Document Detail


Does quilting suture prevent seroma in abdominoplasty?
MedLine Citation:
PMID:  17312514     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Seroma is the most frequent complication in abdominoplasty. Some patients are more prone to develop this complication. Ultrasound is a well-known method with which to diagnose seroma in the abdominal wall. The purpose of this study was to verify the efficacy of the use of quilting suture to prevent seroma.
METHODS: Twenty-one female patients who presented with abdominal deformity type III/A according to the authors' classification of abdominal skin and myoaponeurotic deformity had undergone abdominoplasty. The selected patients should have had at least one of the following characteristics: body mass index greater than 25 kg/m; weight loss greater than 10 kg; previous incision in the supraumbilical region; or present thinning of the subcutaneous in the area above the umbilicus. Ultrasound was performed for every patient from 15 to 18 days after the operation to search for fluid collection in the abdominal wall.
RESULTS: The average fluid collection found was 8.2 cc per patient. Only two patients underwent aspiration because ultrasound showed greater than 20 cc collected above the fascial layer. These patients did not present with recurrence of seroma after aspiration.
CONCLUSION: The quilting suture seems to be an efficient technique with which to prevent seroma formation.
Authors:
Fabio Xerfan Nahas; Lydia Masako Ferreira; Charles Ghelfond
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Plastic and reconstructive surgery     Volume:  119     ISSN:  1529-4242     ISO Abbreviation:  Plast. Reconstr. Surg.     Publication Date:  2007 Mar 
Date Detail:
Created Date:  2007-02-21     Completed Date:  2007-03-27     Revised Date:  2011-02-16    
Medline Journal Info:
Nlm Unique ID:  1306050     Medline TA:  Plast Reconstr Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1060-4; discussion 1065-6     Citation Subset:  AIM; IM    
Affiliation:
Division of Plastic Surgery, Federal University of São Paulo, Escola Paulista de Medicina, São Paulo, Brazil. fabionahas@uol.com.br
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MeSH Terms
Descriptor/Qualifier:
Abdominal Wall / surgery*,  ultrasonography
Cosmetic Techniques / adverse effects
Female
Humans
Postoperative Complications / prevention & control*
Seroma / etiology,  prevention & control*,  ultrasonography
Suture Techniques*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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