Seroma and Quilting Suture at the Donor Site of the TRAM Flap in Breast Reconstruction

Seroma and Quilting Suture at the Donor Site of the TRAM Flap in Breast Reconstruction

Author Rossetto, Luis Antonio Autor UNIFESP Google Scholar
Garcia, Elvio Bueno Autor UNIFESP Google Scholar
Felipe Abla, Luiz Eduardo Autor UNIFESP Google Scholar
Ferreira, Lydia Masako Autor UNIFESP Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
Perola Byington Hosp
Abstract Seroma formation at the donor site of the transverse rectus abdominis myocutaneous flap was evaluated in 48 patients who underwent breast reconstruction with either quilting sutures and suction drains (QS+DN group) or quilting sutures alone (QS group) or suction drains alone (DN group). Clinical and ultrasound examinations were performed to assess seroma formation in 5 regions of the abdominal wall on postoperative days 7 and 14. the incidence of seroma detected by ultrasound examination was significantly higher in the DN group (P = 0.008) than that in the other 2 groups. No difference in seroma volume (puncture) was found between the QS+DN and QS groups (P = 1.00). Seroma formation was observed in the iliac region in the DN group but not in the QS+DN and QS groups (P = 0.028). Quilting sutures at the transverse rectus abdominis myocutaneous flap donor site were efficient in reducing seroma formation.
Keywords exudates and transudates
mammaplasty
rectus abdominis
surgical flaps
postoperative complications
Language English
Date 2014-04-01
Published in Annals of Plastic Surgery. Philadelphia: Lippincott Williams & Wilkins, v. 72, n. 4, p. 391-397, 2014.
ISSN 0148-7043 (Sherpa/Romeo, impact factor)
Publisher Lippincott Williams & Wilkins
Extent 391-397
Origin http://dx.doi.org/10.1097/SAP.0b013e3182610b11
Access rights Closed access
Type Article
Web of Science ID WOS:000333178200006
URI http://repositorio.unifesp.br/handle/11600/37640

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