Quilting Sutures versus Suprascarpa's Dissection in Reduction of Seroma Formation Following Abdominoplasty | ||
| The Egyptian Journal of Plastic and Reconstructive Surgery | ||
| Articles in Press, Accepted Manuscript, Available Online from 13 September 2023 | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejprs.2023.232492.1290 | ||
| Authors | ||
| Israa Mosad Elbazz* 1; mohamed tawfeek younis2; Gamal Ibrahim El-Habaa3; Mohamed Hussein Fahmy3 | ||
| 1General surgery department, banha university, Qalyubia, Egypt | ||
| 2plastic surgery unit banha faculty of medicine, banha university | ||
| 3Plastic Surgery unit,General surgery department , Faculty of Medicine, Benha University, Egypt | ||
| Abstract | ||
| Background Abdominoplasty surgery is used to enhance body quality and shaping body contoure. Massive weight reduction causes an overabundance of superfluous skin that causes additional psychological and functional issues. The most frequent post-abdominoplasty consequence is seroma, which often develops in the second postoperative week in areas where the skin of the trunk is compromised or dead space is produced. Several prophylactic measures have been proposed to reduce the prevalence of postoperative seroma, including drains, the use of compression garments, tissue adhesives, quilting Sutures and suprascarpa'spreservation. Objectives: The purpose of this study is to assess the efficacy of suprascarpa's dissection and quilting sutures in reducing seroma production after abdominoplasty in regarding the quantity of seroma, duration of drain , length of hospital stay, patient satisfaction, and ultimate cosmetic result. Patients and methods: This study includes a 30 female patients at the Plastic Surgery Unit. All of the patients met the following criteria: all patients had a BMI of less than 30, all patients have excess abdominal skin and fat tissue, and all patients exhibit musculoaponeurotic laxity.Between June 2022 and June 2023, our prospective study was carried out at the Benha University Hospital's Plastic Surgery unit . 15 patients had abdominalplasties using the quilting suture technique, while 15 others had them using Scarpa's fascia preservation.. Results: 8 patients had pendulous abdomen post weight gain, 7 patients presented with redundant skin following dietary weight loss, 8 patients presented with abdominal deformities post bariateric surgery and 7 patients presented with skin laxity following multiple pregnancies. Regarding the complications, 14 patients had no complications, 8 patients with seroma, 6 patients with hematoma and 2 patients with wound dehiscence Conclusion: suprascarpa'spreservation and quilting sutures are effective in preserving abdominal wall lymphatics and decreasing postoperative complications especially; decreasing seroma rates, reducing drain duration and hospital stays. | ||
| Keywords | ||
| Seroma post abdominoplasty; suprascarpa's preservation; quilting sutures | ||
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