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Войти в исследования Plastic and reconstructive surgery. Global open · 2017
Preliminary Study of PGA Fabric for Seromas at Latissimus Dorsi Flap Donor Sites.
СтатьяНазвание и аннотация: Перевод в очереди
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Itani Yoshihito, Hagiwara Akeo, Hashimoto Takahiro, Isogai Noritaka, Kusuhara Hirohisa
Аннотация
BACKGROUND: Seroma formation is a major complication following latissimus dorsi (LD) flap transfer for breast reconstruction. We implanted a nonwoven polyglycolic acid (PGA) fabric-a biodegradable polymer-in the LD flap donor site and examined its effect on postoperative seroma formation and resolution in a comparative study on 38 patients undergoing primary 1-stage breast reconstruction by LD flap.
METHOD: A PGA treatment group had a PGA fabric placed in the donor wound (PGA group, n = 20), whereas a second group was treated with standard donor site closure (control group, n = 18). The incidence of seromas was comparable between the groups.
RESULT: There was a significant reduction in aspiration volume by needle aspiration after drain removal (P < 0.05) and in the time until seroma resolution (P < 0.01) in the PGA group compared with the control group.
CONCLUSION: These results indicate that application of PGA at the LD donor site is useful in controlling postoperative seromas.
METHOD: A PGA treatment group had a PGA fabric placed in the donor wound (PGA group, n = 20), whereas a second group was treated with standard donor site closure (control group, n = 18). The incidence of seromas was comparable between the groups.
RESULT: There was a significant reduction in aspiration volume by needle aspiration after drain removal (P < 0.05) and in the time until seroma resolution (P < 0.01) in the PGA group compared with the control group.
CONCLUSION: These results indicate that application of PGA at the LD donor site is useful in controlling postoperative seromas.