OOO «EVA-KLINIK»
An analysis of literature data on the risk, mechanisms and methods of preventing the formation of seroma as the most common complication during abdominoplasty was conducted. The literature search was carried out from 2011 to 2024 using Pubmed, Springer, eLIBRARY websites in both Russian and English. It is assumed that the pathogenesis of seroma is based on the disruption of the integrity of lymphatic and vascular ducts, the formation of closed spaces, tissue trauma, which contributes to the release of in˜ammatory mediators. The incidence of seroma after abdominoplasty averages about 10%, although literature provides data on the level of this indicator up to 25%. Although seromas often resolve on their own, lack of treatment can lead to serious complications, such as wound edge dehiscence, infection, skin ˜ap necrosis, and pseudocyst formation. These complications signi†cantly compromise the cosmetic results of the surgery and increase the duration of hospitalization for patients. Considering that abdominoplasty is a planned operation, it is important to minimize the likelihood of seroma formation. A number of methods have been proposed to prevent seroma after abdominoplasty, including the placement of suction drains, the use of †brin glue, quilting sutures, progressive tension sutures, and the preservation of Scarpa’s fascia. The established e—ectiveness of the use of progressive tension sutures, sutures for tissue †xation, surgical glue and preservation of Scarpa’s fascia is con†rmed by data with a high level of evidence. The need for further randomized comparative prospective studies aimed at analyzing the use of various methods for preventing the occurrence of seroma after abdominoplasty is indicated.
abdominoplasty, seroma, aspiration drainage, fibrin glue, fascia Scarpa
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