A surgical wound is a cut made to your skin during an operation. Wound healing is a complicated process but can be divided into three main phases.
- Inflammation – this happens straight away and lasts for up to six days, during which time the blood flow to your wound increases.
- Proliferation – this starts after a few days and can carry on for several weeks. New blood vessels grow to bring nutrients to your wound and new tissue starts to develop.
- Maturation – new cells develop to strengthen your wound and soften the scar. This phase can continue for over a year.
Skin edges usually form a seal within a day or two of an operation. This can vary from person to person and from operation to operation. Closing your wound surgically (with stitches, clips or staples) encourages your wound to heal faster. The first phase of wound healing can take around two to three weeks but some people experience delayed wound healing. This can depend on the type of wound you have and how your body responds to healing.
You may not always need to have a dressing on your surgical wound. The purpose of a dressing is to:
- absorb any fluid leaking from your wound
- provide the best conditions for healing
- reduce your risk of infection
- protect the area until your wound has healed
- apply pressure if this is needed
- prevent your stitches or clips from catching on clothing
The medical term for stitches is sutures. Other methods that may be used to close your surgical wound include metal clips or staples and adhesive dressings, tapes or glue. The method your surgeon uses to close the cut will depend on its location, size and how strong the closure needs to be.
Some stitches are dissolvable and you won’t need to have them removed. You’ll need to have non-dissolvable stitches and clips or staples removed by a nurse or doctor. If this is necessary, your nurse will arrange a follow-up appointment at your hospital.
Stitches, clips and staples are usually removed between three and 14 days after your treatment. This will depend on a number of factors including the area of your body where the wound is and the type of operation you had. The method and material that has been used to close your wound is another deciding factor. Your surgeon will be able to give you more information about when the stitches, clips or staples need to be removed.
Your surgeon may use special skin glue to close your wound, especially in the case of smaller wounds. One of the advantages of skin glue is that it brings the edges of your skin together quickly – within a couple of minutes. This helps to seal the wound and form a barrier that lowers the risk of infection. This may reduce the time that it takes for your wound to heal. Although the glue is waterproof, you shouldn’t let your wound soak in water. The glue usually peels off by itself in seven to 10 days.
There are a number of things that you can do to look after your wound, lower your risk of infection and encourage healing.
Changing the dressing
Depending on where your wound is on your body, you can leave your original dressing in place for around five to seven days. Your surgeon will tell you when you should remove it.
Before you remove the dressing, wash your hands with soap and water and then carefully take off the dressing. Try not to touch the healing wound with your fingers.
Your wound may then be left without a dressing. However, you might like to continue wearing one over the area for protection and comfort, particularly if your clothes are rubbing against it. The hospital may give you a replacement dressing to use at home. Apply the dressing carefully and don't touch the inside of it. Don't use antiseptic cream under the dressing.
Taking care of your wound
Dissolvable stitches usually disappear in about one to three weeks, but it can take longer, depending on the type you have. Non-dissolvable stitches, clips and staples are usually removed after three to 14 days, depending on where they are and the type of operation you had.
You may see small pieces of the stitch material poking out of your wound. Don't be tempted to pull on these. If you have loose ends that are catching on clothing, trim them carefully with a clean pair of scissors or discuss with the nurse. Otherwise, wait until they are removed or fall out on their own. As your skin heals, it’s natural for your stitches and wound to itch – it’s part of the healing process. If the stitches cause you pain or discomfort though, contact your GP or hospital for advice.
Eating and drinking properly
Your body needs energy to heal quickly so it's important that you eat well. Vitamin C and protein are important to aid wound healing. Eat a healthy, balanced diet with plenty of variety including lean meat, fish, eggs, dairy, and fruit and vegetables. Make sure that you drink enough water because if you're dehydrated, your wound may take longer to heal.
It's useful to lose any excess weight, preferably before you have surgery. Being overweight can increase the time it takes for your wound to heal and significantly increases the risk of wound infection. If you have diabetes, it’s important to take care that your blood sugar is well controlled.
Bathing and showering
It's usually possible for you to have a bath or a shower about 48 hours after surgery. However, this will depend on the particular operation you had – ask your nurse or doctor for advice.
Some general points to remember are as follows.
- If possible, have showers rather than baths so that your wound doesn't soak in water. This could soften the scar tissue and cause your wound to reopen. Only have a bath if you can keep your wound out of the water.
- Remove any dressing before you have a bath or shower, unless your surgeon or nurse gives you different advice. Some dressings are waterproof and can be left in place.
- Don't use any soap, shower gel, body lotion, talcum powder or other bathing products directly over your healing wound.
- You can let the shower water gently splash onto your healing wound. However, don't rub the area, as this might be painful and could delay the healing process.
- Dry the surrounding area carefully by patting it gently with a clean towel but allow your wound to air dry.
- If you had surgery on your face, don't wear make-up over the scar until it has fully healed.
While your wound is healing, you may find applying petroleum jelly helps to stop it sticking to the dressing. Silicone gel sheets are also sometimes used to improve the appearance of certain types of scars. Your surgeon may recommend that you massage the wound after two to three weeks. This is to reduce the sensitivity of your skin as it heals and to soften scar tissue that will be forming beneath it.
Creams and ointments that contain arnica are sometimes used because they are thought by some to promote wound healing. There isn’t any scientific proof to support this though. Generally, your GP or surgeon won’t advise using herbal remedies, so do talk to him or her before using any yourself.
Once you get home, if you have any concerns about your surgical wound, contact your hospital or GP.
Most surgical wounds will heal without causing you any problems, but it’s possible that your wound may become infected after surgery. If you develop an infection, you will usually be treated with a course of antibiotics. Very occasionally you may need to have further surgery.
You're more likely to develop an infection if you:
- have diabetes
- are overweight or obese
- have a condition that affects your immune system, such as leukaemia
- are undergoing a treatment that affects your immune system, such as chemotherapy
Your doctors and nurses will do everything they can to prevent your wound from becoming infected. But it’s important that you know how to spot if you're developing an infection after you go home. If your wound becomes infected, it may:
- become more painful
- feel tender
- look red, inflamed or swollen
- leak or weep liquid, pus or blood
- smell unpleasant
You may also have a high temperature.
A surgical wound infection can develop in two to three days after your surgery, but may occur up to two to three weeks after your operation. If you have any of these symptoms or if you are worried about the appearance of your wound, speak to your practice nurse or GP.
Your healthcare team are there to answer any questions you might have about your wound. The National Institute for Health and Care Excellence (NICE) has suggested a few questions you might want to ask. Some good suggestions to get you started include the following.
- How likely am I to get an infection?
- Do infections often occur after this type of operation?
- How will I know if my wound becomes infected? What should I look for?
- If my wound does become infected, what should I do?
Wound infections can usually be treated successfully with antibiotics if they are diagnosed early. See our FAQs section for more information.
I think I may have an abscess in my surgical wound. What should I do?
If you get an infection in your surgical wound, it can lead to the development of an abscess. Your body responds to infections by producing pus. If this collects under your skin, it will form an abscess. If you have an abscess, it’s likely to feel swollen and painful. You may also feel feverish. If you think you have an abscess, see your GP for a check up.
If you’re diagnosed with a wound abscess, you will need treatment. Without treatment, your abscess and infection could be at risk of getting worse. If your abscess isn’t very big or deep, it may be possible to treat it with antibiotics. However, you may need to have it drained of pus and cleaned to remove damaged or infected tissue. You may be given antibiotics to take after your abscess has been drained but this is usually only if the infection has spread.
If you have a deeper abscess, you may need to have further surgery to drain and clean it. Alternatively you may have a CT or ultrasound scan so that a drain can be inserted through a thin tube using the images to guide it.
I have heard that I may develop cellulitis – what is this?
Cellulitis is a bacterial infection of the deeper layer of your skin. It more commonly affects your face or lower legs, though it can affect any area of the skin.
Your skin usually has many bacteria living on it and these don't cause problems. However, if your skin is damaged these bacteria can enter your body and grow.
If your wound becomes infected you may notice that it becomes red, inflamed or swollen. If you have cellulitis, you may also have flu-like symptoms such as:
- feeling unwell
- fever or chills
- lack of energy
- muscle aches
If you have any of these symptoms, see your GP. He or she may prescribe you antibiotics. If your infection is severe, you may need to go into hospital for treatment.
You can help to prevent cellulitis by cleaning your wound properly and watching for symptoms of an infection. You should also try to stay healthy, before and after you have surgery. If you're unwell or if you have a condition or treatment that affects your immune system, you're more likely to get an infection.
What are 'superbugs'?
The term 'superbug' is used to describe a strain of bacteria that has become resistant to the antibiotic that would usually be used to treat it. Healthcare-acquired infections (HCAIs) are infections you can catch in hospital or as a result of healthcare treatment. These include infection with resistant strains of bacteria (sometimes called 'superbugs') as well as infections that arise as a result of treatments such as surgery. There are many bacteria that cause HCAIs, but some of the most common include:
- MRSA (meticillin-resistant Staphylococcus aureus)
- MSSA (meticillin-sensitive Staphylococcus aureus)
- Clostridium difficile
- E. coli (Escherichia coli)
If you become infected with a resistant bacterium, you will be treated with alternative antibiotics that are effective against these infections. However, treatment is likely to take more time. You may also be at risk of passing the infection onto others. You can help to prevent the spread of infections by washing your hands thoroughly both when you’re at home and after visiting hospitals and care homes.
- Public Health England
- Surgical site infection (SSI): guidance, data and analysis. Public Health England. www.gov.uk, published February 2014
- Therapy-related issues: skin – wound care. Oxford handbook of clinical pharmacy. Oxford Medicine Online. www.oxfordmedicine.com, published January 2012
- Minor surgery in primary care. PatientPlus. www.patient.co.uk/patientplus.asp, reviewed October 2012
- Minimally invasive surgery. PatientPlus. www.patient.co.uk/patientplus.asp, reviewed January 2013
- Information for you after a laparoscopy. Royal College of Obstetricians and Gynaecologists. www.rcog.org.uk, published July 2010
- Wound healing and growth factors. Medscape. www.emedicine.medscape.com, published December 2013
- Wound healing and repair. Medscape. www.emedicine.medscape.com, published April 2013
- Materials for wound closure. Medscape. www.emedicine.medscape.com, published December 2013
- Simple wound management and suturing. PatientPlus. www.patient.co.uk/patientplus.asp, reviewed April 2011
- Stapling in surgery. OSH operative surgery. Oxford Medicine Online. www.oxfordmedicine.com, published October 2011
- Surgical site infection: Prevention and treatment of surgical site infection. National Institute for Health and Care Excellence (NICE), October 2008. www.nice.org.uk
- Nursing patients requiring peri-operative care: care of surgical wounds. Oxford handbook of adult nursing. Oxford Medicine Online. www.oxfordmedicine.com, published August 2010
- Hand hygiene: why, how and when? World Health Organization. www.who.int, accessed February 2015
- Johnston E. The role of nutrition in tissue viability. Wound Essentials 2007; 2:10–21. www.wounds-uk.com, accessed February 2015
- R White. Delayed wound healing: in whom, what, when and why? Nurs Stand 2010; 4(2):24–32. doi:10.7748/supp2010.09.4.2.24.s3
- Ernst E, Pittler MH. Efficacy of homeopathic arnica: a systematic review of placebo-controlled clinical trials. University of York Centre for Reviews and Dissemination. www.crd.york.ac.uk, accessed 25 February 2015
- Arnica. University of Maryland Medical Center. www.umm.edu, published May 2013
- Puri N, Talwar A. The efficacy of silicone gel for the treatment of hypertrophic and keloids. J Cutan Aesthet Surg 2009 Jul-Dec; 2(2):104–106. doi: 10.4103/0974-2077.58527
- Keloid and hypertrophic scar treatment and management: standard treatments. Medscape. www.emedicine.medscape.com, published March 2014
- Wound infection treatment and management: surgical care. Medscape. www.emedicine.medscape.com, published October 2014
- Abscesses. The Merck Manuals. www.merckmanuals.com, published August 2013
- Cellulitis and erysipelas. British Association of Dermatologists. www.bad.org.uk, published January 2012
- Cellulitis. The Merck Manuals. www.merckmanuals.com, published November 2013
- Staphylococcus aureus: guidance, data and analysis – the characteristics, diagnosis, management, surveillance and epidemiology of Staphylococcus aureus. Public Health England. www.gov.uk, published July 2014
- Healthcare-associated infections (HAIs). Centers for Disease and Control Prevention. www.cdc.gov, published March 2014
- MRSA. BMJ Best Practice. www.bestpractice.bmj.com, published January 2015
- Cellulitis. University of Maryland Medical Center. www.umm.edu, published May 2013
- Prevention and control of healthcare-associated infections: quality improvement guide – introduction. National Institute for Health and Care Excellence (NICE), November 2011. www.nice.org.uk
- Lacerations. The Merck Manuals. www.merckmanuals.com, published September 2013
- Monitoring surgical wounds for infection. Public Health England. www.gov.uk, published July 2013
- Surgical pathology: wound healing. Oxford handbook of clinical surgery. Oxford Medicine Online. www.oxfordmedicine.com, published March 2013
- Wound dressings. DermNet NZ. www.dermnetnz.org, published November 2014
- Wound closure. DermNet NZ. www.dermnetnz.org, published 29 December 2013
- Personal communication, Mr Simon Phillips MA, DM, FRCS, Consultant Colorectal Surgeon, Cardiff & Vale NHS Trust, 12 March 2015
- Public Health England
We’d love to know what you think about what you’ve just been reading and looking at – we’ll use it to improve our information. If you’d like to give us some feedback, our short form below will take just a few minutes to complete. And if there's a question you want to ask that hasn't been answered here, please submit it to us. Although we can't respond to specific questions directly, we’ll aim to include the answer to it when we next review this topic.
Let us know what you think using our short feedback form Ask us a question
Reviewed by Natalie Heaton, Bupa Health Content Team, April 2015.
Let us know what you think using our short feedback form Ask us a question
About our health information
At Bupa we produce a wealth of free health information for you and your family. We believe that trustworthy information is essential in helping you make better decisions about your health and care. Here are just a few of the ways in which our core editorial principles have been recognised.
Information StandardWe are certified by the Information Standard. This quality mark identifies reliable, trustworthy producers and sources of health information.
Plain English CampaignWe hold the Crystal Mark, which is the seal of approval from the Plain English Campaign for clear and concise information.
What our readers say about us
But don't just take our word for it; here's some feedback from our readers.
“Simple and easy to use website - not alarming, just helpful.”
“It’s informative but not too detailed. I like that it’s factual and realistic about the conditions and the procedures involved. It’s also easy to navigate to areas that you specifically want without having to read all the information.”
“Good information, easy to find, trustworthy.”
Our core principles
All our health content is produced in line with our core editorial principles – readable, reliable, relevant – which are represented by our diagram.
In a nutshell, our information is jargon-free, concise and accessible. We know our audience and we meet their health information needs, helping them to take the next step in their health and wellbeing journey.
We use the best quality and most up-to-date evidence to produce our information. Our process is transparent and validated by experts – both our users and medical specialists.
We know that our users want the right information at the right time, in the way that suits them. So we review our content at least every three years to keep it fresh. And we’re embracing new technology and social media so they can get it whenever and wherever they choose.
Here are just a few of the ways in which the quality of our information has been recognised.
The Information Standard certification scheme
You will see the Information Standard quality mark on our content. This is a certification programme, supported by NHS England, that was developed to ensure that public-facing health and care information is created to a set of best practice principles.
It uses only recognised evidence sources and presents the information in a clear and balanced way. The Information Standard quality mark is a quick and easy way for you to identify reliable and trustworthy producers and sources of information.
Certified by the Information Standard as a quality provider of health and social care information. Bupa shall hold responsibility for the accuracy of the information they publish and neither the Scheme Operator nor the Scheme Owner shall have any responsibility whatsoever for costs, losses or direct or indirect damages or costs arising from inaccuracy of information or omissions in information published on the website on behalf of Bupa.
We comply with the HONcode (Health on the Net) for trustworthy health information. Certified by the HONcode for trustworthy health information.
Plain English Campaign
Our website is approved by the Plain English Campaign and carries their Crystal Mark for clear information. In 2010, we won the award for best website.
Website approved by Plain English Campaign.
British Medical Association (BMA) patient information awards
We have received a number of BMA awards for different assets over the years. Most recently, in 2013, we received a 'commended' award for our online shared decision making hub.
If you have any feedback on our health information, we would love to hear from you. Please contact us via email: email@example.com. Or you can write to us:
Health Content Team
15-19 Bloomsbury Way