Caring for your surgical wound (2024)

This leaflet tells you about caring for your surgical wound after you leave hospital. Below are measures you can take to help lower the chances of your wound getting infected and to promote healing.

Changing the dressing

The original dressing should be left in place for at least two days (48 hours) (or as advised by the nurse / doctor), provided that the wound is not oozing. The wound must be kept dry. If the dressing becomes wet from blood or any other liquid it must be changed. Before you remove and change the dressing you should:

  • Wash your hands with soap and water.
  • Carefully take the dirty dressing off.
  • Not touch the healing wound with your fingers.

If the wound is healing it can be left without a dressing. Some people however prefer to have a dressing to cover the wound for protection, especially when clothing can rub against it.

We may give you a supply of replacement dressings to use at home. When applying, take care not to touch the inside of the dressing so that it remains clean. There is no need for antiseptic cream under the dressing.

Taking care of stitches / clips / staples

The time dissolving (absorbable) stitches disappear can vary. Most types usually dissolved or fall out within 7-10 days, although it may be a few weeks before they disappear completely.

Others such as clips or non dissolvable sutures need to be removed between 5 to 14 days depending on the site of the operation. The doctor / nurse will tell you on the day of discharge when to have the stitches removed and you will be given a letter for your practice nurse about removing the stitches / staples.

You may see nylon threads (the ends of the stitches) poking out of the healing scar. Please do not pull on these. If the loose ends are catching on clothes, carefully trim the stitch with a clean pair of scissors.

If you are worried about the stitches/ clips or staples, always seek advice from your GP. Otherwise, wait for the stitches to be removed or for them to fall off or dissolve.

Showering and hair washing

You are normally advised to wait 48 hours before showering and / or hair washing, but this depends on the operation you have had. The nurse will give you advice on this, but below are some general points about your wound:

  • Showering is preferable to bathing.
  • Some waterproof dressings can be left in place whilst you take a shower. Other dressings may need to be removed before having a shower.
  • Do not put any soap, shower gel, body lotion, talcum powder or other bathing products directly onto the healing wound.
  • Do not worry if you splash the wound but do not rub the wound area as this will cause pain and might delay the healing process.
  • Pat the wound gently with a clean towel after showering.

Problems with wound healing

Doctors and nurses will do everything that they can to prevent your wound from becoming infected whilst you are in hospital, but it is important that you know how to tell if you are developing an infection after you go home. If a wound becomes infected it may:

  • become more painful.
  • look red or swollen.
  • weep or leak some blood-like fluid, pus or blood.
  • have an unpleasant smell.

Contacts / further information

If you develop a high temperature, notice any of the signs mentioned above, or have any concerns about your wound, then contact the named nurse on the number written on your discharge letter or alternatively have your GP refer you back to us for advice.

Ward number: 01223 . . . . . . . . . . . . . . .

CNP bleep number: . . . . . . . . . . . . . . .

Document details

Approved

16 Jan 2020

Version number

4

Document ID

31719

Other formats

Help accessing this information in other formats is available. You can find out more about this service on our patient information help page.

Service / Department

Neurosciences (Brain and nerves)

We are smoke-free

Smoking is not allowed anywhere on the hospital campus. For advice and support in quitting, contact your GP or the free NHS stop smoking helpline on 0800 169 0 169.

Other formats

Help accessing this information in other formats is available. To find out more about the services we provide, please visit our patient information help page (see link below) or telephone 01223 256998. www.cuh.nhs.uk/contact-us/accessible-information/

Contact us

Cambridge University Hospitals
NHS Foundation Trust
Hills Road, Cambridge
CB2 0QQ

Telephone +44 (0)1223 245151
https://www.cuh.nhs.uk/contact-us/contact-enquiries/

Caring for your surgical wound (2024)

FAQs

Caring for your surgical wound? ›

The original dressing should be left in place for at least two days (48 hours) (or as advised by the nurse / doctor), provided that the wound is not oozing. The wound must be kept dry. If the dressing becomes wet from blood or any other liquid it must be changed.

How long should you keep a surgical wound covered? ›

The original dressing should be left in place for at least two days (48 hours) (or as advised by the nurse / doctor), provided that the wound is not oozing. The wound must be kept dry. If the dressing becomes wet from blood or any other liquid it must be changed.

Do surgical wounds heal better covered or uncovered? ›

Wounds need to be covered so that they can heal properly. When a wound is left uncovered, the new surface cells that are being created can easily dry out. When these important cells dry out, it tends to slow down the healing process. A wound should be covered using a clean bandage.

How do you care for a surgical wound at home? ›

You can clean the skin around the cut with a soft cloth or gauze pad. First, soak the cloth or gauze in soapy water or in a mixture of sterile water and salt. Then, gently wipe or dab the skin around the wound. Don't use skin cleansers, antibacterial soaps, alcohol, iodine, or peroxide.

What is the fastest way to heal a surgical wound? ›

Six ways to speed up the healing process after surgery
  1. Give your body proper healing energy. ...
  2. Get out of bed. ...
  3. Remember to hydrate. ...
  4. Grant yourself permission to rest. ...
  5. Get proper wound care. ...
  6. Follow instructions. ...
  7. An approach to healing.
Sep 1, 2020

What is the most critical time for healing of a surgical wound? ›

Because the initial 48 hours are the most critical for successful wound healing, postoperative radiation is often administered 3 to 4 weeks after surgery.

What is the best ointment for surgical wound healing? ›

Antibiotic ointment – such as Polysporin or Bacitracin. PLEASE DO NOT USE NEOSPORIN this contains neomycin which may cause an allergic reaction even if they have used it before without any problems. Non-stick pads – such as telfa, paper tape or any non irritating band aide that will fit over the incision site.

What not to do during wound healing? ›

Don't apply a topical antibiotic. Studies show that petroleum jelly is just as effective as an antibiotic ointment for non-infected wounds. Don't douse a minor wound with antiseptics like iodine or hydrogen peroxide. They're actually harmful to the skin and can delay healing.

When to stop covering a wound? ›

Change wound dressings often – how long you keep a wound covered depends on the injury, but five days is a good start. “There's a misconception that wounds need to be left open to air out, but it's best to keep wounds covered,” Alyssa said.

What is the best wound care for a surgical incision? ›

Use these steps.
  • Gently wash it with soap and water to remove the crust.
  • Do not scrub or soak the wound.
  • Do not use rubbing alcohol, hydrogen peroxide, or iodine, which can harm the tissue and slow wound healing.
  • Air-dry the incision or pat it dry with a clean, fresh towel before reapplying the bandage.

What speeds up healing after surgery? ›

Protein – Protein is essential to wound healing, so try to get plenty of foods like chicken and eggs. Vitamin C – Some research shows that Vitamin C and zinc can help with healing, so eat the recommended amount of fruit each day.

What speeds up wound healing? ›

Wounds heal faster if they are kept warm. Try to be quick when changing dressings. Exposing a wound to the open air can drop its temperature and may slow healing for a few hours. Don't use antiseptic creams, washes or sprays on a chronic wound.

Is it better to leave stitches covered or uncovered? ›

Here is some general advice: Keep your stitches or staples dry and covered with a bandage. Non-absorbable stitches and staples need to be kept dry for 1 to 2 days. Absorbable stitches sometimes need to be kept dry longer.

When should I stop covering a wound? ›

Change wound dressings often – how long you keep a wound covered depends on the injury, but five days is a good start. “There's a misconception that wounds need to be left open to air out, but it's best to keep wounds covered,” Alyssa said.

When to stop dressing a surgical wound? ›

You can leave the original dressing in place for up to five days (or as advised by your surgeon) providing that it's dry and not soaked with blood, and there are no signs of infection. If your wound is healing it can be left without a dressing.

Should I let my surgical wound air out? ›

Once you stop the bleeding and clean the wound, you should apply a clean bandage. Here's why: Air dries out the wound and promotes cell death, not healing. Covering the wound maintains the natural moisture that helps keep cells alive.

What happens if you leave a dressing on a wound for too long? ›

Once your skin is exposed to air, it usually dries out, and the issue is resolved. But underneath a wound dressing, there's much less air circulation, and the constant exposure to moisture can create a problem with skin maceration that doesn't go away as easily.

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