Quilting Sutures, Fibrin Sealant, and the traditional technique in preventing seroma formation following abdominoplasty: Which is the most effective strategy?
Abdel Azeem, K., Sayed, E., ElShaer, W., khaled, M. (2022). Quilting Sutures, Fibrin Sealant, and the traditional technique in preventing seroma formation following abdominoplasty: Which is the most effective strategy?. EKB Journal Management System, (), -. doi: 10.21608/ejprs.2022.119844.1147
khaled mohammad Abdel Azeem; Emad Sayed; Wael ElShaer; M. Hatem khaled. "Quilting Sutures, Fibrin Sealant, and the traditional technique in preventing seroma formation following abdominoplasty: Which is the most effective strategy?". EKB Journal Management System, , , 2022, -. doi: 10.21608/ejprs.2022.119844.1147
Abdel Azeem, K., Sayed, E., ElShaer, W., khaled, M. (2022). 'Quilting Sutures, Fibrin Sealant, and the traditional technique in preventing seroma formation following abdominoplasty: Which is the most effective strategy?', EKB Journal Management System, (), pp. -. doi: 10.21608/ejprs.2022.119844.1147
Abdel Azeem, K., Sayed, E., ElShaer, W., khaled, M. Quilting Sutures, Fibrin Sealant, and the traditional technique in preventing seroma formation following abdominoplasty: Which is the most effective strategy?. EKB Journal Management System, 2022; (): -. doi: 10.21608/ejprs.2022.119844.1147

Quilting Sutures, Fibrin Sealant, and the traditional technique in preventing seroma formation following abdominoplasty: Which is the most effective strategy?

The Egyptian Journal of Plastic and Reconstructive Surgery
Articles in Press, Accepted Manuscript, Available Online from 03 March 2022  XML
Document Type: Original Article
DOI: 10.21608/ejprs.2022.119844.1147
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Authors
khaled mohammad Abdel Azeem email orcid 1; Emad Sayed2; Wael ElShaer3; M. Hatem khaledorcid 4
1Plastic Surgery Department – Faculty of Medicine, Beni-Suef University- Beni-Suef, Egypt.
2Plastic and Reconstructive Surgery, Beni Suef University
3Beni Sweif Faculty of Medicine
4plastic surgery department faculty of medicine, Beni-suef university, Egypt
Abstract
A seroma is frequently observed in plastic and reconstructive surgery, leading to considerable morbidity. Excessive seroma accumulation may lead to wound dehiscence and necrosis of the flap if the pressure is passed to the flap. Another problem that could lead to a subsequent deformity is an infection of the fluid accumulation. This study aims to compare the quantity of the fluid gathered in the drains and the period needed for drain removal and compare the rate of complications.
Objectives: investigation of seroma formation following abdominoplasty using the traditional approach with quilting sutures and fibrin glue.
Patients and Methods: Fifty female patients, 25–55 years old, nonsmokers with an extra fatty apron and a BMI ranging from 25 to 35 kg/m2, were studied. They Underwent abdominoplasty between October 2013 and March 2016 in Beni-Suef university hospital. Patients were randomized to one of three therapy groups at random.: Abdominoplasty with fibrin sealant was performed on group 1 (n = 20). In group 2, a quilting suture was employed between the flap's subcutaneous tissue and the anterior abdominal wall's musculoaponeurotic layer at the same time.Group 3 (n = 10) received classic abdominoplasty.; Closed suction drainage was used on all of them in the abdomen. Seroma was detected by clinical examination at 2, 4, 6, and 8 weeks postoperative
Results: In terms of age and BMI, the groups were similar. We found fibrin glue reduced post-abdominoplasty seroma better than others with higher efficacy (P- value less than 0.05).
Conclusion: the use of fibrin sealant as an adjuvant in abdominoplasty has a protective effect against the formation of seroma after abdominoplasty. Compared to suction drains or quilting sutures, the amount of postoperative drainage was significantly reduced.
Keywords
Seroma; Quilting Sutures; Fibrin Sealant; and traditional abdominoplasty
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