Quilting Suture in the Donor Site of the Transverse Rectus Abdominis Musculocutaneous Flap in Breast Reconstruction

Quilting Suture in the Donor Site of the Transverse Rectus Abdominis Musculocutaneous Flap in Breast Reconstruction

Author Rossetto, Luis Antonio Autor UNIFESP Google Scholar
Garcia, Elvio B. Autor UNIFESP Google Scholar
Abla, Luiz Eduardo Felipe Autor UNIFESP Google Scholar
Sabino Neto, Miguel Autor UNIFESP Google Scholar
Ferreira, Lydia Masako Autor UNIFESP Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
Abstract Background: the purpose of this study was to evaluate the effects of quilting suture (placement of stitches between the superficial fascia in the supraumbilical remaining flap and the musculoaponeurotic layer of the anterior abdominal wall) at the donor site of the transverse rectus abdominis musculocutaneous flap in breast reconstruction.Methods: There is a theory that the use of quilting suture, during the closure of the donor site with the abdominal flap, causes collapse of the dead space and enables the flap to rest, thus diminishing factors that may interfere in its adherence and help to reduce complications. Between January 2004 and March 2005, we performed 30 breast reconstructions using a unipedicled transverse rectus abdominis musculocutaneous flap. the sample was randomly distributed in 2 groups: 15 patients with quilting suture (group A) and 15 patients without quilting suture (group 13). the study focused on daily drain output (mL), time to drain removal (days), and possible donor site complications (%).Results: Group A presented an average of 4.2 days for removal of the drain and group B, 6.93 days, with a statistically significant difference (P < 0.001). Concerning the total volume upon removal of the drain, group A presented an average of 434.7 mL and group B, 620.7 mL, with a statistically significant difference (P = 0.002). Group A presented 13.3% complications at the donor site and group B, 53.3%, with a statistically significant difference (P = 0.05).Conclusions: the quilting suture in this study reduces the permanence of drains, total volume of tissue fluids upon drain removal, and complication rates.
Keywords drainage
surgical flaps
abdomen/surgery
postoperative complications
Language English
Date 2009-03-01
Published in Annals of Plastic Surgery. Philadelphia: Lippincott Williams & Wilkins, v. 62, n. 3, p. 240-243, 2009.
ISSN 0148-7043 (Sherpa/Romeo, impact factor)
Publisher Lippincott Williams & Wilkins
Extent 240-243
Origin http://dx.doi.org/10.1097/SAP.0b013e318180c8e2
Access rights Closed access
Type Article
Web of Science ID WOS:000263640800007
URI http://repositorio.unifesp.br/handle/11600/31371

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