From the Research
Sutures in the hand should generally be removed 10-14 days after placement, with timing varying based on the specific location and type of wound. The removal protocol involves several key steps to ensure proper healing and minimize the risk of infection.
- First, the area should be cleaned with an antiseptic solution to reduce the risk of surgical site infection (SSI), as highlighted in studies such as 1 and 2.
- Then, sterile forceps should be used to gently lift the knot while cutting the suture below it with sterile scissors.
- Finally, the suture should be pulled out in the direction of the wound to minimize contamination. After removal, Steri-Strips may be applied to provide additional support during the final healing phase. Patients should keep the area clean and dry for 24-48 hours following suture removal. This extended timeline for hand sutures compared to other body areas is necessary because the hand's constant movement creates tension on wounds, and its rich blood supply can lead to more pronounced scarring if sutures are removed too early, as noted in 3. Additionally, the functional importance of the hand requires optimal healing to preserve dexterity and strength. The use of antimicrobial-coated sutures, as discussed in 4 and 5, may also be beneficial in reducing the risk of SSI, although the evidence is of moderate to low quality. Overall, the timing and protocol for suture removal from the hand should prioritize minimizing the risk of infection and promoting optimal healing to preserve function and reduce morbidity.