Surgical Closures: Replace External Sutures and Stop Their Scarring
Suture (or stitch) abscess is the most prevalent cause of wound infection after seven days post operation. Its pathogenesis is bacterial tracking via the cutaneous sutures into the healing wound. This is particularly common when these external sutures have been exposed to contamination, have not been removed in a timely fashion, or have excessive swelling around the area.
Inflammation is the normal first stage of the healing process. This creates fluid accumulation (localized edema) around the wound and especially around the sutures. This swelling causes pressure resulting in localized ischemia that increases the vulnerability of the tissue around the sutures to infection. After 5 to 14 days, epithelial tracking follows the sutures into the dermis, generating fistulas which can produce cysts, abscesses, or suture tracts (“railroad tracking”). All of these promote scar formation. Infrequently, these suture abscesses can lead to cellulitis (infection of the deep skin tissues) that can potentially become dangerous.
Eliminating the Need for Surface Sutures or Stitches and Potential Scarring
If a surgeon removes all tension on the wound by placing deep, absorbable sutures, using the Miracle Dressing Wound Care System (MDS) will eliminate the need for external sutures. MDS will also eliminate most of the post op care, including changing dressing daily, suture loosening and sequential suture removal. The total post op care will simply consist of rinsing the dressing in a shower or with a sponge at least once a day. This will clean the wound without disrupting it and deliver marine extracts to the wound. The use of MDS will result in no external suture tracking, abscesses and railroad tracking. Thus, MDS should be used on all traumatic and surgical wounds, especially cosmetic surgeries to eliminate suture scarring.