Abstract
Background
The formation of seromas after abdominoplasty is a highly prevalent complication that disturbs both the patient and the surgeon. Aspiratory drainage and adhesion sutures (Baroudi suture) are widely used to prevent this complication. This study evaluated the effectiveness of drains in preventing seromas.
Methods
This retrospective study investigated women submitted to classic abdominoplasty with adhesion sutures. The women were divided into two groups. Group 1 comprised 28 individuals who received no drains, and group 2 consisted of 32 patients that had drains placed. Clinical evaluation of the patients was performed 7 days, 14 days, 1 month, 2 months, 4 months, and 6 months postoperatively. Statistical analysis was accomplished via Fisher’s exact test.
Results
Group 1 had one case of seroma (3.5%), clinically detected between the first and second postoperative months, whereas group 2 had one case (3.12%) detected 14 days postoperatively. Fisher’s test showed a P value of 1.000 (not statistically significant), for a 95% confidence interval of 0.05 to 14.08 and an odds ratio of 0.8387. Clinical evaluation showed no statistical difference in the incidence of seromas after abdominoplasty with adhesion sutures between the patients who received drains and those who did not.
Conclusion
The use of adhesion sutures is an effective measure for preventing seromas with no need for additional surgical measures.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Hafez F, Nouhi AH (2002) Abdominoplasty and seroma (letter). Ann Plast Surg 48:109
Baroudi R, Ferreira C (1998) Seroma: how to avoid it and how to treat it. Aesth Surg 18:439–441
Titley OG, Spyrou GE, Fatah MP (1997) Preventing seroma in the latissimus dorsi flap donor site. Br J Plast Surg 50:106–108
Pollock H, Pollock T (2003) Management of face-lifts with progressive tension sutures. Aesth Surg J 23:28–33
McCarthy C, Lennox P, Germann E et al (2005) Use of abdominal quilting sutures is seroma prevention in TRAM flap reconstruction: a prospective, controlled trial. Ann Plast Surg 54:361–364
Daltrey I, Thomson H, Hussien M, Krishna K, Rayter Z, Winters ZE (2006) Randomized clinical trial of the effect of quilting latissimus dorsi flap donor site on seroma formation. Br J Surg 93:825–830
Pollock H, Pollock T (2000) Progressive tension sutures: a technique to reduce local complications in abdominoplasty. Plast Reconstr Surg 105:2583
Khan S, Teotia SS, Mullis WF, Jacobs WE, Beasley ME, Smith KL, Eaves FF III, Finical SJ, Watterson PA (2006) Tension sutures of the progressive decrease complications in abdominoplasty really? Ann Plast Surg 56:14–20
Nahas FX, Ferreira LM, Ghelfond C (2007) Does quilting suture prevent seroma in abdominoplasty? Plast Reconstr Surg 119:1060
Andrade P, Prado A, Danilla S, Guerra C, Benitez S, Sepulveda S, Sciarraffia C, De Caroli V (2007) Sutures progressive tension in the prevention of seroma postabdominoplasty: A prospective, randomized, double-blind clinical trial. Plast Reconstr Surg 120:935–946
Le Louarn C (1996) Partial subfascial abdominoplasty. Aesth Plast Surg 20:123–127
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Arantes, H.L., Rosique, R.G., Rosique, M.J.F. et al. The Use of Quilting Suture in Abdominoplasty Does Not Require Aspiratory Drainage for Prevention of Seroma. Aesth Plast Surg 34, 102–104 (2010). https://doi.org/10.1007/s00266-009-9453-6
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00266-009-9453-6