What Other Options are there for Patients Allergic to Common Sutures?

Reactions

When a patient has a medical history of suture related problems, such as rejection, chronic inflammatory reaction, or infection, it is always a concern for the patient and surgeon not to use the same type of suture material(s).

This is why it is important to obtain surgical records that specify the material(s) involved. Fortunately now a day with modern suture materials is very rare to have specific allergies to them. It is important to note that not all suture reaction is related to allergy; in many cases bacterial contamination of the suture can be responsible for the reaction.

Alternatives

Having a reaction to one suture material does not mean that a person is going to react to all suture types, this is why in most cases another suture material that has similar properties such as: strength, diameter, mono or poly filament, biological vs. synthetic, and absorbability will be the best alternative. In some cases sutures can be completely substituted; for example in the case of gut anastomosis, titanium staples are the preferred material either alone or in combination with other materials such as sutures, fibrin glue or mesh (commonly made from the same materials as sutures), in the case of skin closure, staples and/or glue can be used depending on the wound characteristics.


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OCC’s epidemiologist is closely monitoring the COVID-19 status and is actively issuing updates as they are available. The Centers for Disease Control and the World Health Organization are the most trusted sources online.  While the CDC has announced new mask protocols for vaccinated individuals, there will be no changes for our office protocols for patients, guests, and staff members as the announcement does not apply to hospitals or medical facilities. Masks are still a requirement for all patients, guests and staff at our facility.

As we reinitiate weight loss surgery, we are constantly adapting and installing new and updated safety measures.

Weight loss surgery is medically necessary.

Bariatric Surgery and the clash of two pandemics.   

Major metabolic and bariatric surgery Societies and colleges globally are now calling for the safe resumption of bariatric and metabolic surgery before the COVID-19 pandemic is declared over. 

The sooner bariatric surgery can be safely performed, the quicker obesity, type 2 diabetes, and other diseases can be reduced or resolved as they are not only chronic they are also progressive.  Obesity is also linked to more than 40 diseases including type 2 diabetes, hypertension, heart disease, stroke, sleep apnea, osteoarthritis, and at least 13 different types of cancer.

A recent statement from the ASMBS says “Before COVID-19 began, it was clear that patients with obesity were ‘safer through surgery.’ In the era of COVID-19, ‘safer through surgery’ for patients with obesity may prove to be even more important than before.” Obesity and Metabolic syndrome have been identified as an independent risk factor for adverse outcomes including death among COVID-19 patients.

See here for full COVID-19 update. 

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