Aly, A., Adly, O., Ellabban, M., Gomaa, A. (2023). Evaluation of Post-Operative Seroma Rate in Abdominoplasty Operations Using Infraumbilical Scarpa’s Fascia Preservation Technique. Suez Canal University Medical Journal, 26(5), 1-11. doi: 10.21608/scumj.2023.306806
Ahmed E. Aly; Osama A. Adly; Mohamed Ellabban; Amr A. Gomaa. "Evaluation of Post-Operative Seroma Rate in Abdominoplasty Operations Using Infraumbilical Scarpa’s Fascia Preservation Technique". Suez Canal University Medical Journal, 26, 5, 2023, 1-11. doi: 10.21608/scumj.2023.306806
Aly, A., Adly, O., Ellabban, M., Gomaa, A. (2023). 'Evaluation of Post-Operative Seroma Rate in Abdominoplasty Operations Using Infraumbilical Scarpa’s Fascia Preservation Technique', Suez Canal University Medical Journal, 26(5), pp. 1-11. doi: 10.21608/scumj.2023.306806
Aly, A., Adly, O., Ellabban, M., Gomaa, A. Evaluation of Post-Operative Seroma Rate in Abdominoplasty Operations Using Infraumbilical Scarpa’s Fascia Preservation Technique. Suez Canal University Medical Journal, 2023; 26(5): 1-11. doi: 10.21608/scumj.2023.306806
Evaluation of Post-Operative Seroma Rate in Abdominoplasty Operations Using Infraumbilical Scarpa’s Fascia Preservation Technique
1Department of Plastic Surgery, Suez Hospital for Health Insurance
2Department of Plastic Surgery, Faculty of Medicine, Suez Canal University, Egypt
Abstract
Background:The abdominoplasty procedure is one of the most common aesthetic surgery procedures. If a patient experiences seroma, he or she may need to return to the hospital or clinic for repeated aspiration. Moreover, seroma formation can prolong recovery time and delay the patient’s return to normal activities. Aim:To assess clinically the rate of post-operative seroma formation in Scarp's fascia preservation technique versus the traditional technique. Subjects and Methods: A randomized controlled clinical trial that included candidates with pendulous abdomen attending the plastic surgery unit, and surgery department at Suez Canal University Hospital from March 2016 to November 2020. The study participants were randomly divided into two groups: the i) study group who underwent scarpa’s fascia preservation technique abdominoplasty (n=20) and ii) the Control group who underwent standard abdominoplasty (n=20). Results: About 45% of the patients had more than one history of abdominal surgery where the most common type of surgery was Cesarean section, there was no statically significant difference between the two groups regarding any baseline characteristics and complications (except for infection and the seroma rate), The Scarpa’s fascia preservation group had a highly significant reduction of the total drain output, drain removal, and the seroma rate. Conclusion: Scarpa’s fascia during abdominoplasty decreases the time required for suction drains, the total drain output, and the seroma rate when compared with conventional abdominoplasty.