Discharge Instructions: Caring for Your Abdominal Incision
You are going home with stitches (sutures), surgical staples, special strips of tape, or surgical skin glue. One of these items was used to close your incision, help stop bleeding, and speed healing. Follow the tips on this sheet to help your incision heal.
Clean your work area:
Put pets in another room.
Use soap and water to clean the surface you’ll be working on.
Spread a clean cloth or paper towel over the surface.
Move away from the clean surface if you need to cough or sneeze.
Gather your supplies:
Packaged dressing for your wound
Irrigation solutions (if using these)
Pair of scissors (cleaned with soap and water)
Disposable gloves (2 pairs)
Clean plastic trash bag (open it before you wash your hands)
Wash your hands:
Use liquid soap.
Work up a good lather and scrub for 1 to 2 minutes.
Be sure to scrub between your fingers and under your nails.
Rinse with warm water, keeping your fingers pointed down.
Use a clean paper towel to dry your hands and turn off the faucet.
Prepare your dressing supplies:
Peel back the edges of the dressing packages. Pour any irrigation solutions into solution cups.
Cut each piece of tape 4 inches longer than the dressing.
Remove the old dressing:
Put on disposable gloves.
Loosen the tape on the dressing by pulling gently toward the incision. Remove the dressing one layer at a time. Put it in the plastic bag immediately.
Remove your gloves and put them in the plastic bag. Wash your hands.
Put on a new pair of gloves.
Clean and dress the incision:
Clean the incision and apply a new dressing as directed.
Do not remove the special strips of tape even if they are starting to loosen.
Put all used supplies in the plastic bag. Remove your gloves last and put them in the plastic bag. Seal the bag and put it in the trash.
Be sure to wash your hands again.
Care for specific closures
Follow these guidelines unless your healthcare provider tells you otherwise:
Sutures or staples. Once you no longer need to keep these dry, clean the wound daily, using the instructions listed above. First remove the bandage using clean hands. Then wash the area gently with soap and warm water. Use a wet cotton swab to loosen and remove any blood or crust that forms. After cleaning, put a thin layer of antibiotic ointment on. Then put on a new bandage.
Skin glue. Don’t put liquid, ointment, or cream on your wound while the glue is in place. Avoid activities that cause heavy sweating. Protect the wound from sunlight. Do not scratch, rub, or pick at the glue. Do not put tape directly over the glue. The glue should peel off within 5 to 10 days.
Surgical tape. Keep the area dry. If it gets wet, blot the area dry with a clean towel. Surgical tape usually falls off within 7 to 10 days. If it has not fallen off after 10 days, contact your healthcare provider before taking it off yourself. If you are told to remove the tape, put mineral oil or petroleum jelly on a cotton ball. Gently rub the tape until it is removed.
Follow up with your healthcare provider to ask how long sutures or staples should be left in place. Be sure to return for suture or staple removal as directed. If tape closures were used, remove them yourself when your provider recommends if they have not fallen off on their own. If skin glue was used, the glue will wear off by itself.
When to call your healthcare provider
Call your healthcare provider right away if you have any of the following:
More pain, bleeding, redness, swelling, or foul-smelling discharge around the incision area
Fever of 100.4°F (38°C) or higher, or as directed by your healthcare provider
Vomiting or nausea that doesn’t go away
Numbness, coldness, or tingling around the incision area, or changes in skin color
Opening of sutures or wound
Stitches or staples come apart or fall out or surgical tape falls off before 7 days, or as directed by your provider
October 03, 2017
Closure of skin wounds with sutures. UpToDate, Minor wound repair with tissue adhesives (cyanoacrylates). UpToDate
Lehrer, Jenifer, MD,Sather, Rita, RN