Laparoscopy, commonly referred to as keyhole surgery, is a minimally invasive technique that uses small incisions to perform a surgical procedure. Following the operation, these incisions are covered with dressings that protect the wound from contaminants. The dressing also helps absorb any small amount of fluid or seepage that occurs naturally from the incision site in the first hours after the procedure. This protective barrier supports the initial phase of skin healing.
Determining the Removal Time
The precise moment to remove the dressing is not universal and depends heavily on the type of material used and the specific instructions provided by the surgical team. Standard non-waterproof gauze or small adhesive dressings are often intended to be removed relatively quickly, commonly within 24 to 48 hours following the operation.
Other types of wound closures are designed to remain in place longer, offering extended protection during the healing process. Waterproof or transparent film dressings may be advised to stay on for several days, sometimes between five and ten days. Many surgeons now use specialized adhesive strips, known as Steri-Strips, or a liquid skin glue to close the tiny incisions.
Surgical glue is a unique sealant that acts as a microbial barrier and is meant to flake or peel off on its own, usually over one to two weeks. Steri-Strips are also intended to be left undisturbed until they naturally detach, which generally occurs within seven to ten days. Adhere strictly to the post-operative instructions given at discharge, as they are tailored to the patient and the specific surgery performed. Dressings should never be removed prematurely if they show signs of excessive saturation with blood or heavy, unusual drainage.
Safe Removal and Incision Care
When the time comes for removal, preparation is necessary to ensure the site remains protected. Begin by thoroughly washing your hands with soap and water to minimize the transfer of bacteria. Gently peel the dressing off, pulling it parallel to the skin rather than directly away from the wound. This prevents tension on the healing tissue.
Once the dressing is removed, the exposed incision site requires simple, gentle care. The area should be cleaned using mild soap and water while showering, then patted completely dry with a clean, soft towel. After drying, the incisions heal best when left open to the air. Avoid applying creams, lotions, or ointments unless specifically instructed by a physician.
Most patients are cleared to shower 24 to 48 hours after surgery, even with Steri-Strips or skin glue in place, as these materials are often water-resistant. However, activities that submerge the incisions, such as taking a bath or swimming, must be postponed for four to six weeks. This precaution is necessary because submerged water poses a higher risk of introducing infection into the healing wound. If Steri-Strips are present, they should not be pulled off; if they are still attached after ten days, they can be gently removed with the surgeon’s permission.
Recognizing Post-Operative Concerns
While a small amount of clear or light pink drainage from the incision is common in the first day or two, certain signs indicate a potential complication that requires immediate medical attention. Localized signs include increased redness, warmth, or swelling that spreads beyond the immediate wound edges. The presence of a thick, yellow, green, or foul-smelling discharge is a strong indicator of a bacterial infection.
Systemic symptoms can signal a more widespread concern. These may include a persistent fever above 100 or 101 degrees Fahrenheit, or chills. Pain that suddenly worsens, is not relieved by prescribed medication, or severe nausea and vomiting that does not improve are serious symptoms. If any of these signs appear, contacting the surgical team or physician immediately is necessary for prompt evaluation and treatment.