Common Complications

The commonest complication is that the sutures have been tied too tightly. This is not always noticed. Patients expect sutures to be uncomfortable, but they should not be. And mildly compromised healing takes a while to show up. Be aware of overtensioning in any case.

Infections are also common, usually secondary to inadequate post-care. Minor redness and exudative crusting just needs topical antibiotics. Examine for deeper redness and swelling suggestive of cellulitis but this is not common at all.

Persistent purulent drainage should always make you look for trapped foreign material. Sometimes this has to be reopened.

Wound dehiscence is not rare. Commonest in wounds that run perpendicular to Langer's lines, in areas of high flex.

If a wound is partly opening after sutures are removed, sometimes you can provide temporary support with Steristrips.