UNASSIGNED: An 89-year-old woman was hospitalized for hemodialysis and underwent an autologous arteriovenous fistula creation in the forearm. During cephalic vein expansion using a heparinized saline solution, leakage occurred. A suture was placed to control the leakage, and a Penrose drain was inserted. Serosanguineous drainage ceased on postoperative day two; however, a seroma occurred approximately two weeks after the surgery. Follow-up ultrasonography revealed no growth tendency; therefore, excision and aspiration were unnecessary.
UNASSIGNED: This seroma was associated with postoperative dead space, surgical technique, and patient clinical status. Sufficient preoperative ultrasonographic vascular mapping is required to avoid inappropriate handling of veins and prevent seroma formation. Postoperative ultrasonographic follow-up is recommended due to the future risk of fistula dysfunction and infection associated with seroma enlargement, which may necessitate surgical seroma excision.
UNASSIGNED:一名89岁女性因血液透析住院,前臂自体动静脉内瘘。在使用肝素化盐溶液进行头静脉扩张期间,发生泄漏。放置缝线以控制泄漏,并插入了Penrose排水沟。术后第2天停止蛇血引流;然而,手术后约两周出现血清肿.随访超声显示无生长趋势;因此,切除和抽吸是不必要的。
未经证实:此血清肿与术后死腔有关,外科技术,和患者临床状态。需要足够的术前超声血管标测,以避免不当处理静脉并防止血清肿形成。由于未来与血清肿增大相关的瘘管功能障碍和感染的风险,建议术后超声随访。这可能需要手术切除血清瘤。