Seroma and Quilting Suture at the Donor Site of the TRAM Flap in Breast Reconstruction

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dc.contributor.authorRossetto, Luis Antonio [UNIFESP]
dc.contributor.authorGarcia, Elvio Bueno [UNIFESP]
dc.contributor.authorFelipe Abla, Luiz Eduardo [UNIFESP]
dc.contributor.authorFerreira, Lydia Masako [UNIFESP]
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.contributor.institutionPerola Byington Hosp
dc.date.accessioned2016-01-24T14:35:34Z
dc.date.available2016-01-24T14:35:34Z
dc.date.issued2014-04-01
dc.description.abstractSeroma 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.en
dc.description.affiliationUniversidade Federal de São Paulo, Div Plast Surg, Dept Surg, São Paulo, Brazil
dc.description.affiliationUniversidade Federal de São Paulo, Div Plast Surg, Dept Surg, BR-04024002 São Paulo, Brazil
dc.description.affiliationPerola Byington Hosp, Womens Hlth Reference Ctr, São Paulo, Brazil
dc.description.affiliationUnifespUniversidade Federal de São Paulo, Div Plast Surg, Dept Surg, São Paulo, Brazil
dc.description.affiliationUnifespUniversidade Federal de São Paulo, Div Plast Surg, Dept Surg, BR-04024002 São Paulo, Brazil
dc.description.sourceWeb of Science
dc.format.extent391-397
dc.identifierhttp://dx.doi.org/10.1097/SAP.0b013e3182610b11
dc.identifier.citationAnnals of Plastic Surgery. Philadelphia: Lippincott Williams & Wilkins, v. 72, n. 4, p. 391-397, 2014.
dc.identifier.doi10.1097/SAP.0b013e3182610b11
dc.identifier.issn0148-7043
dc.identifier.urihttp://repositorio.unifesp.br/handle/11600/37640
dc.identifier.wosWOS:000333178200006
dc.language.isoeng
dc.publisherLippincott Williams & Wilkins
dc.relation.ispartofAnnals of Plastic Surgery
dc.rightsinfo:eu-repo/semantics/restrictedAccess
dc.subjectexudates and transudatesen
dc.subjectmammaplastyen
dc.subjectrectus abdominisen
dc.subjectsurgical flapsen
dc.subjectpostoperative complicationsen
dc.titleSeroma and Quilting Suture at the Donor Site of the TRAM Flap in Breast Reconstructionen
dc.typeinfo:eu-repo/semantics/article
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