THR 3 weeks today, Ankolysing spondalytis - started spitting stiches any advice?

hey guys :-) first time iv ever posted a discussion but iv been following this site for a long time, it really helped me pre op make choices. 

So basically everything has been going really well, my leg was badly rotated pre op with the knee about a 45 degree angle inwards, that has been fixed during the op so iv gone through tones of muscle groaning days. I still have a large muscle ball at the top of the wound where it was obviously clamped open and one at the bottom. 

I have internal dissolvable sutures that i believe was one long piece knotted on the way down but not clipped. I was awake and only slightly sedated - the spinal anesthesia wore off quite a bit towards end so i could feel a part of the end of the op and all the sutures lol

I have started spitting sutures, there is one directly under where the top knot will be, which is fully out, the wound appears to be happily sealed tho no gaps or leakage at any time, and i have a few further down i can just feel in the scar line.

I have non- axial spondalytis (ankolysising spondalitis but mostly affects my pelvis and the lower spine) so i take a anti- tnf called Etanercept  once ever week which is why im worried. 

Has anyone experienced spitting sutures? do i need to fone up the surgical nurse to deal with it (i have a ocd specialist surgeon  with strict guidelines who scares half the nurses on the ward) do i just leave it and see what happens or do i clip both sides of it carefully to prevent pulling the whole line? 

any help would be so lovely ! thanks and sorry for the ramble!! 

xxx

Hi I'm sorry but it may be I am not informed enough but should it say splitting sutures ?? Well done as well on being so brave when only partially sedated

Uh, not a dr here, just a landscaper. Call the Dr????? If you have a plant related question, I could probably help.

Sorry, I'll go back to lying on my back with ice on leg. good luck!

my worst nightmare in the world was to get put out, you couldnt see anything as they put this weird big double sheet tent thing up annoyingly.  i ended up far more sedated than i had wanted or needed to but at least it wasnt knocked out. but thank you  

so what i mean by spitting is when your  body decides to "spit them out"  normally you can tell they are being pushed out slowly either a raised bump or a small pop of fluid or a slight opening in the scar line. But they just seem to be appearing (small loop of suture completely outside and not attached to the skin)  like the scar is healing and saying "your not meant to be here so off ya go" there are no open bits of the scar line so really not sure what to do.

Iv seen it in horses and we used to snip the ends where the loop is then rub with alcohol and put on some strong disinfectant and cover for a day and its usually fine. Its my first op and i have no clue what is right or wrong in human healing and dont want to cause an issue with my immune system. 

Ty for replying, i should have explained better xx

I see, I would suggest you call your surgeons office or your GP, does it hurt or is it just visual, try not to touch them as you don't want to cause an infection

HAHAHAHHAHA brilliant :D got a spare ice pack?  plenty of plant questions for future tho! 

tbh dont want to phone phycho surgeon hes mentally ocd and will have me back in the ward most likely for something that is likely very normal which is why i posted. 

Enjoy your ice pack :-) 

Let's hope someone comes on with a good idea of what's going on, if it gets worse or leg falls off then I think time to check in with loony surgeon LOL in the meantime I would say if its looking OK and not hot and swollen its probably normal

I don't know if you mentioned, but how far along are you? My surgeon wanted me to follow up with my regular dr for things post op until his regular scheduled visit. Is this an option to avoid the Crazy OCD Dr Who????

I'm sure the regular dr could remove stitch/staples if needed.

On the getting put under for surgery. I'm 40 but have to get sedated quite a bit the last five years, elbow surgery, stomach problems and now the THR. I learned that just before the gas mask goes on, think about something you really like, and you'll probably have the best dream ever! My neighbor is a anastesiaolgist  (totally misspelled that) but he told me that also, and his patients often wake up with great dream stories.

Good luck,

Sorry I just saw the title again 3 WEEKS POST OP. duh!!

Hello, 

I'm sorry I can't offer any advice or information.  I'll be watching this post closely.  

I have had two failed surgical attempts to repair a labral tear in my right hip.  I was recently diagnosed with advanced osteoarthritis in my right hip.  I am 39 years old (active, not overweight).  I recently consulted with a rheumatologist.  She ordered a sacral MRI to look for lower spine inflammatory disorders.  That is scheduled for next week.  

Good luck with everything and I hope you recover soon!  ~Jenny

Hipster, it's normal after a few weeks. Although they are dissolvable some do just pop out. If the wound is closed no need to worry about it. You can trim it if you sterilise the scissors beforehand. 

hey hipster, 

warm welcome to the hippies forum ....

LOL on spitting versus splitting sutures and your explanation -- good grief what a nightmare - that is one of the reasons I chose GA 

sounds your scar is healing fine ... 

of course, if there are any changes like swelling, oozing, pain or fever, call -

how are you doing otherwise?

big warm hug

renee

Really could have done with a more inventive name lol 

There is still surgical tenderness around the incision but I've started massaging the lumpy bits around scarand then the swollen muscle where the yank it open lol  

I'm healing at a rate I can't quite get my head around I've been unable to do anything much for about 7 years and apart from the gained weight and different muscle changes. I feel almost 100% normal that's going to take getting used to lol. 

Oh and my partner accidentally slapped my hip so it's a bit tender. I thought I was going to severly struggle at first as I couldn't bend my knee with muscle changes causing swelling to get in car on day I left hospital but roll on 3 weeks and I'm starting stair exercises with the physio.

My grandad got his op the day after he's fairly young 70 year old. Comparing scars with him and Google it lol looks more like a 4 month scar than 3 weeks. I think the rapid healing may have something to do with the sutures getting pushed out 

Anyway iv rambled enough thank u for replying and I hope everyone is having a nice pain free morning  xx

Really could have done with a more inventive name lol 

There is still surgical tenderness around the incision but I've started massaging the lumpy bits around scarand then the swollen muscle where the yank it open lol  

I'm healing at a rate I can't quite get my head around I've been unable to do anything much for about 7 years and apart from the gained weight and different muscle changes. I feel almost 100% normal that's going to take getting used to lol. 

Oh and my partner accidentally slapped my hip so it's a bit tender. I thought I was going to severly struggle at first as I couldn't bend my knee with muscle changes causing swelling to get in car on day I left hospital but roll on 3 weeks and I'm starting stair exercises with the physio.

My grandad got his op the day after he's fairly young 70 year old. Comparing scars with him and Google it lol looks more like a 4 month scar than 3 weeks. I think the rapid healing may have something to do with the sutures getting pushed out 

Anyway iv rambled enough thank u for replying and I hope everyone is having a nice pain free morning  xx