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Not all lacerations can be treated alone. A deep tear with heavy bleeding is an example of a wound that needs to be treated by a doctor and may need stitches. This is because if the wound is not stitched up, serious and even life-threatening complications can occur
Almost everyone has experienced a torn wound. Generally, lacerations occur as a result of falls, punctured or scratched by sharp objects, and traffic accidents.
Torn wounds sometimes don't need stitches and can be treated independently at home. However, if a serious tear occurs, you should seek medical attention immediately, especially if there is heavy bleeding or if the bleeding lasts more than 20 minutes.
In this case, the torn wound needs to be treated by a doctor and may need stitches to stop the bleeding and prevent some serious complications.
Criteria for a torn wound that needs to be checked by a doctor
The following are some criteria for torn wounds that need to be examined by a doctor:
- The depth of the wound is more than 1 cm
- Bleeding does not stop with direct pressure on the wound
- Bleeding lasts more than 20 minutes
- Injury caused by a serious accident
Risk of Torn Wound Not stitched
The main risk of unstitched lacerations is infection. Infected wounds can be recognized by signs of green, yellow, or brown pus discharge with a foul odor, and sometimes accompanied by fever.
There are several types of serious and life-threatening infections that can occur as a result of unstitched wounds, namely:
Tetanus can cause jaw and neck stiffness, seizures, and even death. This condition is caused by infection with the bacterium Clostridium tetani. Usually, the symptoms of a tetanus infection appear 4–21 days after the wound is infected.
Necrotizing fasciitis is a severe infection of the soft tissues that can be caused by various types of bacteria, including Clostridium and Streptococcus. If not treated promptly, this infection can lead to serious, life-threatening complications, such as sepsis and kidney failure.
Cellulitis is an infection of the skin that is not directly in contact with the wound. Generally, cellulitis is caused by infection with Streptococcus and Staphylococcus aureus bacteria. If not treated properly, cellulitis can lead to dangerous complications, such as:
- bone infection
- Blood infection
In addition to infection, a torn wound that is left open without stitching is also at risk of failing to heal or the wound healing longer than it should. This can have an impact on the psychological condition of the patient. Patients can feel frustrated because the wound does not heal.
Whether or not the wound is sutured depends on the high and low risk of the wound experiencing infection. Wound healing that is allowed to heal naturally is known as secondary wound healing.
In general, wounds that are left open by doctors and not stitched are torn wounds that have become infected or contain foreign objects or materials that have the potential to infect. To treat it, the doctor will clean the wound with irrigation fluid and remove the dead tissue.
In essence, a torn wound is not a condition that can be ignored, because it can cause various dangerous complications.Therefore, if you experience a tear, whether large or small, you should consult a doctor. The doctor will determine the appropriate and safe treatment for your wound.
dr. Sonny Seputra, M.Ked.Klin, Sp.B, FINACS(Surgeon Specialist)