Use of abdominal quilting sutures for seroma prevention in TRAM flap reconstruction: A prospective, controlled trial

被引:42
作者
McCarthy, C [1 ]
Lennox, P [1 ]
Germann, E [1 ]
Clugston, P [1 ]
机构
[1] Univ British Columbia, Dept Surg, Div Plast Surg, Vancouver, BC V5Z 1M9, Canada
关键词
scroma; sutures; breast reconstruction; TRAM flap; prevention;
D O I
10.1097/01.sap.0000151465.10356.dd
中图分类号
R61 [外科手术学];
学科分类号
摘要
This study is designed to evaluate the effect of abdominal quilting sutures on the incidence of abdominal seroma formation in patients undergoing pedicled transverse rectus abdominis musculocutaneous (TRAM) flap reconstruction. It is theorized that the use of such sutures during closure of abdominal flaps will collapse dead space, thus preventing abdominal seroma formation. A total of 71 consecutive patients undergoing pedicled TRAM flap breast reconstruction were randomly assigned to receive abdominal quilting sutures or to undergo a standard abdominal closure. Primary outcome measures included: daily drain output for the first 3 postoperative days, time to drain removal, and seroma formation. Drain output per day decreased with the use of abdominal quilting sutures; however, the time to drain removal was not significantly affected. Most importantly, there was no significant decrease in the incidence of seroma formation with the use of abdominal quilting sutures in this series.
引用
收藏
页码:361 / 364
页数:4
相关论文
共 6 条
[1]  
Baroudi R, 1996, CLIN PLAST SURG, V23, P551
[2]   Effect of obesity on flap and donor-site complications in free transverse rectus abdominis myocutaneous flap breast reconstruction [J].
Chang, DW ;
Wang, BG ;
Robb, GL ;
Reece, GP ;
Miller, MJ ;
Evans, GRD ;
Langstein, HN ;
Kroll, SS .
PLASTIC AND RECONSTRUCTIVE SURGERY, 2000, 105 (05) :1640-1648
[3]   Progressive tension sutures: A technique to reduce local complications in abdominoplasty [J].
Pollock, H ;
Pollock, T .
PLASTIC AND RECONSTRUCTIVE SURGERY, 2000, 105 (07) :2583-2586
[4]   Progressive tension sutures to prevent seroma formation after latissimus dorsi harvest [J].
Rios, JL ;
Pollock, T ;
Adams, WP .
PLASTIC AND RECONSTRUCTIVE SURGERY, 2003, 112 (07) :1779-1783
[5]   Drains and seromas in TRAM flap breast reconstruction [J].
Scevola, S ;
Youssef, A ;
Kroll, SS ;
Langstein, H .
ANNALS OF PLASTIC SURGERY, 2002, 48 (05) :511-514
[6]   Preventing seroma in the latissimus dorsi flap donor site [J].
Titley, OG ;
Spyrou, GE ;
Fatah, MFT .
BRITISH JOURNAL OF PLASTIC SURGERY, 1997, 50 (02) :106-108