Johnson C Lee, Jason Teitelbaum, Josh K Shajan, Aparajit Naram, Jerome Chao
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引用次数: 29
摘要
背景:血肿形成是腹部成形术后最常见的并发症之一。纤维蛋白密封胶/胶水在各种手术中预防血肿的效果参差不齐。关于其在减肥后腹部成形术中的有效性的信息有限。方法:回顾性分析65例连续16个月由同一位外科医生进行的减肥后腹部成形术患者。确定了接受或不接受纤维蛋白密封剂治疗的两个顺序组。记录血肿形成情况和最初24小时的排液量。结果:1组3例(9.1%)患者出现血肿。2组未使用纤维蛋白密封剂的患者有12例(28.1%)出现血肿;差异有统计学意义(P=0.006)。24小时排液量也有统计学差异,纤维蛋白密封剂组的初始排液量更高(222.2 mL vs 140.0 mL;P = 0.047)。结论:纤维蛋白密封胶在手术伤口闭合中是一种有用的辅助剂,可显著减少减肥后腹部成形术患者的血肿形成。
The effect of fibrin sealant on the prevention of seroma formation after 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.
期刊介绍:
Plastic Surgery (Chirurgie Plastique) is the official journal of the Canadian Society of Plastic Surgeons, the Canadian Society for Aesthetic Plastic Surgery, Group for the Advancement of Microsurgery, and the Canadian Society for Surgery of the Hand. It serves as a major venue for Canadian research, society guidelines, and continuing medical education.