“Non absorbable barbed sutures for diastasis recti. A useful device with unexpected risk: two case reports”

IF 1.3 Q3 SURGERY Archives of Plastic Surgery-APS Pub Date : 2023-09-26 DOI:10.1055/a-2181-8382
Lorenzo Giorgi, Filippo Boriani, Veronica Ponti, Andrea Margara
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Abstract

Background The introduction of non-absorbable barbed sutures in plastic surgery has allowed the achievement of significant results in terms of efficacy and short and long-term outcomes. However, a non-absorbable material with no antibacterial coating could act as a substrate for sub-clinical bacterial colonization and thereby determine recurrent subacute and chronic infective-inflammatory processes. The authors report a clinical experience of subacute infectious complications after two cases of diastasis recti surgical correction. Methods The authors present a two-case series in which a non-absorbable barbed suture was used for the repair of diastasis recti. The postoperative course was complicated by surgical site infection. The origin of the infectious process was clearly localized in the fascial suture used for diastasis correction. The suture was colonized by bacteria resulting in the formation of multiple granulomas of the abdominal wall a few months postoperatively. Results In both cases reported, the patients partially responded to the antibiotic-targeted therapy, and reoperation was required. The microbiological analyses confirmed the colonization of sutures by Staphylococcus Aureus. Conclusion Barbed non-absorbable sutures should be avoided for diastasis recti surgical correction in order to minimize the risk of infectious complications suture-related.
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不可吸收的倒刺缝合线。一个有意外风险的有用设备:两个案例报告”
背景:在整形外科中引入不可吸收的倒钩缝合线,使得在疗效和短期和长期结果方面取得了显著的结果。然而,没有抗菌涂层的不可吸收材料可以作为亚临床细菌定植的底物,从而确定复发的亚急性和慢性感染炎症过程。作者报告了两个病例手术矫正后的亚急性感染并发症的临床经验。方法:采用不可吸收的倒刺缝线对直肠断连进行修复。手术部位感染使手术过程复杂化。感染过程的起源清楚地定位于用于分离矫正的筋膜缝合线。术后几个月,缝合线被细菌定植,导致腹壁形成多个肉芽肿。结果两例患者对抗生素靶向治疗均有部分反应,需再次手术治疗。微生物学分析证实了金黄色葡萄球菌在缝合线上的定植。结论手术矫治中应避免使用带刺的不可吸收缝合线,以减少缝合线相关感染并发症的发生。
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来源期刊
CiteScore
2.10
自引率
6.70%
发文量
131
审稿时长
10 weeks
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