Outcomes and complications of postoperative seroma cavities following soft-tissue sarcoma resection.

Autor:	Andryk LM; Department of Orthopaedic Surgery, Medical College of Wisconsin, Milwaukee, WI, United States., Neilson JC; Department of Orthopaedic Surgery, Medical College of Wisconsin, Milwaukee, WI, United States., Wooldridge AN; Department of Orthopaedic Surgery, Medical College of Wisconsin, Milwaukee, WI, United States., Hackbarth DA; Department of Orthopaedic Surgery, Medical College of Wisconsin, Milwaukee, WI, United States., Bedi M; Department of Radiation Oncology, Medical College of Wisconsin, Milwaukee, WI, United States., Baynes KE; Department of Radiology, Medical College of Wisconsin, Milwaukee, WI, United States., LoGiudice JA; Department of Plastic Surgery, Medical College of Wisconsin, Milwaukee, WI, United States., Slusarczyk SM; Department of Orthopaedic Surgery, Medical College of Wisconsin, Milwaukee, WI, United States., King DM; Department of Orthopaedic Surgery, Medical College of Wisconsin, Milwaukee, WI, United States.
Jazyk:	angličtina
Zdroj:	Frontiers in oncology [Front Oncol] 2024 Jan 31; Vol. 14, pp. 1250069. Date of Electronic Publication: 2024 Jan 31 (Print Publication: 2024).
DOI:	10.3389/fonc.2024.1250069
Abstrakt:	Introduction: Seroma development is a known complication following extremity and trunk soft-tissue sarcoma (STS) resection. The purpose of this study is to evaluate and characterize seroma outcomes and the development of associated complications. Methods: A retrospective review of 123 patients who developed postoperative seromas following STS resection at a single institution was performed. Various patient and surgical factors were analyzed to determine their effect on overall seroma outcomes. Results: 77/123 seromas (62.6%) were uncomplicated, 30/123 (24.4%) developed infection, and 16/123 (13.0%) were symptomatic and required aspiration or drainage for symptom relief at an average of 12.2 months postoperatively. 65/123 (52.8%) seromas resolved spontaneously at an average time of 12.41 months. Seromas in the lower extremity (p=0.028), surgical resection volume >864 cm3, (p=<0.001) and initial seroma volume >42 cm3 (p=<0.001) increased the likelihood of infection. 90% of infected seromas developed the infection within the first three months following initial resection. No seromas which were aspirated or drained ultimately developed an infection following these procedures, though 50% recurred. Discussion: Most seromas following STS resection are uncomplicated and do not require intervention, though a large resection cavity >864 cm3 and a large seroma volume >42 cm3 are risk factors for complications. Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. (Copyright © 2024 Andryk, Neilson, Wooldridge, Hackbarth, Bedi, Baynes, LoGiudice, Slusarczyk and King.)
Databáze:	MEDLINE
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