Rossetto Luis Antonio, Garcia Elvio Bueno, Abla Luiz Eduardo Felipe, Ferreira Lydia Masako
From the *Division of Plastic Surgery, Department of Surgery, Universidade Federal de São Paulo; and †Division of Plastic Surgery, Department of Surgery, Universidade Federal de São Paulo (UNIFESP), and Women's Health Reference Center, Pérola Byington Hospital, São Paulo, Brazil.
Ann Plast Surg. 2014 Apr;72(4):391-7. doi: 10.1097/SAP.0b013e3182610b11.
Seroma formation at the donor site of the transverse rectus abdominis myocutaneous flap was evaluated in 48 patients who underwent breast reconstruction with either quilting sutures and suction drains (QS+DN group) or quilting sutures alone (QS group) or suction drains alone (DN group). Clinical and ultrasound examinations were performed to assess seroma formation in 5 regions of the abdominal wall on postoperative days 7 and 14. The incidence of seroma detected by ultrasound examination was significantly higher in the DN group (P = 0.008) than that in the other 2 groups. No difference in seroma volume (puncture) was found between the QS+DN and QS groups (P = 1.00). Seroma formation was observed in the iliac region in the DN group but not in the QS+DN and QS groups (P = 0.028). Quilting sutures at the transverse rectus abdominis myocutaneous flap donor site were efficient in reducing seroma formation.
对48例行腹直肌肌皮瓣乳房重建术的患者进行了供区血清肿形成情况的评估，这些患者分别接受了褥式缝合加负压引流（QS+DN组）、单纯褥式缝合（QS组）或单纯负压引流（DN组）。在术后第7天和第14天，进行临床和超声检查以评估腹壁5个区域的血清肿形成情况。超声检查发现血清肿的发生率在DN组显著高于其他2组（P = 0.008）。QS+DN组和QS组之间在血清肿体积（穿刺量）上未发现差异（P = 1.00）。DN组在髂区观察到血清肿形成，而QS+DN组和QS组未观察到（P = 0.028）。腹直肌肌皮瓣供区的褥式缝合在减少血清肿形成方面是有效的。
