| The combination of fibrin glue and quilting reduces drainage in the extended latissimus dorsi flap donor site. | |
| | |
MedLine Citation:
|
PMID: 20517084 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND: The use of quilting sutures in the extended latissimus dorsi flap donor site significantly reduces the incidence of donor-site seroma. However, the donor site has a drain inserted, and the duration of use of this drain often dictates when a patient is discharged to home from the hospital. Fibrin glue has been shown to reduce the need for drainage at other operative sites. The authors therefore evaluated the use of fibrin glue (Tisseel Lyo; Baxter Healthcare, Norfolk, United Kingdom) in addition to quilting in reducing the total volume and duration of drainage following extended latissimus dorsi flap breast reconstruction. METHODS: The authors compared a group of 11 consecutive, prospective patients who underwent extended latissimus dorsi donor-site closure with fibrin glue and quilting with a control group of 24 consecutive, retrospective patients who underwent extended latissimus dorsi donor-site closed with quilting alone. RESULTS: The results show that the combination of fibrin glue and quilting in the extended latissimus dorsi flap donor site significantly reduces average drainage in the immediate postoperative period: 13 ml compared with 170 ml (p <or= 0.001); average total drainage, 330 ml compared with 645 ml (p = 0.018); and average drain stay, 4 days compared with 5 days (p = 0.022). CONCLUSION: Fibrin glue potentially may reduce the numbers of days that drains are left in situ or even reduce the drainage to such a degree that drains are no longer necessary for patients undergoing extended latissimus dorsi-based breast reconstructions. |
| | |
Authors:
|
Syed N Ali; Parneet Gill; Dimitrios Oikonomou; Guy D Sterne |
Related Documents
:
|
20417924 - Cosmetic outcomes of various skin closure methods following cesarean delivery: a random... 15629164 - Keloid disease: clinical relevance of single versus multiple site scars. 18430174 - Effect of quilting sutures on hematoma formation after liposuction with dermal curettag... 7972484 - The efficacy of breast augmentation: breast size increase, patient satisfaction, and ps... 20417924 - Cosmetic outcomes of various skin closure methods following cesarean delivery: a random... 9285214 - Prognostic value of pattern reversal visual-evoked potentials in idiopathic epiretinal ... |
Publication Detail:
|
Type: Controlled Clinical Trial; Journal Article |
Journal Detail:
|
Title: Plastic and reconstructive surgery Volume: 125 ISSN: 1529-4242 ISO Abbreviation: Plast. Reconstr. Surg. Publication Date: 2010 Jun |
Date Detail:
|
Created Date: 2010-06-02 Completed Date: 2010-06-18 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: 1615-9 Citation Subset: AIM; IM |
Affiliation:
|
Department of Plastic and Reconstructive Surgery, Sandwell and West Birmingham NHS Trust, City Hospital, Birmingham, UK. mrnadir@hotmail.com |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Aged Drainage Female Fibrin Tissue Adhesive / therapeutic use* Follow-Up Studies Humans Mammaplasty / methods* Middle Aged Muscle, Skeletal / surgery Postoperative Complications / prevention & control* Prospective Studies Seroma / prevention & control Surgical Flaps* Suture Techniques* Tissue Adhesives / therapeutic use* |
| Chemical | |
Reg. No./Substance:
|
0/Fibrin Tissue Adhesive; 0/Tissue Adhesives |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Acellular human dermis implantation in 153 immediate two-stage tissue expander breast reconstruction...
Next Document: The three breast dimensions: analysis and effecting change.