. And especially those women who will give birth after the COP should be especially careful.

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

Subsequent pregnancies

Modern medicine does not prohibit women from giving birth again after cesarean. However, there are certain nuances regarding the seam that will have to be faced when carrying subsequent babies.

The most common problem is that the seam after a cesarean section hurts during the second pregnancy, especially in its corners in the third trimester. Moreover, the sensations can be so strong, as if he was about to disperse. For many young mothers, this causes panic. If you know what this pain syndrome is dictated by, the fears will go away. If a period of 2 years has been maintained between the caesarean and subsequent conception, a discrepancy is excluded. It's all about adhesions that are formed during the restoration of wounded tissues. They are stretched by the enlarged abdomen - hence there are unpleasant, pulling pain sensations. You will need to inform your gynecologist about this so that he examines the condition of the scar on an ultrasound scan. He may recommend some kind of pain relieving and emollient ointment.

You need to understand: the healing of a suture after a cesarean section is very individual, it happens in everyone in different ways and depends on many factors: the process of childbirth, the type of incision, the state of health of the mother, and proper care in the postoperative period. If you keep all these nuances in mind, you can prevent many problems and avoid unwanted complications. Indeed, at this stage it is so important to give all your strength and health to the baby.

Dangerous signs

seam infection
poor quality of suture material,
insufficient qualification of the surgeon,
rejection of suture material by a woman's body.

Ligature fistula

If the infection is prolonged, or multiple fistulas have formed on the scar, surgery may be required to remove the scar with re-suturing.

Seroma

Without additional dangerous signs, seroma does not require treatment and goes away on its own within a few weeks.

If a seroma is found, you need to immediately visit a surgeon to determine an accurate diagnosis and exclude suppuration.

Keloid scar

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

The seam becomes rough, hard and often protrudes above the surface of the skin.

At the same time, there is no pain, redness around the scar and pus.

Today there are several treatments for this unsightly phenomenon:

Laser therapy is based on laser resurfacing of the scar. Multiple therapy sessions can make the scar less visible.
Hormone therapy includes the use of special medications and ointments containing hormones. Using creams will help reduce scar tissue and make the scar less pronounced.
Surgical treatment consists in the complete excision of the scar tissue, followed by the imposition of new sutures. This method does not guarantee that a normal scar will form at the site of the removed scar.

Many patients are faced with such a problem as suture compaction after cesarean. Pathology can develop under the influence of various reasons. To determine whether a lump on the seam is a danger, a woman must undergo an examination at a medical center. Only after that you can select a treatment method. You also need to understand that the problem is not always pathological. In many cases, the seal does not pose a threat to the life and health of the patient.

Common causes of pathology

A cesarean section is performed by cutting the tissue in the abdominal region. The postoperative incision is held together with medical materials. The muscle tissue is sutured with a ligature. A silk thread is applied to the skin. The uterus is held together by various materials. The choice of material depends on the type of section and the characteristics of the operation. After cesarean, the recovery period begins. At this time, the stitches should be covered with scar tissue. But the process does not always go smoothly. Some patients complain that the seam after a cesarean section turns red. A lump on the abdomen after a cesarean may appear for the following reasons:

development of a purulent process;
tissue infection;
use of low-quality material;
postoperative hematoma;
autoimmune reaction.

A common cause of seam compaction is a purulent process. Suppuration is observed under the influence of various factors. The process is widespread due to improper processing of the postoperative field. Damaged tissue is accompanied by the death of some cells. Dead cells accumulate on the surface of the wound. To enhance healing, the incision is covered with leukocyte cells. The mixing of dead tissue, white blood cells and keratinized skin particles leads to the formation of pus. Pus causes suture inflammation. The tissues begin to thicken.

There is a seal on the seam after cesarean due to infection. Many infections depend on the activity of pathogenic microorganisms. Bacteria can get into the wound during poor-quality surgery or after cesarean with rare treatment. Pathogens multiply rapidly and cause changes in tissue structure. Bacteria feed on tissue cells. An area of tissue affected by pathogenic microbes becomes inflamed. Aggravation of the process is accompanied by compaction. The woman discovers bumps on the wound. Bacterial infection is also determined by additional signs. The patient notices severe burning and itching. A ichor may appear on the surface of the seam. In order for the doctor to quickly select an effective treatment, it is necessary to undergo additional examination.

Additional factors

The suture after a cesarean section can be compacted when using low-quality medical material. Consolidation appears due to expired threads. This material causes the seal to form. To get rid of the problem, a second surgery should be performed.

In the first days after a cesarean section, a seal is formed due to a hematoma. Hematoma after cesarean section is a common problem. The bruise appears due to internal bleeding. The area of the abdominal region where there is a bruise is hard and dense on palpation. This problem in most patients does not require additional intervention. A few days after the surgical intervention, it dissolves.

Autoimmune reactions are rare in women. It is impossible to determine the ailment in advance. Pathology is characterized by the rejection of medical material by the human body.

For unknown reasons, the body perceives the threads as a foreign body. This leads to the appearance of antibodies in the blood. These are special particles designed to capture foreign microorganisms. The autoimmune system's response is unpredictable. This problem can be solved only by selecting a different material or by prescribing a drug to eliminate the activity of the system.

Postoperative fistula formation

Ligature fistulas are a common problem after surgery. Pathology gradually appears in the muscle layer of the abdominal cavity. The problem got its name because of the peculiarities of its appearance. The culprit of the disease is the ligature not completely decomposed. The filaments on the muscle layer should decompose completely within a few weeks after the caesarean section. But under the influence of various negative reasons, this does not happen. Part of the ligature is retained in the abdominal region.

The ligature causes inflammation in the damaged tissue. The process is accompanied by the death of cells in the muscle layer surrounding the thread. Dead cells accumulate on the surface of the ligature. The body responds to pathology by producing large numbers of white blood cells. Together with tissue, leukocytes form pus.

Suppuration causes further death of the layers of the abdominal cavity. The problem is not immediately detectable. The woman notices that a small lump appears on the surface of the seams.

The induration is accompanied by the appearance of a slight swelling like a boil. Some time after the operation, a purulent head forms on the upper part of the tumor. The skin is torn. Pus begins to be excreted from the fistulous canal.

Ligature fistula is accompanied by additional symptoms. A woman should pay attention to the following signs:

throbbing pain in the seam area;
redness of the skin;
a feeling of fullness in the area of the scar.

The main symptom of developing internal suppuration is a throbbing pain in the seam area. Pulsating pain occurs due to the gradual death of tissues. You should also pay attention to the feeling of expansion of the scar tissue. It is also triggered by purulent fluid.

The doctor makes the diagnosis after the primary treatment of the fistulous canal. An antiseptic solution is injected into the lumen. Hydrogen peroxide has a good effect. Peroxide breaks down pus and removes it from the canal. After thoroughly cleaning the fistula, the doctor examines the cavity. The remnant of the ligature is found in the muscle layer. You cannot leave material in the channel. It will cause further tissue destruction.

Treatment is carried out through surgery. The doctor removes the remaining threads from the canal. A new suture is not applied to the wound. After the intervention, the woman remains in hospital. This is necessary to further track the rate of healing. It is also necessary to ensure that a new fistula does not form.

Neoplasm with lymph

A seal over the suture after a cesarean section may form due to the formation of a lymphatic cavity. This happens against the background of dissection of the lymphatic channels.

All layers of tissue are nourished by the lymphatic system. In a caesarean section, several layers of tissue are cut. The channels are also damaged. After the operation, the tissues are held together with threads. Lymphatic channels and vessel walls remain damaged. In most women, the vessels and canals heal on their own. In some cases, the internal lymphatic canal does not heal. The liquid that moves along the channel enters the free space. A small cavity filled with lymph forms in the peritoneum.

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

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

The main sign of seroma is the formation of a rounded red mass on the skin. In most cases, seroma does not require treatment. She is able to heal on her own. If the seroma persists for a long time, it is necessary to open the surface of the seroma and release the excess lymph. The wound is washed with chlorhexidine solution or sterile liquid furacilin. Gradually, the damage will heal on its own.

Uncharacteristic scar tissue

The suture after a cesarean section can be hardened 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 tissue is red in color. After a while, the seam brightens and becomes less noticeable to others. But sometimes the scar does not form properly. Under the influence of negative factors, scar cells begin to multiply actively. A keloid scar forms on the wound. The reasons for a keloid scar are as follows:

transferred infection;
violation of the update process.

Keloid tissue cannot harm the patient's health. A psychological problem arises. The scar spoils the appearance. Doctors recommend treating a keloid scar using cosmetic techniques.

A hard scar can be removed with a laser. The laser beam has a warming effect on the tissue. It melts. A burn forms on the scar. It is not recommended to remove the scab from the burn yourself. It should disappear completely after a while.

You can resort to sanding. The working surface of the grinder rotates at high speed. Under the influence of friction, the convex part of the scar is gradually eliminated. Several treatments may be required to achieve a good result.

Preventive measures

To avoid problems, you must follow the advice of your doctor. To get a good result, you need to properly postpone the recovery period. The first days after a cesarean section, you must follow the rules for handling the incision. The stitches are processed by the medical staff for several days. The procedure nurse can train the patient to cleanse the wound herself. In order for the stitches to heal correctly, it is necessary to use an antiseptic solution and a drying medicine.

Initially, the seam is washed with an antiseptic liquid. Processing is carried out until complete removal of contaminants. After removing the crust, the edges of the wound should be lubricated with a drying agent. For this purpose, you can use brilliant green or fukortsin. Processing must be carried out at least once a day. This will help prevent infection or inflammation from developing.

It is also necessary to cover the seam surface with a postoperative dressing. Dressings are available at the pharmacy. Manufacturers offer a wide range of dressings from various materials.

After the formation of thin scar tissue, a woman should carefully monitor her health. The following phenomena should cause alarm:

the appearance of redness around the seam;
the appearance of blood or ichor from the wound;
changes in the characteristics of vaginal discharge;
pain in the incision area.

Redness of the tissues surrounding the seams can be observed due to the development of inflammation or infection of the wound. It is dangerous for the appearance of blood and ichor from the wound a few weeks after the cesarean section. This phenomenon can occur with the initial form of suppuration.

Caesarean section is a difficult and traumatic operation for a woman. After surgery, it is recommended to carefully monitor the characteristics of the suture. If palpation reveals a hard scar, you need to visit a doctor. The specialist will determine the cause of the compaction and select an effective treatment.

Girls, exactly 40 days ago I had an emergency caesarean. I was so happy that recovery and healing was going on so quickly that I probably jinxed myself (((This will be about this ... I noticed a seal, at the very beginning of the seam, subcutaneous, like a ball, 2-3 cm (((and in the middle of the seam there is another one the same, a little less .. Doesn't bother me too much, if you don't press. What could it be ??? I haven't had time to go to the doctor. Who should I go to, who has cesarean? And yet, today came the period, plentiful at once very.Isn't it too early ???

Family homeopathic first aid kit for injuries, bites, burns.

Source ARNIKA. Impact, shock, hematoma. Arnica is the first aid for a family medicine cabinet if there are children in the house. All kinds of hematomas, the consequences of blows, falls, damage to soft tissues, this is all the area of Arnica. It is also useful after surgery, tooth extraction, etc. in all cases where the tissue has suffered. For any injury, if hematoma, edema prevail. Rather, it is suitable when there is an injury without violating the integrity of the skin. BELLIS. Deeper Arnica. Injury to the glands. It has a deeper effect than Arnica. Contusions, trauma to glandular tissue (genitals, female ...