Can Stitch Granulomas Heal Without Being Surgically Removed?

Question

HX-MRSA abscess post op abdominoplasty. Several rounds bactrim ds. PMHX-healthy, nonsmoker, nondiabetic 18 weeks post op 2 stitch granulomas-can they heal w/out surgical intervention (one has not opened, the other has opened daily X 4 days w/small amt pus drainage)? Could a longer duration of abx be successful (6 weeks)? AND if they HAD to be removed what is the chance of ending up with another MRSA abscess?

Farbod Esmailian, MD · Answer

It really depends if the sutures are absorbable or not.  If they are then sometimes it does clear it self up.  But if the reason why you are having the issue is from non-absorbable sutures, such as ethibond, then it does have to be remove in order to get the area to heal.

	Good luck.

Otto Joseph Placik, MD · Answer

I do not understand if this is a granuloma of the permanent sutures or the resorbable ones, In the former it may be possible but unlikely and will probably best be treated with suture removal. Resorbable suture granulomas should resolve

Tom J. Pousti, MD · Answer

You need to be followed closely  clinically. In general,  at your stage in recovery symptomatic foreign  bodies or reactions to the form bodies (granulomas)  may need to be removed. By symptomatic I mean recurrent infections, wound healing problems and/or tenderness. I think this excision will give you a higher probability of successful outcome compared to further antibiotic treatment.

	Best wishes.

Scott E. Kasden, MD, FACS · Answer

You need to get the infected implants out.  Chances are that they may heal over only to drain again.  You likely should be treated for MRSA in advance just to be safe.

Can Stitch Granulomas Heal Without Being Surgically Removed?

Answers (4)

More Tummy Tuck Questions

WE SEND PRETTY
EMAILS

Can Stitch Granulomas Heal Without Being Surgically Removed?

Answers (4)

More Tummy Tuck Questions

Normal Vs Abnormal Swelling After Tummy Tuck

How Long Can I Expect Pain After a Tummy Tuck?

Can Patients with HIV Get Tummy Tucks?

What is the Best Way to Drain Seromas Post Tummy Tuck?

Will Tummy Tuck Remove Stretch Marks Above the Belly Button?

Should I Use a Teaching Hospital to Get a Cheaper Tummy Tuck?

WE SEND PRETTY EMAILS

WE SEND PRETTY
EMAILS