scissors or fingernail clippers that have been cleaned with hot water,
antibacterial soap. and alcohol.
wash rag or hand towel.
help you if you prefer (many people have had their husbands or older children
do this, others have done this on their own).
dressing to apply after removal.
Choose one of the knots, either left or right side, it does not matter
the knot off that ONE side completely
Grab the other
knot with the tweezers or fingers, and slowly / gently pull out to
the side. It
will slide out in one long strand.
Apply new clean/dry dressing
sure you clip the knot entirely (fingernail clippers may work best
for this) and then pull on the OTHER knot\
Do not try to pull
the still knotted end through your skin!
have any scabbing or crusting around the knots, place a warm wet wash
on it for couple of minutes to loosen the scab and wipe it away.
Use tweezers to gently lift the knot if it necessary, before clipping it
off. This is especially helpful if you have a larger abdomen.
Lie flat - this
helps flatter the abdomen so you or your assistant can get to the
stitch/knot more easily.
Finally, be sure
to clip the entire knot, and only pull from the OPPOSITE end.
You can very
easily do this yourself, or have your husband do it.
Some patients have even had their child remove their stitch. A doctor's visit
following any surgery is a wise idea, but it is not necessary to pay someone
to remove your stitch.
You should not feel any 'pain', though there may be some mild
stinging (possibly from pulling too fast), or a slight tingling sensation.
around your incision site can be expected to worsen as your time to remove
the stitch approaches. This is caused by the skin tightening and
pulling on the suture as it heals. Once the stitch is removed the soreness
(especially when moving) will almost instantly subside.
wait until day 10 to remove the suture, but you can remove it as early as
day 8. Please do not remove it sooner. Also, leaving it in
too long can cause it to become embedded, and more difficult or painful to
remove. So please try to stick to the schedule.
for some patients, especially those with extra weight, there may appear a
small section (near the end of one side of the incision that does not appear
to be closed or healing as fast as the rest. This is normal, and will
heal just fine even after you remove your stitches. You can use a
Band-Aid over it (most common), or an over the counter 'stitch' tape (ask
your pharmacist). It will heal in a few days, and is nothing to
be concerned about.
There is no
reason to be concerned by the type of suturing that is done. It is
intended to look that way so you will not have an 'external' scar (the
rope-like scars that you often find after a abdominal surgery).
Instead, the scar will heal inward, and in a few months time, you will
barely even notice where it is. We don't usually get that type of suturing
(unless it is with a plastic surgeon), but everyone is delighted at the
outcome. It does not affect your reversal or any future pregnancy in anyway.
If you have
any questions or problems, please fee free to call Dr. Levi during the
consultation hours listed on the home page of this site.