Preliminary Study of PGA Fabric for Seromas at Latissimus Dorsi Flap Donor Sites
| Autor: | Yoshihito Itani, MD, Akeo Hagiwara, MD, Takahiro Hashimoto, MD, Noritaka Isogai, MD, Hirohisa Kusuhara, MD |
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| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: | |
| Zdroj: | Plastic and Reconstructive Surgery, Global Open, Vol 5, Iss 10, p e1499 (2017) |
| Druh dokumentu: | article |
| ISSN: | 2169-7574 00000000 |
| DOI: | 10.1097/GOX.0000000000001499 |
| Popis: | Background:. Seroma formation is a major complication following latissimus dorsi (LD) flap transfer for breast reconstruction. We implanted a nonwoven polyglycolic acid (PGA) fabric—a biodegradable polymer—in the LD flap donor site and examined its effect on postoperative seroma formation and resolution in a comparative study on 38 patients undergoing primary 1-stage breast reconstruction by LD flap. Method:. A PGA treatment group had a PGA fabric placed in the donor wound (PGA group, n = 20), whereas a second group was treated with standard donor site closure (control group, n = 18). The incidence of seromas was comparable between the groups. Result:. There was a significant reduction in aspiration volume by needle aspiration after drain removal (P < 0.05) and in the time until seroma resolution (P < 0.01) in the PGA group compared with the control group. Conclusion:. These results indicate that application of PGA at the LD donor site is useful in controlling postoperative seromas. |
| Databáze: | Directory of Open Access Journals |
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