Ismail Maram, Ghoraba Samir
Plastic and Reconstructive Surgery Department, Cairo University, Cairo, Egypt.
Plastic and Reconstructive Surgery Department, Faculty of Medicine, Tanta University, Tanta, Egypt.
Aesthetic Plast Surg. 2025 Mar 25. doi: 10.1007/s00266-025-04745-8.
Several studies have discussed the safety and effectiveness of the hemostatic net after facelift surgery. However, fearful of having to deal with a hematoma or seroma following the surgery, many surgeons opt to leave surgical drains in place for a short time after the procedure. There is minimal data from studies comparing the hemostatic net to surgical drains.
To compare the efficacy of surgical drains and the hemostatic net after deep plane facelift surgery.
This study prospectively compares the effectiveness of both methods in a randomized controlled approach, including a consecutive series of 160 patients who underwent deep plane facelifts throughout a 6-month period. We compared the incidence of hematoma, seroma, edema, and other complications during the postoperative period using surgical drains and the hemostatic net.
Eighty female patients were included in each group. Analysis of the postoperative data showed no significant difference in hematoma and seroma rates between the drain and net groups. Both methods were associated with comparable degrees of postoperative edema (p = 0.737). The occurrence of other complications such as ecchymosis, congestion, and necrosis did not show a significant correlation to either method.
The hemostatic net and surgical drain have comparable outcomes in terms of controlling hematoma and seroma formation after deep plane facelift surgery and show similar degrees of postoperative swelling.
A randomized controlled trial. 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 .
多项研究探讨了面部提升手术后止血网的安全性和有效性。然而，由于担心术后出现血肿或血清肿，许多外科医生选择在手术后短时间内留置手术引流管。比较止血网和手术引流管的研究数据极少。
比较深层平面面部提升手术后手术引流管和止血网的疗效。
本研究采用随机对照方法前瞻性比较两种方法的有效性，纳入了在6个月期间连续接受深层平面面部提升手术的160例患者。我们比较了使用手术引流管和止血网的术后血肿、血清肿、水肿及其他并发症的发生率。
每组纳入80例女性患者。术后数据分析显示，引流管组和止血网组的血肿和血清肿发生率无显著差异。两种方法术后水肿程度相当（p = 0.737）。瘀斑、充血和坏死等其他并发症的发生与两种方法均无显著相关性。
在深层平面面部提升手术后控制血肿和血清肿形成方面，止血网和手术引流管的效果相当，术后肿胀程度相似。
证据等级I：随机对照试验。本刊要求作者为每篇文章确定证据等级。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 。
