2017年10月
Preliminary Study of PGA Fabric for Seromas at Latissimus Dorsi Flap Donor Sites.
Plastic and reconstructive surgery. Global open
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- 巻
- 5
- 号
- 10
- 開始ページ
- e1499
- 終了ページ
- 記述言語
- 英語
- 掲載種別
- 研究論文(学術雑誌)
- DOI
- 10.1097/GOX.0000000000001499
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.
- リンク情報
- ID情報
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- DOI : 10.1097/GOX.0000000000001499
- PubMed ID : 29184727
- PubMed Central 記事ID : PMC5682163