Effect of Fibrin Sealant on Seroma Formation Post-Incisional Hernia Repair

D’Orazio, Beatrice; Famà, Fausto; Sciumè, C; Cudia, Bianca; Corbo, Giovanni; Terranova, Gloria; Calì, Dario; Bonventre, Sebastiano; Vita, Gaetano Di; Geraci, Girolamo

doi:10.21614/chirurgia.115.6.767

Cited by 3 publications

(2 citation statements)

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“…Avoidance of surgical drains, to prevent a neck scar, might have led to the 22.2% rate of hematomas and seromas in our cohort. Application of surgical glue or face-lift bandages might aid in preventing hematomas and seromas, 20,21 but face-lift mask bandages are difficult to apply in a combined feminization of the lower face because of the edema and tenderness that characterize the postoperative course. All complications were treated conservatively, none compromised the airway, none required reoperation, and all resolved with time.…”

Section: Discussionmentioning

confidence: 99%

Direct Transvestibular Feminization Thyroid Laryngochondroplasty

Neiderman

Arbel

Diamant

et al. 2023

Plastic &Amp; Reconstructive Surgery

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Background: Feminization laryngochondroplasty (FLC) methods have evolved from using a midcervical incision to a submental, less visible incision. The scar may be unacceptable to the patient because it signals gender reassignment surgery. An endoscopic transoral approach to FLC inspired by transoral endoscopic thyroidectomy was recently suggested to avoid the neck scar; however, it requires special equipment and has a long learning curve. A vestibular incision is used to approach the chin in lower-third facial feminization surgery. The authors propose that this incision may be extended to the thyroid cartilage in performing direct FLCs. The authors describe their experience with a novel, minimally invasive, direct transvestibular use of the chin-reshaping incision. Methods: The medical records of all patients who underwent direct transvestibular FLC (DTV-FLC) from December of 2019 to September of 2021 were retrieved and reviewed for this retrospective cohort study. Data on the operative, postoperative, and follow-up courses, complications, and functional and cosmetic results were retrieved. Results: Nine transgender women were included. Seven DTV-FLCs were performed during lower-third facial feminization surgery, and two were isolated DTV-FLCs. One was a revision DTV-FLC. Transient minor complications were encountered and resolved by the postoperative visit at 1 to 2 months. Vocal fold function and voice quality remained intact. Eight available patients were satisfied with the surgical results. A blinded assessment by eight plastic surgeons determined that seven procedures were successful. Conclusion: The novel DTV-FTLC approach either in isolation or as part of lower-third facial feminization surgery facilitated scar-free FLC with satisfactory cosmetic and functional results. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, IV.

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Section: Discussionmentioning

confidence: 99%

Direct Transvestibular Feminization Thyroid Laryngochondroplasty

Neiderman

Arbel

Diamant

et al. 2023

Plastic &Amp; Reconstructive Surgery

View full text Add to dashboard Cite

show abstract

“…But sometimes the accumulation of fluid can increase in size and eventually develop a line of the use of sealants in prevention is a way to go, but with still inconclusive long-term results. 5,6 Regarding the treatment of established type IV seromas, there are multiple measures that can be carried out, from puncture and aspiration, to reoperation with pseudocapsule excision. In our case, we used cyanoacrylate type sealants because we needed greater tensile strength to prevent the seroma from filling early.…”

Section: Introductionmentioning

confidence: 99%