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Management of Postoperative Seroma: Recommendations Based on a 12-Year Retrospective Study

Introduction: Seroma formation is a serious postoperative complication. Since the management algorithms available in the literature are scarce, we aimed to analyze our experience with postoperative seroma in order to identify indicators for revisional surgery and propose recommendations for manageme...

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Autores principales: Papanikolaou, Athanasios, Minger, Eliane, Pais, Michael-Alexander, Constantinescu, Mihai, Olariu, Radu, Grobbelaar, Adriaan, Lese, Ioana
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9457167/
https://www.ncbi.nlm.nih.gov/pubmed/36078992
http://dx.doi.org/10.3390/jcm11175062
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author Papanikolaou, Athanasios
Minger, Eliane
Pais, Michael-Alexander
Constantinescu, Mihai
Olariu, Radu
Grobbelaar, Adriaan
Lese, Ioana
author_facet Papanikolaou, Athanasios
Minger, Eliane
Pais, Michael-Alexander
Constantinescu, Mihai
Olariu, Radu
Grobbelaar, Adriaan
Lese, Ioana
author_sort Papanikolaou, Athanasios
collection PubMed
description Introduction: Seroma formation is a serious postoperative complication. Since the management algorithms available in the literature are scarce, we aimed to analyze our experience with postoperative seroma in order to identify indicators for revisional surgery and propose recommendations for management. Methods: This retrospective study included all patients with postoperative seroma treated in a tertiary university hospital from 2008 to 2020. Patients’ demographics, medical history, and seroma treatment details were recorded and analyzed. Results: Overall, 156 patients were included: 41% were initially treated through needle aspiration, with 61% eventually undergoing surgical treatment for postoperative seroma. Comorbidities, such as heart failure and coronary heart disease, were significantly associated with an increased need for revisional surgery (p < 0.05). Both a duration of >40 days of repeated needle aspirations and drain re-insertions were significantly correlated with an increased risk for revisional surgery (p < 0.05). Conclusion: Patients requiring seroma aspiration should be counseled on surgical treatment sooner rather than later, as prolonged aspiration time (over 40 days) greatly increases the risk of surgical revision. Moreover, the reinsertion of a drain should only be used as a temporizing measure, at most, and patients requiring a drain to control the size of the seroma should promptly be scheduled for a surgical revision.
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spelling pubmed-94571672022-09-09 Management of Postoperative Seroma: Recommendations Based on a 12-Year Retrospective Study Papanikolaou, Athanasios Minger, Eliane Pais, Michael-Alexander Constantinescu, Mihai Olariu, Radu Grobbelaar, Adriaan Lese, Ioana J Clin Med Article Introduction: Seroma formation is a serious postoperative complication. Since the management algorithms available in the literature are scarce, we aimed to analyze our experience with postoperative seroma in order to identify indicators for revisional surgery and propose recommendations for management. Methods: This retrospective study included all patients with postoperative seroma treated in a tertiary university hospital from 2008 to 2020. Patients’ demographics, medical history, and seroma treatment details were recorded and analyzed. Results: Overall, 156 patients were included: 41% were initially treated through needle aspiration, with 61% eventually undergoing surgical treatment for postoperative seroma. Comorbidities, such as heart failure and coronary heart disease, were significantly associated with an increased need for revisional surgery (p < 0.05). Both a duration of >40 days of repeated needle aspirations and drain re-insertions were significantly correlated with an increased risk for revisional surgery (p < 0.05). Conclusion: Patients requiring seroma aspiration should be counseled on surgical treatment sooner rather than later, as prolonged aspiration time (over 40 days) greatly increases the risk of surgical revision. Moreover, the reinsertion of a drain should only be used as a temporizing measure, at most, and patients requiring a drain to control the size of the seroma should promptly be scheduled for a surgical revision. MDPI 2022-08-28 /pmc/articles/PMC9457167/ /pubmed/36078992 http://dx.doi.org/10.3390/jcm11175062 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Papanikolaou, Athanasios
Minger, Eliane
Pais, Michael-Alexander
Constantinescu, Mihai
Olariu, Radu
Grobbelaar, Adriaan
Lese, Ioana
Management of Postoperative Seroma: Recommendations Based on a 12-Year Retrospective Study
title Management of Postoperative Seroma: Recommendations Based on a 12-Year Retrospective Study
title_full Management of Postoperative Seroma: Recommendations Based on a 12-Year Retrospective Study
title_fullStr Management of Postoperative Seroma: Recommendations Based on a 12-Year Retrospective Study
title_full_unstemmed Management of Postoperative Seroma: Recommendations Based on a 12-Year Retrospective Study
title_short Management of Postoperative Seroma: Recommendations Based on a 12-Year Retrospective Study
title_sort management of postoperative seroma: recommendations based on a 12-year retrospective study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9457167/
https://www.ncbi.nlm.nih.gov/pubmed/36078992
http://dx.doi.org/10.3390/jcm11175062
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