Zeplin Philip H, Langer Stefan, Schwarzenberger Sarah, Spindler Nick
Schlosspark Klinik Ludwigsburg, Privatklinik für Plastische und Ästhetische Chirurgie, Ludwigsburg, Germany.
Universitätsklinikum Leipzig, Klinik für Orthopädie, Unfallchirurgie und Plastische Chirurgie, Leipzig, Germany.
Plast Surg (Oakv). 2021 Aug;29(3):146-152. doi: 10.1177/2292550320936667. Epub 2020 Jul 21.
Post-bariatric body-contouring surgery is one of the most rapidly growing areas in plastic surgery. One of the most common complications following post-bariatric body-contouring surgery is seroma. There are a number of approaches to reducing wound drainage and seroma formation. A promising strategy to reduce these complications is to develop effective methods for reducing dead space between the tissue layers.
We conducted a retrospective trial assessing the use of human fibrin sealant Artiss in comparison to progressive tension sutures (PTS) with Stratafix, a bidirectional barbed suture device in patients undergoing post-bariatric body-contouring surgery. Thirty-six patients for abdominoplasty or lower-body-lift were evaluated. Treatment patients underwent procedure with fibrin sealant applied to adapt the tissue layers. Control patients underwent an identical procedure but with PTS. Primary outcome measures included total wound drainage and time to drain removal.
The use of Artiss in abdominoplasty was associated with a mean drain volume that was significantly higher and more days that were needed to remove all drains compared to the PTS group. In body-lift, the mean drain volume and number of days needed to remove all drains tended to be higher when using Artiss compared to the PTS group.
The use of Artiss in post-bariatric body-contouring surgery did not decrease the rate of seromas and the length of time required for post-surgical drains when compared to PTS.
减肥后身体塑形手术是整形外科领域中发展最为迅速的领域之一。减肥后身体塑形手术后最常见的并发症之一是血清肿。有多种方法可减少伤口引流和血清肿形成。一种有望减少这些并发症的策略是开发有效方法来减少组织层之间的死腔。
我们进行了一项回顾性试验，评估在减肥后身体塑形手术患者中使用人纤维蛋白密封剂Artiss与使用带有Stratafix（一种双向倒刺缝合装置）的渐进性张力缝合（PTS）的效果。对36例行腹部整形术或下半身提升术的患者进行了评估。治疗组患者在手术过程中应用纤维蛋白密封剂来贴合组织层。对照组患者接受相同手术，但使用PTS。主要观察指标包括总伤口引流量和引流管拔除时间。
与PTS组相比，在腹部整形术中使用Artiss时，平均引流量显著更高，且拔除所有引流管所需天数更多。在下半身提升术中，与PTS组相比，使用Artiss时平均引流量和拔除所有引流管所需天数往往更高。
与PTS相比，在减肥后身体塑形手术中使用Artiss并没有降低血清肿的发生率以及术后引流所需的时间。
