0 381

Cited 0 times in

확장 광배근 피판거상 시 공여부 장액종의 예방을 위한 피브린 실란트의 효과에 대한 후향적 연구

Other Titles
 Effect of Fibrin Sealant in Extended Lattisimus Dorsi Flap Donor Site: Retrospective Study 
 조현우  ;  유대현  ;  탁관철 
 Journal of the Korean Society of Plastic and Reconstructive Surgery (대한성형외과학회지), Vol.35(3) : 267-272, 2008 
Journal Title
 Journal of the Korean Society of Plastic and Reconstructive Surgery (대한성형외과학회지) 
Issue Date
Purpose: Donor site seroma is the most common complication of extended latissimus dorsi flap for breast reconstruction. One of preventive treatments is to use the fibrin sealant in donor site before closure. Experimentally, it has been used successfully in the prevention of latissimus donor site seroma, but its clinical efficacy and results were very controversial. Thus, the purpose of this study is to evaluate the clinical efficacy and to determine the optimal dose of fibrin sealant. Method: A retrospective study was done of patients operated under same surgical conditions by one operator with variable doses of fibrin sealant. The study group consisted of 60 consecutive patients who underwent breast reconstruction with extended latissimus flap reconstructions from January 2005 to December 2006. Patients were divided into 4 group by applied fibrin sealant amount(group 1=0mL, group 2=1mL, group 3=2mL, group 4=4mL). Retrospective data were obtained from total postoperative drainage amount, time from surgery to drain removal, and incidence and quantity of seroma formation in matched patients group. Results: Total drainage amount decreased relative to the amount of fibrin sealant. The seroma formation rate of 30% in the study group 4 was significantly less than group 1 rate of 71%(p<0.05). It was an improvement over the rates of as much as 79% described previously in the literature. Also, time from surgery to drain removal was shortened significantly in group 4 patients (p<0.05). Conclusions: The use of fibrin sealant in the extended latissimus dorsi flap donor site appears effective in preventing seroma. However, important factors to obtain lower seroma formation rates are proper techniques and proper amounts such as the authors suggested amount: 0.01mL/cm2 with spray type fibrin sealant.
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Plastic and Reconstructive Surgery (성형외과학교실) > 1. Journal Papers
Yonsei Authors
Lew, Dae Hyun(유대현)
Tark, Kwan Chul(탁관철)
사서에게 알리기


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.