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Suture wound with secondary infection.

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I have a question concerning a small wound in which the stitches came out prematurely (it was a small mole removal). Because the area has been open for more than an hour, the dermatologist said he could not re-stitch the area due to potential for secondary infection. He said to keep the area covered with polysporin and a bandage. I have been doing so for the past several days. The area is quite deep (I can see down to the sub-cutaneous fat!). If I am keeping it clean and am topically applying the antibiotic, why can't it be re-sutured so it heals better and more quickly?

Category: General Surgeon

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Category: Pediatric Surgeon
Dr. Hari Charan Perigela is online now

Expert:  Dr. Hari Charan Perigela replied 4 Days.

Hello and thankyou for approaching DoctorSpring with your query.
I have gone thorough you case, and understand your concern.
When you say the suture came out prematurely, what do you mean? was it soon after he put the suture? few hours later or few days later?

Ideally sutures can be put on a clean wound upto 18 hours of the trauma and within 24 hours if it is on the face if there are no chances of infection and if the patient is healthy.
Sutures are not put if it has crossed that time limit as there are chances of infection. If there are chances that the wound would be infected, if it is a non cosmetic wound, or if it has crossed this time limit it is better to let the wound heal by leaving it open and doing dressings.
One has to be careful as once the wound is sutured and if infection occurs,it has to be reopened again.

In your case now it is too late to put a suture. You need to take care to keep the wound clean.
Continue putting the antibiotic cream. If it has already been a several days, apply the cream and leave it open when you are at home as it will heal faster.
If you are going out or when there is a chance of the wound coming in contact with dirt or dust cover it with a sterile bandage.

I hope this has helped.
Feel free to follow up with any queries.

Dr. Hari Charan Perigela
Category: Pediatric Surgeon
Fellowship: DNB, General Surgery, National Board of Examinations, New Delhi, 2001
Residency: MS, General Surgery, Sri Venkateswara Medical College,Tirupathi, 2000
Medical School: MBBS, Kurnool Medical college, 1995
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