Chapter 43 Stitch removal

"Will it hurt to remove the stitches?" A patient after abdominal surgery walked into the dressing change room, the patient was a young girl, she looked at Lin Chen and said uneasily.

Lin Chen walked at the door of the dressing room and shouted to Lu Xiaohan, who was temporarily fine in the outpatient clinic, "Come and do me a favor."

The young patient suddenly became nervous, and she had to call an assistant to help with the stitch removal, would it be painful to remove the stitches? She continued to Lin Chen: "Doctor, why do you need two people to remove the stitches?"

Lin Chen saw that the young girl didn't understand and hurriedly said: "It won't hurt to remove the stitches, but you have to cooperate with us, I will call a female assistant to stand next to me, mainly because you are a young girl, in order to avoid it, can you understand?"

The young girl stretched her brows and said, "So that's the case, that's fine, doctor, you can help me remove the stitches!"

I took a suture removal bag from the cabinet and put it on the table, tore off the seal sealed on the suture removal bag, twisted a corner and slowly lifted it.

The young girl asked, "Doctor, has my thread been removed?" and has the wound been long for a week?"

Seeing that this girl didn't know the precautions for removing stitches after surgery, Lin Chen had no choice but to say: "You are having abdominal surgery, under normal circumstances, the time for removing sutures in abdominal surgery is one week after surgery, and I will help you look at the wound after disinfection."

The young girl lay down on the examination table with peace of mind, and Lin Chen slowly removed the tape attached to the girl's abdomen. This should not be violently or quickly removed from the abdomen, as rapid removal of the tape on the abdomen can cause pain, whether it is when changing dressings or removing stitches, this is a detail that needs to be paid attention to.

After removing the adhesive tape that is tightly attached to the abdomen, the adhesive tape covering the wound is slowly removed, and the last layer of gauze is glued together after the blood clot has dried due to a little bleeding from the wound.

At this time, the young girl looked at Lin Chen nervously, for fear that Lin Chen would tear off the gauze directly without paying attention.

Lin Chen comforted: "Relax, we haven't started to remove the stitches yet, I will slowly remove the gauze stuck to you after moistening it with normal saline for a while, so that you won't be in pain."

Lin Chen used tweezers to pick up a cotton ball that had been completely soaked with normal saline and wet it on the gauze that had been stuck to one place by blood clots, and then slowly removed the gauze in the direction of the incision after repeatedly wetting the gauze.

The gauze stuck to her abdomen had been removed, and the young girl was still panting heavily, she didn't dare to look at the wounds on her body, and said nervously to Lin Chen: "Doctor, has the gauze stuck to my body been removed?"

"I've taken it off for you, you can rest assured that you will lie on the inspection table, and the stitches will be removed after the disinfection will be completed," Lu Xiaohan said.

The steps before removing the stitches are the same as changing the dressing. The wound should be disinfected first according to the principle of sterility and spread with a sterile towel. The disinfectant used for suture removal is 75% alcohol, iodine, etc., which are commonly used.

The alcohol is irritating to the skin, it will cause skin contraction, and the stimulation of the skin by alcohol will be a little painful after the stitches are removed, which is not very good for young girls who are afraid of pain, Lin Chen had to pour the painless iodine into a small medicine cup, soak it with a cotton ball and gently disinfect it on the girl's abdominal wound for the first time.

Only then did Lin Chen lay the sterile sheet according to the principle of aseptic, and then completed all the preparations before the suture removal.

The young girl began to get nervous again and said, "Doctor, please give me some anesthesia, I'm really afraid of pain"

After she finished speaking, she had to touch the sterile sheet that had been laid on the wound, because her hand had not been thoroughly disinfected, there were a lot of bacteria, and if she touched the sterile sheet, it would bring bacteria into the wound, which was likely to cause wound infection after the stitches were removed.

Lin Chen hurriedly asked Lu Xiaohan to hold the girl's hand and said, "We need to cooperate, your hands can't move like this anymore, if you are too nervous, hold this sister's hand, but don't use your hands to grab these sterilized cloths."

The young girl nodded in agreement, and then he took the pinch in his left hand and the stitch scissors in his right hand. To remove the sutures, you need to lift the threads on the abdomen with your left hand first, this step is very crucial, and I don't know how many young doctors will make mistakes in this step, and sometimes leave the threads directly on the person's body, which is the most undesirable.

After Lin Chen clamped the thread sutured on the abdomen with his left hand, he gently twisted it to observe the healing of the skin in the abdomen, and after making sure that it was long, he pressed the tip of the scissors on the skin, and cut it along the section of the thread in the skin.

He said to the young girl lying on the examination table, "It's all right! There are a few more like this, and they will be all right soon, take it easy."

Lin Chen removed the second thread that was stitched to his abdomen again, the third, and the fourth。。。。。。

After all the sutures of the abdomen were removed, they were disinfected on the girl's wound with iodine, and then the sterile gauze was covered on the wound and the adhesive tape was pasted, and the details of the adhesive tape also need to be paid great attention to.

After applying the adhesive tape, the last point is to remind the patient that the gauze covering the body can be removed for two or three days before the wound can be wet.

The young girl said thank you with a flushed face and walked out of the dressing room. In the dressing room, a patient who needed stitches removed from his arm walked in again.

He walked in and said, "Doctor, the threads on my arm helped me remove."

Lin Chen looked at the patient in surprise and said, "Hello, how long has it been since the thread surgery on your arm?"

The patient said impatiently: "It's been a week, hurry up and tear it down, I want to go home."

What? Do you have to remove the threads from your arm just a week after surgery?

Lin Chen hurriedly said to the patient: "I'm sorry, I can't help you remove the stitches on your arm for the time being, I can only change the medicine today."

"Why didn't you remove the stitches for me? Didn't that girl remove the stitches in just a week? Is it because I didn't pay enough?" said the patient angrily.

It seemed that this patient did not know the time of stitch removal of his limbs, and he patiently said to this patient again: "Your stitches are on your arm, and the time for removing stitches on this arm is different from that on your stomach." Due to the large range of motion of the arm, often stretched by the muscles, the sutures are prolonged, generally takes 13~14 days, you are patiently waiting for a week to come to the most suitable for the sutures to be removed. If you have the stitches removed at this time, it will definitely open the wound on your arm, do you want me to remove the stitches for you?"

"I see, then you can help me change the dressing" The patient suddenly changed his tone.

After changing the dressing, Lin Chen walked out of the dressing change room.

Lu Xiaohan followed behind and said, "Lin Chen, you just have a good temper, such a patient really has no gratitude at all."

Lin Chen suddenly stopped, and he said to Lu Xiaohan: "No matter how bad this person's attitude is just now, and we, as doctors, need to do our own thing。。。。。。 ”