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KMID : 0358820110380030241
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Journal of Korean Society of Plastic and Reconstructive Surgeons
2011 Volume.38 No. 3 p.241 ~ p.244
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Does Abdominal Quilting Suture Prevent Seroma in TRAM Flap Breast Reconstruction?
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Lee Min-Young
Lee Taek-Jong
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Abstract
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Purpose: Seroma formation is still major complication of abdominal donor site after TRAM flap surgery in spite of various efforts to reduce seroma formation such as closed suction drain. We performed a clinical study, that quilting suture at abdominal donor site can prevent seroma formation.
Methods: Between May 2002 and September 2008, we performed 600 breast reconstructions using a unilateral TRAM flap except patients who has smoking history or abdominal scar. We performed 300 breast reconstructions without quilting sutures (A: Experimental group) until January 06, and after then 300 reconstructions with quilting sutures (B: Control group). We compared total drain output (mL), time to drain removal (days), and donor site complications between two groups.
Results: There were no statistical difference at BMI (p=0.28) and time to remove suction drain between two group. (A: 8.37, B: 9.69) (p=0.40) But, total drain output was reduced with quilting suture. (A: 432.5, B: 495.2) (p=0.005) And also complication rate was decreased, such as seroma formation, epigastric bulging. (A: 1%, B: 7%) (p=0.005)
Conclusion: Quilting suture is a simple and reliable method to reduce seroma formation and abdominal donor site complication.
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KEYWORD
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Breast reconstruction, Quilting suture, Abdominal donor site complication
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