Suture Granuloma

Some ventral hernias are not seen at rest and are brought into view with only one of the manoeuvers. When the hernia is seen at rest, an attempt is made to slide the contents into the abdomen to know if the hernia is reducible. Sonography readily differentiates other conditions that mimic ventral hernia such as lipoma, metastasis, suture granuloma, abscess or endometriosis. Umbilical hernia is a type of ventral hernia that occurs through the weak umbilicus. Fatty epigastric hernia is protrusion of the properitoneal fat through a defect in the linea alba. 

In addition to the tissue reactions that are normal to aU sutures, there are several reactions that are suture and site specific. Some examples include urinary stone or cald formation, granuloma formation, thrombogenidty, propensity toward wound infedion and recurrence of tumor after radiation treatment and allergy. 

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