Читать книгу Complications in Equine Surgery - Группа авторов - Страница 144

Tissue reaction to suture material is usually diagnosed with observation of tissue edema or swelling filled with clear fluid around an individual suture or entire suture line [23]. Erythema in light‐colored skin or heat and pain to palpation are other clinical signs that can assist in the diagnosis of tissue suture reaction. There may also be present a draining tract to the skin if the suture reaction is of deeper tissues [23]. Ultrasound is not usually needed for the diagnosis but can be useful in identifying problematic suture fragments or segments. Suture reactions can also result in other observed incisional complications including infection, wound disruption, and chronic sinus formation and it can be difficult to determine whether tissue suture reaction or suture line infection were the initiating causes that disrupted wound healing.