Care of your stitches

What are stitches?

Stitches, also called sutures, are made from materials like silk or man-made fibres like nylon. They hold the skin together until it heals itself and are then removed. Some stitches can be absorbed by the body and do not need to be removed. These are usually only used internally or inside the mouth.

Can I get the stitches wet?

You should try to keep your stitches clean and dry. The skin will not heal properly if it keeps getting wet.

Scalp wounds only

Wash your hair with mild shampoo as soon as possible after treatment and then not again until after the stitches have been removed. Dry your hair gently and don’t comb over that area.

Lip wounds

Use a straw to drink with. Do not put any make-up or cream onto the wound while stitches are in place.

Should I keep the stitches covered?

This depends on the location of the wound. Usually we do not put dressings over wounds on the face or head, especially if they are clean and dry. If you are at home, and it feels comfortable, it is a good idea to let the air get to the area.

Can I go to work?

That depends on what your job is and where the stitches are. If the stitches are in a place where working may damage them, then it is better to stay off work until the wound has healed. If you handle food at work, then you should not work until your wound is completely healed.

When will my stitches be removed?

The amount of time that the stitches stay in will depend on where the cut is and the type of suture (thread) used. We will have told you how long this should be. It is important that you do not exceed this time as the stitches may begin to irritate the skin if they are left in too long and cause infection. Never attempt to remove the stitches yourself.

Who will remove my stitches?

It is advisable to go to your GP or practice nurse to have your stitches removed and we would recommend making your appointment in advance. If you are not currently registered with a GP, you could attend a Walk-in Centre—your nearest one can be found at www.nhs.uk.

What if the stitches burst?

If at any time you are concerned that the wound has reopened, please return to us or your nearest Emergency Department (A&E).

Will I have a scar?

This will depend on the size and position of the wound. Healed cuts are always red and obvious at first but generally fade with time. You will probably be left with a mark but this is impossible to predict.

If you can keep your stitches clean, dry and untouched, then there will be less chance of infection occurring and less chance of an obvious scar.

When should I seek advice?

The wound may ooze slightly at first—this is natural. However, if the discharge increases or becomes foul-smelling, you should either see your GP or come back to the Emergency Department (A&E) as this may indicate an infection is developing. If there is increased irritation, heat, swelling, redness or pain, you should seek medical advice.

Contributors
richardjn George Vasilopoulos