Abstract

LLANOS, S.; MACAN, F.; LLANOS, P.  and  LLANOS, F.. Postoperatory seroma incidence after repair of Scarpa fascia in abdominoplasty-lipoaspiration. Cir. plást. iberolatinoam. [online]. 2013, vol.39, n.2, pp.129-136. ISSN 1989-2055.  https://dx.doi.org/10.4321/S0376-78922013000200003.

The Scarpa fascia is an anatomic hint in the abdominal wall, and divides the fat tissue in a superficial and a deep layer. Other publications assert that in abdominoplasty, preserve this structure and making a more superficial dissection can prevent the seroma formation, but with worse aesthetic results. We consider that repairing the defect created by suturing the Scarpa fascia we can emulate the effects in diminishing the seroma, but without the aesthetic compromise. Using the first author´s data base, we select patients that complies with the following inclusion criteria of abdominoplasty plus liposuction: women, younger than 65, with no overweight, operated between April 2004 and December 2009, divided in 2 groups, with and without Scarpa´s fascia closure (that became a routine in July 2007). Two groups, 97 patients each. We measured drain content (all the drains were took away by day 3), and in subsecuent medic control if a seroma was clinically suspected, it was punctioned untill the amount of serum obtained was under 50 cc. Comparing both groups, there is statiscally significant difference between them in drainage and amount of fluid obtained by punctions; also in the number of punctions and number of patients that needed the procedure. There is no difference between groups in age, body mass index (BMI), co-morbidity or complications. We think that repairing the defect by stitching the Scarpa fascia redeems the effect of preserving it but without the aesthetic defect, and all drainages can be safely took away by day 3. Anyway, further studies are needed in order to confirm this aspect.

Keywords : Abdominoplasty; Abdominal liposuction; Seroma; Scarpa fascia.

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