Abstract
Background
Seroma is one of the most common complications following body contouring. Progressive tension sutures have been shown to decrease the seroma rate following abdominoplasty, component separation, facelifts and following latissimus flap and DIEP flap harvest.
Objectives
The objective of our study was to look at the effects of progressive tension suture techniques and their role on the seroma rate in body contouring flap procedures.
Methods
A retrospective review was performed of all patients undergoing a flap procedure (defined as any procedure that produces a dead space and subsequent susceptibility to seroma) by a single surgeon at a single institution over 3 years. All patients/procedures utilized progressive tension techniques, as is routine in the surgeon’s practice. No drains were used. Patient demographics and complications, including seroma, were tracked.
Results
A total of 441 flap procedures were performed in 351 patients over the 3-year study period. There were 305 abdominoplasties, 68 lower body lifts, 17 medial thigh lifts, 36 brachioplasties and 15 torsoplasties. Progressive tension sutures were used in all procedures. No drains were utilized. Complications occurred in 72 procedures (16.3%), with the most common complication being minor wound dehiscence without infection. There were no cases of seroma.
Conclusions
Progressive tension sutures represent an effective technique for reducing the seroma rate, eliminating the potential space and promoting tissue adherence in flap procedures for body contouring. This is the first study of its kind demonstrating the use and role of this technique in body contouring procedures beyond the scope of abdominoplasty.
How Do We Raise the Bar in Autologous Breast Reconstruction? The Use of Progressive Tension Sutures for Donor Site Closure