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Risk Factors of Donor Site Seroma Formation and Laboratory Analysis of Seromas after Breast Reconstruction with a Latissimus Dorsi Flap

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Author(s)
Seongwon LeeTaehee JoDaegu Son
Keimyung Author(s)
Son, Dae Gu
Department
Dept. of Plastic Surgery (성형외과학)
Journal Title
Archives of Aesthetic Plastic Surgery
Issued Date
2018
Volume
24
Issue
3
Keyword
MammaplastyRisk factorsSeromaSurgical flaps
Abstract
Background:
Donor site seroma is the most frequent and troublesome complication of latissimus dorsi (LP) flaps. This study aimed to identify the risk factors of seroma formation after an LD flap and to evaluate the biochemical composition of seromas.

Methods:
The medical records of 84 patients who underwent an LD flap from September 2007 to May 2017 were reviewed. Age; body mass index (BMI); the type of breast surgery, reconstruction, and nodal dissection; the usage of fibrin glue; smoking; chemotherapy; and history of diabetes mellitus or hypertension were evaluated. In 11 of the 84 patients, the levels of electrolytes, glucose, proteins, lipids, and inflammatory markers present in seromas were investigated.

Results:
The overall incidence of seroma was 66.7%. Advanced age (≥45 years) and overweight (BMI ≥23 kg/m2) were significant risk factors for seroma. Patients who underwent an extended LD flap had a higher incidence of seroma than those who underwent a standard LD flap, while those who underwent breast-conserving surgery had a lower incidence of seroma than those who underwent other breast procedures. Lactate dehydrogenase (LDH) levels in seromas on postoperative day 2 demonstrated a positive linear correlation with the duration of drainage, but this relationship did not reach statistical significance.

Conclusions:
Advanced age, overweight, wider excision or mastectomy, and use of an extended LD flap were found to be risk factors for seroma formation after breast reconstruction with an LD flap. It may be possible to infer whether a seroma will be long-lasting by measuring LDH levels in the seroma.
Keimyung Author(s)(Kor)
손대구
Publisher
School of Medicine (의과대학)
Citation
Seongwon Lee et al. (2018). Risk Factors of Donor Site Seroma Formation and Laboratory Analysis of Seromas after Breast Reconstruction with a Latissimus Dorsi Flap. Archives of Aesthetic Plastic Surgery, 24(3), 99–104. doi: 10.14730/aaps.2018.24.3.99
Type
Article
ISSN
2288-9337
Source
https://e-aaps.org/journal/view.php?number=645
DOI
10.14730/aaps.2018.24.3.99
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/42231
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Plastic Surgery (성형외과학)
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