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 | ||||
| Article 5, Volume 48, Issue 2, April 2024, Page 111-120 PDF (1.07 MB) | ||||
| Document Type: Research article | ||||
| DOI: 10.21608/ejprs.2024.352132 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| Ahmed Elhussein Mohamed* 1; Mahmoud Mohamed Shaker Elsayed1; Asmaa K. K. Abdelmaogood2 | ||||
| 1The Department of Plastic Surgery, Faculty of Medicine, Suez Canal University, Ismailia | ||||
| 2The Department of Clinical & Chemical Pathology, Faculty of Medicine, Suez Canal University, Ismailia | ||||
| Abstract | ||||
| Background: 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. Objective: 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 was a prospective, case-controlled, and randomized clinical study of forty female patients, aged 25- 55 years, that was carried out from January 2023 to October 2023. All patients were seen at the plastic surgery outpatient clinic at Suez Canal University Hospital. Patients were allocated randomly into two equal groups: the study group [A] had lipoabdominoplasty combined with progressive tension sutures and autologous platelet gel, while the control group < br />[B] had lipoabdominoplasty alone. A closed suction drain was used in both groups, and total drain output was measured every 24 hours after surgery until the drains were removed. Clinical examinations were used as a subjective assessment at 2, 4, 6, and 8 weeks after surgery, while the incidence of wound disruption or skin sloughing was used as an objective assessment of seroma. The results of the two groups were documented and statistically analysed. Results: Regarding both subjective and objective assessments of seroma formation, 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 longer in group B (the control group), with a statistically significant difference between both groups (p-value <0.00001). The incidence of wound dehiscence and flap necrosis was recorded only in the control group (B). Conclusion: Combining progressive tension sutures with autologous platelet gel sealant as an adjuvant in lipoabdominoplasty reduced the incidence of seroma formation after this procedure. | ||||
| Keywords | ||||
| Lipoabdominoplasty; Seroma; Prevention | ||||
| References | ||||
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