A spitting stitch refers to an absorbable suture that the body expels from the skin's surface rather than breaking it down internally as intended.
Understanding Spitting Sutures
When a surgical incision is closed, doctors often use absorbable sutures designed to dissolve harmlessly within the body over time. However, in some instances, the body may not fully break down this absorbable material. Instead, it treats the stitch as a foreign object, leading to a mild rejection response.
This rejection causes the body to gradually push the stitch material out through the skin. It's a natural immune response where the body tries to rid itself of something it doesn't recognize or can't process.
How to Identify a Spitting Stitch
Recognizing a spitting stitch can help you understand what's happening during your healing process. Key indicators include:
- Tactile Sensation: You might feel a sharp or pricking sensation at the incision site. This is often the sensation of the stitch material pushing through the skin.
- Visible Thread: A small, white, or clear thread may begin to emerge from the incision line. This is the actual suture material that the body is expelling.
What to Do If You Have a Spitting Stitch
While often harmless, a spitting stitch can sometimes lead to minor irritation or a small, localized inflammatory reaction. If you notice signs of a spitting stitch, it's generally advisable to:
- Observe: Keep the area clean and observe for any signs of infection, such as increased redness, swelling, warmth, or pus.
- Do Not Pull: Avoid pulling or tugging on the emerging thread, as this could disrupt the healing wound or introduce bacteria.
- Consult Your Doctor: It's always best to contact your healthcare provider or surgeon. They can assess the situation, confirm if it is indeed a spitting stitch, and provide specific guidance or remove the stitch if necessary. In most cases, it's a minor issue that resolves on its own or with simple intervention.
Spitting sutures are a relatively common occurrence, especially with certain types of absorbable materials or in individuals with a more pronounced immune response to foreign bodies.
