Preservation of deep-layer fat of lateral zones prevents postoperative seroma after TRAM-flap harvesting for breast reconstruction: a retrospective study

Nagasao, Tomohisa; Tamai, Masamitsu; Moromomi, Tadaaki; Miki, Takanori; Kogure, Tetsukuni; Hamamoto, Yusuke; Kudo, Hiroo; Tanaka, Yoshio

doi:10.1080/2000656x.2016.1265530

Cited by 3 publications

(1 citation statement)

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“…Evidence for this practice in DIEP flap harvesting has not been reported in the literature, although conflicting evidence exists for its use in TRAM harvesting and abdominoplasty. Nagasao et al 16 There are several limitations to this study. Firstly, it is largely limited by its retrospective nature, small sample sizes and short minimum follow-up times, particularly in Group A.…”

Section: Resultsmentioning

confidence: 89%

Deep inferior epigastric perforator (DIEP) flap: Impact of drain free donor abdominal site on long term patient outcomes and duration of inpatient stay

Thacoor

Kanapathy

Torres-Grau

et al. 2018

Journal of Plastic, Reconstructive & Aesthetic Surgery

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Section: Resultsmentioning

confidence: 89%

Deep inferior epigastric perforator (DIEP) flap: Impact of drain free donor abdominal site on long term patient outcomes and duration of inpatient stay

Thacoor

Kanapathy

Torres-Grau

et al. 2018

Journal of Plastic, Reconstructive & Aesthetic Surgery

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Effects of hydrochlorothiazide on drainage volume and seroma formation in deep inferior epigastric perforator flap breast reconstruction: Randomized controlled trial

Suh

Lee

et al. 2020

Journal of Plastic, Reconstructive & Aesthetic Surgery

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Dissection Technique for Abdominoplasty With Scarpa Fascia Preservation: Comparative Study on Avulsion Technique Versus Diathermocoagulation

Torres-Silva

Pisco

Valença‐Filipe

et al. 2021

Aesthetic Surgery Journal

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Background Many strategies have been developed to lower the high complications rate associated with a full abdominoplasty. The dissection technique may have a role to achieve this goal. Objectives The present study compares two different dissection techniques to perform a full abdominoplasty with Scarpa fascia preservation: avulsion technique and electrodissection. Methods A retrospective observational cohort study was performed in two health institutions from January 2005 to January 2019. A total of 251 patients were involved: 122 patients submitted to abdominoplasty using the avulsion technique (Group A) and 129 with diathermocoagulation (coagulation mode) (Group B). The latter was further divided into group B1(57 patients with device settings according to surgeon’s preferences) and B2(72 patients with a specific regulation aiming at minimal tissue damage). Several variables were analyzed: population characteristics, time of hospital stay, time to drain removal, total and daily drain output, emergency department visits, readmission, reoperation, local and systemic complications. Results There were no statistically significant differences between the general characteristics of both groups, except for previous abdominal surgery. The diathermocoagulation group had a significantly lower length of hospital stay and time to drain removal. Moreover, these advantages were maximized when electrocautery was done with a specific low voltage setting as significant differences were found. The other outcomes were identical. Conclusions Limiting the extension of electrodissection with the avulsion technique didn´t present any advantage. Using diathermocoagulation (coagulation mode) during a full abdominoplasty with Scarpa fascia preservation, especially when it’s aimed at minimal tissue damage, reduces patients’ time with drains.

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Preservation of deep-layer fat of lateral zones prevents postoperative seroma after TRAM-flap harvesting for breast reconstruction: a retrospective study

Abstract: Preservation of deep-fat tissues in zone 3 and zone 4 reduces postoperative fluid exuded from the donor site, and enables earlier removal of drainage tubes. For cases where optimal breast shape can be achieved without these fat tissues, the fat tissues should be preserved.

Cited by 3 publications

References 25 publications

Deep inferior epigastric perforator (DIEP) flap: Impact of drain free donor abdominal site on long term patient outcomes and duration of inpatient stay

Deep inferior epigastric perforator (DIEP) flap: Impact of drain free donor abdominal site on long term patient outcomes and duration of inpatient stay

Effects of hydrochlorothiazide on drainage volume and seroma formation in deep inferior epigastric perforator flap breast reconstruction: Randomized controlled trial

Dissection Technique for Abdominoplasty With Scarpa Fascia Preservation: Comparative Study on Avulsion Technique Versus Diathermocoagulation

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