Risk of Seroma in Simultaneous Lipo. with Abdominoplasty and Role of Progr. Tension sutures
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abstract
Background This procedure and study was aimed to evaluate the true risk of seroma with simultaneous abdominoplasty and liposuction and to assess the role of progressive tension suture in preventing it. Full article is available at www.springerlink.com Title: Risk of Seroma in Simultaneous Liposuctio...
n with Abdominoplasty and Role of Progressive Tension Sutures: Khan UD Aesth Plast Surg 32:93-99.2008
reason, objective, purpose
Seroma formation is a known risk and incidence vary from 0% to 27%. Liposuction is considered to increase the incidence of seroma formation and add surgical morbidity to the procedure. Progressive tension sutures are used to prevent seroma formation and a retrospective study was performed to evaluate the incidence of seroma formation and role of progresive tension sutures.
materials used
Methods A retrospective chart review of 235 consecutive abdominoplasties performed by a single surgeon was conducted. Matarasso classification was used, and 146 patients with type 4 abdominoplasty were selected. These patients were divided into two groups. The 96 patients in group A had no progressive tension sutures. This group was further subdivided into subgroup A1 (43 patients), which had abdominoplasty alone, and subgroup A2 (53 patients), which had abdominoplasty with liposuction. The 50 patients in group B had progressive tension sutures. This group was further subdivided into subgroup B1 (26 patients), which had abdominoplasty alone, and subgroup B2 (24 patients), which had abdominoplasty with liposuction. Results The two groups were similar in terms of body mass index, age, and smoking status. The incidence of seroma formation was 26% (n = 25) in group A, as compared with 4% (n = 2) in group B (p = 0.001). Group B showed 0% seroma formation when abdominoplasty alone was performed, as compared with 7.7% when liposuction was performed at the same time (p = 0.08, no statistical difference). Also, no statistical difference was seen when similar subgroups were compared in group A (p = 0.87).
operation date
2006-10-01
publication info
presentation info
2007-06-26
14th IPRAS, Berlin, Germany
