A large encapsulated seroma presenting as a mass 5 years post paraumbilical hernia repair

Caulfield, Robert H.; Maleki-Tabrizi, Atoussa; Khan, F.; Ramakrishnan, Venkat

doi:10.1016/j.bjps.2007.08.009

Cited by 7 publications

(4 citation statements)

References 5 publications

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“…5 Once a fibrous capsule has formed, it is unknown which, if any, of these treatments are most beneficial. Several case reports employ surgical resection as the most effective management, [7][8][9] but no definitive evidence exists regarding operative indications or outcomes after return to the operating room for chronic seroma.…”

Section: Discussionmentioning

confidence: 99%

Surgical Management of Chronic Encapsulated Abdominal Wall Seroma 8 Years after Abdominoplasty

Morris¹,

Thornburg²,

Teven³

et al. 2021

Plastic and Reconstructive Surgery - Global Open

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Summary: Seroma is a common complication of body-contouring surgery. Current literature focuses on prevention or initial management of seroma formation; however, no definitive evidence exists to guide management of chronic or recurrent seromas. We describe a case of a recurrent abdominal wall seroma following abdominoplasty. The seroma was present for 8 years despite employing multiple treatment modalities. After presentation to our clinic, the patient was taken to the operating room, where the seroma pseudocapsule was excised, progressive tension sutures were utilized, and drains were placed. To date, there has been no recurrence of the seroma. We propose that chronicity, recurrence, and persistence of seroma are indications for surgical intervention.

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Section: Discussionmentioning

confidence: 99%

Surgical Management of Chronic Encapsulated Abdominal Wall Seroma 8 Years after Abdominoplasty

Morris¹,

Thornburg²,

Teven³

et al. 2021

Plastic and Reconstructive Surgery - Global Open

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“…Although seromas usually resolve with multiple aspirations, some can often become chronic and lead to the development of a pseudocapsule or pseudobursa clinically apparent by (scar) asymmetry. This condition requires reoperation with complete resection of the entire compromised tissue [ 17 ][ 18 ]. As shown in our patient, the outcome after well-performed procedure is esthetically and functionally excellent.…”

Section: Discussionmentioning

confidence: 99%

Chronic Encapsulated Seroma Persisting for Three Years after Abdominoplasty and a Successful Surgical Solution

Goldman¹,

Wollina²,

França³

et al. 2018

Open Access Maced J Med Sci

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Abdominoplasty is listed among five most common esthetic surgical procedures in the Western World. Despite all efforts, abdominoplasty bears a high risk of complications. We observed a 39-year-old-woman with previous classical abdominoplasty performed elsewhere three years ago. Clinical examination demonstrated a swollen and tense abdominal mass. Laboratory findings were normal. Clinical examination was completed by abdominal ultrasonography which demonstrated both, a significant fluid volume in this area and a dense fibrous “capsule”. The diagnosis was a late or chronic encapsulated seroma with a thick pseudocapsule or “bursa”. We performed a revision abdominoplasty with a standard supra-fascial dissection. Surgical resection of infra-umbilical flap containing skin, subcutaneous tissue and capsulectomy were performed under general anaesthesia. A new umbilicus was created attaching small skin flaps in the muscular fascia. No drains were used. We observed no seroma formation. Follow up after six and ten months was unremarkable. The fibrous pseudocapsule of chronic seroma results in different degrees of deformities, abdominal scar deviation and asymmetry. Surgical capsulectomy combined with revision abdominoplasty with preservation of Scarpa’s fascia and placement of progressive tension sutures resulted in being effective and leads an esthetic outcome without seroma recurrence.

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“…Seromalar kronikleştikleri zaman abdominal duvarda deformite oluşturabilecek pseudobursalara dönüşebilmektedir [9]. Bu durumda, fasya yaprakları arasından seroma nüksünü minimalize etmek için seromanın kapsülü ile birlikte rezeke edilmesi önerilmektedir [10]. Sunduğumuz olgu, abdominoplasti operasyonu üzerinden 2 yıl geçtikten sonra oluşan bir kronik seroma vakası olup pseudobursa oluşumu görüldüğü için seroma kapsülü eksize edilerek oluşan kavite oblitere edilmiştir.…”

Section: Discussionunclassified

A late complication of abdominoplasty mistaken for an ovarian cystic mass which was diagnosed only at laparotomy: A Seroma

Uğurel¹,

Aslan²

2015

Pau Med J

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ÖzetAbdominoplasti, daha çok kadınlar tarafından estetik kaygılarla tercih edilen elektif bir cerrahi müdahaledir. Bu operasyon sonrası bir çok komplikasyon tariflense de, seroma oluşumu doğal bir iyileşme süreci olarak kabul edilebilecek kadar sık görülen minör bir komplikasyondur. Bu vaka takdiminde, 40 yaşında bir kadın hastada transvajinal ultrasonografide sol adneksiyal alanda kistik kitle ve komşuluğunda bu kitle ile süperpoze olan kistik-solid oluşum saptanarak, görüntüleme yöntemleri ile tanı konulamayan ancak laparotomi ile tespit edilen bir seroma vakası literatür eşliğinde tartışılmıştır. Tıp Derg 2015;8(2):136-139 Anahtar sözcükler: Abdominoplasti -Abdominal duvar -Kistler -Over kistleri -Seroma. Pam AbstractAbdominoplasty is an elective surgical procedure which is mostly preferred by women with aesthetical reasons. A lot of postoperative complications are observed after this procedure. Seroma formation is the most common complication and is even regarded as a natural process of healing after the surgery. At this case report, we discuss a case of seroma which presented as a left adnexial cystic mass and another cystic mass unable to be discerned with imaging modalities but only to be diagnosed at laparotomy in a 40 year-old woman.Pam Med J 2015;8(2):136-139

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A large encapsulated seroma presenting as a mass 5 years post paraumbilical hernia repair

Cited by 7 publications

References 5 publications

Surgical Management of Chronic Encapsulated Abdominal Wall Seroma 8 Years after Abdominoplasty

Surgical Management of Chronic Encapsulated Abdominal Wall Seroma 8 Years after Abdominoplasty

Chronic Encapsulated Seroma Persisting for Three Years after Abdominoplasty and a Successful Surgical Solution

A late complication of abdominoplasty mistaken for an ovarian cystic mass which was diagnosed only at laparotomy: A Seroma

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