The suture after a cesarean section is hard inside. Seam seal after cesarean section Painless lump on the suture after cesarean section

Patients in surgical departments often note the unsatisfactory condition of the postoperative suture. Lumps that are observed in the first days and weeks after surgery usually go away on their own and do not require additional treatment. Most often, this temporary complication looks like a lump on a seam.

Reasons

To understand why a lump appeared under the suture after surgery, you should see your doctor. If the lump does not hurt and there is no pus coming out of it, you just need to follow the recommendations for caring for the suture and do not try to self-medicate. If even scanty purulent discharge is detected, it is necessary to consult a doctor. Failure to take action in a timely manner or attempts to resolve the issue on your own can lead to serious complications that can only be eliminated through surgery.

The main causes of suppuration of postoperative sutures:

Improper care of the seam, which can lead to a bacterial infection.
Failure to follow the recommendations given by the doctor upon discharge from the hospital.
Poor quality sutures.
Rejection by the body of the threads used to stitch the incision.
Use of low-quality materials.

Whatever the reason for the appearance of a lump after surgery, you should not delay visiting the surgeon in the hope that everything will go away on its own. Suppuration can lead to sepsis and death.

Postoperative complications

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They occur after any surgical intervention and vary in severity. It all depends on how carefully the seams were applied and what materials were used. Minor complications go away on their own, but if a bacterial infection occurs during the healing process, the help of a surgeon is necessary. Self-medication is strictly contraindicated due to the complexity of the wound and the risk of sepsis.

The most common postoperative complications:

adhesive process;
seroma;
ligature fistula.

Adhesive process

This is the name for tissue fusion during the healing of a postoperative suture. Adhesions consist of scar tissue and, during palpation, are felt under the skin as small compactions. They accompany the process of healing and scarring of sutures, being an integral, natural step on the path to the restoration of tissue and skin after an incision.

If there is pathology during wound healing, excessive growth of connective tissue is observed, and the suture thickens. Most often this happens if the wound heals by secondary intention, when the process of tissue restoration after surgery was accompanied by suppuration due to an attached bacterial infection. In such cases, keloid scars form at the site of sutures. They do not pose a health hazard, but are considered a cosmetic defect, which can be eliminated later if desired.

Seroma

Another complication that occurs after suturing. A seroma is a fluid-filled lump on a suture. It can occur as a consequence of a cesarean section, or after laparoscopy or any other operation. This complication usually goes away on its own and does not require additional therapy. It occurs at the site of damage to the lymphatic vessels, the connection of which after the incision is impossible. As a result, a cavity is formed that is filled with lymph.

If there are no signs of suppuration, seroma on the scar does not pose a threat to health, but to make sure that there is no inflammatory process, it is worth visiting a surgeon who can make an accurate diagnosis.

Ligature fistula

This complication most often occurs at the suture after a cesarean section. To apply sutures, a special thread is used - a ligature. This material can be self-absorbable or regular. The wound healing time depends on the quality of the thread. If a ligature that meets all requirements was used when suturing, complications are extremely rare.

If an expired material was used or an infection entered the wound during suturing, an inflammatory process develops around the thread. First, a seal appears under the suture after a cesarean or other operation, and after a few months a ligature fistula forms at the site of the seal.

Pathology is easy to detect. A fistula is a non-healing canal in the soft tissues from which pus periodically oozes. Depending on what infection caused the inflammation, the discharge may be yellow, greenish, or burgundy-brown.

From time to time, the wound may become covered with a crust, which periodically breaks open. Purulent discharge can change its color from time to time. Also, the inflammatory process is often accompanied by an increase in temperature and a feeling of chills, weakness, and drowsiness.

A ligature fistula can only be eliminated by a surgeon. The specialist will find and remove the infected thread. Only after this is healing possible. As long as the ligature is in the body, the fistula will only progress. After the thread is removed, the doctor will treat the wound and give instructions for further care of the suture at home.

There are cases when, due to untimely seeking of medical help, several fistulas have formed along the seam. In such a situation, the surgeon may decide to perform an operation to remove the scar and apply repeated sutures.

Precautions

Returning from the hospital, the patient must remember and follow a few simple rules that will help him recover faster after surgery. Basic precautions:

Do not take a contrast shower. Sudden changes in water temperature slow down the skin regeneration process.
The shower time should not exceed 10 minutes.
You can take a bath no earlier than a month after surgery. It is best to additionally ask your doctor about the possibility of this water procedure.
If a lump appears above the stitch, tell your doctor immediately.

While the patient is in the hospital, his sutures are processed by health workers, but by the time of discharge the patient must learn to handle them independently. If the scar is difficult to access, doctors recommend using the help of relatives or health workers at the clinic.

Any complication is easier to avoid than to treat. To do this, you must follow all the surgeon’s instructions and carefully care for the postoperative wound. As a rule, sutures heal without complications in about a month.

After a caesarean section, the main complaints of patients concern the condition of the suture. Complications can arise for various reasons. The most common complication is considered to be a seal at the seam, but this complication is not always dangerous and in most cases does not require additional treatment. In order to understand whether a lump is dangerous or not dangerous, you need to consult a surgeon. Self-treatment can only worsen the situation and lead to the need for urgent surgical intervention.

Danger signs

Among the dangerous signs of a developing complication after a cesarean section, one can highlight compaction and suppuration of the sutures. This is a fairly common phenomenon that is noticeable to the naked eye when examining the seams. Problems with seams can arise for various reasons, including:

suture infection,
low quality suture material,
insufficient qualification of the surgeon,
rejection of suture material by the woman’s body.

Every woman should understand that the suture must be carefully monitored for several months after surgery, and if phenomena such as induration, pain, redness or suppuration are detected, it is necessary to immediately seek advice from a surgeon.

Ligature fistula

This complication is the most common after cesarean section. After the operation, the incision is sutured using special threads - ligatures. These threads can be absorbable or non-absorbable. The healing time of the scar depends on the quality of the ligature. If the material was of high quality, used within the acceptable expiration dates, in accordance with the norms and rules of treatment, complications are unlikely.

But if the ligature was used after the specified expiration date or an infection got into the wound, an inflammatory process begins to develop around the thread, which can form a fistula several months after cesarean.

A fistula is very easy to detect. It has such signs as a non-healing wound, from which a certain amount of pus is periodically released. The wound may crust over, but then it opens again and pus is released again. This phenomenon may be accompanied by elevated body temperature, chills and general weakness.

How long does it take for a scar to heal after a cesarean section?

If a fistula is detected, the help of a surgeon is necessary. Only a doctor can detect and remove an infected thread. Without removing the ligature, the fistula will not go away, but will only increase. Local treatment will not bring positive results. After removing the thread, the suture requires additional care, which will be prescribed to you by the surgeon.

If the infection process is prolonged, or several fistulas have formed on the scar, surgery may be required to remove the scar with repeated stitches.

Seroma

Seroma is also a common complication after cesarean section. But unlike a ligature fistula, this complication can go away on its own, without additional treatment. A seroma is a fluid-filled lump on a suture. It occurs at the intersection of lymphatic vessels, which cannot be sutured after the incision. At the intersection of lymphatic vessels, a cavity is formed that is filled with lymph.

Without additional dangerous signs, seroma does not require treatment and goes away on its own within a few weeks.

If a seroma is detected, you should immediately visit a surgeon to determine an accurate diagnosis and exclude suppuration.

Keloid scar

Another most common complication after cesarean section is the formation of a keloid scar. Recognizing it is also not difficult.

The seam becomes rough, hard and often protrudes above the surface of the skin.

There is no pain, redness around the scar or pus.

A keloid scar does not pose a threat to the health of patients and is only an aesthetic problem. The causes of scar formation are considered to be individual characteristics of the body.

Today there are several methods of treating this unsightly phenomenon:

Laser therapy is based on resurfacing the scar using a laser. Several therapy sessions can make the scar less noticeable.
Hormonal therapy includes the use of special medications and ointments containing hormones. Using creams will help reduce scar tissue and make the scar less pronounced.
Surgical treatment consists of complete excision of scar tissue followed by the application of new sutures. This method does not guarantee that a normal scar will form at the site of the removed scar.

How long can the uterus contract after a cesarean section and how can this process be stimulated?

In order to avoid all these and other complications in the postoperative period, it is necessary to carefully care for the suture and follow all doctor’s recommendations. If any signs of complications appear, visit your doctor immediately, in this case you can avoid surgical treatment.

suture infection,
low quality suture material,
insufficient qualification of the surgeon,
rejection of suture material by the woman’s body.

Ligature fistula

If the infection process is prolonged, or several fistulas have formed on the scar, surgery may be required to remove the scar with repeated stitches.

Seroma

Seroma is also a common complication after cesarean section. But unlike ligature fistula, this complication can go away on its own, without additional treatment. A seroma is a fluid-filled lump on a suture. It occurs at the intersection of lymphatic vessels, which cannot be sutured after the incision. At the intersection of lymphatic vessels, a cavity is formed that is filled with lymph.

Without additional dangerous signs, seroma does not require treatment and goes away on its own within a few weeks.

If a seroma is detected, you should immediately visit a surgeon to determine an accurate diagnosis and exclude suppuration.

Keloid scar

Another most common complication after cesarean section is the formation of a keloid scar. Recognizing it is also not difficult.

The seam becomes rough, hard and often protrudes above the surface of the skin.

There is no pain, redness around the scar or pus.

A keloid scar does not pose a threat to the health of patients and is only an aesthetic problem. The causes of scar formation are considered to be individual characteristics of the body.

Today there are several methods of treating this unsightly phenomenon:

Laser therapy is based on resurfacing the scar using a laser. Several therapy sessions can make the scar less noticeable.
Hormonal therapy includes the use of special medications and ointments containing hormones. Using creams will help reduce scar tissue and make the scar less pronounced.
Surgical treatment consists of complete excision of scar tissue followed by the application of new sutures. This method does not guarantee that a normal scar will form at the site of the removed scar.

anonymously

Good afternoon. 2.5 years ago I gave birth to a child by caesarean section (due to high blood pressure), a year ago I noticed a lump on the left above the suture. The lump bothers me, it itches, sometimes there is a sharp pain. At first, especially often, pulling and cutting pains occurred in the first days of menstruation, but now it hurts a lot for several days, then it doesn’t bother me for a week, and so on periodically. First, I was examined by a gynecologist, the examination and ultrasound did not reveal any abnormalities in women, so I was referred to a surgeon. I visited several surgeons, one sent me for surgery, saying they would cut it open and see what it was. The second surgeon re-referred for an ultrasound to a gynecologist and an examination to an oncologist. An ultrasound scan from a gynecologist revealed no abnormalities. On my own initiative, I did an ultrasound of this particular lump, the results are as follows: “In the left iliac region, in the thickness of the muscle tissue, at a depth of 3 to 9 mm, an irregularly shaped hypoechoic formation is visualized, heterogeneous in structure due to cystic and hyperechoic inclusions, measuring 25* 40mm, with fuzzy unevenness! contours (Conclusion: volumetric formation of the anterior abdominal wall).” I’m worried that the pain has begun to intensify, and I feel tired and tense in the lower back. This morning I noticed that the lump began to stick out more and in its place a pale bruise appeared in its place, which was the color of a burgundy, which especially frightened me. I have an appointment with the oncologist only on Tuesday, but I don’t know if I should go to the surgeon again because of the bruise that has appeared? What could it even be?

Hello. You have several options: it could be endometriosis, an intermuscular encysted hematoma, or even a hernial protrusion, and finally some kind of oncological formation. I would advise you to undergo surgical treatment (with further tissue histological examination), during which a correct diagnosis can really be made. And correctly, and most importantly, a timely diagnosis is the key to proper treatment. Good health to you.

Consultation with a surgeon on the topic “bump in the area of the cesarean scar” is given for informational purposes only. Based on the results of the consultation received, please consult a doctor, including to identify possible contraindications.

About the consultant

Details

Surgeon of the highest qualification category. Work experience in planned and emergency surgery for 26 years.

He graduated from Kuibyshevsky in 1990 with a degree in general medicine. Internship in surgery at Regional Hospital No. 1 of Ulyanovsk.

He underwent repeated advanced training and advanced training at the bases of Ulyanovsk State University, Penza, N-Novgorod on the topics: “Current issues of emergency surgery of the thoracic and abdominal organs”, also in St. Petersburg on “Endovideosurgery of the abdominal organs and retroperitoneal space”.

Performs various types of planned and emergency surgical interventions, operations for purulent processes.

During my work, I mastered various surgical techniques:

removal of benign tumors of the skin and subcutaneous tissue (atheroma, lipoma, fibroma, etc.) of various localizations;
opening of abscesses, phlegmons, felons, necrectomy of various localizations, including amputation and disarticulation of both fingers and limbs (upper and lower), for example. for diabetic or atherosclerotic gangrene;
various types of hernia repairs for inguinal, femoral, umbilical, postoperative hernias, both tension and non-tension types of plastic surgery;
gastric resection according to B-1, B-2 with various types of anastomoses;
cholecystectomy (laparotomy) with various types of both external and internal (IDA) drainage of the common bile duct;
little experience in laparoscopic operations, mainly assisting with cholecystectomies and appendectomies;
appendectomy;
suturing of perforated ulcers of the stomach and duodenum;
splenectomy;

I'll tell you about my first birth. When I gave birth to a child and lay in the delivery room with ice on my stomach, nothing hurt... I was filled with a feeling of happiness, despite the presence of tears, both internal and external (by that time already stitched up)... I remember my thoughts then that I could repeat everything again and right now for the sake of my dear little lump. When they put me on a gurney to take me to the ward, I thought: “Yes, I actually can walk on my own. That they’re taking me like I’m some kind of sick person”... The first surprise for me was when the next day I got up to go to the toilet. Before I could reach it, my vision darkened, my head began to spin... I barely managed to grab the wall to avoid falling... This is due to blood loss during childbirth and, as a result, a sharp decrease in hemoglobin. Further, due to the presence of stitches, I could not sit, only lie and stand. And after each toilet, treat the seams with unscented laundry soap... (I think bactericidal would be suitable here too). As for the toilet... It was generally tough... At least for the next 1.5 months. I even had thoughts about not eating anything at all, so as not to walk... It’s stupid, of course, but when you EVERYTHING HURTS (!!!) below the waist and you’re ready to climb the wall, that’s not what might come to mind... It turns out , physical therapy helps to recover (relieve swelling). If there is one in the maternity hospital, it is very good. I gave birth from Thursday to Friday and on Friday they didn’t touch me at all (except for injections that cause uterine contractions). They did not have physical therapy on the weekend. And I was discharged on Wednesday. So I only received this treatment for three days. And it should be noted that the swelling has become much less. I asked why it occurs, they told me that it was from novocaine. Anesthesia is still given with novocaine. Strange, is it really impossible to think of anything better? (((Regarding my intimate life with my husband, I can say that after giving birth I didn’t have it for 4 months. Until the gynecologist scolded me for mocking my husband... I said that everything still hurts, what does it feel like? like, I have one big bruise, she answered: “Well, you’re a woman. Choose a suitable position...”, etc. I listened to her advice. Perhaps she was right, I had to start somewhere in order to return to my old life... Yes, of course, all this is forgotten, and I forgot for a while, but now here I am. I’m about to give birth for the second time, and again something comes flooding in... So girls, prepare yourself for the fact that you will have to recover, let’s say, not easily and quickly. The only joy is those for whom we endure all this - our children... And another one of my memories is when I was driving home from the maternity hospital, looking at the women around me, and thinking that everyone who gave birth should be given an order. Nothing less. We are all heroines. It's a pity that men don't always understand this.

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Horror!!! Girls, why are you writing negative comments here? I agree that everything is individual for everyone, for some it is easier, for others it is more difficult, but after all, people who have never given birth are reading this, and can you imagine what it’s like for them? The girl must be ready for childbirth! not for the worse, but specifically for childbirth, but how she will go through it is another question... and each one will endure everything in her own way. The first time I gave birth to a baby with my buttocks, and not head first, they frightened me, they said that it was so difficult... without painkillers and other things (it was impossible for some reasons), but as it turned out, everything was not as they promised me... and only one person told me reassured me, saying that the pain that we need to try to endure will only be during pushing. That’s how it turned out for me, the contractions weren’t painful, my stomach could have hurt before, so it was the usual pain, and they pushed once or twice and there he was, the baby, it seemed to me that only 5 minutes had passed. So don’t write comments here that recovery takes a long time and it’s terrible, that giving birth is just a complete bummer, etc. Anything can happen, and everyone will endure and experience all these problems and best moments in their own way. I will soon have my second birth, and I knew what to expect, but there was fear, but after reading some of the comments here, I had the feeling that I had never given birth and had no idea what to expect and what to be prepared for, I will Now to drive away from yourself these terrible stupid thoughts and memories of what you read...

Well, it’s okay, I dealt with it!

And the uterus contracted much more painfully than after the first birth. When my son ate (due to which the uterus began to contract), his eyes popped out of pain. I thought I was about to make a face again And the contractions were not only painful, but also long-lasting..
And everything else after childbirth is garbage!

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It is very common that after surgery for a violation of the skin, surgeons use sutures. There are a huge variety of sutures; there is even a saying that “as many surgeons exist, there are as many sutures.”

Currently, the development of medicine has made great strides forward, so now the patient has the right to choose the suture thread and even the suturing technique. If a patient complains of pain in the suture area, this does not mean that the surgeon did anything wrong during the operation. However, it is very common to see a lump under the suture after surgery. In this case, you must contact a surgical clinic or doctor.

In most cases, this is due to a complication after surgery, which is called “Seroma”. This is a formation in the cavity that is filled with lymph. In general, seroma usually disappears on its own and does not pose a huge danger to the patient. Its formation is associated with the intersection of lymphatic vessels. And as you know, they, in turn, are much smaller than blood vessels and therefore are not visible to the eye. It is not possible to coagulate or bandage them. The leaking lymph accumulates, creating a cavity.

The only serious complication of seroma is its suppuration. To avoid this, it is necessary to treat the area of the postoperative wound with an antiseptic. In this case, it is best to use a water-based antiseptic rather than an alcohol-based one. It is also necessary to cover the scar with a gauze cloth moistened with a solution of dimexide.

A more serious complication if a seal forms under the suture after surgery is a fistula. In medical practice, a fistula occurs as a result of suppuration of scars after surgery. The immediate cause of this type of complication was implantation contamination, contamination of the suture material by pathogenic microorganisms. In this case, a visible granuloma compaction forms in the area of the fistula.

The formation of a fistula is very easy to recognize on your own, since the symptoms are quite pronounced: compactions or mushroom-shaped granulations appear around the contaminated area of the wound; inflammation of the postoperative scar; discharge of pus from the wound; redness in the suture area; the occurrence of sensations of pain, swelling; increase in temperature (possibly up to 39 degrees).

Of course, after the operation there should be no compactions or formations in the suture area. If this suddenly happens, you must definitely see the surgeon who directly operated on you; if this is not possible, then go to the surgeon at your place of residence. If no measures are taken, such suppuration will lead to the development of an abscess.

An operative method of delivery becomes inevitable when the fetus occupies the wrong place in the uterus or complications such as placenta previa or umbilical cord entanglement are present. Sometimes there are no direct indications for a cesarean section; it’s just that a woman, for example, no longer plans to have children and wants to undergo surgical sterilization during the operation.

Regardless of the reasons for delivery through surgery, it should be remembered that cesarean is an extensive abdominal intervention. During obstetrics, in order to remove the baby from the uterus, doctors have to make several incisions layer by layer. After the operation, the woman’s abdominal cavity is also sutured in layers, as a result of which a scar will remain on the anterior abdominal wall for life.

Types of sutures after cesarean

Depending on the technique used to make the tissue incision, a woman may receive different types of sutures:

vertical - applied when the incision is made vertically, from the navel to the pubic area;
transverse - the incision is made along the bikini line, called in medicine Jow-Cohen laparotomy;
in the form of an arc - the incision is made in the area of the skin fold above the pubis (Pfannenstiel laparotomy).

Suture care after cesarean section: treatment, ointments, creams

Treatment of the postoperative wound and sutures is carried out several times a day in the maternity hospital, and this procedure is performed by a nurse. To prevent weeping and the development of inflammatory processes in the suture area, the incision site is treated with a brilliant green solution twice a day, and then covered with a sterile gauze bandage.

Approximately on the 7th day, the sutures are removed, but the postpartum mother must continue to treat the wound with brilliant green at home until it is completely healed. After complete healing and scar formation, the incision site can be treated with an anti-inflammatory cream, which contains components that accelerate skin regeneration.

When suturing the wound surface with self-absorbing threads, there is no need to remove the sutures, however, to speed up their resorption, the doctor may recommend the use of special ointments and creams. These drugs will prevent the formation of compactions and swelling in the suture area.

How long does it take for a stitch to heal after a cesarean section?

The formation of a scar at the incision site is observed already by the end of the first week after delivery. From about this point on, the woman is allowed to take a shower and soap the seam area without making sudden movements or pressing on the incision site with a bathing sponge.

Complications on the suture after cesarean section

Unfortunately, the incision site does not always heal and does not bother the patient; some young mothers have to face complications.

The stitch after cesarean section hurts

Pain in the area where stitches are applied can bother a woman for several months. After complete healing of the wound surface, the suture may bother the patient when the weather changes, loads, or wearing tight clothes. Such sensations are normal and do not require the use of medications. The following symptoms are a reason to immediately seek medical help:

redness of the skin around the stitch;
local increase in body temperature;
swelling and sharp pain at the suture site;
discharge from the suture of fluid mixed with blood or pus;
a sudden increase in body temperature, accompanied by the above symptoms in the suture area.

Suture after cesarean section: festering, oozing

In the first few days after the operation, the suture may ooze clear liquid, but there should be no pus or scarlet blood coming out! Treatment with a solution of brilliant green will help prevent the development of complications.

If pus or bloody discharge appears from the suture a few days or weeks after a cesarean section, the woman should seek medical help; perhaps an infection has entered the wound and provoked the development of an inflammatory process.

Suture after cesarean: itchy

Itching in the suture area after surgical delivery occurs as a result of the formation of a postoperative scar. This process is accompanied by increased skin dryness and tissue tension, which leads to discomfort. In order not to accidentally introduce an infection into the wound, it is not recommended to touch the stitches with your hands; the use of special soothing anti-inflammatory creams and ointments will help reduce the itching of the skin.

Hematoma, lump on the suture, sealing of the suture after cesarean section

As a result of suturing and traumatizing the blood vessels in the area of the wound surface, a woman may develop a hematoma. Most often this occurs on the inner surface of the uterus, and the pathology can only be diagnosed through ultrasound. If the hematoma is not treated, then over time a compaction may form, which prevents normal tissue nutrition in this area and is a predisposing factor to the development of inflammatory processes.

Having gone through surgical delivery, a woman should be prepared for the fact that the suture on the anterior abdominal wall will not immediately become invisible and painless. In the first months and even years, the formation of bumps and various seals in the suture area is acceptable, which is associated with tissue healing processes. Such lumps will completely resolve only 1-2 years after the intervention, which the patient simply needs to come to terms with.

Can a uterine suture come apart after a cesarean section?

After a caesarean section, you should be extremely attentive to your health. Lifting weights, strenuous physical activity and early sexual activity can lead to suture dehiscence. A new pregnancy also poses a danger: due to the incompetence of the scar and as the uterus grows, there is a strong tension in the tissue, as a result of which the internal sutures can separate at the site of the incision. A new pregnancy after surgical delivery can be planned no earlier than 3 years after cesarean section.

Ligature fistula after cesarean section

The formation of a ligature fistula occurs as a result of the use of poor quality suture material or the woman’s individual intolerance to the used threads. The complication is characterized by an inflammatory process of the skin around the suture, which develops several weeks or months after surgery.

As the pathology progresses, a hole forms near the suture site, through which pus is released when pressure is applied. Treatment of the hole and a course of antibiotics do not give the desired result, and treatment of this complication is carried out only surgically; during the intervention, the doctor will remove the ligature and the wound will soon heal.

Adhesions after caesarean section

Adhesions form after any surgical intervention; their formation is aimed at preventing purulent-septic processes in the pelvis. When adhesions form in excess, they speak of the development of adhesive disease, which can lead to subsequent ectopic pregnancies, intestinal obstruction, and infertility.

Aesthetic correction of a suture after a caesarean section

A scar after a cesarean section, especially if the incision was made vertically, often becomes a reason for the formation of complexes in a woman, so she tries in every way to get rid of it.

How to remove a scar after a caesarean section?

First of all, in order to make the scar less noticeable, immediately after the wounds have healed, you should begin performing cosmetic procedures - a cream containing mumiyo must be rubbed into the scar twice a day. According to patient reviews, over time the scar becomes pale and less noticeable.

Suture repair after caesarean section

If a woman is dissatisfied with the results of caring for the suture area and she is still not satisfied with the appearance of the anterior abdominal wall, she can decide on a radical procedure - plastic surgery. Before you undergo such an intervention, soberly assess the possible risks, since, like a caesarean section, plastic surgery has its disadvantages.

Is it possible to get a tattoo on a cesarean scar?

Many women decide to correct the appearance of the anterior abdominal wall by tattooing the suture area. This is not prohibited, but you should wait until a normal scar has formed and the tissue has completely healed.

Irina Levchenko, obstetrician-gynecologist, website specially for the site

Useful video

Caesarean section is a rather complex delivery operation, which is necessary to remove the baby through the anterior wall of the mother’s abdomen. Naturally, it leaves a seam.

Its size and shape depend on many factors - the complexity of the operation, the skill of the surgeon, competent postpartum care, and the woman’s physique. Often a ridge forms over the scar, which is difficult to hide even under clothing. It causes discomfort to young mothers, so they are interested in how to get rid of this annoying drawback.

What's in the roller and how to get rid of it?

Often women complain about a “roller” after a caesarean section, without completely understanding what it is and what’s in it. There are many reasons for the formation of a fold in the seam area. Therefore, it is very important to determine the cause of the trouble. If the abdomen is too large and protrudes, this may be due to muscle weakness or linea alba diastasis. Occasionally, women after a cesarean section are also bothered by a hernia. But in such situations, the stomach rarely resembles a fold. And the characteristic ridges are usually formed from fat, skin, or due to swelling of the suture after surgery. Depending on the causes of the problem, the ways to solve it will differ.

Hard ridge around the scar

Many women complain that after surgery the suture looks like a hard cushion and does not want to dissolve. This is completely normal. The transverse suture, which is now used everywhere, heals completely within a year. All this time it can remain dense. A small fold is also often formed above the seam. This causes scarring of the surrounding tissue.

In most cases, in the absence of severe pain and suppuration, some hardness and the presence of a cushion are not dangerous and go away on their own over time. If a woman is worried, she can undergo an ultrasound.

A dangerous sign is the appearance of a lump above the seam. It can be as small as a pea or reach the size of a walnut. This can manifest itself as harmless tissue scarring, as well as inflammation, suppuration, fistula, etc. In this situation, consulting a doctor is mandatory. In other cases, the roller dissolves on its own.

Skin fold over the scar after cesarean section

Try squeezing the bead over the seam with your hand. If it is very thin, then most likely there is just skin there. In this case, it makes sense to wait a little and let the body deal with the problem on its own. Loose skin often stretches on its own, especially at a young age. A light and contrast shower will help speed up the process. You can also try special cosmetics to increase skin elasticity, although its effectiveness is highly questionable from a medical point of view.

If the roller has not disappeared in a year or a year and a half, it makes sense to contact a plastic surgeon. Perhaps during the cesarean section the surgeon made a mistake somewhere or the woman’s skin is not elastic enough.

Fat fold after cesarean section

If, when pinched, the fold turns out to be thick enough and elastic, it is there. You should try to remove it yourself, but it is very important to choose the right methods. Don’t think that only plump ladies have folds of fat. Even with a normal weight, the percentage of body fat can be increased if a woman has little muscle. Therefore, it is very important not just to start eating less, but to create the right diet and start exercising.

With a body fat percentage of 21-24% and a normal amount of muscle, the fat pad disappears in most cases.

To avoid making mistakes and harming yourself, you should consult a doctor before starting training. It is also better to conduct them under the guidance of a professional trainer, at least for the first time. You shouldn’t cut down your diet too much right away, as a woman needs energy to restore her body after pregnancy. The calorie deficit should be minimal.

If you decide to get rid of the roll of fat above the suture after a cesarean section with the help of exercises, follow simple rules:

The first training can begin no earlier than six months after the operation, and intensive abdominal exercises - after a year.
As soon as your health allows, you need to start moving, walking with your baby and walking as much as possible.
The first exercises for a flat stomach are everyday bending exercises. Try to wash floors by hand and lean towards your baby more often.
As soon as your health allows, start regularly doing abdominal tucks - this is one of the most effective exercises for strengthening it.
Do not rush to lose weight so that the fat fold does not turn into a skin fold. Give your body the opportunity to slowly adapt to the new weight.

If something doesn’t work out right away, don’t get discouraged and don’t give up. It takes time for the body to recover. Don’t set unrealistic plans for yourself and don’t demand the impossible from your body. You can evaluate the results of working on yourself no earlier than one and a half to two years after the operation.