Preliminary Study of PGA Fabric for Seromas at Latissimus Dorsi Flap Donor Sites
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 resolu...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer
2017-10-01
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| Series: | Plastic and Reconstructive Surgery, Global Open |
| Online Access: | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000001499 |
| _version_ | 1818980683225235456 |
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| author | Yoshihito Itani, MD Akeo Hagiwara, MD Takahiro Hashimoto, MD Noritaka Isogai, MD Hirohisa Kusuhara, MD |
| author_facet | Yoshihito Itani, MD Akeo Hagiwara, MD Takahiro Hashimoto, MD Noritaka Isogai, MD Hirohisa Kusuhara, MD |
| author_sort | Yoshihito Itani, MD |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-20T17:19:19Z |
| format | Article |
| id | doaj.art-4cbb7017e99a48938b07f8c902d6b413 |
| institution | Directory Open Access Journal |
| issn | 2169-7574 |
| language | English |
| last_indexed | 2024-12-20T17:19:19Z |
| publishDate | 2017-10-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Plastic and Reconstructive Surgery, Global Open |
| spelling | doaj.art-4cbb7017e99a48938b07f8c902d6b4132022-12-21T19:31:54ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742017-10-01510e149910.1097/GOX.0000000000001499201710000-00003Preliminary Study of PGA Fabric for Seromas at Latissimus Dorsi Flap Donor SitesYoshihito Itani, MD0Akeo Hagiwara, MD1Takahiro Hashimoto, MD2Noritaka Isogai, MD3Hirohisa Kusuhara, MD4From the *Department of Plastic and Reconstructive Surgery, Kindai University, Faculty of Medicine, Osaka-Sayama, Japan; and †Department of Medical Life Systems, Graduate School of Life and Medical Sciences, Doshisha University, Kyotanabe, Japan.From the *Department of Plastic and Reconstructive Surgery, Kindai University, Faculty of Medicine, Osaka-Sayama, Japan; and †Department of Medical Life Systems, Graduate School of Life and Medical Sciences, Doshisha University, Kyotanabe, Japan.From the *Department of Plastic and Reconstructive Surgery, Kindai University, Faculty of Medicine, Osaka-Sayama, Japan; and †Department of Medical Life Systems, Graduate School of Life and Medical Sciences, Doshisha University, Kyotanabe, Japan.From the *Department of Plastic and Reconstructive Surgery, Kindai University, Faculty of Medicine, Osaka-Sayama, Japan; and †Department of Medical Life Systems, Graduate School of Life and Medical Sciences, Doshisha University, Kyotanabe, Japan.From the *Department of Plastic and Reconstructive Surgery, Kindai University, Faculty of Medicine, Osaka-Sayama, Japan; and †Department of Medical Life Systems, Graduate School of Life and Medical Sciences, Doshisha University, Kyotanabe, Japan.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.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000001499 |
| spellingShingle | Yoshihito Itani, MD Akeo Hagiwara, MD Takahiro Hashimoto, MD Noritaka Isogai, MD Hirohisa Kusuhara, MD Preliminary Study of PGA Fabric for Seromas at Latissimus Dorsi Flap Donor Sites Plastic and Reconstructive Surgery, Global Open |
| title | Preliminary Study of PGA Fabric for Seromas at Latissimus Dorsi Flap Donor Sites |
| title_full | Preliminary Study of PGA Fabric for Seromas at Latissimus Dorsi Flap Donor Sites |
| title_fullStr | Preliminary Study of PGA Fabric for Seromas at Latissimus Dorsi Flap Donor Sites |
| title_full_unstemmed | Preliminary Study of PGA Fabric for Seromas at Latissimus Dorsi Flap Donor Sites |
| title_short | Preliminary Study of PGA Fabric for Seromas at Latissimus Dorsi Flap Donor Sites |
| title_sort | preliminary study of pga fabric for seromas at latissimus dorsi flap donor sites |
| url | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000001499 |
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