Discharge Instructions After Suture Removal
After suture removal, patients should receive verbal and written instructions including wound care, warning signs of complications, and when to seek medical attention, along with appropriate analgesics if needed. 1
Essential Discharge Instructions
Wound Care
- Keep the wound clean and dry for the first 24 hours after suture removal 2
- After 24 hours, gentle washing with mild soap and water is permitted 2
- Apply a thin layer of petroleum-based ointment or prescribed topical antibiotic if recommended 3
- Cover the wound with a clean, dry dressing if needed, especially if there is any drainage or if the wound is in an area prone to friction 1
Activity Restrictions
- Avoid activities that may place tension on the wound for 1-2 weeks after suture removal
- Avoid swimming until the wound is completely healed (typically 1-2 weeks after suture removal) 4
- Avoid heavy lifting or strenuous exercise that might strain the wound site for 1-2 weeks
Medication Instructions
- Take prescribed pain medications or over-the-counter analgesics as needed for discomfort 1
- Complete any prescribed course of antibiotics if applicable
Warning Signs to Watch For
Instruct patients to seek immediate medical attention if they experience:
- Increasing redness, warmth, or swelling around the wound site
- Increasing pain or tenderness
- Purulent drainage or discharge
- Fever or chills
- Wound reopening or dehiscence 5
- Bleeding that doesn't stop with gentle pressure
Follow-up Instructions
- Schedule a follow-up appointment if recommended by the provider
- Return to urgent care or emergency department if any concerning symptoms develop
- Provide a contact number for questions or concerns during the first 24 hours 1
Special Considerations
- For facial wounds: consider additional sun protection for 6-12 months to minimize scarring
- For wounds near joints: additional activity restrictions may be needed to prevent tension on the wound
- For diabetic patients: more frequent wound checks and stricter wound care may be necessary 1
Documentation
Ensure proper documentation in the medical record including:
- Confirmation of complete suture removal
- Wound appearance at the time of suture removal
- Instructions provided to the patient
- Any concerns noted during the suture removal procedure
Patient Education
Patients should understand:
- The normal healing process continues after suture removal
- Scars will continue to remodel and fade over 6-12 months
- Scar massage may be beneficial once the wound is completely healed (typically 2-4 weeks after suture removal)
- Proper wound care reduces the risk of infection and improves cosmetic outcomes 3
By providing comprehensive discharge instructions after suture removal, healthcare providers can help ensure proper wound healing and minimize complications while empowering patients to participate in their care.