Management of chronic abdominal wall seroma with Doxycycline sclerotherapy using a Negative Pressure Wound Therapy System KCI-V.A.C.Ulta™—A case report

Daoud, Fadi Al; Thayer, Angelyn; Daswani, Gul Sachwani; Maraqa, Tareq; Perinjelil, Vinu; Mercer, Leo

doi:10.1016/j.ijscr.2018.08.014

Cited by 8 publications

(9 citation statements)

References 13 publications

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“…For seromas refractory to simple drainage, chemical or mechanical sclerotherapy have both been described. Chemical sclerosing agents including talc, tetracycline, doxycycline, ethanol, erythromycin, fibrin glue, and povidone/iodine have all been used with high success rates and few complications; however, only small case series exist in the literature [16,17] . Lehr and Schuricht [18] described endoscopic ablation of the inner lining of the seroma using the argon beam in extreme cases.…”

Section: Seromamentioning

confidence: 99%

Management of post-operative complications in open ventral hernia repair

O’Connor¹,

Carbonell²

2019

PAR

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Hernia repair is the most common general surgical procedure performed in the United States; however, historically, there has been a surprising lack of consensus regarding hernia complications and their management. The development of international, prospectively-collected databases such as the Americas Hernia Society Quality Collaborative has introduced a new era of evidence-based practice around the prevention and management of these complications. This review seeks to equip surgeons with evidence-based techniques for prevention and management of the most common complications of open ventral hernia repair.

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Section: Seromamentioning

confidence: 99%

Management of post-operative complications in open ventral hernia repair

O’Connor¹,

Carbonell²

2019

PAR

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“…In 1983, Nichter et al (20) preconised the use of tetracycline sclerotherapy for the treatment of persistent seromas. More recently, a case report described the use of doxycycline as another sclerosing agent (21). In 2006, Saeb-Parsy et al (10) described the application of talc in an 8-month recurrent chronic seroma after breast surgery.…”

Section: Discussionmentioning

confidence: 99%

Failure of talc seromadesis for the treatment of subcutaneous chronic seromas after incisional hernia surgery

et al. 2019

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Background and Aim: Talc poudrage has been used since many years for sclerosing chronic pleural effusion. Several reports have shown good results managing chronic seromas after breast, vascular, and incisional hernia surgeries. The purpose of this study is to determine the utility of talc seromadesis for the management of chronic seromas after incisional hernia surgery Materials and Methods: Multicentric prospective observational study including patients diagnosed of chronic seromas after incisional hernia surgery. Under local anesthesia and ultrasonographic control, two percutaneous trocars were placed in the seroma, washing the seroma cavity with 0.9% saline solution and aspirating the remaining liquid. A sample of 4 g of talcum powder was introduced in the seroma cavity, and a 15-F drain was left in place. Patients were followed each week during at least 4 weeks after drainage removal. Results: Between January 2013 and December 2016, a total of six patients were enrolled in the study. Talc poudrage was performed without any complications. Drains were pulled out in a mean time of 3 (range: 2–4) weeks. One case of the chronic seromas was efficiently sclerosed with talc without recurrence in time. In three cases, the seroma recurred, and the final solution was surgical decortication of the seroma. In the other two cases, seroma also recurred and were managed with instillation of ethanol and iodine povidone. Conclusion: In our experience, the management of chronic seromas after incisional hernia repair with talc seromadesis is ineffective and is associated with a high rate of seroma recurrence.

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“…The use of sclerotherapy in the management of seromas has been reported in small-scale studies and case reports, and has shown strong success with minimal complications. 3 Any improvement in our ability to treat this challenging complication is of great importance.…”

Section: Introductionmentioning

confidence: 99%

Seromadesis following total hip resurfacing by aspiration and injection of doxycycline

Farrier

Holland

2021

BMJ Case Rep

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Here, we present an interesting case of seroma following hip resurfacing arthroplasty in a 69-year-old man. During the postoperative recovery, the patient made rapid progress and returned to intense activity within the 6-week period. He subsequently developed further right hip pain and swelling. On further examination and on ultrasound scan, a lateral thigh collection was noted. All inflammatory markers were within normal parameters; clinically, there was no evidence of active infection. On initial aspiration and washout, there was a large sterile haemoserous collection. The patient subsequently underwent further aspiration due to persistent collection. After this a revision procedure was performed in two stages with excision of the seroma cavity superficial to fascia lata. Methicillin-sensitive Staphylococcus aureus was grown on extended cultures which was treated successfully with antibiotics. After the second stage revision to total hip replacement, this cavity then recollected. A further trial of aspiration with injection of 200 mg doxycycline, a known sclerosing agent, was performed. The seroma resolved.

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Management of chronic abdominal wall seroma with Doxycycline sclerotherapy using a Negative Pressure Wound Therapy System KCI-V.A.C.Ulta™—A case report

Abstract: HighlightsSeroma is a common and challenging post-operative complication for both surgeons and patients.Doxycycline can be a simple, safe and effective method for resolution of chronic seroma.Negative Pressure Wound Therapy System can induce seroma cavity collapse and surface adherence.

Cited by 8 publications

References 13 publications

Management of post-operative complications in open ventral hernia repair

Management of post-operative complications in open ventral hernia repair

Failure of talc seromadesis for the treatment of subcutaneous chronic seromas after incisional hernia surgery

Seromadesis following total hip resurfacing by aspiration and injection of doxycycline

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