Caring for Your Wound after Your Skin Procedure With Sutures

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This information explains how to care for your wound after your skin procedure with sutures (stitches).

You had a procedure to remove or test a suspicious area of skin or tissue. Caring for your wound after your skin procedure is important to help prevent infection and help you heal with little pain or discomfort.

Caring for Your Wound at Home

  • Leave the bandage on your wound for __________ hours after your procedure. Keep it clean and dry.
  • Remove your bandage after ______ hours.
  • If your doctor or nurse told you to apply ice, you can apply an ice pack to your wound _________times a day for 10 to 15 minutes. You can do this during the first 24 to 48 hours after your procedure. This will help reduce bleeding, pain, and swelling.
  • If you have Steri-Strips™ (tape strips) over your wound, don’t take them off. They will slowly fall off on their own over about 1 week.
    • The edges of the Steri-Strips will start to peel up first. Use scissors to trim the edges as they peel up.
    • It’s normal to see dried blood on the Steri-Strips.
    • If your doctor or nurse told you to leave them on until your follow-up appointment, don’t remove them.
  • You can shower __________ hours after your procedure.
    • Don’t allow the shower stream to run directly over your wound.
    • Pat your wound dry with a clean gauze pad or clean dry wash cloth.
    • Don’t take a bath, go swimming, or go into a hot tub until your wound is healed.

Cleaning your wound

Clean your wound every day. Do this for _____ days/weeks after your procedure, or until your followup appointment. Follow the instructions below when you clean your wound.

Supplies

  • Cotton swabs (Q-tips®)
  • Nonstick gauze pads
  • Paper tape
  • Adhesive bandage (Band-aid®) cut to fit the wound size
  • ______________________________ solution
  • ______________________________ ointment
  • Clean gauze pad or clean, dry washcloth

Instructions

  1. Gather your supplies.
  2. Wash your hands with warm water and soap for 15 seconds or use an alcohol-based hand sanitizer.
  3. Clean your wound with _____________________ solution.
  4. Gently pat your wound dry with a clean gauze pad or clean, dry washcloth. Don’t rub the area.
  5. Use cotton swabs to apply ______________________________ ointment on your wound.
  6. Cover your wound with non-stick gauze or an adhesive bandage cut to the size of your wound. If you use nonstick gauze, keep it in place with paper tape.
  7. Wash your hands with warm water and soap for 15 seconds or use an alcohol-based hand sanitizer.

Additional instructions:




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Managing Pain

  • You may have pain or discomfort after your procedure. To relieve your pain or discomfort, take acetaminophen (Tylenol®) or extra strength acetaminophen (Extra Strength Tylenol®).
  • Follow the dose directions on the package. If this dose doesn’t relieve your pain, call your doctor’s office.
  • If you’re allergic to acetaminophen or if you can’t take it due to a medical condition, ask your healthcare provider what you can take instead.
  • If you’re in a cancer treatment clinical trial, please contact your oncologist (cancer doctor) about what pain medications you can take.
  • Don’t take aspirin or nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen (Advil®) or naproxen (Aleve®). These medications make it harder for your blood to clot, which may increase bleeding.
  • You can also hold an ice pack over your wound to reduce pain, swelling, and bruising. Place an ice pack on your wound for 15 to 20 minutes every hour or as directed by your healthcare provider.
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Activities

  • Don’t do strenuous exercise or heavy lifting for __________ weeks.
  • Ask your doctor or nurse when you can lift objects heavier than 5 pounds (2.3 kilograms). You may be able to do this right away after your procedure or you may need to wait until it’s safe for you.
  • Check with your doctor or nurses before starting any gym activity such as running, jogging, or lifting weights.
  • If your skin procedure or biopsy was on your neck, face, back, or scalp, don’t bend at your waist until your sutures are removed. Your doctor may tell you to wait __________ weeks.
  • Don’t let your wound be underwater (such as in a swimming pool, bathtub, or hot tub) until the sutures are removed.
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Sleeping

  • If your skin procedure was above your neck, sleep with the head of your bed raised 45 degrees for the first ____ days after your procedure. You can do this by sleeping with 2 pillows under your head.
  • If your skin procedure was on one of your arms or legs, sleep with that body part raised above the level of your heart. You can do this by resting your arm or leg on pillows.
  • Ask your nurse if you need to avoid lying on your wound or putting any pressure on it for the first 48 hours. Doing this can help reduce irritation and bleeding.
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Suture Removal

  • If you have non-dissolvable sutures, you will need to return to your doctor’s office to have your sutures removed. Schedule your suture removal appointment in __________ days/weeks.
  • If you have dissolvable sutures, they will dissolve on their own. This may take up to 1 to 2 months.
    • Continue to check the sutures until they’re dissolved. They may look like a piece of small string at your wound. If the sutures aren’t bothering you, allow them to dissolve completely. If the sutures start to bother you, call your doctor’s office
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Call Your Doctor or Nurse if You Have:

  • A temperature of 100.4° F (38 ° C) or higher
  • Chills
  • Any of the following symptoms at your wound or the area around it:
    • Increasing redness or swelling
    • Increasing pain or discomfort
    • Skin that’s hard, warm, or hot to the touch
    • Bright yellow or green drainage
    • Bleeding that doesn’t stop after applying pressure
    • Foul odor
    • The wound appears to have opened
    • Rash
    • Blistering
    • Drainage that goes through your bandage
    • Any questions or unexpected problems
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