title: Stitch granulomas following inguinal herniotomy: a 10-year review.
abstract: During the years 1982 through 1991, stitch granulomata complicated 15 of 2,447 inguinal herniotomies. The lesions were diagnosed 3 to 120 months (mean +/- SE, 2.46 +/- 0.65 years) following surgery. Granulomata were associated with male sex (P = .02), emergency herniotomy (P = 0.016), surgery during the neonatal period (P = 0.004), and lower mean age at the time of herniotomy (0.79 v 2.84 years, P = .000001). In 13 cases, Staphylococcus aureus was recovered either alone or in combination with Staphylococcus epidermidis; all patients responded well to incision and drainage. Stitch granuloma appears to be associated with male herniotomy, emergency surgery, and use of silk sutures.
authors.affiliation: Department of Pediatric Surgery, Tel-Aviv Sourasky Medical Center, Israel.
authors.forename: H
authors.initials: H
authors.lastname: Nagar
mesh_terms: D000038:Abscess / Q000453:epidemiology* / Q000209:etiology / Q000601:surgery; D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D004322:Drainage; D004630:Emergencies; D005260:Female; D015745:Granuloma, Foreign-Body / Q000453:epidemiology* / Q000209:etiology / Q000601:surgery; D006552:Hernia, Inguinal / Q000601:surgery*; D006801:Humans; D015994:Incidence; D007223:Infant; D007231:Infant, Newborn; D019476:Insect Proteins; D008297:Male; D011506:Proteins / Q000009:adverse effects*; D012189:Retrospective Studies; D012307:Risk Factors; D012737:Sex Factors; D047011:Silk; D013203:Staphylococcal Infections / Q000453:epidemiology* / Q000209:etiology / Q000601:surgery; D013212:Staphylococcus epidermidis; D013530:Surgical Wound Infection / Q000453:epidemiology* / Q000209:etiology / Q000601:surgery; D013537:Sutures / Q000009:adverse effects*
chemical_list: D019476:Insect Proteins; D011506:Proteins; D047011:Silk