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

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dc.contributor.authorRossetto, Luis Antonio [UNIFESP]
dc.contributor.authorGarcia, Elvio B. [UNIFESP]
dc.contributor.authorAbla, Luiz Eduardo Felipe [UNIFESP]
dc.contributor.authorSabino Neto, Miguel [UNIFESP]
dc.contributor.authorFerreira, Lydia Masako [UNIFESP]
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.date.accessioned2016-01-24T13:52:20Z
dc.date.available2016-01-24T13:52:20Z
dc.date.issued2009-03-01
dc.description.abstractBackground: 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.en
dc.description.affiliationUniversidade Federal de São Paulo, EPM, Dept Cirurgia, Disciplina Cirurgia Plast, São Paulo, Brazil
dc.description.affiliationUnifespUniversidade Federal de São Paulo, EPM, Dept Cirurgia, Disciplina Cirurgia Plast, São Paulo, Brazil
dc.description.sourceWeb of Science
dc.format.extent240-243
dc.identifierhttp://dx.doi.org/10.1097/SAP.0b013e318180c8e2
dc.identifier.citationAnnals of Plastic Surgery. Philadelphia: Lippincott Williams & Wilkins, v. 62, n. 3, p. 240-243, 2009.
dc.identifier.doi10.1097/SAP.0b013e318180c8e2
dc.identifier.issn0148-7043
dc.identifier.urihttp://repositorio.unifesp.br/handle/11600/31371
dc.identifier.wosWOS:000263640800007
dc.language.isoeng
dc.publisherLippincott Williams & Wilkins
dc.relation.ispartofAnnals of Plastic Surgery
dc.rightsinfo:eu-repo/semantics/restrictedAccess
dc.subjectdrainageen
dc.subjectsurgical flapsen
dc.subjectabdomen/surgeryen
dc.subjectpostoperative complicationsen
dc.titleQuilting Suture in the Donor Site of the Transverse Rectus Abdominis Musculocutaneous Flap in Breast Reconstructionen
dc.typeinfo:eu-repo/semantics/article
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