Management of abdominal wall recurrent subfascial seroma after pelvic surgery SEROMA RECURRENCE MANAGEMENT

Main Article Content

Gianluca Raffaello Damiani
Eleonora Pulerà
Claudio Lombardi
Matteo Loverro
Giuseppe Muzzupapa
Mario Villa
Edoardo Di Naro

Keywords

SEROMA, RECURRENCES, LAPAROTOMY, PLASTIC SURGERY

Abstract


Seroma is a serous fluid collection that accumulates in dead spaces, where tissue was attached to something before surgery. Abdominal seroma formation is a quite common complication after breast reconstruction with abdominal’s flaps or after an abdominoplasty procedure.The most frequently used method for decreasing early seroma frequency are the use of closed suction drains, ultrasonic dissection and sharp dissection, use of fibrine, and use of clip or ligation of vessels during the sur-gery. The management strategies consist of non-operative management, percutaneous drainage, or surgical drainage. With this paper we report a case of a subfascial seroma of the abdominal wall oc-curred in a 41 years old patient after laparotomy surgery for a voluminous pelvic serocele

a

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...
Abstract 11 |

References

[1] Woodworth PA, McBoyle MF, Helmer SD, Beamer RL. Seroma formation after breast cancer surgery: incidence and predicting factors. Am Surg. 2000;66(5):444-50; discussion 450-1.
[2] Coons MS, Folliguet TA, Rodriguez C et al. Prevention of seroma formation after 16 dissection of musculocutaneous flaps. Am.Surg. 59(4), 215–218 (1993).
[3] Colen SR, Shaw WW, McCarthy JG. Review of the morbidity of 300 free-flap donor sites. Plast. Reconstr. Surg. 77(6), 948–953 (1986).
[4] Schwabegger A, Ninkovic M, Brenner E, Anderl H. Seroma as a common donor site morbidity after harvesting the latissimus dorsi flap: observations on cause and prevention. Ann. Plast. Surg. 38(6), 594–597 (1997).
[5] Ardehali B, Fiorentino F. A Meta-Analysis of the Effects of Abdominoplasty Modifications on the Incidence of Postoperative Seroma. Aesthet Surg J. 2017 Oct 16;37(10):1136-1143.
[6] Janis JE, Khansa L, Khansa I. Strategies for Postoperative Seroma Prevention: A Systematic Review. Plast Reconstr Surg. 2016;138(1):240-52.
[7] Al Daoud F, Thayer A, Sachwani Daswani G, Maraqa T, Perinjelil V, Mercer L Jr. Management of chronic abdominal wall seroma with Doxycycline sclerotherapy using a Negative Pressure Wound Therapy System KCI-V.A.C.Ulta™-A case report. Int J Surg Case Rep. 2018;51:25-28. –
[8] Turner EJ, Benson JR, Winters ZE. Techniques in the prevention and management of seromas after breast surgery. Future Oncol. 2014 ;10(6):1049-63. –
[9] Sood A, Kotamarti VS, Therattil PJ, Lee ES. Sclerotherapy for the Management
of Seromas: A Systematic Review. Eplasty. 2017 ;17:e25. eCollection 2017.
[10] Goldman A, Wollina U, França K, Tchernev G, Lotti T. Chronic Encapsulated Seroma Persist-ing for Three Years after Abdominoplasty and a Successful Surgical Solution. Open Access Maced J Med Sci. 2018 ;6(1):82-84.
[11] Caulfield RH, Maleki-Tabrizi A, Khan F, Ramakrishnan V. A large encapsulated seroma pre-senting as a mass 5 years post paraumbilical hernia repair. J Plast Reconstr Aesthet Surg. 2009 ;62(1):105-7. Epub 2007.
[12] Di Summa PG, Wettstein R, Erba P, Raffoul W, Kalbermatten DF. Scar asymmetry after ab-dominoplasty: the unexpected role of seroma. Ann Plast Surg. 2013 ;71(5):461-3.