scholarly journals Effect of Scarpa’s fascia Preservation during Abdominoplasty on post-operative seroma formation in overweight patients

2021 ◽  
Vol 6 (2) ◽  
pp. 233-242
Author(s):  
G.I. Elhabaa ◽  
M.A. Mansour ◽  
M.O. Mohammed ◽  
M.T. Younes ◽  
A.M. Abdelmofeed
Keyword(s):  
Seroma Formation ◽  
Scarpa’S Fascia

Lichtenstein Versus Desarda’s Technique of Hernia Repair

2020 ◽  
Vol 22 (2) ◽  
pp. 99-103
Author(s):  
Md Fardhus ◽  
AMSM Sharfuzzaman ◽  
Md Nayeem Dewan ◽  
Md Abul Hossain ◽  
Ahmed Sami Al Hasan ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Mesh Repair ◽  
Operative Time ◽  
Seroma Formation ◽  
Age Group ◽  
Serous Fluid ◽  
Medical College ◽  
Randomized Control ◽  
And Gender

Aim: To compare Desarda’s versus Lichtenstein’s mesh repair in patients with unilateral, primary, reducible inguinal hernia in terms of mean operative time and seroma formation Methods: This randomized control trial conducted at Department of Surgery, Patuakhali Medical College & Hospital, Patuakhali. Eighty patients with unilateral, primary, reducible inguinal hernia were randomly distributed into two groups to undergo hernia repair i.e. Lichtenstein (L) and Desarda’s (D). Outcome was measured in terms of mean operative time and seroma formation. Seroma formation was defined as presence of enclosed cavity containing serous fluid determined by ultrasonography at 30th post-operative day. Results: Thirty three patients (41.25%) were above 50 years of age, whereas remaining 47 patients (58.75%) were below 50 years of age. Five patients (6.25%) were female and 75 patients(93.75%) were male. Seroma formation was 5% in Desarda’s group while 7.5% in Lichtenstein group (P> 0.05). Similarly difference in mean operative time was statistically non-significant. Seroma formation was common in older age group. There was no effect of smoking, obesity, operative time and gender on seroma formation. Conclusion: It is concluded that there is no difference in frequency of seroma formation and mean operative time in Desarda’s or Lichtenstein’s technique of hernia repair. Journal of Surgical Sciences (2018) Vol. 22 (2) : 99-103

Harmonic scalpel versus traditional ligation in axillary dissection for breast cancer: a retrospective multivariate analysis

2020 ◽  
Vol 99 (11) ◽  
Keyword(s):  
Breast Cancer ◽  
Axillary Dissection ◽  
Harmonic Scalpel ◽  
Breast Conserving Surgery ◽  
Seroma Formation ◽  
Nodal Involvement ◽  
Single Centre ◽  
Absorbable Material ◽  
Drain Removal ◽  
The Mean

Introduction: The aim of this pilot retrospective study is to evaluate the complication rate in patients after axillary dissection comparing preparation with harmonic scalpel vs traditional ligation technique, and to analyse risk factors for complications occurrence. Methods: 144 patients with 148 axillary dissections operated in a single centre between January 2014 and 2019 were included into the study. Axillary dissection was performed using harmonic scalpel in 73 and absorbable ligations in 70 cases. Results: Seroma formation was observed in 41 patients (56.2%) in the harmonic scalpel group and in 21 patients (30.0%) in the ligations group (p=0.003). The mean period from the surgery to drain removal was 4.0 days in the harmonic scalpel group and 3.0 days in the ligations group (p<0.001). The mean amount of the drained fluid after mastectomy was 300.9 ml in the harmonic scalpel group and 168.7 ml in the ligations group (p=0.005); after breast conserving surgery, it was 241.9 ml and 107.4 ml, respectively (p =0.023). Conclusion: In comparison with traditional ligations with absorbable material, axillary dissection using harmonic scalpel significantly increases the risk of postoperative seroma formation, prolongs the time from the surgery to drain removal, and increases the amount of drained fluid.ut any suspicion of nodal involvement, hemithyroidectomy is considered to be a sufficient procedure or the method of choice, respectively.

Preventive effects on seroma formation with use of the harmonic focus shears after breast reconstruction with the latissimus dorsi flap

2016 ◽  
Vol 50 (6) ◽  
pp. 349-353 ◽  
Author(s):  
Yoshihiro Sowa ◽  
Toshiaki Numajiri ◽  
Ayako Kawarazaki ◽  
Kouichi Sakaguchi ◽  
Tetsuya Taguchi ◽  
...  
Keyword(s):  
Breast Reconstruction ◽  
Latissimus Dorsi ◽  
Seroma Formation ◽  
Latissimus Dorsi Flap ◽  
Harmonic Focus ◽  
Preventive Effects

A randomised trial of the effect of quilting Latissimus Dorsi flap donor site on seroma formation

2004 ◽  
Vol 2 (3) ◽  
pp. 139-140
Author(s):  
Z.E Winters ◽  
I Daltrey ◽  
M Schuijvlot ◽  
J Cook ◽  
C.A Fowler ◽  
...  
Keyword(s):  
Latissimus Dorsi ◽  
Donor Site ◽  
Randomised Trial ◽  
Seroma Formation ◽  
Latissimus Dorsi Flap

Prevention of Subcutaneous Seroma Formation in Open Ventral Hernia Repair Using a New Low-Thrombin Fibrin Sealant

2014 ◽  
Vol 38 (11) ◽  
pp. 2797-2803 ◽  
Author(s):  
Gernot Köhler ◽  
Oliver Owen Koch ◽  
Stavros A. Antoniou ◽  
Michael Lechner ◽  
Franz Mayer ◽  
...  
Keyword(s):  
Hernia Repair ◽  
Ventral Hernia ◽  
Fibrin Sealant ◽  
Ventral Hernia Repair ◽  
Seroma Formation ◽  
Open Ventral Hernia Repair

scholarly journals Flap fixation in preventing seroma formation after mastectomy: an updated meta-analysis

2021 ◽  
Author(s):  
Nunzio Velotti ◽  
Gennaro Limite ◽  
Antonio Vitiello ◽  
Giovanna Berardi ◽  
Mario Musella
Keyword(s):  
Meta Analysis ◽  
Seroma Formation ◽  
Secondary Outcome ◽  
Axillary Lymph ◽  
Breast Cancer Patients ◽  
Inclusion Criteria ◽  
Effective Technique ◽  
Strong Evaluation ◽  
Flap Fixation

AbstractSeroma formation following mastectomy is one of the most experienced complications, with a very variable incidence ranging from 3 to 90%. In recent years, many publications have been realized to define an effective technique to prevent its formation and several approaches have been proposed. Given the potential of flap fixation in reducing seroma formation, we performed a meta-analysis of the literature to investigate the role of this approach as definitive gold standard in mastectomy surgery. Inclusion criteria regarded all studies reporting on breast cancer patients undergoing mastectomy with or without axillary lymph node dissection; studies that compared mastectomy with flap fixation to mastectomy without flap fixation were selected. Papers were eligible for inclusion if outcome was described in terms of seroma formation. As secondary outcome, also surgical site infection (SSI) was evaluated. The included studies were 12, involving 1887 female patients: 221/986 (22.41%) patients experienced seroma formation after flap fixation and 393/901 (43.61%) patients had this complication not receiving flap fixation, with a significant statistical difference between the two groups (OR = 0.267, p = 0.001, 95% CI 0.153, 0.464). About, SSI 59/686 (8.6%) in flap fixation group and 67/686 (9.7%) in patients without flap fixation, with no statistical differences between groups (OR = 0.59, p = 0.056, 95% CI 0.344, 1.013).The heterogeneity between included studies does not allow us to reach definitive conclusions but only to suggest the strong evaluation of this approach after mastectomy in seroma preventing and SSI reduction.

“Effect of quilting on seroma formation in mastectomy: A meta-analysis.”

2021 ◽  
pp. 101665
Author(s):  
Tal Eliav ◽  
Victor Novack ◽  
Yuval Krieger
Keyword(s):  
Meta Analysis ◽  
Seroma Formation
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