BACKGROUND: Seroma formation is one of the most common complications following abdominoplasty. Fibrin sealant/glue has shown mixed results in seroma prevention when used in a variety of procedures. Limited information is available on its effectiveness during postbariatric abdominoplasty. METHODS: A retrospective chart analysis of 65 consecutive patients who underwent postbariatric abdominoplasty over a course of 16 months by a single surgeon was performed. Two sequential groups either receiving or not receiving fibrin sealant treatment were defined. Seroma formation and initial 24 h drain output volumes were recorded. RESULTS: Three patients in group 1 (9.1%) receiving fibrin sealant developed seroma. Twelve patients in group 2 (28.1%) not receiving fibrin sealant developed seroma; this was statistically significant (P=0.006). Twenty-four hour drain output was also statistically different, with higher initial output in the fibrin sealant group (222.2 mL versus 140.0 mL; P=0.047). CONCLUSION: Fibrin sealant was a useful adjunct during surgical wound closure and significantly decreased seroma formation in patients undergoing postbariatric abdominoplasty.
BACKGROUND:Seroma formation is one of the most common complications following abdominoplasty. Fibrin sealant/glue has shown mixed results in seroma prevention when used in a variety of procedures. Limited information is available on its effectiveness during postbariatric abdominoplasty. METHODS: A retrospective chart analysis of 65 consecutive patients who underwent postbariatric abdominoplasty over a course of 16 months by a single surgeon was performed. Two sequential groups either receiving or not receiving fibrin sealant treatment were defined. Seroma formation and initial 24 h drain output volumes were recorded. RESULTS: Three patients in group 1 (9.1%) receiving fibrin sealant developed seroma. Twelve patients in group 2 (28.1%) not receiving fibrin sealant developed seroma; this was statistically significant (P=0.006). Twenty-four hour drain output was also statistically different, with higher initial output in the fibrin sealant group (222.2 mL versus 140.0 mL; P=0.047). CONCLUSION: Fibrin sealant was a useful adjunct during surgical wound closure and significantly decreased seroma formation in patients undergoing postbariatric abdominoplasty.
Authors: K J Stewart; D A Stewart; B Coghlan; D H Harrison; B M Jones; N Waterhouse Journal: J Plast Reconstr Aesthet Surg Date: 2006-07-05 Impact factor: 2.740
Authors: Melinda M Mortenson; Yan Xing; Storm Weaver; Jeffrey E Lee; Jeffrey E Gershenwald; Anthony Lucci; Paul F Mansfield; Merrick I Ross; Janice N Cormier Journal: World J Surg Oncol Date: 2008-06-18 Impact factor: 2.754
Authors: Gernot Köhler; Oliver Owen Koch; Stavros A Antoniou; Michael Lechner; Franz Mayer; Klaus Emmanuel Journal: World J Surg Date: 2014-11 Impact factor: 3.352
Authors: Johnathon M Aho; Terry P Nickerson; Cornelius A Thiels; Michel Saint-Cyr; David R Farley Journal: Int J Surg Date: 2016-03-08 Impact factor: 6.071