Does quilting suture prevent in abdominoplasty?

Does quilting suture prevent in abdominoplasty?

Author Nahas, Fabio Xerfan Google Scholar
Ferreira, Lydia Masako Google Scholar
Ghelfond, Charles Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
Hosp Jaragua
Abstract Background: Seroma is the most frequent complication in abdominoplasty. Some patients are more prone to develop this complication. Ultrasound is a well-known method with which to diagnose seroma in the abdominal wall. the purpose of this study was to verify the efficacy of the use of quilting suture to prevent seroma.Methods: Twenty-one female patients who presented with abdominal deformity type III/A according to the authors' classification of abdominal skin and myoaponeurotic deformity had undergone abdominoplasty. the selected patients should have had at least one of the following characteristics: body mass index greater than 25 kg/m(2); weight loss greater than 10 kg; previous incision in the supraumbilical region; or present thinning of the subcutaneous in the area above the umbilicus. Ultrasound was performed for every patient from 15 to 18 days after the operation to search for fluid collection in the abdominal wall.Results: the average fluid collection found was 8.2 cc per patient. Only two patients underwent aspiration because ultrasound showed greater than 20 cc collected above the fascial layer. These patients did not present with recurrence of seroma after aspiration.Conclusion: the quilting suture seems to be an efficient technique with which to prevent seroma formation.
Language English
Date 2007-03-01
Published in Plastic and Reconstructive Surgery. Philadelphia: Lippincott Williams & Wilkins, v. 119, n. 3, p. 1060-1064, 2007.
ISSN 0032-1052 (Sherpa/Romeo, impact factor)
Publisher Lippincott Williams & Wilkins
Extent 1060-1064
Access rights Closed access
Type Article
Web of Science ID WOS:000244438700038

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