Chronic neck sinus secondary to retained polyglactin 910 suture following sub-total thyroidectomy: a case study
| Autor: | Mobolaji A. Oludara, Saeed Ahmad, Iloba Gabriel Njokanma, Akinwunmi Olalekan Akanji, Ishola T Ibrahim, Nasiru Ibrahim |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
medicine.medical_specialty Nursing (miscellaneous) medicine.medical_treatment 030204 cardiovascular system & hematology 030218 nuclear medicine & medical imaging 03 medical and health sciences Silk sutures 0302 clinical medicine Suture (anatomy) medicine Humans Surgical Wound Infection Polyglactin 910 Sinus (anatomy) Total thyroidectomy Wound Healing Sutures business.industry Foreign-Body Reaction Suture Techniques Thyroidectomy Graves Disease Surgery Chronic infection medicine.anatomical_structure Female Fundamentals and skills Clean wounds Tomography X-Ray Computed business Neck |
| Zdroj: | Journal of Wound Care. 29:S8-S10 |
| ISSN: | 2052-2916 0969-0700 |
| Popis: | Objective: Reaction to sutures is a rare cause of non-healing in clean wounds. Cases of severe reaction to silk sutures have been reported, causing chronic infection and failure of thyroidectomy wound healing. We report a case of retained polyglactin 910 suture presenting with a chronically discharging sinus of the neck after sub-total thyroidectomy. Case: The patient, a 37-year old female, presented with a simple benign multinodular goitre. She had subtotal thyroidectomy and was discharged on day six postoperatively, after satisfactory primary wound healing. The patient observed swelling, pus/discharge and extrusion of the suture in the neck three weeks after surgery. Discharge did not stop after initial wound debridement under local anaesthesia. Computed tomography (CT) scan showed a small area of ring-enhancement soft tissue density, anterior to the right thyroid remnant. Subsequent wound exploration under general anaesthesia revealed a sinus tract extending to the thyroid bed with undegraded strands of thickened polyglactin 910 suture. Suture remnants were removed and the wound healed satisfactorily a week later. Conclusion: Non-healing post thyroidectomy wounds should raise suspicion of a retained suture. Early recognition and surgical intervention will shorten the period of morbidity. |
| Databáze: | OpenAIRE |
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