How long after a craniotomy can the sutures be removed?

Mar 13, 2025 Source: Cainiu Health

Dr. Wang Lei

Introduction

In general, stitches can be removed 7 to 14 days after craniotomy, although the specific timing varies from person to person. If necessary, this should be done under a doctor's guidance. Some patients may experience good wound healing, indicating strong self-healing abilities, with no infection, bleeding, or other complications at the surgical site. Additionally, if the surgery was relatively simple and caused minimal tissue damage, recovery may be faster.

Generally, stitches can be removed 7 to 14 days after craniotomy, with the specific timing varying individually and requiring guidance from a physician if necessary. Detailed explanations are as follows:

Some patients experience good wound healing due to strong self-repair capabilities, with no infection, bleeding, or other complications occurring at the surgical incision site. Additionally, if the surgery was relatively simple and caused minimal tissue damage, the healing speed will be correspondingly faster. After a physician evaluates and confirms that the wound has stabilized and meets the conditions for suture removal, the patient may have stitches removed approximately seven days after surgery.

Some patients may require up to 14 days post-craniotomy for suture removal, possibly due to slower wound healing or the presence of underlying conditions such as hypoalbuminemia or diabetes, which can impair the healing process. Moreover, if the surgery was complex, caused significant tissue damage, or complications such as infection or bleeding occurred postoperatively, the wound healing time will be prolonged accordingly. In such cases, physicians will need more time to monitor the healing process and will only proceed with suture removal after confirming that the wound has stabilized and is ready for it.

For a period following suture removal, patients should avoid strenuous activities to prevent wound dehiscence or impaired healing.

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What are the four major postoperative complications after craniotomy?

Generally speaking, there is no specific term called "four major sequelae after craniotomy." Possible complications following craniotomy may include motor dysfunction, decreased balance, vision impairment, cognitive decline, and systemic sequelae. If any discomfort occurs, timely medical attention is recommended. After surgery, it is important to closely monitor your physical condition and promptly report any symptoms of discomfort to your doctor.

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How long does the critical period last after a craniotomy?

A patient who has undergone craniotomy can typically pass the critical period in about 7 days. Within the first 24 hours after surgery, close observation is primarily conducted for any signs of bleeding. If no bleeding occurs, the likelihood of subsequent hemorrhage is significantly reduced. Around 5 days post-surgery, cerebral edema gradually reaches its peak, necessitating close monitoring of intracranial pressure and brain tissue compression. Approximately 7 days after surgery, if infection-related symptoms such as high fever and headache are under control, the patient's condition is considered relatively stable.