Does Quilting Suture Prevent Seroma in Abdominoplasty?

Nahas, Fábio Xerfan; Ferreira, Lydia Masako; Ghelfond, Charles

doi:10.1097/01.prs.0000242493.11655.68

Cited by 137 publications

(88 citation statements)

References 18 publications

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“…These findings agree with the results reported by other authors, according to which the peak incidence of seroma formation occurs approximately two weeks after surgery, when prophylactic drains would be useless 6,21,26 . In the present study, many seromas were detected by ultrasound only (63.4%), which was expected, as most participants were obese, which makes their physical examination more difficult, and the fluid collections were small.…”

Section: Discussionsupporting

confidence: 81%

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Repair of large incisional hernias. To drain or not to drain. Randomized clinical trial

et al. 2015

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. Scientific, intellectual, conception and design of the study, critical revision. ABSTRACT PURPOSE:To evaluate the occurrence of seroma and surgical wound infection after surgery. METHODS:A total of 42 individuals with large incisional hernias were subjected to onlay mesh repair. Following the mesh placement, the participants were randomly allocated to two groups. In group 1, closed-suction drains were placed in the subcutaneous tissue, while progressive tension sutures were performed in group 2. The participants were subjected to clinical and ultrasound assessment to detect seroma and surgical wound infection at three time-points after surgery. RESULTS:The occurrence of seroma at the early, intermediate or late assessments was respectively 19.0%, 47.6%, 52.4% in group 1 and 28.6%, 57.1%, 42.9% in group 2 and was not significantly different between groups (p 0.469; 0.631; 0.619). Surgical wound infection occurred 19% in group 1 and 23.8% in group 2, without a significant difference between the groups (p>0.999). CONCLUSION:The frequency of seroma and infection did not exhibit significant differences between individuals subjected to onlay mesh repair of large incisional hernias with drains or progressive tension sutures without drainage.

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Section: Discussionsupporting

confidence: 81%

“…Further detail was added by Pollock 7 , and the technique was then reproduced by others [21][22][23] .…”

Section: Discussionmentioning

confidence: 99%

Repair of large incisional hernias. To drain or not to drain. Randomized clinical trial

et al. 2015

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“…Placement of these sutures obviously limits dead space under the large abdominoplasty flap, and ultrasound studies have shown small pockets of fluid ( Figure 11). Nahas 26 noted that the volume of fluid collections averaged 8 mL, with the largest collections containing only 20 mL (confirmed by aspiration). In his series, no patient had a clinically significant fluid collection.…”

Section: Discussionmentioning

confidence: 99%

Progressive Tension Sutures in Abdominoplasty: A Review of 597 Consecutive Cases

Pollock

2012

Aesthetic Surgery Journal

118

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Background: Although abdominoplasty and other body-contouring procedures are being performed more frequently, the incidence of seroma and other complications has remained relatively unchanged. In 2000, a small retrospective series introduced progressive tension sutures (PTS) in abdominoplasty to reduce seroma without the use of drains. Objectives: The authors review the PTS technique and their experience with the procedure. Methods: A retrospective chart review of 597 consecutive abdominoplasty patients treated over 12 years was performed. Collected data included surgical setting, concomitant procedures, and complications. Results: Of the 597 abdominoplasties, 52.4% were performed in the hospital and 47.6% in an American Association for Accreditation of Ambulatory Surgery Facilities (AAAASF)-accredited facility. In 63.7% of cases, abdominoplasty was combined with another procedure(s). Liposuction was performed on the abdominoplasty flap or an adjacent area to the abdominoplasty dissection in 67% of patients. The average amount fat aspirate from these areas was 953 mL. No drains were placed. The rate of local complications was 4.2%; all but one of these complications (seroma; 0.1%) were minor. There were no systemic complications related to PTS and no venous thromboembolisms. Conclusions: PTS are an adjunct to abdominoplasty that can minimize seroma and potentially decrease other local complications. They provide secure fixation of the flap to eliminate motion and broadly transfer tension to the superficial fascial system. Drains can safely be eliminated from abdominoplasty, even when liposuction is performed. Systemic complications may be avoided and patient recovery expedited.

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“…Outra complicação avaliada foi formação de hematomas que podem surgir na presença de espaço morto nos primeiros dias de pós-operatório, estando os drenos de sucção indicados para esta comorbidade específica 15 , diferentemente dos seromas que têm surgimento mais tardio. Todas as pacientes foram submetidas à drenagem a vácuo do abdome e da mama reconstruída durante a primeira semana após a reconstrução obedecendo-se critérios de volume mínimo para retirada de 30 ml/24 horas.…”

Section: Discussionunclassified

Retalho TRAM com dissecção mínima para reconstrução mamária

RibeiRo¹,

PessoA²

2010

Rev. Bras. Cir. Plást. (Impr.)

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Retalho TRAM com dissecção mínima para reconstrução mamáriaMinimal dissection for tram flap breast reconstruction RESUMO Introdução: Após sua publicação, o uso do retalho miocutâneo transverso do reto-abdominal para reconstrução de mama (TRAM) tem sido o procedimento com tecido autólogo mais popular para reconstrução mamária, porém não livre de complicações da área doadora. Método: Foram avaliados onze pacientes submetidas à mastectomia e à reconstrução mamá-ria imediata com retalho TRAM e dissecção mínima da área doadora, utilizando-se pontos de adesão e drenagem a vácuo. Os autores avaliaram as complicações pós-operatórias da área doadora. Resultados: Nenhum caso de seroma, hematoma, infecção, abaulamento de abdome ou hérnia foi identificado, houve uma deiscência de ferida operatória e um relato de desconforto. Conclusão: Concluiu-se que os pontos de adesão e o sistema de drenagem diminuem as complicações da área doadora do retalho TRAM. Descritores: Procedimentos cirúrgicos reconstrutivos. Mamoplastia. Mama/cirurgia.ABSTRACT Background: After the TRAM flap for breast reconstruction have been published, become the most popular autologous breast reconstructive procedure, although not free of donor site complications. Methods: Eleven patients underwent to immediately postmastectomy breast reconstruction with TRAM flap and minimal dissection on donor site using quilting suture's and closed suction drainage were analyzed. The authors had evaluated prospectively the abdominal complications of the donor site. Results: None of the patients developed seroma, hematoma, wound infection, abdominal bulge or hernia. One patient developed partial skin loss, and one patient developed discomfort. Conclusion: The quilting suture's plus closed suction drainage decrease the complications outcomes at TRAM donor site.

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Does Quilting Suture Prevent Seroma in Abdominoplasty?

Abstract: The quilting suture seems to be an efficient technique with which to prevent seroma formation.

Cited by 137 publications

References 18 publications

Repair of large incisional hernias. To drain or not to drain. Randomized clinical trial

Repair of large incisional hernias. To drain or not to drain. Randomized clinical trial

Progressive Tension Sutures in Abdominoplasty: A Review of 597 Consecutive Cases

Retalho TRAM com dissecção mínima para reconstrução mamária

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