Seal on the seam after cesarean section. Firmly over the seam after cesarean under the seam after cesarean solid

The date: 03.11.2019

Patients of surgical offices often noted the unsatisfactory state of the postoperative seam. Seals, which are observed in the first days and weeks after surgery, usually pass independently and do not require additional treatment. Most often, such a temporary complication looks like a bump on the seam.

Causes

To understand, for what reason the seal under the seal appeared after the operation, it is necessary to seem at the attending physician. If the bump does not hurt and it does not stand out from it, it is necessary to simply follow the recommendations for the care of the seam and do not try to engage in self-medication. If even scant purulent discharge is detected, the doctor's appeal is necessary. Incompretation of measures or attempt to solve the issue can independently lead to serious complications, which can be eliminated only by surgical path.

The main reasons for the suppuration of postoperative seams:

Incorrect seam care, which is why bacterial infection can join.
Failure to comply with the recommendations given by the doctor when discharge from the hospital.
Poor-quality seams.
Returning the organism of the threads used when crossing the cut.
The use of low-quality materials.

Whatever the reason for the appearance of a bump after surgery cannot be tightened with a visit to the surgeon in the hope that everything will be held. Binding can lead to sepsis and fatal outcome.

Postoperative complications

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Arrive after any surgical intervention and there are varying severity. It all depends on how neatly the seams were imposed and what materials were used. Easy complications are trained independently, but if a bacterial infection has joined the healing process, a surgeon is needed. Self-treatment is categorically contraindicated due to the complexity of the wound and risk of sepsis.

The most common postoperative complications:

adhesion process;
seroma;
ligatured fistula.

Safety process

This is the name of the fire of tissues during the healing of the postoperative seam. Spikes consist of scar tissues and during palpation are felt under the skin as small seals. They accompany the process of healing and scarring the seams, being an integral, natural stage on the way to restoring tissues and skin after cut.

In the presence of pathology, when the wound is healing, there is an excessive growing of the connective tissues, the seam is thickened. Most often it happens if the wound heals the secondary tension when the process of restoring tissues after the operation was accompanied by the suppression due to the attached bacterial infection. In such cases, keloid scars are formed at the seam imposition site. They do not represent hazards, but are considered a cosmetic defect, which, if desired, can later be eliminated.

Seroma

Another complication that meets after the overlay of the seams is. Seroma is a seal filled with liquid. It may occur as the consequence of cesarean sections and after laparoscopy or any other operation. Such a complication passes, as a rule, independently does not require additional therapy. There occurs in the place of damage to lymphatic vessels, the connection of which is impossible after the cut. As a result, the cavity is formed that the lymph fills.

If there are no signs of suppuration, the schrame on the scar does not bear a threat to health, but to make sure that there is no inflammatory process, it is worth visiting the surgeon who can put an accurate diagnosis.

Ligatured fistula

Such a complication most often occurs on the seam after the cesarean section. For the overlay of the seams, a special thread is ligatura. This material is self-sessing and ordinary. The limit of wound healing depends on the quality of the thread. If, when the seams are applied, the ligature corresponding to all requirements, complications appear extremely rarely.

If the material was used with an expired shelf life or when the seams are applied to the wound, the infection has entered, an inflammatory process develops around the thread. Initially, a seal appears under the seam after a cesarean or another operation, and after a few months, a ligatury fistula is formed at the seal site.

Detect pathology simply. A fistula is a non-healing channel in soft tissues, from which the pus is periodically soooed. Depending on which infection caused inflammation, there may be yellow, greenish or burgundy brown.

From time to time, the wound can be tightened with a crust, which is periodically open. Purulent allocations can change their color times out of times. The inflammatory process is also often accompanied by an increase in temperature and a feeling of chill, weakness, drowsiness.

Ligatured fistula can eliminate only the surgeon. The specialist will find and remove the infected thread. Only after that it is possible healing. While ligature is in the body, the fistula will only progress. After the thread deleted the doctor will handle the wound and give instructions to further care for the seam at home.

There are cases when, with a late treatment for medical help along the seam, several fistulas were formed. In such a situation, the surgeon may decide on the operation to remove the scar and the imposition of repeated seams.

Precautions

Returning from the hospital, the patient must remember and comply with some simple rules that will help him quickly recover after surgery. Basic precautions:

Do not take a contrast shower. Dry water temperature drops slow down the skin regeneration process.
The time of taking the soul should not exceed 10 minutes.
You can take a bath no earlier than a month after surgery. It is best to additionally ask a doctor about the possibility of this water procedure.
If a bump appeared above the seam, immediately report this to your attending physician.

During the period of finding a patient in the hospital, health workers are carried out by processing its seams, but by the time the patient must learn how to treat them on their own. In the case of hard response, the screws are recommended to take advantage of the help of relatives or health workers clinics.

Any complication is easier to avoid to treat. To do this, it is necessary to observe all the instructions of the surgeon, carefully care for the postoperative wound. As a rule, without complications, the healing of the seams runs in about a month.

In the hospital
Home care
Complications
Subsequent pregnancy

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.

Views

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

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.

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.
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.

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 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.

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.

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 suture,
insufficient surgeon qualifications,
return of suture with a woman with a woman.

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 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.

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.

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.

Dangerous signs

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

Ligatured fistula

How long does the scar heals after the cesarean section

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.

How long can the uterus be reduced after cesarean and how to stimulate this process

Cesarean section often has unpleasant consequences. Like any surgical intervention, it can entail postoperative difficulties. The most frequent problem with which the parental is found is sealing on the seam after cesarean section. For example, a seal may occur, redness, purulent education, inflammation. All this carries a threat to life and health of a young mother. Many women are experiencing due to the ugly scar, which is easily spoiled even a very beautiful figure. In addition to the fact that the scar has an unattractive view, it also sometimes causes painful sensations.

There are several reasons for postoperative complications. The most frequent one is to get into the scar of infection. In the launched cases, the inflammatory process will end with sepsis. Some complications can pass independently without the intervention of doctors. How to understand what is worth contacting a specialist? What are the causes of the emergence and species of complications? Details can be found by reading the article further.

Each woman should closely monitor their health. This is especially true for the emergence of complications after the cesarean section. A good inner seam can begin to be fed in six months after the operation without visible.

The most common reasons for the appearance of complications are:

infection;
low-quality ligature;
unfinished surgeon;
devilion by the body of the ligature.

Infectious infection is usually manifested in the near future after the operation. It can occur at the time of the product of surgical manipulations, the imposition of seams. With poor performance or insufficient sterility of medical inventory, infection can occur during its subsequent processing. Ligatured fistula after Cesarean appears as a result of the use of poor-quality surgical thread. The process of imposing seams during such an operation is a very complex process. It is performed in several stages. The work of this work requires the surgeon of this skill. The negligence attitude towards his own duties may lead to subsequent complications.

Due to individual intolerance, the body itself can start rejecting the ligature. No seals, redness, jet should be formed on the scar. In addition, the scar itself must be in the rest of the skin and does not look inflamed. Any of these symptoms may cause a doctor's appeal. It often happens that operational intervention is required to eliminate consequences.

It is important! Poorly performed seams can make himself felt after quite a long time. You should inspect the scar every day during the commission of the morning or evening toilet. Sufficiently superficial inspection and tackling for seals.

Timely discovery of complications and appeal to a doctor for help will allow minimizing the negative effects of the operation.

Complications after cesarean sections: examples

Some negative consequences of cesarean sections do not require treatment and are trained independently. To understand when a specialist should be attended, it is necessary to understand what basic complications arising after this operation are presented and they require treatment.

The following consequences appear most often:

seroma;
ligatured fistula;
keloid scar.

Seroma After cesarean section passes without medical influence. At the same time, a complication occurs a seal on the seam, as a small ball, within which Lymph is located. It appears on the ground, where the cut vessels crosses. Sew them between themselves is not possible. Such a disease does not require treatment. However, when such symptoms are found, a doctor should be visited to confirm this diagnosis.

Ligatured fistula It appears only if low-quality listeners have been used. The unscrupulous surgeon could use the material, with an expired shelf life, or perform the seam by non-sterile threads, bringing into it an infection. The fistula is a slight embodiment located on the seam. In the event of a breakthrough, the bump allocates pus. Periodically, it can be covered by a short-lived crust. The fistula is accompanied by the symptoms of fever: an increase in body temperature, chills, weakness. The stomach hurts and shoots in the seam area. Help in the treatment of this education will be able to surgeon. Binding comes from the thread. In order to stop it, you need to remove their focus tissues and eliminate the consequences. After performing all actions, the doctor prescribes special treatment to eliminate the consequences of the fistula.

Note! In case there are several fistulas on the seam, the surgeon may decide on the removal of a portion of the skin in the scar area and the imposition of a new seam.

Keloid scar Unlike other complications, it has a single problem - an unattractive appearance. The place of the cut is greatly complicated at the same time. The scar blushed, became very solid. The scar begins to noticeably write over the rest of the skin. Seam does not carry a threat to health and therefore does not require treatment. There are several ways to eliminate this scar: removal with a laser, surgical intervention and hormonal therapy.

In fact, complications after cesarean section can be significantly larger. In order to protect their health, you need to closely monitor your well-being and condition of the seam. It is also fundamentally important to carry out all medical prescriptions for postoperative rehabilitation. To exclude infection in the scar, be sure to comply with personal hygiene rules, ensure that only sterile devices and materials are used about the dressing time. For any changes in the appearance of the seam and their feelings, you need to immediately seek help from the surgeon. The doctor will develop adequate treatment tactics.

Cesarean section is a surgical intervention in extracting the fetus from the body of a pregnant woman if independent childbirth is impossible or for medical testimony.

The operation may be appointed as far as the generic activity or planned - prior to the beginning of the battle. Depending on this, the surgeon chooses one of the 2 main types of cesarean sections, which differ in the type of cut, the features of the seam and the postoperative period.

The method of conducting cesarean sections is about 10 ways. If we consider these techniques from the standpoint of the consequences for the mother and the stroke of postoperative rehabilitation, you can select 2 basic methods:

1. In case of emergency or certain testimony, the doctor conducts exhauscorporal laparotomy with the lower-consuming cut - reveals the skin, subcutaneous fatty tissue, muscles and tendons of the abdominal press, peritoneum and uterus, making a vertical cut from the navel to the pubic area.

In some cases (corporate laparotomy), the incision may continue above the navel. After extracting the fetus and the placenta, a multi-level seam is superimposed - first the walls of the uterus, the peritoneum, then the tendons and muscle part, subcutaneous fiber and leather are stuck. The operation lasts up to 60 minutes, the blood loss of the mother is up to 800 ml.

Features of the seam:

seam length from 10 cm and more;
the seam is nodal (not cosmetic), over time turns into a fairly thick and dense scar;
recovery period 2 months;
disturbing phenomena in the seam area (pain, coarse, as well as phenomena requiring qualified intervention) can be observed up to 2 years after surgery;
to restore the aesthetic attractiveness of the abdomen of women, women have to resort to special cosmetic procedures for reducing the seam.

2. With a planned caesarean section, the surgeon conducts a lapanotomy in Pfanenschtil - cuts the skin horizontally in the area of \u200b\u200bthe gauge folds (at the level of the bikini line; incision slightly higher or below this line is used with a similar operation on Joel Cochene), spreads the muscles and bladder, makes an incision At the bottom of the uterus and removes the child.

The uterus is then invented, and on the skin there is a continuous intradermal seam. The operation lasts 20-40 minutes, blood loss is about 500 ml.

Features:

seam length is usually up to 10 cm;
there is no risk of postoperative hernia and abdominal muscle defects;
less risk of postoperative complications;
it is allowed to sit down a few hours after the operation, it is recommended to get up no later than a day;
recovery period about 6 weeks;
cosmetic scar, small, is absorbed within 6-8 months.

Success care in the hospital

With the normal flow of recovery processes, the seam processing ends with a discharge from the maternity hospital. If there are any non-hazardous pathologies, the doctor at discharge will tell about the peculiar features of the seam at home.

The stationary processing course includes 1-2-one-time daily antiseptic missing and wiping, and in the case of complications - the overlap of ointments and the treatment of wound edges.

Popular preparations used for seam processing in stationary and home environment

The range of medicines for the care of postoperative seams is quite extensive, however, in hospital practice and recommendations of writing doctors, only a few items are usually present, the most optimal on therapeutic efficacy and economic benefits.

Vishnevsky ointment

The liniment is balsamic in Vishnevsky - an effective and inexpensive drug for the treatment of inflamed wounds of closed type. The ointment possesses not only a pronounced antiseptic effect, but also enhances blood circulation in the field of application, contributing to the healing of the wound.

The warming effect, as well as the restriction of access of oxygen to the tissues limits the use of the drug on open and inflamed wounds and in the first 4 days after surgery. It is impossible to use balm with intolerance of birch tar, castor oil and xeroform.

Also expressed hypotheses about the possible carcinogenic effect of the components of the drug. But sometimes the ointment of Vishnevsky impose on a stitched, fresh wound after surgery for the absence of other means. In hospitals, balm is applied to seam with a tampon 2-3 times a day in the first week.

Chlorhexidine

Chlorhexidine Bicgluconate 0.05% is an effective and inexpensive modern antiseptic, which came to replace the traditional "greencraft" and its counterparts. Chlorhexidine does not cause pain and chemical burns of an open wound, has a liquid fluid consistency, therefore it is used for washing and purifying not only adjacent areas, but also the seam itself.

However, sometimes chlorhexidine causes irritation of the skin, mucous and open wound fabrics. The effect of the drug applies to a fairly wide range of bacterial, viral and fungal agents, as well as the simplest. Chlorhexidine does not cause addiction from pathogens.

Bepanten

Bepanten, Panthenol and other pantothenic acid ointments (vitamin B5) are not antiseptics, but contribute to the activation of tissue regeneration, so they are recommended to apply the seam to its speedy healing.

Bepanten has a low antibacterial effect, so it is not recommended for use in the first week to handle seam after cesarean section

There are variants of the drug with the addition of any antiseptic (decantentenol with chlorhexidine, Bapten Antiseptic and others).

Zelena

For skin treatment adjacent to section, a solution of diamond green alcohol 1% is used. The area around the width of 3-4 cm wide is lubricated 2-3 times a day for 2-3 weeks after surgery. If there are small succulent expirations by the time of the statement or when they renewed, after returning home, the processing continues outpatient.

Other drugs

Sometimes less common seam care medicines are found in the appointment list, showing similar, and sometimes even greater efficiency.

Home care

Events on the processing and observation of the seam continues after discharge from the hospital and include several important items that need to be observed despite the workload of the mother in house and child care.

Security regime

A woman who has undergone cesarean section operations, over a month should not be lifted in gravity over 3 kg, inclust and squat. It is necessary to refrain from sexual life at least 2 months.

Lactation

SWU treatment

Seam after cesarean sections at home is necessary daily
processing recommended when discharged to the end of the expiration of Sukrovitsy (usually a period of up to 2 weeks).

Diet

To prevent the discrepancies between the seams and the support of immunity, responsible for combating possible infections, it is necessary to observe the postoperative diet. The established operation of the gastrointestinal tract after the operational birth guard protects the body of a woman from intoxicating fermentation and rotting products.

A special diet is designed to reduce the risk of a passer's intestinal and intestinal obstruction.

After a daily postoperative starvation, patients are allowed light broths and unsweetened yogurts. After the first removal of gases and during the month, boiled, baked, stewed and steady dishes made of low-fat meat and vegetables are offered, buckwheat, Hercules, millet and pearl porridge.

A week after the cross section, the raw fruits and vegetables green and white color are introduced into the diet - sources of vitamins, minerals and fiber. In addition, cereals, bread from coarse grinding flour, fruits, vegetables, vegetable oils and prunes well regulate intestinal peristalsis. Efficiency products are indispensable to restore intestinal microflora.

The first 3 months from the diet are excluded fast food, smoked, canned food, marinated products, mushrooms, dough, chocolate, roasted and fat; In order not to provoke constipation, it is desirable to refrain from rice and potatoes. Food needs to be consumed by fractional portions 5-6 times a day and drink plenty of water. In the future, the diet is regulated by the needs of the kid with breastfeeding.

Bandage

After promptlying, women are strongly recommended to wear a special postpartum bandage or model for those who have experienced the abdominal cavity.

This device protects the seam from the discrepancy and creates optimal conditions for the fastening of the tissues, protecting the place of the cut at the tension of the muscles, which can cause a child carrying on their hands, slopes and even breastfeeding. Reducing the mobility of fascinating tissues, the product contributes to the formation of a neat scar.

The bandage helps to avoid Strya (stretch marks on the skin), provides the necessary compression for the muscles, stretching during pregnancy, and helps to return the stomach more flat shape. A significant role is played by wearing this means in order to reduce the uterus and the prevention of spinal pain.

After corporate intervention, bandage minimizes the risk:

Optimal models for restoring after cesarean section are a universal bandage and a tight fixation belt. At models in the form of panties or skirts should be overestimated waist, there is a rigid insert on the stomach, and the product fabric should completely cover the seam.

It is not allowed to use a smaller product, excessive pulling torso, redness and skin swelling due to blood supply disorders.

When using a bandage, it is necessary to ensure that the fabric of the product does not injure the seam and, if necessary, put elastic dressings or gaskets. It should be put in the morning in the position lying and shoot only for sleep, water and air hygienic procedures, which takes approximately 20 minutes every 4 hours.

If there are no complications, wear a bandage or supporting fabric can be possible in a day after surgery. Wear a product recommended from 3 to 6 months after surgery.

Contraindications for carrying adaptations are inflammatory complications in the seam area (selection, redness, pain, suppuration, fistulas), skin rashes under the area of \u200b\u200bthe bandage, swelling and severe abdominal pain.

Bath procedures and personal hygiene.

A week after surgery (after the removal of the threads), and until the healing of the seam, it is recommended to take a non-heaven soul daily.

The wound area can not be rubbed and have a mechanical pressure during drying: The place of the scar is wrapped with water with a soft baby soap or an intimate hygiene agent, and moisture is removed by the disorderly or pure towels, the seam is treated with a aseptic (for example, chlorhexidine with the protection of the near-green region).

Bath, sauna, sauna, swimming pool and swimming in open reservoirs before the end of the reducing period (about 2 months) is prohibited.

It is necessary to monitor the purity of external genital organs and hands. Ideally, if a woman has the opportunity to wash after every bathroom visits, but wash with soap hands after the toilet, walking and animal communication is be sure.

Air baths.

Seam after cesarean section heals faster under the action of ultraviolet direct sunlight and fresh air.
Sometimes the ultraviolet irradiation of the seam is practiced in hospitals to the discharge of the feminine and continues outpatient in physiotherapy offices. Taking an airbag at home, physical voltage should be avoided during a session.

Home events that accelerate seam resorption

It is possible to begin to take steps that prevent flaking seams, 1-2 months after the operation in the absence of complications.

Methods:

the solution of vitamin E (acetate alpathopherol) is applied to the scar itself;
gel and Mazi ContiverBex, Derimatiks and their analogues are recommended by manufacturers for use immediately after removing the seams, but their effect on the child's health with breastfeeding is not clarified. To some extent, vaseline and moisturizing creams contribute to a decrease in the scar.

Physiotherapy

After the operation, it is shown lying on the stomach and breathing exercises with belly. 2 months after the cesarean section (when the seam soften and the ligature soften), you can contact a medical professional specialist to compile an individual exercise complex, which are designed to speed up the healing of the section of the cut and strengthen the abdominal press muscles.

As a rule, it is classes with hoop, the Kegel complex, lightweight charging for the abdomen and corps, lifts and rotation of the arms and legs. The LFC is designed to speed up the scarring of the royal and other internal seams, so it is not necessary to neglect it, but when painting or complications, the starting period is postponed.

How much they heal when the seams are removed: a description of the months

The course and duration of the seam healing after the cesarean section depends on the type of section applied during the operation.

Monthly description of external seams with normally current healing:

Period of time	Features
The first 2 weeks	Seam is not yet closed, pain and itch
1-2 months old	Seam turns into a scar and does not bother, but redness is observed
3 months	Scar brightened, softened, the width of the horizontal scar is shrinking, and the color becomes lighter
1-1.5 years	The scar is finally formed, its most brighter coloring and a soft state is installed. Standing seals and formation are stopped. If desired, you can start cosmetic procedures for reducing the scar

When need to do ultrasound seam?

Ultrasound examination of postoperative seams can be planned or prescribed on the basis of patient complaints.

Features of the reducing period

The recovery period after the cesarean section is called the healing time of the outer seam, which is about 2 weeks (one of which is in the hospital stay).

Pain syndrome and itching

Strong pain is observed in the first week after the cesarean section. Normally, painful sensations of varying degrees are preserved up to 2 months after surgery, itching is up to 3-4 months. Separate disturbing painful phenomena can be observed in the first 12 months, especially with atmospheric pressure drops and weather change.

Stationary methods of combating pain include intravenous or intramuscular injections of non-nucleic analgesic drugs, taking into account the breastfeeding mode, the application of the cold to the uterine region and breastfeeding for the faster cut in the uterus, then warming up.

On the outpatient stage of safe preparations for pain relief, the doctor informs the doctor when discharge, you can also refer to the observing gynecologist or pediatrician. Also removed pain helps moderate motor activity.

Seam after cesarean section can disturb itching. This phenomenon indicates what is happening regeneration and does not require intervention. The sensations of it can be removed with soft stroking movements, but not friction.

If there is a burning sensation, the pain is accompanied by redness of the scar, swelling and temperature or there are deeply pulling pain at the bottom of the abdomen, which are sometimes accompanied by vaginal discharge, then referring to medical advice.

Serous selection.

Serous expirations are the release of transparent lymph and sucrovic, which should end after 1-2 weeks after the seam overlay. If they continue, strengthen, and also, if blood appears in the discharge, a doctor's consultation is needed.

During the normal recovery period, it should not be marked:

severe bleeding from the outer seam and the vagina;
opaque discharge with odor;
redness and swelling of the seam;
increase body temperature.

Early complications

Early complications are considered the various adverse effects of the operations that arise at the hospital stay. When one of the following phenomena appears, it is necessary to immediately contact the hospital medical personnel.

Bleeding

The cause of the outer (from the cut zone) and internal postoperative bleeding, provided that proper medical manipulations were properly conducted in the work of the patient's coagulation mechanisms, as well as concomitant diseases such as diabetes or obesity.

Bleeding from the outer seam can occur due to:

excessive tension of muscles;
skin stretching on the stomach;
non-accelerable medical manipulations when processing and changing the bandage;
improper connection of blood vessels during surgery.

The uterine bleeding (Lochi) with an admixture of mucus is natural for 2 months after surgery, but their abundance should decrease after a week, and the color in the norm ceases to be bright red. Isolation should not be transparent, watery with an unpleasant smell, purulent, also cause concerns black discharge with an unpleasant odor.

With abundant or recurrent bleeding from the cut area or from the vagina, the woman extends the recovery period in the hospital, check and processed seams, can be prescribed intravenous infusion and gland and vitamins and metroplastics.

Hematoma

Hematoma - hemorrhage from insufficiently fortified during the operation of blood vessels under the skin. Other reasons, the hematomas may be early or inaccurate removal of seams.

The factories are diseases:

kidney;
of cardio-vascular system;
blood (for example, anemia);
phlebeurysm.

Internal hemorrhage is characterized by a feeling of gravity in the crotch area. Depending on the location and extensity of the hematoma, the doctor decides on conservative or surgical removal of complications.

Suppuration

The inflammation and suppuration of the seam occurs in the development of a bacterial infection on the dissected tissues when the pathogen's particularly viable strains of the causative agent or with violations of the patient's immune system are disseminated.

The wound abscess begins to redness, pain in the seam area, is accompanied by an increase in body temperature, chills, decline and the expiration of wounds of a muddy sticky exudate with an unpleasant odor.

Treatment includes a course of antibiotics and scar processing with antiseptic means (ointment of Vishnevsky, levomecol, syntomicin emulsion and others), with a serious complication - drainage. For the prevention of suppurations from the second day after surgery, it is necessary to get up (gradually, without jerks) and comply with the prescribed antiseptic processing.

Discharge of seam

Seam after cesarean section can diverge because of several reasons. The opening of the edges of the wound occurs due to excessive physical activity of a woman in the first days after childbirth, activity of active sports and lifting weights in the future, as well as due to the infectious process in wound fabrics.

Sometimes the discrepancy is caused excessive linen or linen from coarse tissues. The discrepancy of the wound is sometimes observed after removing the seams and often in women whose child weighs more than 4 kg.

Late complications

Late complications of seam healing are considered phenomena that occur after discharge from the maternity hospital, usually within 12 months after surgery.

Seroma

Serma - a bubble cavity on the seam, filled with lymph. Seroma arise in the first weeks after the intervention due to the filling of the dead-end parts of the lymphatic vessels pounded as a result of the operation and are not a pathological phenomenon. But for the differentiation of sulfur from the fistula, medical advice is needed.

Ligatured fistula

The ligaturic fistula is a breakthrough of the places of suppuration of the suture, when a bacterial infection is developing on surgical threads (ligature). The fistula may also appear as a result of allergic rejection of the ligature.

At first, any region on the seam becomes hot, blushes, compacted and swells, pain appears, then in one or several seats, the seam is revealed and expires the gas, the total temperature increases.

The breakthrough location is a cross-cutting pass that air can circulate with noise (the complication name appears from here). The self-immogmentation of the seam allows parts of the refrigerated material and purulent content to exit the outside, however, indicates a dangerous inflammatory process that requires an immediate appeal to the doctor.

The initial stage of inflammation is treated conservatively - a aseptic treatment or drainage method and with antibiotics. But sometimes the infected ligature has to be removed surgically, while the wound is cleaned of the exudate, the new seam is superimposed using other materials and the course of antibiotics is assigned.

The decision on the scale of operation and the need for excision of the fistula takes the doctor. The external processing of the wound by aseptic means at home is insufficient.

If the fistula after separation of the infected material is closed independently, the inflammatory process continues and relapses can occur, intoxication of the body, the dangerous risk of inflammation of the peritoneum and internal organs and other consequences.

Keloid Sow.

After the corporate cesarean section of the keloid (colloidal), the opening of operational seams is observed as a result of hereditary predisposition, most often is the growth of dense connective tissue containing collagen. Scars protrude above the skin surface, change the color, can cause pain and discomfort.

Hypertrophic scars do not go beyond the limits of the seam and are usually painless, the keloid scars grow more extensively. Fabric changes can occur a month after surgery and maintain over the years, although usually stabilization falls for a period of 24 months after the start of modifications.

Such a scar usually does not cause special concern, except aesthetic, However, if the seal becomes inhomogeneous, buccorks or selection appear, it is necessary to consult a doctor. The specialist will direct on ultrasound research and will help to exclude inflammation, ligatured fistula and malignant rebirth of tissues in the scar region.

Hernia

The hernia occurs after excision of the belly tendons with corporate laparotomy as a result of overvoltage when lifting weights, frequent constipation or slow digestion and can be diagnosed in many years after surgery. Small hernias require the use of a bandage, extensive - surgical order.

Seam after cesarean sections: symptoms and action

The most obvious is the symptoms of the discrepancy between the external (skin) seam, which are observed more often in the first month after the operation. The inconsistency of the seam in the uterus is more dangerous, whose scarring duration continues for 2 years.

Signs of divergence of the uterine seam:

pulling pain at the bottom of the abdomen;
increased body temperature;
blood discharge from the vagina, especially renewed or amplifying a week after surgery.

The only proper decision in this case should be the immediate appeal to the doctor.

Symptoms of the discrepancy of the outer seam:

The seams need to be treated with chlorhexidine, impose a sterile bandage, to ensure peace and cause a doctor. If the seam is not different, then the re-sewing is usually not required and the treatment is limited to local tightening. Under suppression, drainage will be required.

How to get rid of scar: effective methods

The need to resort to the correction of the scar arises as if the woman desires to improve the cosmetic type of skin scar, and for medical reasons in suspected failure of the uterine scar ("niche" in the seam area in the uterus).

Metroplastics: efficiency

Metroplasty after cesarean section is the imposition of re-seam in the uterus in the insolvency of the previous scar. The operation is carried out in an open method (laparotomy) or through laparoscopic holes.

The need for metroplastics usually occurs after:

emergency cesarean section;
inflammatory complications in the area of \u200b\u200bthe uterine seam;
operational interruption of pregnancy for up to 2 years after the previous intervention;
early coming after the cross section of pregnancy.

In case of insufficient efficiency of domestic ways to combat the gross external scar, considered in paragraph "Home Care", you can contact plastic surgery and massage. Methods are applicable for fully formed scars (approximately 12 months after surgery).

Grinding: efficiency

In cosmetology, several methods of grinding of the skin seams have been developed:

Massage: efficiency

Massage efficiency is lower compared to grinding, but it allows you to succeed in small seams or moderately soften gross defects. Massage is carried out after full healing by pressing movements several times a day for 5 minutes.

The surface of the seam and the skin of the fingers is pre-purified, moisturizing creams or special means that contribute to the softening of keratin are used to enhance the effect. In parallel, the massage will help split excess fat, strengthen the muscles of the press and pull the skin.

Other techniques

Less efficient conservative methods include cryoprocessors (impact of liquid nitrogen), hormonal external therapy, ultrasonic grinding.

Plastic surgery

Surgical excision is carried out on non-core scars in order to remove excess connective tissue.

Tatoj

After the final healing of the seam, you can resort to the services of professional artists-tattoos. Sometimes successful color and graphic solutions with the inclusion of the seam into the composition can completely disguise the scar.

In addition, keloid scars are treated with silicone and zinc dressings, compression devices, corticosteroid injections, 5-fluorouracil, interface, electrophoresis. The irradiation of the scars, practiced some time ago, is no longer carried out due to the risk of malignant neoplasms.
When to plan a pregnancy after cesarean section?

After the operation was carried out, it is extremely recommended to refrain from conceiving the next child for at least 2 years so that the uterus has managed to form a full-fledged scar, the fabrics around the seam acquired a sufficient thickness and nullifying the new fetus passed without complications.

The optimal term for the next pregnancy is 3-10 years after the cesarean section. Upon approval on the previous operation of the horizontal sparing section and synthetic (or semi-synthetic) ligature on the seam, the pregnancy can be safely resolved in a natural way.

Article clearance: Vladimir Great

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