Why is my surgical incision opening weeks later?

An incision can break open along all or part of its length, and a surgeon may choose not to close it again, letting it heal from the inside out. Contact your provider if the wound gets larger or deeper.

An incision that opens after it seemed to be closed is a known problem, and it has a name.

Sometimes an incision breaks open, either along its whole length or in part. What happens next is something patients are rarely told ahead of time: the surgeon may choose not to close it again with stitches. The wound then heals from the inside out. A dressing absorbs drainage and keeps the skin from closing over the wound before the tissue underneath fills in.

That explains something that can otherwise look like neglect. Leaving a wound open can be the treatment, not a lack of treatment. The dressing is doing a job — holding the surface open while the deeper tissue fills in.

Contact your provider if you notice: more redness, pain, swelling, or bleeding at the wound; the wound getting larger or deeper, or looking dried out or dark; drainage that increases or becomes thick, tan, green, or yellow, or smells bad; or a temperature of 100.5°F (38°C) or higher. That temperature applies to open surgical wounds specifically.

When a surgical wound comes apart, it’s called wound dehiscence. Wound Wizard also has a page on wounds that keep reopening.

What to watch for

For an open surgical wound, contact your provider if there is more redness, pain, swelling, or bleeding at the wound; if the wound is larger or deeper, or looks dried out or dark; if drainage increases, becomes thick, tan, green, or yellow, or smells bad; or if your temperature is 100.5°F (38°C) or higher.

That temperature applies to open surgical wounds. Other types of wounds have their own instructions. Follow the ones for your wound.

Wound Wizard is general education and can’t assess your wound or your situation. Your own clinician is the right person to ask about your wound.

What we look at

  • Examining the incision and how much of it has opened
  • Assessing for infection
  • Deciding whether to close it again or let it heal open
  • Setting the dressing plan and the schedule for review

Sources

  1. Surgical wound care - open — MedlinePlus, U.S. National Library of Medicine https://medlineplus.gov/ency/patientinstructions/000040.htm
  2. Wound Dehiscence — StatPearls, NCBI Bookshelf, U.S. National Library of Medicine https://www.ncbi.nlm.nih.gov/books/NBK551712/