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盆腔手术后腹壁皮下复发血清肿的处理。

Management of abdominal wall recurrent subfascial seroma after pelvic surgery.

机构信息

Department of Biomedical Sciences and Human Oncology, Division of Gynecology and Obstetrics, University of Bari 'Aldo Moro', Bari, Italy.

出版信息

Acta Biomed. 2020 Jun 10;91(4):e2020092. doi: 10.23750/abm.v91i4.9024.

DOI:10.23750/abm.v91i4.9024
PMID:33525299
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7927539/
Abstract

Seroma is a serous fluid collection that accumulates in dead spaces, where tissue was attached to something before surgery. Abdominal seroma formation is a quite common complication after breast reconstruction with abdominal's flaps or after an abdominoplasty procedure.The most frequently used method for decreasing early seroma frequency are the use of closed suction drains, ultrasonic dissection and sharp dissection, use of fibrine, and use of clip or ligation of vessels during the sur-gery. The management strategies consist of non-operative management, percutaneous drainage, or surgical drainage. With this paper we report a case of a subfascial seroma of the abdominal wall oc-curred in a 41 years old patient after laparotomy surgery for a voluminous pelvic serocele.

摘要

血清肿是一种浆液性液体的积聚,发生在组织在手术前附着于某个部位的死腔中。腹部血清肿的形成是乳房重建术后采用腹部皮瓣或腹部整形手术后一种相当常见的并发症。减少早期血清肿发生率最常用的方法是使用密闭式负压引流、超声分离和锐性分离、纤维蛋白的使用,以及在手术过程中使用夹或结扎血管。管理策略包括非手术治疗、经皮引流或手术引流。通过本文,我们报告了 1 例 41 岁女性患者,因巨大盆腔浆液性囊瘤行剖腹手术后发生腹壁筋膜下血清肿。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc06/7927539/72e7fcbf338f/ACTA-91-92-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc06/7927539/234c7ac2c058/ACTA-91-92-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc06/7927539/f965c2628427/ACTA-91-92-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc06/7927539/72e7fcbf338f/ACTA-91-92-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc06/7927539/234c7ac2c058/ACTA-91-92-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc06/7927539/f965c2628427/ACTA-91-92-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc06/7927539/72e7fcbf338f/ACTA-91-92-g003.jpg

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Management of abdominal wall recurrent subfascial seroma after pelvic surgery.盆腔手术后腹壁皮下复发血清肿的处理。
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本文引用的文献

1
Management of chronic abdominal wall seroma with Doxycycline sclerotherapy using a Negative Pressure Wound Therapy System KCI-V.A.C.Ulta™-A case report.使用负压伤口治疗系统KCI-V.A.C.Ulta™行强力霉素硬化疗法治疗慢性腹壁血清肿——病例报告
Int J Surg Case Rep. 2018;51:25-28. doi: 10.1016/j.ijscr.2018.08.014. Epub 2018 Aug 13.
2
Chronic Encapsulated Seroma Persisting for Three Years after Abdominoplasty and a Successful Surgical Solution.腹壁成形术后持续三年的慢性包裹性血清肿及成功的手术解决方案
Open Access Maced J Med Sci. 2018 Jan 9;6(1):82-84. doi: 10.3889/oamjms.2018.051. eCollection 2018 Jan 25.
3
Sclerotherapy for the Management of Seromas: A Systematic Review.
硬化疗法治疗血清肿:一项系统评价
Eplasty. 2017 Aug 28;17:e25. eCollection 2017.
4
A Meta-Analysis of the Effects of Abdominoplasty Modifications on the Incidence of Postoperative Seroma.腹部整形术改良对术后血清肿发生率影响的Meta分析
Aesthet Surg J. 2017 Oct 16;37(10):1136-1143. doi: 10.1093/asj/sjx051.
5
Strategies for Postoperative Seroma Prevention: A Systematic Review.术后血清肿预防策略:一项系统综述
Plast Reconstr Surg. 2016 Jul;138(1):240-252. doi: 10.1097/PRS.0000000000002245.
6
Techniques in the prevention and management of seromas after breast surgery.乳房手术后血清肿的预防与处理技术
Future Oncol. 2014 May;10(6):1049-63. doi: 10.2217/fon.13.257.
7
Scar asymmetry after abdominoplasty: the unexpected role of seroma.腹壁成形术后瘢痕不对称:血清肿的意外作用。
Ann Plast Surg. 2013 Nov;71(5):461-3. doi: 10.1097/SAP.0b013e3182503ad9.
8
A large encapsulated seroma presenting as a mass 5 years post paraumbilical hernia repair.脐疝修补术后5年出现一个巨大的包膜性血清肿,表现为肿块。
J Plast Reconstr Aesthet Surg. 2009 Jan;62(1):105-7. doi: 10.1016/j.bjps.2007.08.009. Epub 2007 Oct 15.
9
Seroma formation after breast cancer surgery: incidence and predicting factors.乳腺癌手术后血清肿的形成:发生率及预测因素。
Am Surg. 2000 May;66(5):444-50; discussion 450-1.
10
Seroma as a common donor site morbidity after harvesting the latissimus dorsi flap: observations on cause and prevention.背阔肌肌皮瓣切取术后血清肿作为常见供区并发症:病因及预防观察
Ann Plast Surg. 1997 Jun;38(6):594-7. doi: 10.1097/00000637-199706000-00005.