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Reader Question: Suture Granuloma? My Suture’s Spitting Out!

Posted Jul 28 2009 12:00am

Reader Question:

I had a Tummy Tuck and my doctor told me that he used dissolvable stitches. I am 5 weeks out and have formed a few painful little bumps along the scar line. My doctor removed a clear stitch from one of them that looked like fishing line with some pus today and I am freaking out!

When do these hellish dissolvable stitches dissolve? What in God’s name is a Suture Granuloma?

Long term dissolvable sutures used underneath skin closures (you probably have Monocryl, Maxon or PDS) have good points and bad points. They help control the width of scars making them stay thinner via holding the tension of a tight closure. Eventually these sutures dissolve in two to six months or more (depending upon the type.) The bad part is that some patient’s bodies can react to them like yours seems to be and form little pus pockets in response to some of them. The body kinda “spits” some of these sutures through the scar which can seem scary.

Not all of your sutures will do this, but you might have a few problems over the next few months and your surgeon may want to take note of the suture type to which you seem to be having the problem to avoid it if you are to have any more surgery. Patients seem to react to the individual types differently and some might work better for you than others. Stay close to your surgeon’s office and wait out the next few months.

Best Regards,

John Di Saia MD

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