Cranial Incision Line Care
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What to expect | Bathing | Activity | Diet | When to call the Doctor
What to expect
If the incision line is ...
- closed with dissolvable sutures, they will dissolve in about 10-14 days
- closed with nylon sutures (black), they will nee to be removed in about 14 days
- closed with staples, they will be removed in about 14 days
- covered with steri strips, they will fall off on their own in about 1 week
- The incision should be closed by this time
- It is OK to wash the incision and steri strips, just don’t pull them off
Bathing
Recommendations for caring for the incision:
- Your child may shower on the second day after surgery
- No tub baths are recommended so that soaking the incision in water doesn’t occur
- A sponge bath is preferred for young children
- Wash the incision EVERY DAY with mild soap and water or baby shampoo
- Pat dry
- Make sure that wet hair is off of the incision until the hair is dry
- If the incision is on the head, please wash with a washcloth or small soft brush to loosen any scabs
- NO swimming until the child’s first post-operative appointment
Activity
- Quiet activities are recommended for the first post-op week
- Avoid rough housing and sports
- If your child has a headache, give only Tylenol™ (acetaminophen)
- Do not give Motrin™, ibuprophen or Advil™ unless directed to do so
- No swimming until the first post-op appointment
- Avoid exertion, heat, stress and fatigue
- Prevent your child from scratching, picking or pulling at the incision
- Place mittens or socks on their hands if necessary
- While the incisions are in do not use any creams or ointments on the incision (unless specifically instructed to do so)
- After the sutures are out, protect incision from the sun
- Your child may wear a hat, scarf or sun block over the incision once it is healed
Diet
Your child may resume his/her regular diet as soon as they are able. In some cases it is necessary for your child to have a bowel movement before leaving the hospital. Stool softeners or laxatives may be used if necessary.
When to call the doctor
- If the incision opens up, separates or has drainage.
- If there are any signs or symptoms of infection, such as:
- Redness
- Swelling
- Drainage
- Warmth along the incision line
- High fever within 7 days after surgery
- Unusual drowsiness or irritability
Rev. 6/09