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Children often get hurt. Most are scratches or cuts superficial on the skin that only need local cures. On the other hand, when the cut is greater or deeper, the edges of the skin are separated and it is necessary to give stitches to achieve the closure of the skin by bringing the two sides closer.
Doctors use the stitches to sew the two sides of the wound, tying a knot at the seam and using a special thread. Depending on the thread used, thestitches are removed after a week or 10 days, O wellthey absorb themselves.
There are different types of threads, called sutures, which are the nylon, silk and vicryl. The latter is the most recent and has the ability to dissolve in the skin, so it is not necessary to remove the stitches. This type of suture is used, above all, in cuts that affect the lips or the inside of the mouth.
A wound can also be closed using self-adhesive plasters, also known as american points, making a butterfly bandage, that is, in the shape of a cross. It is very important not to get them wet because they come off with water and keep it dry for a few days.
Another way to hold the edges of a wound together is with special cement for the skin. The cement comes off only after 5 to 10 days. Each of these methods is indicated for certain types of wounds and different locations, so it should always be the doctor who decides.
The most important thing to keep in mind when stitches are required is the time interval between the time the wound has occurred and when stitches need to be placed. And it should not be more than 4 hours between one moment and another, therefore, it is important take the child to the health center as soon as possible.
Once there, the doctor will clean the wound well with sterile water to remove dirt and germs. Then, he will apply an antiseptic such as chlorhexidine to the edges of the cut to avoid possible infections and will remove any fragments or objects that have remained inside the wound.
Before starting to sew, the doctor will sleep the affected area with a small injection of local anesthesia to avoid pain. Next, with a tiny needle, the doctor will sew the two ends of the cut with the suture.
Each type of suture requires different care. In general, it is advisable not to wet the stitches in a few days because all suture wounds must be kept dry so they do not become infected, or scratching or picking at the spots no matter how much they itch. If, by accident, one of the stitches opens or you notice that the area becomes red or hot, you should see a doctor immediately because the wound could have become infected.
During the time that the stitches remain on the skin, the doctor may recommend a daily dressing, which also serves to check the condition of the wound. In these treatments, an antiseptic solution (chlorhexidine) can be applied on the suture, according to the doctor's indication. The appearance of the wound should be monitored for fluid, drainage, inflammation, or signs of infection.
The period of time they are kept depends, above all, on the location of the wound. The shortest sutures, that is, those that can be removed in 3 or 5 days, are those on the face, neck and scalp. You have to wait 7 days on the arms and hands, and up to 14 days if the injury occurred on the palms and soles of the feet, elbows or knees.
The mission of the suture is to keep the wound closed to aid healing, and when it has been completed it must be removed. The child should be explained that the removal of the stitches does not hurt so that you are not afraid to return, in case the first experience was unpleasant. It takes much less time to remove the stitches than to put them on Each stitch is cut at the knot level, and then the piece of suture thread is pulled. Small jerks are noticeable, but it doesn't hurt.
On the other hand, if they gave you the points that are absorbed, the cement or they put American points on you, it is not necessary to remove them, since they dissolve in the skin or come off themselves. Afterwards, it is important that you do not get the sun directly on the scar so that you do not have a mark. To avoid this, you can put a cream with a high protection factor on the scar.
You can read more articles similar to Stitches in children's wounds, in the First Aid category on site.