STITCH OUT PROTOCOL SUTURE REMOVAL Sutures are used for wound stabilization All sutures, being foreign bodies, cause irritation to the tissues & hence have the potential to cause scarring. PRINCIPLE OF SUTURE REMOVAL Suture area is first clean with normal saline. The suture is then pulled towards the incision line to prevent dehiscence. If suture entrapped in a scab, application of Hydrogen peroxide/normal saline is necessary If pieces of suture left are left out infection may occur. RECOMMENDED DURATION FAILURE OF WOUND CLOSURE AFTER SUTURING • Breakage Extruded suture Cuts out Resorbs too rapidly Knot slips Removed too early POSSIBLE COMPLICATIONS HYPERTROPHIC SCAR KELOID INFECTION THANK YOU

1. STITCH OUT
PROTOCOL
Dr. Salah-Ud-Din Ch

2. SUTURE REMOVAL
Sutures are used for wound stabilization
All sutures, being foreign bodies, cause
irritation to the tissues & hence have the
potential to cause scarring.

3. PRINCIPLE OF SUTURE
REMOVAL
Suture area is first clean with normal saline.
The suture is then pulled towards the incision line to prevent
dehiscence. If suture entrapped in a scab, application of
Hydrogen peroxide/normal saline is necessary
If pieces of suture left are left out infection may occur.
3

4. RECOMMENDED
DURATION

5. Region
Face 3-5 Scalp 7-10
Lip 3-5 Chest 10-14
Oral cavity 6-8 Abdomen 10-14
Neck 5-6
Upper limb &
lower limb
10-14
5

6. FAILURE OF WOUND CLOSURE
AFTER SUTURING
• Breakage
• Extruded suture
• Cuts out
• Resorbs too rapidly
• Knot slips
• Removed too early
6

7. POSSIBLE COMPLICATIONS
7
HYPERTROPHIC SCAR KELOID INFECTION ​

8. THANK YOU