PMID: 9188974Jun 1, 1997Paper

Seroma as a common donor site morbidity after harvesting the latissimus dorsi flap: observations on cause and prevention

Annals of Plastic Surgery
A SchwabeggerH Anderl

Abstract

This prospective study reveals that the incidence of seroma formation after harvesting the latissimus dorsi muscle by scalpel is reasonably moderate. This incidence is lower when the resulting skin flaps are tacked to the underlying structures with resorbable sutures. In contrast, electrocautery dissection shows a significantly much higher rate of seroma formation, probably because of thermal injury of the wide fascial wound layers or the subcutaneous fat tissue. Fifty-eight patients were distributed among three groups. Within each group a specific way of latissimus dorsi muscle harvesting and donor site treatment was accomplished. The group of scalpel dissection and skin flap fixation to the underlying layers with additional tacking sutures shows the lowest rate of seroma formation (9.1%, N = 2) due to the avoidance of shearing effects. A clearly higher incidence is present in the group of scalpel dissection without tacking sutures (38.1%, N = 8), whereas seromas most frequently result after electrocautery dissection without skin flap fixation (80.0%, N = 12).

Citations

Oct 18, 2006·Der Unfallchirurg·B Del Frari, A H Schwabegger
Mar 17, 2004·Clinics in Plastic Surgery·Moustapha HamdiStan Monstrey
May 1, 2004·Seminars in Plastic Surgery·Elisabeth K Beahm, David W Chang
Sep 26, 2008·Tissue Engineering. Part B, Reviews·Peter N Zawaneh, David Putnam
Nov 12, 1998·Plastic and Reconstructive Surgery·A H SchwabeggerM M Ninković
Jun 6, 2000·Plastic and Reconstructive Surgery·D G LamM A Cadier
Sep 28, 2000·Plastic and Reconstructive Surgery·M A HornJ Angelats
Jan 31, 2002·Plastic and Reconstructive Surgery·Marguerite E Aitken, Thomas A Mustoe
Mar 26, 2003·Plastic and Reconstructive Surgery·Christoph HeitmannGuenter Germann
Dec 10, 2003·Plastic and Reconstructive Surgery·Jose L RiosWilliam P Adams
Apr 15, 2004·Plastic and Reconstructive Surgery·Moustapha HamdiPhillip Blondeel
Jun 29, 2004·Plastic and Reconstructive Surgery·Aldo Benjamin GuerraCharles Louis Dupin
Sep 7, 2007·Techniques in Hand & Upper Extremity Surgery·Miguel A Pirela-CruzMatthew Higgs
Jan 1, 2009·Plastic and Reconstructive Surgery·Michel Saint-CyrRod J Rohrich
Nov 30, 2012·Plastic and Reconstructive Surgery·Shannon ColohanMichel Saint-Cyr
Apr 23, 2005·BMJ : British Medical Journal·S AhmedI H Whitworth
Jun 20, 2014·Future Oncology·E Jane H TurnerZoë E Winters
Jun 11, 2010·Proceedings of the National Academy of Sciences of the United States of America·Peter N ZawanehDavid Putnam
Mar 8, 2012·Aesthetic Surgery Journal·Stefano BonomiVincenzo Rapisarda
Mar 6, 2017·Surgical and Radiologic Anatomy : SRA·Sandy DastRaphael Sinna
Jul 22, 2017·Archives of Plastic Surgery·Apichai AngspattPoonpissamai Suwajo
Apr 3, 2003·Annals of Plastic Surgery·Mark R Sultan, Shirley M Madhere
Jun 5, 2003·Annals of Plastic Surgery·Nathan G MenonRonald P Silverman
Nov 6, 2003·Journal of Orthopaedic Trauma·Dolfi HerscoviciThomas DiPasquale
Jun 24, 2004·Annals of Plastic Surgery·Jonathan C WeinrachBenjamin E Cohen
Jun 27, 2003·Journal of Surgical Oncology·Angela ShoherAnthony Lucci
May 12, 2011·The Journal of Craniofacial Surgery·Daniel Ambrose O'ConnellNeal David Futran
Oct 2, 2008·Plastic and Reconstructive Surgery·Moustapha HamdiStan Monstrey
Jul 25, 2008·Annals of Plastic Surgery·Moustapha HamdiKoenraad Van Landuyt
Mar 31, 2010·World Journal of Surgery·Hisamitsu ZahaNaoto Ohshiro
Sep 6, 2005·Plastic and Reconstructive Surgery·Alexandre Mendonça MunhozMarcus Castro Ferreira
Jan 19, 2019·Plastic and Reconstructive Surgery. Global Open·Yoshihiro SowaToshiaki Numajiri
Oct 12, 2005·Plastic and Reconstructive Surgery·Laura C RandolphMargo Shoup

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