Total quilting suture at latissimus dorsi muscle donor site: Drain tube is no longer needed

Younjung Cha; Seokwon Lee; Youngtae Bae; Younglae Jung; Jungbum Choi

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자료유형: 학술저널

저자정보: Younjung Cha (Pusan National University Hospital) Seokwon Lee (Pusan National University Hospital) Youngtae Bae (Pusan National University Hospital) Younglae Jung (Pusan National University Hospital) Jungbum Choi (Pusan National University Hospital)

저널정보: 대한종양외과학회 KOREAN JOURNAL OF CLINICAL ONCOLOGY Korean Journal of Clinical Oncology 제15권 제2호

발행연도: 2019.12

수록면: 121 - 126 (6page)

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Purpose: The purpose of this study was to assess the effect of quilting suture extent on the latissimus dorsi myocutaneous flap (LDMCF) donor site and the necessity of drainage.
Methods: Clinical data of 136 breast cancer patients, who underwent breast reconstruction using LDMCF between May 2014 and December 2015, were retrospectively reviewed. Patients were divided into three groups. Group A: quilting sutures were performed on half of the LDMCF donor site and a closed suction drain was inserted. Group B: quilting sutures were performed for the entire LDMCF donor site and a closed suction drain was inserted. Group C: quilting sutures were performed for the entire LDMCF donor site and no drain was inserted. The duration of drainage, total drainage, length of hospital stay, number of postoperative aspirations for seroma removal, and total aspirated volume were compared.
Results: In the comparison of groups A and B, group B showed better results including the total amount of drained seroma, drain maintenance period, number of aspirations for seroma removal after drainage tube removal, total aspirated seroma, and hospitalization period with statistical significance (P<0.05). In the comparison of groups B and C, group C without drain showed no difference in all other variables except mean total drained seroma volume. Therefore, group C was superior to group A and there was no difference compared to group B with drain, even though the drain was not inserted.
Conclusion: Total quilting suture at LDMCF donor site can reduce seroma formation and eliminate the need for a drain tube.

#Quilting suture #Latissimus dorsi myocutaneous flap #Seroma #Mammaplasty #Breast neoplasms

참고문헌 (21)

참고문헌 신청

Tomita K / 2007 / Postoperative seroma formation in breast reconstruction with latissimus dorsi flaps: a retrospective study of 174 consecutive cases / Ann Plast Surg 59:149~151

Bailey SH / 2012 / Latissimus dorsi donor-site morbidity: the combination of quilting and fibrin sealant reduce length of drain placement and seroma rate / Ann Plast Surg 68:555~558

Clough KB / 2002 / Donor site sequelae after autologous breast reconstruction with an extended latissimus dorsi flap / Plast Reconstr Surg 109:1904~1911

Kulber DA / 1997 / The use of fibrin sealant in the prevention of seromas / Plast Reconstr Surg 99:842~849

Reddick LP / 1990 / Seroma after latissimus dorsi myocutaneous flap for breast reconstruction / Plast Reconstr Surg 85:826

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