Seroma and Quilting Suture at the Donor Site of the TRAM Flap in Breast Reconstruction
Data
2014-04-01
Autores
Rossetto, Luis Antonio 
Garcia, Elvio Bueno
Felipe Abla, Luiz Eduardo
Ferreira, Lydia Masako
Tipo
Artigo
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Resumo
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.
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Citação
Annals of Plastic Surgery. Philadelphia: Lippincott Williams & Wilkins, v. 72, n. 4, p. 391-397, 2014.