Adverse reaction to surgical sutures in thyroid surgery

Abstract

In rare cases, severe reaction to silk sutures may develop after thyroid surgery. Surgical removal of the stitches is the treatment of choice. Intradermal skin test is a good predictor of allergy to sutures.

Electrothermal bipolar vessel sealing system is a safe and time-saving alternative to classic suture ligation in total thyroidectomy

“…Current methods for hemostasis are ligations, sutures, metallic clips, staples, and coagulation devices. Ligation and sutures are time consuming, and nonabsorbable materials, such as suture ligations, clips, and staples, may, in rare cases, produce inflammation and poor wound healing 3, 4. Use of electrocautery for hemostasis could result in thermal damage to the recurrent laryngeal nerve and the parathyroid glands 5…”

Allergic Reaction to Suture Material After an ICD Procedure: Device Infection Mimicry

“…In the dermatology literature, allergy to the colored dye in suture has been reported, and to specific suture types, 3–6 but this phenomenon has not been described before in the setting of CIED implantation, which has unique implications because of the presence of permanent device hardware. Skin testing can determine which types of suture may be used safely, which is of critical importance for future surgical procedures where suture is needed for wound closure.…”

Hemorrhagic Foreign Body Granuloma after Cutaneous Surgery Occurring in the Setting of Aspirin Therapy or Thrombocytopenia: A Presentation of Six Cases

“…Delayed-type hypersensitivity reaction, presenting clinically as a suppurative and granulomatous response, has been associated with silk. 11 Aside from ligature material composition and quantity used, the wound healing process can also be affected by suturing technique and the amount of wound tension. All wounds in this report were located on the face and repaired with transposition, cheek advancement, or single Burrow's flaps.…”