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Journal articles on the topic 'Suture Granuloma'

Author: Grafiati

Published: 7 June 2025

Last updated: 16 July 2025

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1

Aga, Hitomi, Mitsuyoshi Hirokawa, Ayana Suzuki, et al. "Sonographic Evaluation of Nodules Newly Detected in the Neck After Thyroidectomy: Suture Granuloma Versus Recurrent Carcinoma." Ultrasound International Open 4, no. 04 (2018): E124—E130. http://dx.doi.org/10.1055/a-0749-8688.

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AbstractThis study aimed to clarify the sonographic features of suture granuloma and recurrent carcinoma newly detected after thyroidectomy.We retrospectively analyzed ultrasound reports with images of 25 cases of suture granuloma and 18 cases of recurrent carcinoma that newly appeared in the resected area after thyroidectomy in our institution. Both suture granulomas and recurrent carcinomas more frequently exhibited multiple lesions rather than solitary lesions. Suture granulomas tended to appear in the more superficial areas than the carotid artery, while recurrent carcinomas were more common between the trachea and carotid artery. A total of 10 of the 11 suture granulomas that we followed up decreased in size. Recurrent carcinomas showed irregular shape (55.6%), taller-than-wide shape (38.9%), low internal echogenicity (83.3%), and no punctate microcalcifications. By contrast, suture granulomas were fusiform in shape (56.0%) and showed linear internal echo parallel to the tissue plane on the longitudinal scan (64.0%). The vascular flow sign was mild to none in the majority of both lesions.Fusiform shape and linear internal echoes indicate suture granuloma, while irregular shape, taller-than-wide shape, and low echogenicity indicate recurrent carcinoma. Given that the clinical management of suture granuloma differs from that of recurrent carcinoma, it is important to distinguish between these two lesions.

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2

Taniguchi, Kazuto, Kazutaka Mizuta, and Kazuyasu Uemichi. "A Novel Strategy for Umbilical Granuloma Removal: Cutting off with a Nylon Suture Thread." Journal of Nepal Paediatric Society 42, no. 3 (2022): 67–69. http://dx.doi.org/10.3126/jnps.v42i3.45499.

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Umbilical granuloma is a common umbilical problem in infants. Although various modalities are available for the treatment of umbilical granulomas, the best method remains controversial. A 7-week-old infant presented with umbilical granuloma followed by omphalitis. We treated the omphalitis first to prevent local inflammation. On the following day, the umbilical granuloma was successfully cut off with a nylon suture thread. No residue of the granuloma was left behind and no signs of local inflammation appeared. Umbilical granuloma can be successfully removed with a nylon suture thread. Treatment for omphalitis before granuloma removal may be useful to prevent local inflammation.

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3

Palo, Seetu, and Kanchana P. V. N. "Suture granuloma masquerading as primary ovarian malignancy: a case report." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 9, no. 1 (2019): 418. http://dx.doi.org/10.18203/2320-1770.ijrcog20196058.

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Suture granuloma is an uncommon surgical complication comprising of foreign body granulomatous tissue reaction against the suture material. We present a case of ovarian suture granulomas in a 28-year-old female who was clinico-radiologically misdiagnosed as ovarian carcinoma. She presented with intermittent pelvic pain, on and off low-grade fever and menstrual irregularities for 6 months and had undergone laparoscopic tubectomy two years back. Ultrasonographic findings were suspicious of left ovarian malignancy. CA-125 levels were elevated (115 U/mL). Left oophoro-salpingectomy was performed and histopathological examination revealed multiple suture-related granulomas.

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4

Saxena, Amol, Nicola Maffulli, Aidan Nguyen, and Albert Li. "Wound Complications from Surgeries Pertaining to the Achilles Tendon." Journal of the American Podiatric Medical Association 98, no. 2 (2008): 95–101. http://dx.doi.org/10.7547/0980095.

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Background: A retrospective review of one surgeon’s practice was conducted to assess the prevalence of wound complications associated with acute and chronic rupture repair, peritenolysis, tenodesis, debridement, retrocalcaneal exostectomy/bursectomy, and management of calcific tendinopathy of the Achilles tendon. Methods: We evaluated the incidence of infection and other wound complications, such as suture reactions, scar revision, hematoma, incisional neuromas, and granuloma formation. Results: A total of 219 surgical cases were available for review (140 males and 70 females; mean ± SD age at the time of surgery, 46.5 ± 12.6 years; age range, 16–75 years). Seven patients experienced a wound infection, three had keloid formation, six had suture granulomas, and six had suture abscesses, for a total complication rate of 10.0%. Six patients had more than one complication; therefore, the percentage of patients with complications was 7.3%. There were no hematomas. Seven patients had additional surgery after their wound complications; some had simple granuloma excision, and one necessitated a flap. Patients with risk factors such as diabetes mellitus, smoking, and rheumatoid arthritis necessitating corticosteroid therapy were more likely to have a wound complication (Fisher exact test, P = .03). Conclusions: Complications with Achilles tendon surgery may be unavoidable. Suture granulomas may appear in a delayed manner. Absorbable and nonabsorbable sutures can be implicated. (J Am Podiatr Med Assoc 98(2): 95–101, 2008)

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5

Hunter, D. C., and J. R. C. Logie. "Suture granuloma." British Journal of Surgery 75, no. 11 (1988): 1149–50. http://dx.doi.org/10.1002/bjs.1800751140.

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6

Kamo, Keiji, Hiroaki Kijima, Koichiro Okuyama, et al. "Osteolysis of the Greater Trochanter Caused by a Foreign Body Granuloma Associated with the Ethibond® Suture after Total Hip Arthroplasty." Case Reports in Orthopedics 2017 (2017): 1–4. http://dx.doi.org/10.1155/2017/6082302.

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The present case shows a case of progression of osteolysis of the greater trochanter caused by a foreign body granuloma associated with the number 5 Ethibond suture in cementless THA with the direct lateral approach that was completely healed by removal of the Ethibond suture. A 55-year-old Japanese woman with secondary osteoarthritis caused by acetabular dysplasia underwent left cementless THA with the direct lateral approach. After setting of the total hip prosthesis, the gluteus medius muscle and vastus lateralis muscle were reattached to the greater trochanter through two bone tunnels using number 5 Ethibond EXCEL sutures. The left hip pain disappeared after surgery, but the bone tunnels enlarged gradually and developed osteolysis at 10 weeks. The removal of the Ethibond sutures and debridement improved the osteolysis. Histological examination showed the granuloma reaction to a foreign body with giant cell formation. The Ethibond suture has the lowest inflammatory tissue reaction and relatively high tension strength among nonabsorbable suture materials. However, number 5 Ethibond has the potential to cause osteolysis due to a foreign body granuloma, as in the present case.

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7

Lambertz, Andreas, Kai Michael Schröder, Dominik Stefan Schöb, et al. "Polyvinylidene Fluoride as a Suture Material: Evaluation of Comet Tail-Like Infiltrate and Foreign Body Granuloma." European Surgical Research 55, no. 1-2 (2015): 1–11. http://dx.doi.org/10.1159/000371797.

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Background: Biocompatibility and tissue integration of a surgical suture are decisive factors for wound healing and therefore for the success of sutures. The optimal suture material is still under discussion. Polyvinylidene fluoride (PVDF) is described to have superior properties of biocompatibility and is therefore frequently used as a mesh component. Only little information is available about its use as a suture material. The aim of this study was to evaluate the biocompatibility of PVDF as a suture material in comparison to 5 different established sutures in a rat model. Methods: In 30 male rats, a monofilamental PVDF suture (Resopren®) and 5 established control suture materials [polyester (Miralene®), polytetrafluoroethylene (Gore®), poliglecaprone (Monocryl®), polydioxanone (Monoplus®), polyglactin 910 (Vicryl®), USP size 3-0] were placed in the subcutaneous layer of the abdominal wall without knot or tension. After 3, 7 or 21 days, the abdominal walls were explanted for histopathological and immunohistochemical investigation with special regard to the size and quality of foreign body granuloma and the length of the comet tail-like infiltrate (CTI). Results: The PVDF sutures showed the smallest size of foreign body granuloma (60 ± 14 µm) and the smallest CTI length (343 ± 60 µm) of all polymers after 21 days. Only PVDF (Resopren) and polydioxanone (Monoplus) showed a significant collagen I/III ratio increase between days 3 and 21 (p = 0.009 and p = 0.016). The quality of foreign body reaction regarding inflammation, proliferation and fibrotic remodeling was similar between all suture materials. Conclusions: Our data indicate that monofilamental PVDF sutures show a favorable foreign body reaction with small granuloma sizes and CTI length in comparison to established sutures. Its use as a suture material in general surgery could therefore be extended in the future. To reinforce these findings, further clinical studies need to be conducted.

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8

Eladawi, Sondos, Ahmed Ragab, Mohamed Kayed, Bassma Elsabaa, and Marwa Khaled. "Suture granuloma extending intra-abdominally, detected five months postappendectomy." BJR|case reports 7, no. 5 (2021): 20200191. http://dx.doi.org/10.1259/bjrcr.20200191.

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Objective: Suture granulomas are localised inflammatory reactions that develop at the site of retained suture material. They are a rare surgical complication that is sometimes radiologically challenging to diagnose, especially if the intra-abdominal is communicating with the anterior abdominal wall. Methods: The case reported here was a 22-year-old female who presented with right iliac fossa pain 5 months post-appendectomy, which turned out to be due to a suture granuloma. Ultrasonography and CT with and without contrast misdiagnosed the lesion as an abscess or less likely as neoplasm. Conclusive diagnosis was based upon histopathological examination of tissue obtained by biopsy. Conclusion: When reviewing the images of patients who present with post-operative surgical complications, it is crucial to consider suture granuloma as a distinct possibility. A definitive diagnosis saves the patient from undergoing unnecessary extensive surgeries and improves the patient experience.

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9

Takahara, Kohei, Hiroaki Kakinoki, Saya Ikoma, et al. "Suture Granuloma Showing False-Positive Findings on FDG-PET." Case Reports in Urology 2013 (2013): 1–3. http://dx.doi.org/10.1155/2013/472642.

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We report a case of a 33-year-old male with a mixed germ-cell testicular tumor. Postoperative follow-up FDG-PET revealed concentration of FDG in the left inguinal area which is not tumor metastasis or local recurrence but suture reactivity granuloma. In this paper, we reviewed suture granulomas associated with false-positive findings on FDG-PET after surgery. If FDG-PET will be used more frequently in the future, it will be necessary to refrain from using silk thread in order to prevent any unnecessary surgery.

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10

Ghulam Hyder Sahito, Mahtab Alam Khanzada, Imtiaz Ahmed Gilal, Inshaal Alam Khanzada, Suhail Bajarani, and Irfan Memon. "Comparison of recurrence rate of primary pterygium using conjunctival autograft with sutures versus suture-free approach." JMMC 14, no. 2 (2024): 30–34. http://dx.doi.org/10.62118/jmmc.v14i2.314.

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Objective: To compare the recurrence rate of primary pterygium treated with conjunctival autograft (CAG) using sutures versus a suture-free approach. Methodology: From July 2022 to December 2022, a quasi-experimental study was carried out at the Institute of Ophthalmology, Liaquat University of Medical & Health Sciences Jamshoro. A total of 110 patients with primary pterygium underwent treatment with conjunctival autograft using sutures or a suture-less/glue-free approach, under local anaesthesia. The patients were monitored for 12 months after surgery to assess recurrence and complications, and all procedures were performed by a single surgeon. Data was collected and analyzed on SPSS version 22. Result: The study included 110 patients with pterygium, mostly males (71.81%) and from rural areas, with the nasal location being the most common. Group A had 3 recurrences at 3 and 6 months, while Group B had 4 recurrences at similar intervals. Group A had fewer complications, including graft oedema, retraction, granuloma, and giant papillary conjunctivitis, while Group B had three cases of retraction. The recurrence rate was found to be 5.08% and 7.70% with and without sutures (P value ≥ 0.53) respectively. Conclusion: The excision of primary pterygium using conjunctival autograft with sutures or suture-free/glue-free methods are safe and uncomplicated procedure that results in lower levels of induced astigmatism, improved cosmetic appearance, no tissue loss, reduced recurrence of pterygium, and decreased risk of, scleral thinning, granuloma formation. Suture-free conjunctival autograft results in less postoperative manifestation like discomfort foreign body sensation, shorter surgery time, and high levels of patient satisfaction compared to conjunctival autograft with sutures. Key words: Primary pterygium, autograft and pterygium. recurrence rate of pterygium, suture with pterygium.

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11

Emanah Victor Steve and Okongko Anietienteabasi Okon. "Umbilical Granuloma: A case report." International Journal of Science and Research Archive 10, no. 1 (2023): 217–20. http://dx.doi.org/10.30574/ijsra.2023.10.1.0718.

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After birth, remnants of the umbilical cord should separate spontaneously from the neonate within 1-2 weeks. However, in certain instances, following separation, a small red or pink moist bump forms in a neonate’s umbilical stump known as an umbilical granuloma. Treatment options include the application of silver nitrate, salt application, double-ligature technique, cryosurgery, and surgical excision. We present a 7 week old male with an umbilical granuloma treated with the double ligature technique using an absorbable suture with the disappearance of the lesion at a 1 week follow up visit. The ligature technique is one of several methods used in the treatment of umbilical granuloma. Although non-absorbable silk sutures are commonly used for this technique, absorbable sutures can be used for lesions with a narrow stalk.

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12

Villeneuve, Julien, Alexis Desmoulière, Antoine Dewitte, et al. "A Role for CD154, the CD40 Ligand, in Granulomatous Inflammation." Mediators of Inflammation 2017 (2017): 1–14. http://dx.doi.org/10.1155/2017/2982879.

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Granulomatous inflammation is a distinctive form of chronic inflammation in which predominant cells include macrophages, epithelioid cells, and multinucleated giant cells. Mechanisms regulating granulomatous inflammation remain ill-understood. CD154, the ligand of CD40, is a key mediator of inflammation. CD154 confers a proinflammatory phenotype to macrophages and controls several macrophagic functions. Here, we studied the contribution of CD154 in a mouse model of toxic liver injury with carbon tetrachloride and a model of absorbable suture graft. In both models, granulomas are triggered in response to endogenous persistent liver calcified necrotic lesions or by grafted sutures. CD154-deficient mice showed delayed clearance of carbon tetrachloride-induced liver calcified necrotic lesions and impaired progression of suture-induced granuloma. In vitro, CD154 stimulated phagocytosis of opsonized erythrocytes by macrophages, suggesting a potential mechanism for the altered granulomatous inflammation in CD154KO mice. These results suggest that CD154 may contribute to the natural history of granulomatous inflammation.

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13

Singla, Anjali, A. R. Bansal, Vishal Chopra, Divyasha Chopra, and Joy Bansal. "Which suture is ideal for abdominal fascial closure: polydioxanone or polypropylene?" International Surgery Journal 10, no. 4 (2023): 647–50. http://dx.doi.org/10.18203/2349-2902.isj20230970.

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Background: A secured fascial closure with appropriate suture material is an integral step to prevent complications in laparotomy. A costly post-operative complication is wound dehiscence which manifests as incisional hernia as a delayed complication. The present study compared prolene and polydioxanone (PDS) sutures in patients undergoing midline closure after emergency exploratory laparotomy with the aim to evaluate wound outcome after the use of either of the sutures. Methods: Sixty-six patients undergoing emergency laparotomy were randomly divided into two groups: group A (PDS) and B (prolene). Wound complications were evaluated for each patient in terms of wound pain, wound discharge, burst abdomen, stitch sinus, stitch granuloma and incisional hernia. Results: Wound pain was observed more in prolene group, p<0.05 till 3rd post-op day. Wound discharge, wound dehiscence and burst abdomen were more in prolene group, but the difference was statistically insignificant (p>0.05). Six patients developed incisional hernia, out of which 5 had prolene, (p>0.05). Similar statistically insignificant difference was found with stitch granuloma and stitch sinus. Conclusions: Till date there is lack of agreement about the ideal suture for abdominal fascial closure. Present study concluded that any suture material is equally effective for abdominal fascial closure since there are many other factors contributing towards wound complications.

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14

Shahid, Haroon, Cuckoo Choudhary, and Phoebe Holmes. "Suture Granuloma Mimicking Colon Cancer." American Journal of Gastroenterology 106 (October 2011): S328—S329. http://dx.doi.org/10.14309/00000434-201110002-00879.

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15

Bonni, Aram. "Suture Granuloma following Ventral Herniorrhaphy." American Journal of Cosmetic Surgery 30, no. 1 (2013): 39–42. http://dx.doi.org/10.5992/ajcs-d-12-00046.1.

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16

Gleeson, M. J., and J. P. McMullin. "Suture granuloma simulating a cholangiocarcinoma." British Journal of Surgery 74, no. 12 (1987): 1181. http://dx.doi.org/10.1002/bjs.1800741233.

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17

Cansu, Guven Baris, B. Taskiran, T. Bakar, and B. P. Cengiz. "An unusual case in endocrinology practice: Suture granuloma." Endocrine Regulations 50, no. 3 (2016): 145–47. http://dx.doi.org/10.1515/enr-2016-0016.

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Abstract Objective. Suture granuloma, the rare complication of thyroidectomy, results from the use of nonabsorbable suture materials. Despite its typical ultrasound images and benign course, it carries utmost importance in the diff erential diagnosis of lymph nodes, recurrent nodules, and recurrence in the case of thyroid cancers. Subject and Results. Fifty four years old female patient, who underwent bilateral thyroidectomy in July 2010, was diagnosed with multinodular goiter and incidentally discovered micropapillary carcinoma (2 mm). Four years later, she was readmitted to hospital due to painless swelling in the right and left anterior neck region. Ultrasonography revealed nodules with irregular boundaries, containing micro- and macro-calcifications and hyperechoic lines in both sides of the thyroid bed and isthmus. Fine needle aspiration biopsy was performed in the right and left sided mass and the cytological examination was compatible with the diagnosis of the suture granuloma. Conclusions. Suture granuloma should be considered in the differential diagnosis of the local recurrence

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18

Sarode, Gargi S., Namrata Sengupta, and Yaser A. Alhazmi. "Suture Granuloma in Oral Biopsy Specimen." World Journal of Dentistry 11, no. 2 (2020): 161–63. http://dx.doi.org/10.5005/jp-journals-10015-1719.

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19

Çalışkan, S. Çalışkan, R. Akdeniz Akdeniz, M. Sungur Sungur, and B. Eser Eser. "Silk suture granuloma after high orchiectomy." Urologiia 6_2020 (January 30, 2020): 113–14. http://dx.doi.org/10.18565/urology.2019.6.113-114.

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20

Mathew, Anu A., and Lionel Kowal. "Conjunctival granuloma post pulley fixation suture." Journal of American Association for Pediatric Ophthalmology and Strabismus 21, no. 4 (2017): 342–43. http://dx.doi.org/10.1016/j.jaapos.2017.03.012.

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21

Eryilmaz, Recep, Murat Demir, and Rahmi Aslan. "Rare complication of varicocelectomy: Suture granuloma." Andrologia 51, no. 5 (2019): e13256. http://dx.doi.org/10.1111/and.13256.

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22

Yulish, Michael, and Joseph Pikkel. "Evaluation of Polybutylate-Coated Braided Polyester (Ethibond) Sutures for Levator-Advancement Blepharoptosis Repair." ISRN Ophthalmology 2012 (October 14, 2012): 1–4. http://dx.doi.org/10.5402/2012/763731.

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Purpose. To evaluate the efficacy and safety of polybutylate-coated braided polyester (Ethibond* 5-0) suture for levator aponeurosis suturing to the anterior tarsal surface in involutional blepharoptosis repair surgery. Methods. Ten consecutive patients (16 eyes) with acquired blepharoptosis which resulted from levator aponeurosis dehiscence with good levator function had gone through surgery and were followed up for, at least, one year. Results. There was no significant change between postoperative MRD1 measurements. No serious complications, such as infection of the sutures, inflammation, granuloma formation or ptosis recurrence, were registered. Conclusion. Polybutylate-coated braided polyester (Ethibond* 5-0) suture is a safe and effective material for involutional blepharoptosis repair surgery.

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23

Relles, Daniel, Vanessa A. Talbott, Zhiven Fong, and Pinckney J. Maxwell. "Symptomatic Suture Granuloma of the Cecum after Silk Suture Appendectomy." American Surgeon 79, no. 5 (2013): 197–98. http://dx.doi.org/10.1177/000313481307900508.

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Gaylard, Aubrey, Xin Yi Goai, Alexandra Du Guesclin, and Russell Hodgson. "PET-positive suture granuloma of abdominal wall 56 years post-appendicectomy mimicking recurrence of lymphoma." BMJ Case Reports 16, no. 2 (2023): e254413. http://dx.doi.org/10.1136/bcr-2022-254413.

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We present a unique case of a positron emission tomography (PET)-positive suture granuloma deep to an appendicectomy abdominal wall scar from 56 years prior in a patient with treated lymphoma. The lesion was first detected 8 years ago on a PET scan for new diagnosis of follicular lymphoma, with stable appearances 6 and 7 years later at follow-up. Ultrasound-guided biopsy and flow cytometry of the specimen could not exclude an untreated or recurrent lymphoma; thus, the patient underwent resection of the right iliac fossa abdominal wall lesion. Histopathology results noted granulomatous inflammation surrounding foreign material. The patient had an uneventful postoperative recovery and was discharged from surgical services. In this paper, we review the current literature and discuss the dilemma involved in the diagnosis and management of suture granulomas.

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Huda, Farhanul, Vinod Kumar, Navin Kumar, and Sanjeev Kishore. "Suture granuloma mimicking axillary recurrence in bilateral breast carcinoma: a case report." International Surgery Journal 4, no. 12 (2017): 4105. http://dx.doi.org/10.18203/2349-2902.isj20175422.

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An axillary mass caused by foreign body reaction post mastectomy is a rare occurrence and may pose a diagnostic challenge. We report our experience with a case of suture granuloma of the axilla mimicking recurrence in a patient with aggressive bilateral breast carcinoma. A 47-year-old female presented with left axillary swelling following bilateral modified radical mastectomy for carcinoma. Radiological and pathological investigations were equivocal. A provisional diagnosis of recurrence was made, and the swelling was excised. On histopathology it was found to be a suture granuloma.

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Kothari, Reena, Prachir Mukati, and Dhananjaya Sharma. "ACDC: a simple app for abdominal wall closure data collection." International Journal of Research in Medical Sciences 6, no. 7 (2018): 2512. http://dx.doi.org/10.18203/2320-6012.ijrms20182846.

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Background: With the aims of getting evidence-based guidelines and decision making, well supported by strong, high quality data. We have developed an easy surgeon friendly mobile app which can be customized to the need by just decoding it.Methods: We have use this app to analyze the outcomes of midline rectus sheath closure with different techniques and different sutures in terms of SSI, wound dehiscence, suture knot granuloma, burst abdomen and incisional hernia(IH). All the details regarding patient’s demographic status, surgical technique, suture used and follow up were recorded in the form of EDC (Electronic Data Collection) with the mobile app.Results: Total 595 cases with mean age 48 years underwent midline closure. The most preferred technique was continuous running technique with polypropylene suture (54.1%) followed by herringbone technique with polypropylene suture (27.7%), continuous running technique with polyglactin suture (18. 2%).The incidence of IH was 4.05% with continuous running technique with polypropylene suture. The data of desired variables can be accessed easily just by few clicks.Conclusions: This mobile app is reliable, fast, cost effective, and generates a credible and valid data along with the basic statistical analysis.

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Corgozinho, Katia Barão, Cristiane Belchior Caloeiro, Letícia Figliuolo, Simone Carvalho Santos Cunha, Clarissa Moreira, and Heloisa Justen Moreira De Souza. "Hemangiosarcoma Associated with Polypropylene Suture in a Cat." Acta Scientiae Veterinariae 46 (June 18, 2018): 3. http://dx.doi.org/10.22456/1679-9216.86890.

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Background: Sutures plays an important role in wound repair by providing hemostasis and support for healing suture. Synthetic non-absorbable like polypropylene suture materials induce minimal tissue reaction. Polypropylene has not been associated to neoplasms in domestic animals. The aim this study is to describe the first case of polypropylene suture induced hemangiosarcoma in an abdominal wall of a feline.Case: A 13-year-old female domestic shorthair cat was presented with a ventral abdominal subcutaneous mass. Clinical examination revealed a firm, rough, and irregular, approximately 6 x 4 cm subcutaneous mass involving the caudal ventral abdomen. A complete blood (cell) count (CBC) was within normal limits. Leukemia and FIV tests were negative; andthe results of a chemistry panel revealed elevated creatinine (valor: 2.0 reference range: 0.5-1.9). Abdominal ultrasound revealed a large mass of mixed echogenicity in the mid-ventral abdomen cranial to the bladder, measuring approximately 6 x 4 cm in the middle line with suture deeply embedded within mass suggesting foreign body reaction or neoplasm. There was evidence of sutures (hyperechoic lines) along the caudal abdominal wall extending into the mass. Records indicated that ovariohysterectomy procedure was performed 12 years previously at the same clinic and the closure of the abdominal wall was made with polypropylene sutures. No other abdominal surgery was performed in this cat. A fine-needle aspirate of the mass and contrast-enhanced computed tomography was not performed due to owner’s finance restrains. The catwas referred to surgery and the mass was excised. No evidence of metastasis was noted during surgery. Histologically, the neoplastic cells were oval to round with granular cytoplasm and vesicular nucleus and exhibited moderate cellular and nuclear pleomorphism. A diagnosis of abdominal wall hemangiosarcoma was made with suture deeply embedded within mass. Surgical margins were clear. Chemotherapy was indicated, but the owner declined due to financial reasons. This is the first polypropylene suture mass associated hemangiosarcoma in cats.Discussion: Hemangiosarcoma is a malignant neoplasm of vascular endothelial cells origin and it may be associated with chronic inflammation and neoplastic transformation. It was reported in previous studies, and it could be a hypothesis for the presented clinical case. There are two cases described in the literature of abdominal wall tumor associated with foreignbody and exuberant inflammatory response in cats using different types of suture; one case is a steel staple developing hemangiosarcoma and the other is polyester sutures developed fibrosarcoma. The present study shows a primary hemangiosarcoma diagnosed several years after closure of abdominal wall using polypropylene sutures in a female cat. Polypropylene is a monofilament suture that create less tissue-drag and induces less inflammation than multifilament sutures and is the preferred suture to close abdominal wall. Cats demonstrate a peculiar predisposition to neoplasms at the site of injury. Although the pathogenesis is still unclear, the introduction a “foreign body” may cause inflammatory process that act as a stimulus to neoplasia formation. We believe that polypropylene was the foreign material that may have played arole in tumor development in this case and it has not been reported before. Polypropylene sutures were found on gross examination of excised material. Any uncoated braided non-absorbable material located deeply in tissues may evoke a chronic inflammatory response (granuloma). A granuloma may evolve to malignancy in some cats. Despite polypropylenematerials induce minimal tissue reaction, it may be associated to neoplasm.Keywords: polypropylene suture, hemangiosarcoma, cat, tumor induced by foreign body.

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SINGH, BRIJESH, MEENU BABBER, and IFSA SAMI. "Outcome Of The Use Of Autologous Blood Serum, Fibrin Glue And Vicryl Suture In Conjunctival Autograft Transplant Following Pterygium Surgery." International Journal of Medical Science and Clinical invention 7, no. 06 (2020): 4860–64. http://dx.doi.org/10.18535/ijmsci/v7i06.07.

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Background: Pterygium is a common ophthalmological problem in India. Excision of pterygium with conjunctival autograft is the main line of treatment. Many modifications of surgical techniques have been tried like conjunctival autografting with fibrin glue, sutures and autologous serum. All these modalities have their pros and cons. We compared these techniques for conjunctival autografting following pterygium surgery. Methods: A randomized interventional study was performed on 60 eyes with primary nasal pterygium. After pterygium excision, the bare sclera was covered with a conjunctival autograft, which was fixed using autologous blood serum(in Group A, n=20), fibrin glue(in Group B, n=20) and vicryl suture (8-0) (in Group C, n=20). The patients were examined on postoperative Day 1, 1 week, 1month, 3 month and 6 month. The main outcome measures were operative time ,autograft stability, postoperative discomfort, autograft thicknes, pterygium recurrence and granuloma formation. Results: The mean operative time was significantly shorter in group A(23.60 min) followed by Group B (25.20 min) and Group C(28.15 min)(p-value <0.0001).Postoperative discomfort measured on visual analogue scale was minimal in fibrin group (p-value=0.0008) and maximum in suture group. Graft displacement was found in 2(10%) patient in autologous blood group (p value=0.349) while Graft oedema, granuloma & recurrence was noted in suture group only(p value=0.362). Conclusions: The conjunctival autografting with fibrin glue proved to be better method than autologous serum and suture, as it had very less postoperative discomfort, no recurrence, minimal edema and less graft displacement.

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Ziyal, Ibrahim M., Yunus Aydin, and Ghassan K. Bejjani. "Suture granuloma mimicking a lumbar disc recurrence." Journal of Neurosurgery 87, no. 3 (1997): 473. http://dx.doi.org/10.3171/jns.1997.87.3.0473.

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LEVIN, JOSHUA MARC, JEREMY A. BRAUER, KARLA DRAFT, JACQUELINE M. JUNKINS-HOPKINS, and WILLIAM D. JAMES. "Suture Granuloma Following Surgical Neck Rejuvenation Procedure." Dermatologic Surgery 32, no. 5 (2006): 768–69. http://dx.doi.org/10.1097/00042728-200605000-00041.

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LEVIN, JOSHUA MARC, JEREMY A. BRAUER, KARLA DRAFT, JACQUELINE M. JUNKINS-HOPKINS, and WILLIAM D. JAMES. "Suture Granuloma Following Surgical Neck Rejuvenation Procedure." Dermatologic Surgery 32, no. 5 (2006): 768–69. http://dx.doi.org/10.1111/j.1524-4725.2006.32156.x.

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Scheidler, David M., Richard S. Foster, Richard Bihrle, John W. Scott, and Scott E. Litwiller. "Anastomotic Suture Granuloma Following Radical Retropubic Prostatectomy." Journal of Urology 143, no. 1 (1990): 133–34. http://dx.doi.org/10.1016/s0022-5347(17)39891-9.

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Lynch, Thomas H., Brian Waymont, Christopher J. Beacock, and D. Michael A. Wallace. "Paravesical Suture Granuloma: A Problem Following Herniorrhaphy." Journal of Urology 147, no. 2 (1992): 460–62. http://dx.doi.org/10.1016/s0022-5347(17)37273-7.

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Khoo, Lin Wei, Sathish Srinivasan, and Fiona Roberts. "Foreign body episcleral suture granulomas mimicking nodular anterior scleritis." BMJ Case Reports 13, no. 10 (2020): e237661. http://dx.doi.org/10.1136/bcr-2020-237661.

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Scleritis is an idiopathic condition that may sometimes be associated with systemic immunological like disorders rheumatoid arthritis, Wegener’s granulomatosis and systemic lupus erythematosus. A variety of foreign material has been reported to result in granuloma formation in various parts of the body. We report a case of inflamed episcleral granulomas mimicking severe nodular anterior scleritis in a healthy Caucasian woman who underwent strabismus surgery in her childhood. Foreign body reaction on the episcleral/scleral surface is rare. It is extremely unusual for a non-absorbable suture that was used for childhood strabismus surgery to incite an acute inflammatory episode mimicking nodular anterior scleritis as in our case. As the strabismus surgery was performed 37 years prior to her presentation with anterior scleritis, we were unable to obtain any details of this surgical procedure. We presume that a non-absorbable suture like braided polyester or prolene may have been used.

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Gopinathan, Nirmal Raj, Balaji Saibaba, Siva Swaminathan Santhanam, and Rajendra Kumar Kanojia. "Ethibond Suture Granuloma following Tibialis Anterior Tendon Transfer Mimicking Osteomyelitis of Foot." Journal of Foot and Ankle Surgery (Asia Pacific) 2, no. 2 (2015): 97–100. http://dx.doi.org/10.5005/jp-journals-10040-1039.

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ABSTRACT Tibialis anterior tendon transfer is routinely done for the correction of dynamic supination deformity of foot in children with congenital talipes equinovarus (CTEV). Surgeons commonly make use of a nonabsorbable suture—‘ethibond number 2’ for anchoring the transferred tendon to the new recipient site. We would like to report a case of suture granuloma following tibialis anterior tendon transfer in a 4 years old child, presenting with a swelling and discharging sinus clinically mimicking osteomyelitis. Unlike osteomyelitis, the patient did not have fever or pain clinically, nor was any organism detected microbiologically. The clinical presentation and the successful management of the case have been described in detail along with relevant review of literature. How to cite this article Gopinathan NR, Dhillon MS, Saibaba B, Santhanam SS, Kanojia RK. Ethibond Suture Granuloma following Tibialis Anterior Tendon Transfer Mimicking Osteomyelitis of Foot. J Foot Ankle Surg (Asia-Pacific) 2015;2(2):97-100.

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Wali, Fariha S., Muhammad Jawed, Rafeen Talpur, Naeemullah Shaikh, Shehnilla Shujaat, and Khalid I. Talpur. "Pterygium excision with suture-less and glue-free conjunctival autograft." Asian Journal of Ophthalmology 17, no. 2 (2020): 227–32. http://dx.doi.org/10.35119/asjoo.v17i2.579.

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Introduction: Pterygium excision is a commonly encountered surgery with different methods being used. These procedures range from simple excision to use of grafts. Limbal conjunctival autograft is currently the most popular surgical procedure. The most common method of autograft fixation is suturing. But it has its own drawbacks like increased operating time, post-operative discomfort, inflammation, buttonholes, necrosis, giant papillary conjunctivitis, scarring, and granuloma formation. Glue is widely used due to many advantages like easy fixation of the graft, shorter operation time, and reduction in complications and post-operative discomfort but at the same time has some disadvantages also like high cost, the risk of transmission of infectionsand inactivation by iodine preparations. Purpose: In the following study, we describe a simple method of accomplishing conjunctival autograft adherence during pterygium surgery avoiding possible complications associated with the use of fibrin glue or sutures. Design: Prospective study. Method: We used conjunctival autograft, which was not sutured or glued to the scleral bed. The fibrin formed from the oozing blood was used to get the graft adhesion to the scleral bed. This study was approved by institutional review board, and written consent form was taken from each participant. Results: The suture-less and glue-free conjunctival autograft was found to have excellent results in terms of surgical outcome as well as post-operative recovery. In addition, risk of side effects related to sutures and glue was eliminated. Conclusion: Suture-less and glue-free conjunctival autograft is a new, easy, and cheaper technique for the management of pterygium.

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Ruge, John R., Tadanori Tomita, Thomas P. Naidich, Yoon S. Hahn, and David G. McLone. "Scalp and Calvarial Masses of Infants and Children." Neurosurgery 22, no. 6P1-P2 (1988): 1037–42. http://dx.doi.org/10.1227/00006123-198806010-00011.

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Abstract Review of 70 children presenting with a solitary nontraumatic lump on the head revealed that 61% ofthe lesions were dermoid tumor, 9% were cephalhematoma deformans, 1% were eosinophilic granuloma, and 4% were occult menin goceles and encephaloceles. Most of the dermoid cysts occurred along sutural lines, but some did not. One of the eosinophilic granulomas was located over the sagittal suture. Seventeen per cent of the “lumps” had significant intracranial extension. An additional 20% of the lumps extended intracranially, but only to the dura mater. Work-up of these lesions should include initial plain skull roentgenograms to assess multiplicity and appropriate computed tomographic scans to assess possible intracranial extension.

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Takeshita, Nobuyoshi, Takayuki Tohma, Hideaki Miyauchi, et al. "Suture Granuloma With False-Positive Findings on FDG-PET/CT Resected via Laparoscopic Surgery." International Surgery 100, no. 4 (2015): 604–7. http://dx.doi.org/10.9738/intsurg-d-14-00140.1.

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A 61-year-old woman who had undergone total hysterectomy 16 years previously exhibited a pelvic tumor on computed tomography (CT). F-18 fluorodeoxyglucose (FDG) combined positron emission tomography (PET)/CT imaging revealed a solitary small focus of increased FDG activity in the pelvis. A gastrointestinal stromal tumor originating in the small intestine or another type of tumor originating in the mesentery (desmoid, schwannoma, or foreign body granuloma) was suspected; therefore, laparoscopic resection was conducted. A white, hard tumor was found to originate from the mesentery of the sigmoid colon and adhered slightly to the small intestine. The tumor was resected with a negative margin, and the pathologic diagnosis was suture granuloma. The possibility of suture granuloma should be kept in mind in cases of tumors with positive PET findings and a history of surgery close to the lesion. However, it is difficult to preoperatively diagnose pelvic tumors using a biopsy. Therefore, considering the possibility of malignancy, it is necessary to achieve complete resection without exposing the tumor.

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Maffulli, Nicola, and Amol Saxena. "RE: Darwish et al. “Ethibond Suture Granuloma Formation Following Repair of Acute Achilles Tendon Ruptures”." Journal of Foot and Ankle Surgery (Asia Pacific) 8, no. 2 (2021): 91. http://dx.doi.org/10.5005/jp-journals-10040-1151.

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How to cite this article: Saxena A, Maffulli N. RE: Darwish et al. “Ethibond Suture Granuloma Formation Following Repair of Acute Achilles Tendon Ruptures”. J Foot Ankle Surg (Asia Pacific) 2021;8(2):91.

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Chung, Yong Eun, Eun-Kyung Kim, Min Jung Kim, Mijin Yun, and Soon Won Hong. "Suture Granuloma Mimicking Recurrent Thyroid Carcinoma on Ultrasonography." Yonsei Medical Journal 47, no. 5 (2006): 748. http://dx.doi.org/10.3349/ymj.2006.47.5.748.

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SAYEGH, SAMIA, LOUIS BERNARD, RICHARD STERN, JEAN-CLAUDE PACHE, ILDIKO SZALAY, and PIERRE HOFFMEYER. "SUTURE GRANULOMA MIMICKING INFECTION FOLLOWING TOTAL HIP ARTHROPLASTY." Journal of Bone and Joint Surgery-American Volume 85, no. 10 (2003): 2006–9. http://dx.doi.org/10.2106/00004623-200310000-00023.

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Fink, G., P. Herskovitz, M. Nili, H. Hadar, A. Rothem, and S. A. Spitzer. "Suture granuloma simulating lung neoplasm occurring after segmentectomy." Thorax 48, no. 4 (1993): 405–6. http://dx.doi.org/10.1136/thx.48.4.405.

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43

Dogra, P. N., S. Tandon, M. S. Ansari, Anupama, and P. Chopra. "Suture Foreign Body Granuloma Masquerading as Renal Neoplasm." International Urology and Nephrology 37, no. 1 (2005): 27–29. http://dx.doi.org/10.1007/s11255-004-6707-8.

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44

TSUCHIDA, Yasuhiko, and Chun-Ho PARK. "Histopathological Study on Canine Post-Operative Suture Granuloma." Journal of the Japan Veterinary Medical Association 62, no. 5 (2009): 388–94. http://dx.doi.org/10.12935/jvma.62.388.

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45

R., Rohini, Jaishri Pagare, and Ankita Chormale. "DIODE LASER AIDED EXCISION OF PYOGENIC GRANULOMA ON TONGUE: A CASE REPORT." International Journal of Advanced Research 11, no. 03 (2023): 259–63. http://dx.doi.org/10.21474/ijar01/16416.

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Pyogenic granuloma, also called lobular capillary hemangioma, is a non-neoplastic, vascular reactive lesion of the skin and mucous membranes. While the majority of the oral pyogenic granuloma involve the gingiva, they also rarely present at other sites including lips, buccal mucosa, palate, and tongue. The most common treatment of pyogenic granuloma is surgical excision but alternative modern approaches such as laser excision have also been proposed which results in bloodless, painless and suture free procedure. Herein, we present a case of pyogenic granuloma on tongue which was excised successfully with diode laser as a conservative and non-stressful method. The use of laser as modern medicine offers a new tool for treatment of oral lesions as comfortable as possible in all patients.

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Ifesanya, Adeleke, and Markus Scheibel. "Posterosuperior suture granuloma impingement after arthroscopic SLAP repair using suture anchors: a case report." Knee Surgery, Sports Traumatology, Arthroscopy 16, no. 7 (2008): 703–6. http://dx.doi.org/10.1007/s00167-008-0524-z.

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47

Secil, Mustafa, Ugur Mungan, and Kutsal Yorukoglu. "Suture granuloma after orchiectomy: sonography, doppler and elastography features." International braz j urol 41, no. 4 (2015): 813–16. http://dx.doi.org/10.1590/s1677-5538.ibju.2013.0207.

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Onodera, Hidetaka, Yu Furuya, Masashi Uchida, et al. "Intracranial foreign body granuloma caused by dural tenting suture." British Journal of Neurosurgery 25, no. 5 (2011): 652–54. http://dx.doi.org/10.3109/02688697.2011.568641.

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Al-tawil, Y. S., M. A. Gilger, E. P. Hawkins, and W. J. Pokorny. "Esophageal Suture Granuloma as a Complication of a Fundoplication." Journal of Pediatric Gastroenterology and Nutrition 18, no. 1 (1994): 104–6. http://dx.doi.org/10.1097/00005176-199401000-00019.

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Carroll, K. M., K. Sairam, S. P. Olliff, and D. M. A. Wallace. "Paravesical suture granuloma resembling bladder carcinoma on CT scanning." British Journal of Radiology 69, no. 821 (1996): 476–78. http://dx.doi.org/10.1259/0007-1285-69-821-476.

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