Investigación de seromas postliposucción y dermolipectomía abdominal

Moretti, E.; García, F. Gómez; Monti, J.; Vázquez, G.
July 2006
Cirugía Plástica Ibero-Latinoamericana;2006, Vol. 32 Issue 3, p151
Academic Journal
Seroma is one of the complications of the aesthetic procedures in the abdominal wall. This fluid collected in the subcutaneous cellular tissue and in the supraaponeurotic space is a frequent subject of discussion since there are many divergent and contradictory opinions with regard to the etiologic factors and the elements that contribute in its formation and or its treatment. A two-year study was conducted to investigate incidence of seromas in liposuction and abdominal dermolipectomy and when both procedures was performed in the abdominal flap. We studied this complication from different aspects: experimental (15 New Zealand albino rabbits), histopathology examinations, as well as retrospective clinical analysis (60 cases). It is concluded, from the laboratorial point of view, that seromas are exudates. Their lymphatic origin was assessed by the presence of lymphagiectasia in the biopsies in animals. The retrospective clinical analysis and the laboratory results determined that when dermolipectomy and liposuctions are performed in isolation, the risk of developing seromas is less (13.04%) than in the cases where both techniques are associated in the abdominal flap (50%). The presence of polymorphonuclear cells in the fluid indicates the contamination of the seroma.


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