"The Effect of Combining Progressive Tension Sutures with Autologous Platelet Gel Sealant Effect on Reducing Seroma Incidence After lipoabdominoplasty " | ||||
| The Egyptian Journal of Plastic and Reconstructive Surgery | ||||
| Articles in Press, Accepted Manuscript, Available Online from 28 October 2023 | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejprs.2023.242937.1309 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Ahmad Elhussein Mohamed   1; Mahmoud Mohamed Shaker Elsayed2; Asmaa Kamal Kamal Abdelmaogood 3
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| 1surgery departement, faculty of medicine, suez canal university | ||||
| 2surgery deportment, suez canal university | ||||
| 3deportment of clinical and chemical pathology, Suez canal university | ||||
| Abstract | ||||
| Abstract: Seroma is frequently a self-limiting condition, it might have negative consequences such as infection, flap necrosis, wound dehiscence, and spontaneous drainage through the surgical site. Seroma treatment is time-consuming as it may necessitate several sessions of aspirations, probable drain insertion, and revision procedures. This study aimed to verify whether combining progressive tension sutures with autologous platelet gel sealant decreased the incidence of seroma formation after lipoabdominoplasty. Methods: This is a prospective, case-controlled, and randomized clinical study of 40 female patients, aged 25–55 years, that was carried out from January 2023 to August 2023. All patients were sent to the outpatient clinic for plastic surgery, Suez Canal University hospital. Patients were divided into two equal groups: group [A] had lipoabdominoplasty with combined progressive tension sutures and autologous platelet gel, while group [B] had lipoabdominoplasty alone. A closed suction drain was used in both groups, and total drains output were measured every 24 hours after surgery until the drains were removed. Detection of seroma by clinical examinations at 2, 4, 6, and 8 weeks after surgery. Results: In terms of seroma development and drain output, there were statistically significant differences between the two groups. The amount of drain output in lipoabdominoplasty with combined PTS and sealant platelet gel (group A) was considerably lower than the control group (p-value < 0.00001). The drain removal time (days) was much more significant between both groups (p-value < 0.00001) in the following sequence: Group B > Group A. Conclusion: combined progressive tension sutures with autologous platelet gel sealant as an adjuvant in lipoabdominoplasty protects against seroma formation after this procedure. | ||||
| Keywords | ||||
| lipoabdominoplasty; seroma; prevention | ||||
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