Abstract
Background
This study aimed to evaluate the true risk of seroma with simultaneous abdominoplasty and liposuction and to assess the role of progressive tension suture in preventing it.
Methods
A retrospective chart review of 235 consecutive abdominoplasties performed by a single surgeon was conducted. Matarasso classification was used, and 146 patients with type 4 abdominoplasty were selected. These patients were divided into two groups. The 96 patients in group A had no progressive tension sutures. This group was further subdivided into subgroup A1 (43 patients), which had abdominoplasty alone, and subgroup A2 (53 patients), which had abdominoplasty with liposuction. The 50 patients in group B had progressive tension sutures. This group was further subdivided into subgroup B1 (26 patients), which had abdominoplasty alone, and subgroup B2 (24 patients), which had abdominoplasty with liposuction.
Results
The two groups were similar in terms of body mass index, age, and smoking status. The incidence of seroma formation was 26% (n = 25) in group A, as compared with 4% (n = 2) in group B (p = 0.001). Group B showed 0% seroma formation when abdominoplasty alone was performed, as compared with 7.7% when liposuction was performed at the same time (p = 0.08, no statistical difference). Also, no statistical difference was seen when similar subgroups were compared in group A (p = 0.87).
Conclusion
The findings of this retrospective study show that the application of progressive tension sutures in abdominoplasty significantly reduces the incidence of seroma, and that simultaneous abdominoplasty with liposuction does not contribute to this complication.
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References
Dillerud E (1990) Abdominoplasty combined with suction lipoplasty: A study of complications, revisions, and risk factors in 487 cases. Ann Plast Surg 25:333–338
Hafezi F (2002) Abdominoplasty and seroma. Ann Plast Surg 48:109–110
Kim J, Stevenson TR (2006) Abdominoplasty, liposuction of the flanks, and obesity: Analyzing risks factors for seroma formation. Plast Reconstruct Surg 117:773–779
Mohammad JA, Warnke PH, Stavraky W (1998) Ultrasound in the diagnosis and management of fluid collection complication following abdominoplasty. Ann Plast Surg 41:498–502
Zecha PJ, Missoten FEM (1999) Pseudocyst formation after abdominoplasty: Extravasation of Morel- Lavallee. Br J Plast Surg 52:500–502
Keramidas EG, Rodopoulou S, Khan UD (2006) Pseudocyst formation after abdominoplasty combined with liposuction: A case report and review of the literature. Eur J Plast Surg 28:400–402
Ersek RA, Schade K (1990) Subctaneous pseudobursa secondary to suction and surgery. Plast Reconstr Surg 85:442–445
Mladick R (2001) Progressive tension sutures to reduce complications in abdominoplasty. Plast Reconstr Surg J 107:619
Pollock H, Pollock T (2000) Progressive tension sutures: A technique to reduce local complications in abdominoplasty. Plast Reconstr Surg 105:2583
Khan S, Teotia SS, Mullis WF, Jacobs WE, Beasly ME, Smith KL, Eaves FF, Finical SJ, Watterson PA (2006) Do progressive tension sutures really decrease complications in abdominoplasty? Ann Plast Surg 56:14–20
Matarasso A (1989) Abdominoplasty. Clin Plast Surg 16:289
Matarasso A (1995) Liposuction as an adjunct to a full abdominoplasty. Plast Reconstr Surg 95: 829
Huger WE Jr. (1979) The anatomic rationale for abdominal lipectomy. Am Surg 45:612
Taylor GI, Palmer JH (1987) The vascular territories (angiosomes) of the body: Experimental study and clinical application. Br J Plast Surg 40:113–141
Teimorian B (2005) Management of seroma in abdominoplasty. Aesth Surg J 25:510–511
Regnault P (1975) Abdominoplasty by W technique. Plast Reconstr Surg 55:265–274
Saldanha OR (2003) Lipoabdominoplasty with selective and safe undermining. Aesth Plast Surg 27:322–327
Saldanha OR, De Souza Pinto EB, Matos WN Jr, Lucon RL, Magalhaes FF, Bello EML (2001) Lipoabdominoplasty without undermining. Aesth Surg J 21:518–526
Matos WN Jr, Ribeiro RC, Marujo RA, Rocha RP, Ribeiro SMS, Jiminez FVC (2006) Classification for indications of lipoabdominoplasty and its variations. Aesth Surg J 26:417–431
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Presented at the 6th Croatian Congress of Plastic, Reconstructive, and Aesthetic Surgery with International Participation, Opatija-Rijeka, Croatia, 6–11 October 2006, BOA AS36, page 31, and at the 4th Central European Advance Course Prague Czech Republic, 17–20 May 2006, BOA, page 30.
An erratum to this article can be found at http://dx.doi.org/10.1007/s00266-007-9071-0
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Khan, U.D. Risk of Seroma with Simultaneous Liposuction and Abdominoplasty and the Role of Progressive Tension Sutures. Aesth Plast Surg 32, 93–99 (2008). https://doi.org/10.1007/s00266-007-9004-y
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DOI: https://doi.org/10.1007/s00266-007-9004-y