Advertisement
Research Article| Volume 65, ISSUE 12, P1614-1617, December 2012

Technique for seroma drainage in implant-based breast reconstruction

      Summary

      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.

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Journal of Plastic, Reconstructive & Aesthetic Surgery
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Gurunluoglu R.
        • Gurunluoglu A.
        • Williams S.A.
        • et al.
        Current trends in breast reconstruction: survey of American Society of Plastic Surgeons 2010.
        Ann Plast Surg. 2011; Aug 22; (Epub ahead of print)
        • Antony A.K.
        • McCarthy C.M.
        • Cordeiro P.G.
        • et al.
        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
        • Newman M.I.
        • Swartz K.A.
        • Samson M.C.
        • et al.
        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
        • Chun Y.S.
        • Verma K.
        • Rosen H.
        • et al.
        Implant-based breast reconstruction using acellular dermal matrix and the risk of postoperative complications.
        Plast Reconstr Surg. 2010; Feb; 125: 429-436
        • Gonzalez E.A.
        • Saltzstein E.C.
        • Riedner C.S.
        • et al.
        Seroma following breast cancer surgery.
        Breast J. 2003; Sep–Oct; 9: 385-388
        • Unalp H.R.
        • Onal M.A.
        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
        • Garcia-Tutor E.
        • Murillo J.
        Safe drainage by puncture of postmastectomy seroma in a patient with immediate reconstruction using an expander.
        Plast Reconstr Surg. 2003; Mar; 11: 1357-1358