How do stitches work to close wounds. What is the procedure for getting stitches. When are stitches necessary for cuts. How should you care for stitches during recovery. What are the alternatives to traditional sutures for wound closure.

Understanding the Purpose and Importance of Stitches

Stitches, also known as sutures, play a crucial role in wound healing and management. They are primarily used to hold together the edges of a cut or surgical incision, allowing the tissues to fuse back together naturally. This process not only accelerates healing but also minimizes scarring and reduces the risk of infection.

Why are stitches sometimes necessary? While minor cuts and scrapes typically heal on their own with basic care, more severe injuries or surgical incisions often require additional intervention. Stitches provide the structural support needed for proper healing, especially in cases where the wound is deep, wide, or located in an area prone to movement.

Key Benefits of Stitches:

• Promote faster healing
• Reduce the risk of infection
• Minimize scarring
• Ensure proper alignment of tissues
• Provide support during the healing process

Identifying When Stitches Are Necessary

Determining whether a cut requires stitches can be challenging for the average person. While the final decision should always be made by a healthcare professional, there are several indicators that suggest medical attention and possible suturing may be needed.

Signs a Cut May Need Stitches:

• Deep or gaping wounds
• Jagged or irregular edges
• Cuts on the face or areas where scarring is a concern
• Profuse bleeding that doesn’t stop after 20 minutes of direct pressure
• Numbness in the affected area
• Impaired function in a hand or limb after being cut

Is immediate medical attention always necessary for cuts? If any of the above criteria apply to your injury, it’s crucial to seek medical care as soon as possible. In the meantime, apply direct pressure to control bleeding and, if possible, elevate the injured area above heart level.

Are there instances where stitches might not be advisable? Indeed, certain types of wounds, such as puncture injuries, may not be suitable for stitching. However, these cases still warrant medical evaluation, especially if you haven’t had a tetanus shot in over five years.

The Stitching Procedure: What to Expect

Understanding the stitching process can help alleviate anxiety and prepare you for the procedure. While it may seem daunting, getting stitches is generally a painless and straightforward process.

Steps in the Stitching Procedure:

1. Assessment: The healthcare provider evaluates the wound to confirm the need for stitches.
2. Cleaning: The wound area is thoroughly cleaned, usually with running water and mild soap.
3. Anesthesia: A local anesthetic is administered to numb the area, ensuring your comfort during the procedure.
4. Inspection: The doctor examines the wound closely to remove any debris or foreign objects.
5. Debridement: If necessary, dead tissue is removed to promote healing.
6. Suturing: The edges of the cut are pulled together, and the doctor uses surgical thread to close the wound.

What types of surgical thread are used for stitches? Doctors may use various materials such as silk, nylon, or even dissolvable threads, depending on the wound’s location and severity. Single filament or braided threads may be employed based on the specific requirements of the injury.

Post-Procedure Care: Ensuring Proper Healing

Proper care of your stitches is crucial for optimal healing and minimizing the risk of complications. Your healthcare provider will give you specific instructions tailored to your situation, but there are general guidelines to follow.

General Care Instructions for Stitches:

• Keep the wound clean and dry
• Follow specific cleaning and dressing instructions provided by your doctor
• Apply antibiotic ointment if recommended
• Monitor for signs of infection
• Avoid activities that could stress the stitches

How can you identify signs of infection in a stitched wound? Be vigilant for symptoms such as increased redness, swelling, warmth around the wound, pus discharge, or a fever above 100°F (37.8°C). If you notice any of these signs or if your stitches break, contact your healthcare provider immediately.

The Removal Process: Timing and Procedure

The duration stitches need to remain in place varies depending on the wound’s location and severity. Generally, stitches are removed within a few days to a couple of weeks after the initial procedure.

How is the stitch removal process carried out? Removing stitches is typically a quick and painless procedure. The doctor clips each thread near the knot and gently pulls them out. You may feel a slight tugging sensation, but anesthesia is not usually necessary.

Can you remove stitches at home? While the removal process may seem simple, it’s crucial to have a healthcare professional remove your stitches. This allows them to assess the wound’s healing progress and provide any necessary follow-up care instructions.

Alternatives to Traditional Stitches

While stitches are a common and effective method for wound closure, they’re not the only option available. Depending on the nature and location of the injury, healthcare providers may opt for alternative closure methods.

Other Wound Closure Options:

• Butterfly tape or adhesive strips
• Surgical staples
• Tissue adhesive (medical glue)

When are these alternatives preferable to traditional stitches? Butterfly tape or adhesive strips can be suitable for minor cuts and can sometimes be applied at home. Surgical staples and tissue adhesives are typically used for clean, straight incisions, such as those made during surgery. These methods can offer advantages in terms of speed of application and, in some cases, reduced scarring.

Minimizing Scarring: Post-Removal Care

After your stitches are removed, proper care can help minimize scarring and promote optimal healing. Your doctor may provide specific instructions based on your individual case.

Tips for Minimizing Scars:

• Keep the area protected from sun exposure
• Apply silicone-based scar treatments as recommended
• Massage the scar area gently to promote blood flow
• Maintain proper hydration of the skin
• Follow any additional instructions provided by your healthcare provider

How long does it take for a scar to fully heal? The complete healing and fading of a scar can take several months to a year or more. Patience and consistent care are key to achieving the best possible outcome.

Stitches in Special Situations: Children and Emergency Cases

Getting stitches can be particularly challenging in certain situations, such as with young children or in emergency scenarios. Understanding how to handle these special cases can help ensure the best possible outcome.

Stitches for Children:

When children require stitches, additional considerations come into play. How can you help a child through the stitching process? Here are some tips:

• Explain the procedure in simple, non-frightening terms
• Allow the child to ask questions and express concerns
• Use distraction techniques during the procedure
• Consider asking about child-friendly amenities or specialists if available

Emergency Situations:

In emergency cases where immediate medical care isn’t available, what steps should you take? While professional medical attention should always be sought as soon as possible, here are some interim measures:

• Clean the wound thoroughly with clean water
• Apply direct pressure to stop bleeding
• Use butterfly bandages or strips if available to close small wounds
• Seek medical attention as soon as possible for proper assessment and treatment

Remember, these are temporary measures and do not replace professional medical care. Always follow up with a healthcare provider for proper treatment and to minimize the risk of complications.

Innovations in Wound Closure: Beyond Traditional Stitches

The field of wound closure is continually evolving, with new technologies and techniques emerging to improve healing outcomes and patient comfort. What are some of the latest innovations in this area?

Advanced Wound Closure Technologies:

• Zip-style closures: These devices use interlocking strips to hold wound edges together, potentially reducing scarring and allowing for easier wound checks.
• Smart sutures: Embedded with sensors, these sutures can monitor wound healing and detect infections early.
• Nano-sutures: Made from extremely fine materials, these sutures may reduce tissue damage and promote faster healing.
• Biological sealants: These substances mimic the body’s natural healing processes to seal wounds without traditional stitching.

How might these innovations change wound care in the future? While many of these technologies are still in development or early adoption stages, they hold promise for improving wound healing outcomes, reducing complications, and enhancing patient comfort during the recovery process.

As medical technology continues to advance, we can expect to see even more innovative approaches to wound closure and care. However, it’s important to note that traditional stitches remain a highly effective and widely used method for many types of wounds and surgical incisions.

In conclusion, understanding the purpose, procedure, and care involved with stitches can help alleviate anxiety and promote better healing outcomes. Whether you’re dealing with a minor cut or a more significant injury, knowing when to seek medical attention and how to care for your wound properly is crucial. As always, consult with a healthcare professional for personalized advice and treatment for any injury or wound.

Stitches (Sutures): Purpose, Procedure, Recovery

Written by Anne Brinser Shelton

• Signs a Cut May Need Stitches
• The Procedure
• Caring for Stitches
• Removal of Stitches
• Other Options

Most minor cuts and scrapes heal on their own, with little more intervention needed than mild soap and water to keep them clean. But more serious cuts or incisions from surgical procedures may require stitches, or sutures, to hold tissues together while they heal. The goal is to piece together the edges so that skin and other tissues can fuse back together. Then the stitches are removed.

Although it’s natural to feel a little anxious if you’re getting stitches, especially if you’ve just experienced trauma, the procedure is generally painless. And stitches will help cuts heal with minimal scarring or risk for infection.

It’s not always easy to tell if a cut requires stitches. Ultimately, it’s up to your health care provider to determine if stitches are needed. You should seek medical care for any cut that:

• Is deep, jagged, or gaping
• Is on the face or another part of the body where scarring may be an issue
• Bleeds profusely without stopping after 20 minutes of direct pressure
• Feels numb
• Is in a hand or limb that doesn’t function properly after being cut

If any of these criteria apply to your injury, see a doctor as soon as you can. In the meantime, apply direct pressure to help control bleeding. It might also help to raise the injured area above the level of your heart, if possible.

There are certain instances in which stitches may not be advised, such as puncture wounds, though you may still need to see a doctor, especially if you have not had a tetanus shot in more than five years.

Once a health care provider has assessed your injury and determined that you need stitches, the first steps they will take in treating the wound are to clean and numb the area, though not necessarily in that order. Although cleaning a wound is not very painful in most cases, the doctor may first administer a local anesthetic, similar to what your dentist might use, to maximize your comfort. If your injury seems particularly contaminated, however, cleansing it — usually with running tap water and a mild soap — may be a higher priority.

Once the area is numb, the doctor will take a closer look to make sure there’s no dirt, debris, or other foreign objects inside the cut before sewing it together. An X-ray may also be ordered to help look for remaining debris. If you cut yourself on a piece of glass or sharp metal, for instance, it’s crucial to ensure that there are no remaining shards inside the cut.

The doctor may remove any dead tissues to help the healing process. They will then pull the edges of the cut together and, for each stitch, loop thread through either side of the cut and tie a knot to hold the wound closed.

Doctors can use different types of surgical thread made from materials such as silk or nylon, which may be in single filaments or braided. There’s even surgical thread that is designed to dissolve over time so that the stitches don’t need to be removed. These are used most frequently in deep cuts.

The doctor or nurse will give you instructions for caring for your stitches as your cut heals. These may include specific steps for cleaning and dressing the wound. You may be advised to keep the wound and bandages dry.

Your doctor may also recommend an antibiotic ointment to help prevent infection and make you aware of signs that may indicate infection. Keep an eye out for such signs, including a fever higher than 100 degrees or red streaks on the skin near the wound. And if any of your stitches pop or break, or you have any other concerns, be sure to contact your doctor.

Stitches typically need to remain in place for several days to a couple of weeks, depending on the severity of the cut and location. Your doctor will tell you when to come back to have them taken out. Removing stitches is a much faster process than putting them in. The doctor simply clips each thread near the knot and pulls them out. You may feel a slight tugging sensation, but the removal of stitches shouldn’t hurt at all. You won’t even need an anesthetic.

Although removing stitches is not a difficult process, you shouldn’t try to remove them yourself. It’s important for your doctor to check to see that the wound is healing properly and to make sure that it’s OK for the stitches to come out. The doctor may also have special instructions for you after the stitches are removed, which may help minimize scarring.

Stitches aren’t the only option doctors have to close cuts and incisions. Cuts sometimes can be held together with butterfly tape or adhesive strips, which you may be able to do yourself at home for more minor cuts. There are even special staples or tissue glue, but those tend to work best with clean, straight incisions, such as in surgical procedures.

There are different criteria and care instructions for each type of closure. Your health care provider can help decide which is best for you and tell you how to care for your injury as it heals.

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Stitches (Sutures): Purpose, Procedure, Recovery

Written by Anne Brinser Shelton

• Signs a Cut May Need Stitches
• The Procedure
• Caring for Stitches
• Removal of Stitches
• Other Options

Most minor cuts and scrapes heal on their own, with little more intervention needed than mild soap and water to keep them clean. But more serious cuts or incisions from surgical procedures may require stitches, or sutures, to hold tissues together while they heal. The goal is to piece together the edges so that skin and other tissues can fuse back together. Then the stitches are removed.

Although it’s natural to feel a little anxious if you’re getting stitches, especially if you’ve just experienced trauma, the procedure is generally painless. And stitches will help cuts heal with minimal scarring or risk for infection.

It’s not always easy to tell if a cut requires stitches. Ultimately, it’s up to your health care provider to determine if stitches are needed. You should seek medical care for any cut that:

• Is deep, jagged, or gaping
• Is on the face or another part of the body where scarring may be an issue
• Bleeds profusely without stopping after 20 minutes of direct pressure
• Feels numb
• Is in a hand or limb that doesn’t function properly after being cut

If any of these criteria apply to your injury, see a doctor as soon as you can. In the meantime, apply direct pressure to help control bleeding. It might also help to raise the injured area above the level of your heart, if possible.

There are certain instances in which stitches may not be advised, such as puncture wounds, though you may still need to see a doctor, especially if you have not had a tetanus shot in more than five years.

Once a health care provider has assessed your injury and determined that you need stitches, the first steps they will take in treating the wound are to clean and numb the area, though not necessarily in that order. Although cleaning a wound is not very painful in most cases, the doctor may first administer a local anesthetic, similar to what your dentist might use, to maximize your comfort. If your injury seems particularly contaminated, however, cleansing it — usually with running tap water and a mild soap — may be a higher priority.

Once the area is numb, the doctor will take a closer look to make sure there’s no dirt, debris, or other foreign objects inside the cut before sewing it together. An X-ray may also be ordered to help look for remaining debris. If you cut yourself on a piece of glass or sharp metal, for instance, it’s crucial to ensure that there are no remaining shards inside the cut.

The doctor may remove any dead tissues to help the healing process. They will then pull the edges of the cut together and, for each stitch, loop thread through either side of the cut and tie a knot to hold the wound closed.

Doctors can use different types of surgical thread made from materials such as silk or nylon, which may be in single filaments or braided. There’s even surgical thread that is designed to dissolve over time so that the stitches don’t need to be removed. These are used most frequently in deep cuts.

The doctor or nurse will give you instructions for caring for your stitches as your cut heals. These may include specific steps for cleaning and dressing the wound. You may be advised to keep the wound and bandages dry.

Your doctor may also recommend an antibiotic ointment to help prevent infection and make you aware of signs that may indicate infection. Keep an eye out for such signs, including a fever higher than 100 degrees or red streaks on the skin near the wound. And if any of your stitches pop or break, or you have any other concerns, be sure to contact your doctor.

Stitches typically need to remain in place for several days to a couple of weeks, depending on the severity of the cut and location. Your doctor will tell you when to come back to have them taken out. Removing stitches is a much faster process than putting them in. The doctor simply clips each thread near the knot and pulls them out. You may feel a slight tugging sensation, but the removal of stitches shouldn’t hurt at all. You won’t even need an anesthetic.

Although removing stitches is not a difficult process, you shouldn’t try to remove them yourself. It’s important for your doctor to check to see that the wound is healing properly and to make sure that it’s OK for the stitches to come out. The doctor may also have special instructions for you after the stitches are removed, which may help minimize scarring.

Stitches aren’t the only option doctors have to close cuts and incisions. Cuts sometimes can be held together with butterfly tape or adhesive strips, which you may be able to do yourself at home for more minor cuts. There are even special staples or tissue glue, but those tend to work best with clean, straight incisions, such as in surgical procedures.

There are different criteria and care instructions for each type of closure. Your health care provider can help decide which is best for you and tell you how to care for your injury as it heals.

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almost half of Russians believe that the military operation will continue for more than a year

Almost half of Russians – 49% – believe that the military operation in Ukraine will last more than a year. This figure increased by 7% compared to the end of January – the beginning of February 2023, follows from the results of a sociological survey by Russian Field, which were at the disposal of RTVI.

The share of all estimates of the duration of the military operation, except for the option “more than a year”, has decreased, the study notes. 15% of respondents expect the end of hostilities within the next year, 8% – six months. Almost a quarter of respondents (23%) found it difficult to predict the duration of the operation.

According to the survey, men are more pessimistic (53% believe that hostilities will last more than a year) and people under the age of 45.

Among those who consider the course of the military operation successful, 46% think that it will last more than a year, 34% – no more than a year. A different ratio was shown by respondents who do not consider the operation to be successful: 63% expect it to be completed in more than a year, 17% believe that this will happen sooner.

Continuation of military operation or negotiations

The shares of those who favor the continuation of the military operation and the transition to negotiations have practically equalized, amounting to 45% and 44%, respectively. At the same time, the number of those who support the continuation of hostilities decreased by 4% compared to the end of January – the beginning of February 2023. The number of respondents who are in favor of starting negotiations has increased by the same amount, follows from the survey.

Men and those aged 45 and over are more inclined to support the continuation of the operation; among women and young people under 30, there are more adherents of negotiations. The study also showed that wealthier respondents in general are more likely to support the continuation of the military operation (52%) than less wealthy respondents (28%).

Among the respondents who named television as the main source of information about the military operation, the difference between those who support the continuation of hostilities and those who are inclined towards the option of negotiations is small: 48% versus 42%. Among the audience of online media, supporters of negotiations prevail (49%), among the audience of telegram channels – supporters of the continuation of the operation (55%).

Support for the military operation and the second wave of mobilization

The respondents were asked: “If a second wave of mobilization is necessary to continue the military operation, would you support the continuation of the military operation or the transition to peace negotiations?”

More than half of the respondents (54%) answered that under such conditions they would prefer to proceed to negotiations. More than a third (35%) are in favor of continuing hostilities even if a second wave of mobilization is announced.

Supporters of the transition to negotiations in such a development of events prevail among women and people of all ages. Among male respondents, 50% said they would prefer to continue the military operation.

More affluent survey participants are more likely to support the continuation of hostilities than less affluent ones, but supporters of the transition to negotiations prevail in all groups according to this indicator, the study notes.

Among those who trust the official data on the military operation, 49% would prefer to continue it even with the announcement of the second wave of mobilization, 40% – to start negotiations. The audience of online media more often favors the transition to negotiations (59%), the audience of telegram channels – less often (48%).

Russia’s path of development and its authority in the world

Almost three-quarters of respondents (73%) believe that Russia is now moving in the right direction. Compared to the beginning of the year, this figure increased by 6%. Wrong direction of the country’s development called 16% of respondents.

The majority of respondents (69%) also believe that the conduct of a military operation strengthens Russia’s authority in the world. 21% of respondents do not share this point of view, another 10% found it difficult to answer or refused to answer the question.

The positive connection between the military operation and the authority of Russia is more often seen by people over 45 years of age.

The vast majority (62%) of the respondents also stated that they did not feel personally threatened by the military operation. Slightly more than a third of the respondents (36%) report their fears, more often women (43%).

Military operation in Ukraine. Online — RBC

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On February 24, 2022, Russian President Vladimir Putin announced the start of a special operation to “demilitarize” and “denazify” Ukraine. What happens on the 491st day of the operation, as well as all the most important things about sanctions and other consequences of hostilities in espionage (Article 276 of the Criminal Code).

According to the FSB, she collected and transmitted to Ukraine data on the movement and locations of units of the People’s Militia of the LPR (existed before the republic joined Russia) and the Russian Armed Forces on the instructions of a person “acting in the interests” of the Main Intelligence Directorate of the Ministry of Defense of Ukraine.

Yesterday 22:29

Washington is close to the decision to transfer ATACMS long-range missile systems to Kyiv. Approval is expected “at the highest level”, Ukraine has already received “positive signals” from the United States in this regard, writes The Wall Street Journal, citing sources among American, European and Ukrainian officials.

The newspaper noted that the US authorities had come to the conclusion that it was necessary to support Ukraine “in the coming weeks.”

Yesterday 22:28

Patriarch Kirill met with the envoy of the Pope, Archbishop of Bologna and President of the Conference of Italian Bishops Matteo Zuppi at the Danilov Monastery in Moscow.

“Churches can serve the cause of peace and justice through joint efforts,” said the head of the Russian Orthodox Church at the meeting. Zuppi noted that the pontiff Francis really wanted to know the opinion of the patriarch on the situation and a possible meeting.

Yesterday 20:50

The EU is discussing its “future security commitments” to Ukraine, including the possibility of sending military missions there, The Financial Times writes, citing sources familiar with the discussion. This can happen if this measure is agreed upon by all members of the union. Among other possible obligations of the countries of the union is the continued financing of arms supplies to Ukraine through the European Peace Fund (EPF) and the expansion of training opportunities for the Ukrainian military.

Yesterday 20:34

Klymenko Time reported explosions in the Ukrainian-controlled part of the Zaporozhye region.

Yesterday 20:05

An air raid alert has been declared in most regions of eastern and central Ukraine.

Yesterday 19:22

In addition to Greta Thunberg, Michael Pence, who was Donald Trump’s vice president, also visited Kiev.

Yesterday 18:41

Swedish eco-activist Greta Thunberg arrived in Kyiv. She was received at the office of the President of Ukraine.

Yesterday 18:11

Governor of the Belgorod region Vyacheslav Gladkov reported that the Pankov farm was shelled by the Armed Forces of Ukraine. “There are no casualties. The fence of one private household and two cars were damaged by shell fragments,” he wrote on Telegram.

Yesterday 17:19

Military prosecutors have been interrogating General of the Army Sergei Surovikin for several days about his connections with the founder of PMC Wagner Yevgeny Prigozhin, Bloomberg reported, citing a source “informed in this matter. ” The interlocutor of the agency asked not to be named, as the information is confidential.

The source clarified that the general is being kept “in one place”, but he is not in prison.

Yesterday 17:02

*Russian Ambassador to Bern Sergei Garmonin said that Switzerland cannot be a mediator in the Ukrainian conflict, RIA Novosti reports. He explained this by the fact that Switzerland joined the anti-Russian sanctions.

Yesterday 16:29

The government of the Czech Republic on June 28 agreed with the proposal of the Ministry of Education, Youth and Sports to ban the participation of Russian athletes and teams in competitions in the country, according to the website of the Cabinet. According to Sport.cz, a similar ban applies to the performance of Czech athletes at tournaments in Russia.

Yesterday 15:42

The SBU said that since the beginning of the conflict, 190 people have been charged with filming the work of Ukrainian air defense and disseminating information about military installations. They face up to 12 years in prison, according to Klymenko Time.

Yesterday 15:05

General Surovikin’s daughter Veronika, in a commentary to the telegram channel Baza, stated that “nothing happened to her father”, no one arrested him, and now “everyone is at their jobs.” Earlier, the FT newspaper reported on the detention of Surovikin.

Yesterday 14:44

The military department reported that in the Kupyansk direction strikes were carried out against units of the Armed Forces of Ukraine in the areas of the settlements of Sinkovka and Krasnoe Pervoe (Kharkov region). Destroyed, including self-propelled guns “Acacia” and MLRS “Grad”. In addition, two AN / TPQ-50 counter-battery radar stations were hit in the areas of the settlements of Vasiltsovka, Kharkiv Region, and Peschanoe, Donetsk People’s Republic.

Yesterday 14:38

The Russian Ministry of Defense reported that the Armed Forces of Ukraine have tried to attack in three directions over the past 24 hours. So, in the Donetsk direction, four attacks were repelled in the areas of Belogorovka (LPR) and Tonenkoe (DPR). In the Krasno-Limansky direction, strikes were inflicted on Ukrainian units in the areas of the settlements of Nevskoye, Kremennaya, Chervonaya Dibrova (LPR). In the area of ​​the Vremeevsky ledge, an attack was repelled in the area of ​​Staromayorsky, and in the Zaporozhye direction, a blow was struck at the 106th territorial defense brigade in the area of ​​Lugovsky. The total losses of the Armed Forces of Ukraine in these three directions in the military department were estimated at 730 killed and wounded. Also, one tank, three self-propelled guns “Gvozdika” were destroyed.

Yesterday 14:19

The Ministry of Defense stated that, according to updated data, two generals, up to 50 officers of the Armed Forces of Ukraine, as well as up to 20 foreign mercenaries and military advisers were killed as a result of a strike on the participants in the meeting in Kramatorsk on June 27.