Continuous-Infusion Local Anesthetic Pain Pump Use and Seroma Formation with Abdominal Procedures: Is There a Correlation?

Smith, Melissa; Hovsepian, Raffi V.; Markarian, Mark K.; Degelia, Amber L.; Paul, Malcolm D.; Evans, Gregory R. D.; Wirth, Garrett A.

doi:10.1097/prs.0b013e3181882013

Cited by 17 publications

(13 citation statements)

References 40 publications

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“…The surgeon should be aware of the associated risk factors and potential complications following this popular procedure. Seroma, hematoma, wound dehiscence, and wound infection are common complications associated with abdominoplasty [12], with seroma as the most frequent complication with reported rates ranging from 3.0 to 37.3 % [5,8,[13][14][15][16][17][18][19][20]. The actual complication rate for cosmetic abdominoplasty, however, remains elusive because of the lack of large outcome studies.…”

Section: Introductionmentioning

confidence: 99%

A Multiple Regression Analysis of Postoperative Complications After Body-Contouring Surgery: a Retrospective Analysis of 205 Patients

et al. 2015

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Section: Introductionmentioning

confidence: 99%

A Multiple Regression Analysis of Postoperative Complications After Body-Contouring Surgery: a Retrospective Analysis of 205 Patients

et al. 2015

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“…However, two studies based on the same patient material showed that the pain pump was not associated with an increased risk of postoperative infection [32] or seroma formation rate [33] in patients undergoing aesthetic and reconstructive abdominal procedures.…”

Section: Discussionmentioning

confidence: 98%

Effectiveness of local anaesthetic pain catheters for abdominal donor site analgesia in patients undergoing free lower abdominal flap breast reconstruction: A meta-analysis of comparative studies

Giordano

Veräjänkorva

Koskivuo

et al. 2013

Journal of Plastic Surgery and Hand Surgery

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The use of an infusion pain pump with local wound catheters has increased among different surgical specialities. Autologous breast reconstruction with deep inferior epigastric perforator (DIEP) and transverse rectus abdominis myocutaneous (TRAM) flaps may cause severe abdominal donor site morbidity, and infusion devices delivering local anaesthetic are suggested to improve postoperative analgesia. This study performed a meta-analysis comparing pain pump use vs control to evaluate this issue. A systematic literature search was performed. Primary outcome was the amount of opioid use. Secondary outcomes were the amount of antiemetic drugs and the length of hospital stay. Five studies involving 248 patients were retrieved and included in the present analysis. A significantly decreased use of opioids was observed after using pain pump vs control (MD = -15.13, 95% CI = -24.20, -6.06, p = 0.001). Although not statistically significant, the pooled results showed a trend toward reduction of antiemetic medicament use (MD = -0.71, 95% CI = -2.14, 0.72, p = 0.33) and hospital stay time (MD = -0.53, 95% CI = -1.18, 0.11, p = 0.10). The use of local anaesthetic pain catheters for abdominal donor sites in microsurgical breast reconstruction might be associated with a decreased use of narcotics and antiemetic medicaments and shorter hospital stay. Further studies are needed to validate this promising treatment modality.

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“…Upon reviewing the literature for similar cases, seromas were reported to be the most common encountered and serious complication following abdominal procedures in plastic and aesthetic surgeries. 5 However, it was only stated that they appear as an early complication for these types of procedures. It was also stated in literature that seromas can develop a fibrous pseudocapsule around them if they were not identified and treated immedietly.…”

Section: Discussionmentioning

confidence: 99%

Persistent Encapsulated Seroma: A Common Early Complication Presenting Late in a Case of Abdominoplasty

2019

J Bah Med Soc

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Abdominoplasty is a well-known procedure for body contouring in aesthetic plastic surgery. The rise of bariatric surgeries as well as the increase in awareness of cosmetic procedures and availability of resources have all led to a significant increase in the rate of abdominoplasties performed. Seroma formation is the most common complication occurring in these types of procedures. It accounts for at least 5% of the early complications. Seromas usually resolve spontaneously, with repeated aspirations, or by ultrasound-guided drain insertion or aspiration. In a few cases, however, they can become chronic, with the formation of a pseudocapsule. In our case, a 52-year-old patient, who underwent abdominoplasty and remained asymptomatic for over two years, presented with abdominal swelling and fullness. In-spite of the repeated non-surgical management, in the form of multiple bedside needle aspirations and ultrasound-guided drain insertions, the seroma did not resolve. Surgical intervention for this patient became mandatory, and the decision to excise the pseudocapsule was done to prevent any recurrence.

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Continuous-Infusion Local Anesthetic Pain Pump Use and Seroma Formation with Abdominal Procedures: Is There a Correlation?

Abstract: There was no correlation between increased rate of seroma formation and use of a continuous-infusion local anesthetic pain pump system in our patient population.

Cited by 17 publications

References 40 publications

A Multiple Regression Analysis of Postoperative Complications After Body-Contouring Surgery: a Retrospective Analysis of 205 Patients

A Multiple Regression Analysis of Postoperative Complications After Body-Contouring Surgery: a Retrospective Analysis of 205 Patients

Effectiveness of local anaesthetic pain catheters for abdominal donor site analgesia in patients undergoing free lower abdominal flap breast reconstruction: A meta-analysis of comparative studies

Persistent Encapsulated Seroma: A Common Early Complication Presenting Late in a Case of Abdominoplasty

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