Preliminary Study of PGA Fabric for Seromas at Latissimus Dorsi Flap Donor Sites

Yoshihito Itani, MD; Akeo Hagiwara, MD; Takahiro Hashimoto, MD; Noritaka Isogai, MD; Hirohisa Kusuhara, MD

doi:10.1097/GOX.0000000000001499

Plastic and Reconstructive Surgery, Global Open (Oct 2017)

Preliminary Study of PGA Fabric for Seromas at Latissimus Dorsi Flap Donor Sites

Yoshihito Itani, MD,
Akeo Hagiwara, MD,
Takahiro Hashimoto, MD,
Noritaka Isogai, MD,
Hirohisa Kusuhara, MD

Affiliations

Yoshihito Itani, MD: From the *Department of Plastic and Reconstructive Surgery, Kindai University, Faculty of Medicine, Osaka-Sayama, Japan; and †Department of Medical Life Systems, Graduate School of Life and Medical Sciences, Doshisha University, Kyotanabe, Japan.
Akeo Hagiwara, MD: From the *Department of Plastic and Reconstructive Surgery, Kindai University, Faculty of Medicine, Osaka-Sayama, Japan; and †Department of Medical Life Systems, Graduate School of Life and Medical Sciences, Doshisha University, Kyotanabe, Japan.
Takahiro Hashimoto, MD: From the *Department of Plastic and Reconstructive Surgery, Kindai University, Faculty of Medicine, Osaka-Sayama, Japan; and †Department of Medical Life Systems, Graduate School of Life and Medical Sciences, Doshisha University, Kyotanabe, Japan.
Noritaka Isogai, MD: From the *Department of Plastic and Reconstructive Surgery, Kindai University, Faculty of Medicine, Osaka-Sayama, Japan; and †Department of Medical Life Systems, Graduate School of Life and Medical Sciences, Doshisha University, Kyotanabe, Japan.
Hirohisa Kusuhara, MD: From the *Department of Plastic and Reconstructive Surgery, Kindai University, Faculty of Medicine, Osaka-Sayama, Japan; and †Department of Medical Life Systems, Graduate School of Life and Medical Sciences, Doshisha University, Kyotanabe, Japan.

DOI: https://doi.org/10.1097/GOX.0000000000001499
Journal volume & issue: Vol. 5, no. 10
p. e1499

Abstract

Read online

Background:. Seroma formation is a major complication following latissimus dorsi (LD) flap transfer for breast reconstruction. We implanted a nonwoven polyglycolic acid (PGA) fabric—a biodegradable polymer—in the LD flap donor site and examined its effect on postoperative seroma formation and resolution in a comparative study on 38 patients undergoing primary 1-stage breast reconstruction by LD flap. Method:. A PGA treatment group had a PGA fabric placed in the donor wound (PGA group, n = 20), whereas a second group was treated with standard donor site closure (control group, n = 18). The incidence of seromas was comparable between the groups. Result:. There was a significant reduction in aspiration volume by needle aspiration after drain removal (P < 0.05) and in the time until seroma resolution (P < 0.01) in the PGA group compared with the control group. Conclusion:. These results indicate that application of PGA at the LD donor site is useful in controlling postoperative seromas.

Published in Plastic and Reconstructive Surgery, Global Open

ISSN: 2169-7574 (Online)
Publisher: Wolters Kluwer
Country of publisher: United States
LCC subjects: Medicine: Surgery
Website: http://www.prsgo.com

About the journal