Spontaneous complete migration of suture material after subcuticular continuous suture in cesarean section: A case report

Ki Jin Ryu, Ki Hoon Ahn, Soon Cheol Hong

Research output: Contribution to journalArticle

Abstract

Background: Skin closure during cesarean section is often performed with subcuticular running sutures by using a nonabsorbable suture material. However, this material has the risk of incomplete removal after wound healing and can migrate to other sites in rare cases. Case presentation: A 34-year-old Korean woman who had undergone a cesarean section 5 months prior presented with a fine, blue object visible through the skin on her left lower abdomen. No pain or any other signs of inflammation were observed. The foreign body was revealed to be 10-cm-long suture material that had migrated laterally approximately 15 cm in intradermal layer during the previous 5 months, without tangling of the entire length. Conclusions: Small remnants of suture materials in the subcutaneous tissue are known to migrate toward the superficial layer. The mechanism of these migrations is often thought to be related to foreign body immune reaction or the force generated in wound contracture. Long-distance migration of relatively long suture materials, as in the present case, has not been reported yet. Such a steady tension in a uniform direction within a human tissue layer cannot be explained clearly by the previously described mechanisms. That migration might have occurred in superficial subcutaneous tissue layers through the horizontal flow or movement of those layers during the recovery process that have not been revealed yet.

Original languageEnglish
Article number103
JournalBMC Surgery
Volume14
Issue number1
DOIs
Publication statusPublished - 2014

Fingerprint

Cesarean Section
Sutures
Subcutaneous Tissue
Foreign-Body Reaction
Skin
Contracture
Foreign Bodies
Abdomen
Wound Healing
Inflammation
Pain
Wounds and Injuries

Keywords

  • Cesarean section
  • Subcuticular suture
  • Suture material migration
  • Wound recovery

ASJC Scopus subject areas

  • Surgery

Cite this

Spontaneous complete migration of suture material after subcuticular continuous suture in cesarean section : A case report. / Ryu, Ki Jin; Ahn, Ki Hoon; Hong, Soon Cheol.

In: BMC Surgery, Vol. 14, No. 1, 103, 2014.

Research output: Contribution to journalArticle

@article{d8622c40931940108e78b70d968cdc1f,
title = "Spontaneous complete migration of suture material after subcuticular continuous suture in cesarean section: A case report",
abstract = "Background: Skin closure during cesarean section is often performed with subcuticular running sutures by using a nonabsorbable suture material. However, this material has the risk of incomplete removal after wound healing and can migrate to other sites in rare cases. Case presentation: A 34-year-old Korean woman who had undergone a cesarean section 5 months prior presented with a fine, blue object visible through the skin on her left lower abdomen. No pain or any other signs of inflammation were observed. The foreign body was revealed to be 10-cm-long suture material that had migrated laterally approximately 15 cm in intradermal layer during the previous 5 months, without tangling of the entire length. Conclusions: Small remnants of suture materials in the subcutaneous tissue are known to migrate toward the superficial layer. The mechanism of these migrations is often thought to be related to foreign body immune reaction or the force generated in wound contracture. Long-distance migration of relatively long suture materials, as in the present case, has not been reported yet. Such a steady tension in a uniform direction within a human tissue layer cannot be explained clearly by the previously described mechanisms. That migration might have occurred in superficial subcutaneous tissue layers through the horizontal flow or movement of those layers during the recovery process that have not been revealed yet.",
keywords = "Cesarean section, Subcuticular suture, Suture material migration, Wound recovery",
author = "Ryu, {Ki Jin} and Ahn, {Ki Hoon} and Hong, {Soon Cheol}",
year = "2014",
doi = "10.1186/1471-2482-14-103",
language = "English",
volume = "14",
journal = "BMC Surgery",
issn = "1471-2482",
publisher = "BioMed Central",
number = "1",

}

TY - JOUR

T1 - Spontaneous complete migration of suture material after subcuticular continuous suture in cesarean section

T2 - A case report

AU - Ryu, Ki Jin

AU - Ahn, Ki Hoon

AU - Hong, Soon Cheol

PY - 2014

Y1 - 2014

N2 - Background: Skin closure during cesarean section is often performed with subcuticular running sutures by using a nonabsorbable suture material. However, this material has the risk of incomplete removal after wound healing and can migrate to other sites in rare cases. Case presentation: A 34-year-old Korean woman who had undergone a cesarean section 5 months prior presented with a fine, blue object visible through the skin on her left lower abdomen. No pain or any other signs of inflammation were observed. The foreign body was revealed to be 10-cm-long suture material that had migrated laterally approximately 15 cm in intradermal layer during the previous 5 months, without tangling of the entire length. Conclusions: Small remnants of suture materials in the subcutaneous tissue are known to migrate toward the superficial layer. The mechanism of these migrations is often thought to be related to foreign body immune reaction or the force generated in wound contracture. Long-distance migration of relatively long suture materials, as in the present case, has not been reported yet. Such a steady tension in a uniform direction within a human tissue layer cannot be explained clearly by the previously described mechanisms. That migration might have occurred in superficial subcutaneous tissue layers through the horizontal flow or movement of those layers during the recovery process that have not been revealed yet.

AB - Background: Skin closure during cesarean section is often performed with subcuticular running sutures by using a nonabsorbable suture material. However, this material has the risk of incomplete removal after wound healing and can migrate to other sites in rare cases. Case presentation: A 34-year-old Korean woman who had undergone a cesarean section 5 months prior presented with a fine, blue object visible through the skin on her left lower abdomen. No pain or any other signs of inflammation were observed. The foreign body was revealed to be 10-cm-long suture material that had migrated laterally approximately 15 cm in intradermal layer during the previous 5 months, without tangling of the entire length. Conclusions: Small remnants of suture materials in the subcutaneous tissue are known to migrate toward the superficial layer. The mechanism of these migrations is often thought to be related to foreign body immune reaction or the force generated in wound contracture. Long-distance migration of relatively long suture materials, as in the present case, has not been reported yet. Such a steady tension in a uniform direction within a human tissue layer cannot be explained clearly by the previously described mechanisms. That migration might have occurred in superficial subcutaneous tissue layers through the horizontal flow or movement of those layers during the recovery process that have not been revealed yet.

KW - Cesarean section

KW - Subcuticular suture

KW - Suture material migration

KW - Wound recovery

UR - http://www.scopus.com/inward/record.url?scp=84964314602&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84964314602&partnerID=8YFLogxK

U2 - 10.1186/1471-2482-14-103

DO - 10.1186/1471-2482-14-103

M3 - Article

C2 - 25481274

AN - SCOPUS:84964314602

VL - 14

JO - BMC Surgery

JF - BMC Surgery

SN - 1471-2482

IS - 1

M1 - 103

ER -