Adhesion sutures for seroma reduction in cranial reconstructions with polymethyl methacrylate prosthesis in patients undergoing decompressive craniectomy: A clinical trial.

Autor:	Maricevich JPBR; Department of Plastic Surgery, Hospital da Restauração, Recife, Pernambuco, Brazil., Cezar AB; Department of Neurosurgery, Hospital da Restauração, Recife, Pernambuco, Brazil., de Oliveira EX; Department of Plastic Surgery, Hospital da Restauração, Recife, Pernambuco, Brazil., Silva JAMVE; Department of Plastic Surgery, Hospital da Restauração, Recife, Pernambuco, Brazil., Maricevich RS; Department of Plastic Surgery, Baylor College of Medicine, Houston, Texas, USA., Almeida NS; Department of Neurosurgery, Hospital da Restauração, Recife, Pernambuco, Brazil., Azevedo-Filho HRC; Department of Neurosurgery, Hospital da Restauração, Recife, Pernambuco, Brazil.
Jazyk:	angličtina
Zdroj:	Surgical neurology international [Surg Neurol Int] 2018 Aug 22; Vol. 9, pp. 168. Date of Electronic Publication: 2018 Aug 22 (Print Publication: 2018).
DOI:	10.4103/sni.sni_102_18
Abstrakt:	Background: Cranial reconstruction with polymethyl methacrylate (PMMA) prosthesis is used for calvarial defects secondary to decompressive craniectomies. Seroma is one of the most frequent complications of this procedure and can lead to the dehiscence, extrusion, infection, and loss of the prosthesis. The objective of the study is to analyze the effectiveness of the tacking sutures between the prosthesis and the scalp flap in reducing the seroma. Methods: This is a prospective study with 63 patients submitted to cranioplasty between 2014 and 2017 for defects resulting from decompressive craniectomies. All patients were followed up postoperatively for at least 3 months and the diagnosis of seroma was made clinically. In the first 22 patients, the conventional technique was applied and, in the following 41, the technique with tacking sutures was used. The incidence of seroma was collected for both groups. Results: The overall incidence of seroma was 65.1%. Compared to the conventional technique, the use of tacking sutures was associated with a statistically significant reduction in the incidence of seroma from 90.9% to 51.2% ( P = 0.002). Conclusion: The use of the tacking sutures in cranioplasties with PMMA prosthesis reduced the incidence of seroma postoperatively. Competing Interests: There are no conflicts of interest.
Databáze:	MEDLINE
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