Prevention of Postoperative Seroma-Related Morbidity by Quilting of Latissimus Dorsi Flap Donor Site: A Systematic Review

Sajid, M. S.; Betal, Dibendu; Akhter, Naved; Rapisarda, I.F.; Bonomi, Riccardo

doi:10.1016/j.clbc.2011.04.006

Cited by 60 publications

(43 citation statements)

References 40 publications

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“…The avoidance of repeated aspirations could also help prevent additional unnecessary physical and psychological trauma and aspiration-related wound infection. [161718] Despite the promising results, however, this study was limited because it was a non-randomized retrospective study with a small sample. Detection and selection biases could not be avoided completely.…”

Section: Discussionmentioning

confidence: 99%

Natural History of Seroma Following the Immediate Latissimus Dorsi Flap Method of Breast Reconstruction

Yan

Mang

Ren

et al. 2018

Chinese Medical Journal

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Background:The latissimus dorsi (LD) flap procedure remains a popular and useful breast reconstruction tool in China and Western countries, and donor site seroma formation is the main complication. This study was conducted in Chinese patients to determine whether stable cases of seromas would resolve without treatment.Methods:A retrospective review of 45 consecutive cases of immediate breast reconstruction with LD flap from April 2012 to February 2017 was conducted. The scope of the seroma was demarcated with a marker pen, and cases that remained stable over time (i.e. the size of the seroma did not increase) were observed without treatment. The measured outcomes included the incidence of seromas, the volume and duration of postoperative wound drainage, and other demographic characteristics.Results:Twenty-four patients (53.3%) developed a seroma at the donor site. Of these, 21 patients (87.5%) did not require treatment, and the seroma resolved over time. The mean duration of a sustained seroma was 6.8 ± 1.4 weeks (range: 4–9 weeks).Conclusions:This study observed the scope and progression of the seromas and found that seromas at the LD donor sites resolved over time without treatment.

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Section: Discussionmentioning

confidence: 99%

Natural History of Seroma Following the Immediate Latissimus Dorsi Flap Method of Breast Reconstruction

Yan

Mang

Ren

et al. 2018

Chinese Medical Journal

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“…In a different type of procedure, postoperative seroma was shown to be a significant complication in the donor site of a latissimus dorsi muscle flap (16). Although the dead space is larger in the case of a latissimus dorsi flap compared to that following ED resection, plastic surgeons have described several methods to prevent postoperative seroma.…”

Section: Discussionmentioning

confidence: 99%

Elastofibroma dorsi: Surgical indications and complications of a rare soft tissue tumor

Nagano

Yokouchi

Setoyama

et al. 2014

Molecular and Clinical Oncology

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Abstract. Elastofibroma dorsi (ED) is a tumor that develops in the space between the lower angle of the scapula and the posterior thoracic wall. Due to the rarity of this type of tumor, the number of reported consecutive series is limited. Surgical excision, usually recommended for symptomatic cases to confirm diagnosis and relieve symptoms, has been associated with a high complication rate. To analyze the clinical characteristics and outcomes of surgical treatment, we retrospectively reviewed 20 consecutive cases of surgically resected ED. Of the 20 patients, 14 (70%) exhibited preoperative symptoms associated with the tumor. The mean diameter of the resected tumors averaged 72 mm (range, 45-110 mm). The surgical outcomes were satisfactory, except for the development of hematoma or seroma in 9 cases (43%), 8 of which achieved a complete resolution with conservative treatment. Age, hypertension, the presence of preoperative tumor-related symptoms and intraoperative bleeding were not found to be significantly associated with the incidence of hematoma. However, tumor diameter and the duration of postoperative drainage were significantly associated with occurrence of hematoma (P= 0.02 and P= 0.01, respectively). Surgical resection should only be recommended for symptomatic patients, due to the high incidence of postoperative complications. To prevent the development of postoperative hematoma or seroma, careful observation of the wound, with suction drainage for >7 days and additional surgical procedures to facilitate adhesion of the wound margins, are recommended.

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“…29 It is quite plausible that harvest of a TAP flap, which is a much smaller flap than the LD flap, results in a reduced surface area of tissue trauma and thus contributes to a reduction in the seroma formation. However, due to the use of ADM, drains were left in place an average of 10 days until the output was 10e20 ml per day.…”

Section: Discussionmentioning

confidence: 99%

Direct delayed breast reconstruction with TAP flap, implant and acellular dermal matrix (TAPIA)

Børsen-Koch¹,

Gunnarsson²,

Udesen³

et al. 2015

Journal of Plastic, Reconstructive & Aesthetic Surgery

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Prevention of Postoperative Seroma-Related Morbidity by Quilting of Latissimus Dorsi Flap Donor Site: A Systematic Review

Cited by 60 publications

References 40 publications

Natural History of Seroma Following the Immediate Latissimus Dorsi Flap Method of Breast Reconstruction

Natural History of Seroma Following the Immediate Latissimus Dorsi Flap Method of Breast Reconstruction

Elastofibroma dorsi: Surgical indications and complications of a rare soft tissue tumor

Direct delayed breast reconstruction with TAP flap, implant and acellular dermal matrix (TAPIA)

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