© Mr Amer Karim (2016)

Mr Amer Karim


 MBBS(London), DIC(Orth Eng), MD(Res)                

FRCS(Trauma & Orth), FRSA(UK)

  

Consultant Trauma & Orthopaedic Surgeon


Full British Training & Specialist Certification



Wound Care at Home


After surgery, you will be discharged while your wound is still healing.


Surgical wounds go through several stages of healing:


Day 1-5: Inflammation, some swelling, reddening, clear non-smelly discharge and some pain is normal


Day 5-14: Formation of a scab. A natural protective covering over the wound.


Day 14 onward: Strengthening and flattening of the scar tissue around the wound.


It is normal to have some:



If bleeding occurs, take a clean tissue or towel and apply firm steady pressure over the wound for at least 10 minutes. If the bleeding does not stop then call your doctor or attend the Accident and Emergency department.


Wound Closure


Your surgical wound will be closed in one of these 4 ways:


  1. Steri-Strips / Butterfly Sutures:  These strips of sticky tape are used to close small wounds. They will fall off automatically once their job is done.


  1. Surgical Staples / Clips: These special silver metal clps which will be visible, hold the wound edges togeather. They need to be removed by your GP or local nurse in about 14 days.


  1. Non Absorbable Sutures: These stitches which are usually blue or black will be visible over the wound, need to be reomved in about 14 days by your GP or local nurse.


  1. Absorbable Sutures: These special sutures hold the wound together under the skin. They are not visible and do not need to be removed. They will dissolve naturally as the wound heals.



Washing With a Surgical Wound:


You must keep your wound dry for the first 5 to 10 days. So when showering or washing, protect it from water and do not immerse it in water (such as in a bath or pool). It is a good practice however, to keep the wound clean and to gently wipe or dab around it with a clean tissue, towel or cotton wool prior to replacing the dressings.


Avoid using scented soaps, talcum powder, shower gel or lotions on the wound. Carefully pat it down, don’t rub it !!


Do not touch or pull off any scabs as these are a protective covering.


Always wash your hands thoroughly with soap and water to prevent a wound infection.


Dressings:


It is adviseable to keep the wound covered for about 5 to 10 days after the surgery to let it begin to heal. You will be provided with extra dressings upon discharge. Once it is fully dry and sealed alongs its whole lenght, then you can leave it open to the air, but avoid putting any pressure on it and keep it clean and out off direct sunlight.



Diet:


In order for your wound to heal, you need to eat a balanced diet with lots of: