Features of large formations
As the size increases, the depth of its occurrence also increases: the formation can spread into the deep layers of fiber and be adjacent to the vessels and nerves. Before surgery, an ultrasound of soft tissue is often performed to assess the size, depth and connection with surrounding structures. After removal, a cavity remains, which is sutured in layers - otherwise fluid accumulates in it and a seroma is formed. Healing takes 10–14 days, sutures are removed on days 7–10. Histological examination for large formations is especially important.
Why bandaging is a medical procedure
Dressing is not just changing a bandage. At each visit, the surgeon assesses the condition of the wound: how is healing going, are there any signs of suppuration, dehiscence, or necrosis. It is during dressing that complications are most often identified, which at home go unnoticed until a severe stage.
In addition, the selection of the drug depends on the phase of the wound process: in the inflammation phase, some drugs are needed, in the granulation phase - completely different ones. Using a “universal” ointment at all stages slows down healing.
Clean and purulent wounds behave differently
- clean wound - sutured, heals by primary intention, dressings are less frequent, the task is not to cause infection
- purulent wound - requires daily treatment, washing, removal of discharge and necrotic tissue
When are the stitches removed?
The duration depends on the location and blood supply to the tissues: on the face - 4-6 days, on the torso - 7-10, on the limbs and in the joint area - 10-14 days. Removal too early leads to separation of the edges, too late - to a rough scar with transverse marks from the threads.