Berkay Ahmet Firat, Buyukkuscu Mehmet Ozbey
Department of Orthopaedics and Traumatology, Baltalimani Metin Sabanci Bone Diseases Training and Research Hospital, Istanbul, TUR.
Cureus. 2024 Jul 24;16(7):e65255. doi: 10.7759/cureus.65255. eCollection 2024 Jul.
Reactions to Vicryl have rarely been reported in the literature. Moreover, a reaction that begins less than 24 hours postoperatively is even rarer. We present a case of Vicryl hypersensitivity that developed within 24 hours at the site of the wounds following arthroscopic anterior cruciate ligament (ACL) reconstruction and meniscal repair. A 32-year-old male patient underwent arthroscopic ACL reconstruction and lateral meniscus repair due to an injury on the soccer field. On postoperative day one, erythema and edema were observed around the wounds, and the patient complained of itching and tenderness in the same areas. Despite local and systemic medication for infection, contact dermatitis, and antiseptic allergy, no improvement was noted. Vicryl hypersensitivity was suspected. Vicryl was removed, and a polydioxanone suture (PDS) was used instead, resulting in clinical improvement for the patient. In patients presenting with erythema, edema, blistering, itching, and tenderness around the wound, Vicryl hypersensitivity as a differential diagnosis can be considered after ruling out common causes. Hypersensitivity tests may be performed in suspected cases.
文献中很少报道对薇乔缝线的反应。此外，术后不到24小时就开始出现的反应更为罕见。我们报告一例在关节镜下前交叉韧带（ACL）重建和半月板修复术后24小时内伤口部位出现的薇乔缝线过敏病例。一名32岁男性患者因在足球场上受伤接受了关节镜下ACL重建和外侧半月板修复。术后第一天，伤口周围出现红斑和水肿，患者主诉同一部位瘙痒和压痛。尽管给予了局部和全身用药以治疗感染、接触性皮炎和防腐剂过敏，但未见改善。怀疑是薇乔缝线过敏。拆除薇乔缝线，改用聚二氧六环酮缝线（PDS），患者临床症状改善。对于伤口周围出现红斑、水肿、水疱、瘙痒和压痛的患者，在排除常见原因后，可考虑将薇乔缝线过敏作为鉴别诊断。疑似病例可进行过敏试验。
