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5 weeks post hysterectomy: Internal sutures 5 weeks post hysterectomy: Internal sutures

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Unread 10-23-2021, 11:45 PM
5 weeks post hysterectomy: Internal sutures

I am 5 weeks and 3 days post op from a total hysterectomy (lap). My left incision got infected around 3-4 weeks noticed some discharge that was yellow and white. Went to the doctor and said it wasn't too bad and to warm pack, massage to get pus out, keep clean, bandaid with neosporin. About 3 days later I got out a small amount of suture with the pus. Finally seemed to start healing. Tonight noticed it was red again so cleaned it up and pulled scab off. Noticed a little pus so cleaned it and out comes more suture. Also noticed tonight a little clear discharge coming from the right incision and a small hole. Again small amount of suture came out. So far my belly button incision looks good. Anyone else have this happen?
I am also now concerned with how everything internally is doing with the suture since my body is having this reaction. Will this affect the vaginal cuff?
(I do have an appointment on monday)
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Unread 10-24-2021, 09:12 PM
Re: 5 weeks post hysterectomy: Internal sutures

There are many reasons a body can spit out stitches. It may be that the dissolvable filament is taking longer to dissolve and since it’s close to the surface, your body is easily rejecting it. As the tissue forms scar tissue and heals, the need for the sutures decline. It’s not too uncommon of an occurrence. As for your cuff, that requires a longer healing time since it’s neither internal nor external, but somewhere in between, in addition to being a warm, moist, dark environment. Since it takes longer to heal, many doctors use sutures that can take up to 90 days to dissolve. These sutures can also come out, often as small purple strings on the toilet paper when wiping.

It would be a good idea to let your doctor know you are still experiencing some discharge and spitting out stitches from the incision.
Hang in there!
Unread 10-25-2021, 07:37 AM
Re: 5 weeks post hysterectomy: Internal sutures


Wounds heal from the inside layers first. While stitches most often dissolve and reabsorb, since the one incision opened you can sort of "see" what's going on. You've got some good guidance from your doctor about it.

I'd ask your doctor about your vaginal cuff stitches, but I'm with C Marie that the suture material is likely different - perhaps in strength, timeline, or both. I had emergency surgery in March (non-gyn) which left me with a 3-4" vertical incision below my belly button. Surgeon used 3 week stitches on the incision itself, but 90 day stitches on the internal abdominal wall since that was more important. Remember too that the reason you're seeing the stitches in that one incision is because you have an infection and that changes things. Your belly button incision seems to be fine.

Let us know what your doctor says.


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