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.

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.

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

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)

Answer: Stitch abcess

Answer: Stitch abcess

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Can Stitch Granulomas Heal Without Being Surgically Removed?

Answers (4)

Answer: Stitch abcess

Answer: Stitch abcess

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