Marcasciano Marco, Kaciulyte Juste, Marcasciano Fabio, Lo Torto Federico, Ribuffo Diego, Casella Donato
Unità di Oncologia Chirurgica Ricostruttiva della Mammella, "Spedali Riuniti" di Livorno, Breast Unit Integrata di Livorno Cecina, Piombino Elba, Azienda USL Toscana Nord Ovest, Leghorn, Italy.
Policlinico Umberto I, Department of Surgery "P. Valdoni", Unit of Plastic and Reconstructive Surgery, Sapienza University of Rome, Via Lancisi, 2, 00100, Rome, Italy.
Aesthetic Plast Surg. 2019 Aug;43(4):1118-1119. doi: 10.1007/s00266-018-1192-0. Epub 2018 Jul 9.
Seromas represent the most frequent complication following immediate breast reconstruction surgery, in particular when acellular dermal matrix or synthetic meshes are used to add coverage to implants. Little information regarding breast seroma management is available in the literature. When seroma becomes clinically significant, current methods for its management consist of repeated needle aspiration. We report a fast, efficient, easy and riskless technique to perform serum aspiration in patients who underwent breast reconstruction with a tissue expander that allows simultaneous drainage and expansion of the implant at once. This procedure is safe, painless, does not need special supplies or additional costs and can be easily performed in ambulatory setting to manage breast seromas.Level of Evidence V This journal requires that authors assign a level of evidence to each article. For a full description of these evidence-based medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
血清肿是即刻乳房重建手术后最常见的并发症，尤其是在使用脱细胞真皮基质或合成网片来覆盖植入物时。文献中关于乳房血清肿处理的信息很少。当血清肿在临床上变得显著时，目前的处理方法包括反复穿刺抽吸。我们报告了一种快速、有效、简便且无风险的技术，用于对接受组织扩张器乳房重建的患者进行血清抽吸，该技术可同时实现引流和植入物扩张。此 procedure 安全、无痛，无需特殊用品或额外费用，且可在门诊轻松进行以处理乳房血清肿。证据级别为V 本期刊要求作者为每篇文章指定证据级别。有关这些循证医学评级的完整描述，请参阅目录或在线作者指南www.springer.com/00266 。 （注：原文中“procedure”未翻译，可能是拼写错误，推测应为“procedure”，翻译为“程序、操作”等，这里统一翻译为“技术”使译文更通顺。）
