What happens if you have surgery and the stitches are removed, however, there were several missed and they have been there for approximately two months longer than they should have been? The surgery was open skulled traditional craniotomy!!
Yes, the biggest risk of sutures that remain in too long is infection.Because it is a foreign material to your skin, these sutures can get infected, and cause "stitch abscesses" -- and cause a localized infection in the scar of the wound.The other issue (less important) is cosmetic, as the longer sutures are in place, the more likely it is to leave a permanent stitch mark in the skin. And it makes it harder to remove, as the skin may have grown over the stitches.But when the remaining sutures are discovered (this, unfortunately, is not so uncommon), they are removed.If nothing has happened by now, then there shouldn't be any bad lasting effects.
What happens when the old (remaining) stitches are discovered and removed? Is there more surgery needed? This is obviously very sensitive area - the top of my head and skull. I guess my question is: Do they have to operate again - to remove the old remaining stitches? If so, what does that entail?
Okay, I get that, but then if the skin is partially healed over, do they have to "dig into the skin" and make it bleed & then resuture again? I'm concerned that this is very dangerous because they told me if it got infected and they had to re-operate, they couldn't put the "flap" back for a whole year and I would have to wear the "helment"!!!
No, even if a stitch did get infected, this is generally a superficial infection. The type of infection they are talking about, with reoperation, is an infection in the area of the actual surgery, much deeper than the skin sutures themselves. Two separate areas of infection here.If it did partially heal over, they still only have to cut the area of exposed suture. Cut the suture and it should pull right out. Occasionally you have to dig a bit into the skin, but there is no need to resuture.
Oh, that's cool! I do have another question: Is this anything "real serious"? It doesn't sound like it, but it had me stressing out pretty much, since they had told me pre-surgery "no hair coloring for four weeks". Hospital disharge papers said "Nothing for six weeks".
That's cool, I waited eight weeks to be sure and just used a coloring mouse that washes out immediately in shower. When I went for my follow-up (which had been delayed an additional 3 wks. the surgeon dr. said, "Wait another 3 wks. for hair coloring". The nurse had said prior to him coming in, "Don't put any coloring on your hair for six wks."
I'm thinking they could tell by looking at my incision, but never said anything to me about it. I realized then (later) that they 3 or 4 sutures were never removed. I was just panicking yesterday - called the surgeon's ofc. They didn't reply, so I called my Primary Care Physician and he wasn't sure......My ins. co. nurse had called me that morning to check on how I was doing. When I relayed this information to her, she was like, "Oh, wow, I've never heard of anything like this before!" Well, needless to say, that really scared me! My PCP said I could go to ER if I was really concerned. He's kind of young, and admittedly says "This is way over my head". Very sweet doctor, but at any rate, I have been really stressing. So it sounds like you don't think it's a big deal at this point, and it can certainly wait until next week when I talk to my neurosurgeon about it?
If so, do you recommend that the old ones should be taken out right away, as soon as possible?!! Thank you!!!
Thank you very much!!! You have put a lot of my fears to rest for now. I do have an identation on the side of my face where they did the surgery (along my right eye). Yesterday it got really red.....it seems better now, but do you think this is any sign
of any infection? Do you think that indentation will close? (They didn't tell me about this pre-surgery either.) It seems to get worse as the day wears on.....I go to bed, get up next morning and it's down, but then gets "bigger" as the day goes on.........what do you think about that?
Yes, that is what they told me........His nurse said it will "fill-in", but not 100% and it will take a year. She said I could have plastic surgery then if I chose! What about the
"redness" I experienced yesterday in that area? Do you think that's any sign of infection? Just to clarify, Dr. Mark, I was never concerned about the "hair coloring", only the adverse reactions to the "old stitches" not being removed. Thank you again...
The redness that is temporary is likely not an infection, since an infection would be continued redness, swelling, tenderness in that area. I think it should be OK.
I would just like to share with you since I have this opportunity to tell you that I went down to the surgeon's ofc. today........Of course they didn't want to accept that they
were in fact old stitches...Nurse looked at it, nurse practioner looked at it, and then they called one of the drs. in to look at it. They "cleaned some of the areas where the suspected old sutures were....they were calling that area "scabs" - do you agree?
My pharmicist told me that when sutures are applied correctly, there are no "scabs". That certainly makes sense to me......after all, isn't that the purpose of sutures? Or at least one of the purposes?
Would the sutures still be exposed at this time? After this long? Or could the skin have grown "over" them....covering them up?
Okay, I "drilled" them for quite a while about this......I guess I didn't let up until one of them said, "If the sutures were cut, but not pulled through, so that we could see the sutures before (2 mo. ago), they said it's possible through showering, shampooing, etc. that they could have worn out.....What do you think about this? Also, could you please expound on what you mean by skin could have "theoretically" grown over them.
Ok, but isn't a suture a foreign body......and can't they cause infection? I get it that there is no infection now, but does this mean I sit and "wait" for the infection to set in, and then have my skull cut open again and exposed for a whole year before they can "put it back"? Do you get my fear?
Did I tell you earlier that they "cleaned out" the "scabs"? In your opinion, do you think that was a good idea?
I guess I still haven't made myself clear.........I'm not referring to the "resorbable" sutures.........I do understand they are "allowed" to be there or supposed to be there....I'm still up on the "topical" sutures. I'm talking about the suture as they stitch with the needle?..........You know......the part that goes underneath the skin, then comes
back up on top.............like you're sewing something?
My question is: Is that suture (topical one) if it didn't in fact "pull out" or "wear out" itself through showering or whatever, "allowed" to stay in there (even a very small portion of it?
I do know there are types of sutures that "stay in", and also some that are dissolvable on their own...........again, I'm referring to the topical ones (that need to be removed)......is it okay for even a little piece or portion of that suture to end up lodged in your head or brain somewhere forever???
Sorry..............I just went back and reread your last answer.............I missed that first whole sentence where you said "no, the suture does not move down". That's good news!
Are you telling me that if there is no infection now, there is no possibility of one developing later on..........as a result of "pieces" of suture underneath?
Wow! You doctors really have patience - and I'm not talking about "patients"........I don't think I could have the patience to put up with a pain as big as I've been to you these last few days, but I think you have finally (and I don't mean you personally - I mean my whole team of healthcare providers as well, when I say "finally") have put my fears to rest! You have certainly answered all of my questions to great satisfaction..........I believe too, I might add, that you have given me honest answers.............that is rather difficult to find these days...... I appreciate honesty more than anything...........even if it's not good news.
I give you an A+++!!!
Well, thank you. I hope you have some piece of mind.Best of luck.