Seromas are a common complication associated with breast reconstructive surgery. In expander based breast reconstructions, a seroma can pose a particularly difficult problem related to final tissue envelope shape as well as an increase in the risk of infection and possible tissue necrosis. Unfortunately, the literature describes few non-image related techniques to drain a seroma with a breast implant in place. We present a technique to drain a seroma associated with expander based breast reconstruction in conjunction with expander inflation, minimizing the risk of expander puncture, utilizing the same equipment necessary for expander inflation in the office. The benefit to this technique is that diagnostic and therapeutic imaging is not necessary and the risk of expander damage is minimized.
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- Current trends in breast reconstruction: survey of American Society of Plastic Surgeons 2010.Ann Plast Surg. 2011; Aug 22; (Epub ahead of print)
- Acellular human dermis implantation in 153 immediate two-stage tissue expander breast reconstructions: determining the incidence and significant predictors of complications.Plast Reconstr Surg. 2010; Jun; 125: 1606-1614
- The true incidence of near-term postoperative complications in prosthetic breast reconstruction utilizing human acellular dermal matrices: a meta-analysis.Aesthetic Plast Surg. 2011; Feb; 35: 100-106
- Implant-based breast reconstruction using acellular dermal matrix and the risk of postoperative complications.Plast Reconstr Surg. 2010; Feb; 125: 429-436
- Seroma following breast cancer surgery.Breast J. 2003; Sep–Oct; 9: 385-388
- Analysis of risk factors affecting the development of seromas following breast cancer surgeries: seromas following breast cancer surgeries.Breast J. 2007; Nov–Dec; 13: 588-592
- Safe drainage by puncture of postmastectomy seroma in a patient with immediate reconstruction using an expander.Plast Reconstr Surg. 2003; Mar; 11: 1357-1358
Published online: July 09, 2012
Accepted: June 11, 2012
Received: February 23, 2012
© 2012 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Inc. All rights reserved.