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A Minimally Invasive Approach For Treating Postoperative Seromas After Incisional Hernia Repair

BACKGROUND: The most frequent wound complication following repair of large incisional hernias is seroma formation, especially when the use of a mesh onlay requires extensive subcutaneous undermining. Treatment options for postoperative seromas include observation for spontaneous resolution, percutan...

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Autores principales: Lehr, Shannon C., Schuricht, Alan L.
Formato: Texto
Lenguaje:English
Publicado: Society of Laparoendoscopic Surgeons 2001
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3015443/
https://www.ncbi.nlm.nih.gov/pubmed/11548834
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author Lehr, Shannon C.
Schuricht, Alan L.
author_facet Lehr, Shannon C.
Schuricht, Alan L.
author_sort Lehr, Shannon C.
collection PubMed
description BACKGROUND: The most frequent wound complication following repair of large incisional hernias is seroma formation, especially when the use of a mesh onlay requires extensive subcutaneous undermining. Treatment options for postoperative seromas include observation for spontaneous resolution, percutaneous aspiration, closed suction drainage, abdominal binders, and sclerosant. METHODS: A novel technique for treating persistent postoperative seromas is presented herein. This technique involves a 3-puncture minimally invasive approach that can be performed in an outpatient setting. Evacuation of serous fluid and fibrinous debris is followed by argon beam scarification of the seroma cavity lining. Talc slurry is then introduced into the cavity. Three patients have been treated with this technique. RESULTS: All 3 patients had successful ablation of seromas that had persisted despite standard treatment modalities. CONCLUSION: A minimally invasive approach is a reasonable and safe alternative for treating persistent postoperative seromas.
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spelling pubmed-30154432011-02-17 A Minimally Invasive Approach For Treating Postoperative Seromas After Incisional Hernia Repair Lehr, Shannon C. Schuricht, Alan L. JSLS Case Reports BACKGROUND: The most frequent wound complication following repair of large incisional hernias is seroma formation, especially when the use of a mesh onlay requires extensive subcutaneous undermining. Treatment options for postoperative seromas include observation for spontaneous resolution, percutaneous aspiration, closed suction drainage, abdominal binders, and sclerosant. METHODS: A novel technique for treating persistent postoperative seromas is presented herein. This technique involves a 3-puncture minimally invasive approach that can be performed in an outpatient setting. Evacuation of serous fluid and fibrinous debris is followed by argon beam scarification of the seroma cavity lining. Talc slurry is then introduced into the cavity. Three patients have been treated with this technique. RESULTS: All 3 patients had successful ablation of seromas that had persisted despite standard treatment modalities. CONCLUSION: A minimally invasive approach is a reasonable and safe alternative for treating persistent postoperative seromas. Society of Laparoendoscopic Surgeons 2001 /pmc/articles/PMC3015443/ /pubmed/11548834 Text en © 2001 by JSLS, Journal of the Society of Laparoendoscopic Surgeons. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives License (http://creativecommons.org/licenses/by-nc-nd/3.0/), which permits for noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited and is not altered in any way.
spellingShingle Case Reports
Lehr, Shannon C.
Schuricht, Alan L.
A Minimally Invasive Approach For Treating Postoperative Seromas After Incisional Hernia Repair
title A Minimally Invasive Approach For Treating Postoperative Seromas After Incisional Hernia Repair
title_full A Minimally Invasive Approach For Treating Postoperative Seromas After Incisional Hernia Repair
title_fullStr A Minimally Invasive Approach For Treating Postoperative Seromas After Incisional Hernia Repair
title_full_unstemmed A Minimally Invasive Approach For Treating Postoperative Seromas After Incisional Hernia Repair
title_short A Minimally Invasive Approach For Treating Postoperative Seromas After Incisional Hernia Repair
title_sort minimally invasive approach for treating postoperative seromas after incisional hernia repair
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3015443/
https://www.ncbi.nlm.nih.gov/pubmed/11548834
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