Natural History of Seroma Following the Immediate Latissimus Dorsi Flap Method of Breast R

Natural History of Seroma Following the Immediate Latissimus Dorsi Flap Method of Breast

Reconstruction

Wen-Hui Yan;Jian-Bo Mang;Li-Li Ren;Da-Lie Liu

【期刊名称】《中华医学杂志（英文版）》 【年(卷),期】2018(131)014

【摘要】Background:The latissimus dorsi (LD) flap procedure remains a popular and useful breast reconstruction tool in China and Western countries,and

donor

site

seroma

formation

is

the

main

complication.This study was conducted in Chinese patients to determine whether stable cases of seromas would resolve without treatment.Methods:A retrospective review of 45 consecutive cases of immediate breast reconstruction with LD flap from April 2012 to February 2017 was conducted.The scope of the seroma was demarcated with a marker pen,and cases that remained stable over time (i.e.the size of the seroma did not increase) were observed without treatment.The measured outcomes included the incidence of seromas,the volume and duration of postoperative wound drainage,and other demographic characteristics.Results:Twenty-four patients (53.3％) developed a seroma at the donor site.Of these,21 patients (87.5％) did not require treatment,and the seroma resolved over time.The mean duration of a sustained

seroma

was

6.8

±

1.4

weeks

(range:4-9