目的:本研究的目的是考虑两组患者在进行腹部成形术时对术后并发症的使用。
方法:从2017年1月1日至2019年12月31日,215例患者在我们机构接受了腹部成形术。在这次回顾中,比较,单一机构研究,患者分为两组:“引流”D(n=162)当吸引完成腹部成形术时,当抽吸未完成腹壁成形术时,“无引流”ND(n=53)。检索各组的早期和远处并发症并进行比较。
结果:两组术后血清肿发生率无明显差异(D组8%,AD组11.3%)。与无引流组ND相比,引流组D经历了更多的血清肿穿刺(2,3±1,0),穿刺液的平均值更高(386,5ml±350,4ml)(1,3-0,5个穿刺次数,平均穿刺液为165,8mL±224,2mL)。ND组的平均住院时间(2,9±1,8天)短于D组(4,4-1,7天),P<0,0001。
结论:在统计学上采用缝制缝合但减少引流的方式进行腹部成形术似乎不会增加术后并发症。作者建议,打着缝缝线的幌子,不要系统地引流腹部成形术,并将此技术保留给有并发症风险的患者(高BMI,显著的体重减轻和合并症)。
OBJECTIVE: The purpose of this study was to consider the use of drainage when performing an abdominoplasty with regards to postoperative complications for two groups of patients.
METHODS: From January 1st 2017 to December 31th 2019, 215 patients underwent an abdominoplasty in our institution. In this retrospective, comparative, single institution study, patients were divided into two groups: \"drainage\" D (n=162) when suction completed abdominoplasty, \"no drainage\" ND (n=53) when suction didn\'t completed abdominoplasty. Early and distant complications were retrieved for each group and compared.
RESULTS: There was no significant difference between the two groups concerning the occurrence of seroma postoperatively (8% of patients in group D and 11.3% of patients in group AD). The drainage group D experienced more seroma\'s punctures (2,3± 1,0) and the mean of punctured fluid was higher (386,5ml±350,4ml) compared to the no drainage group ND (1,3+- 0,5 number of punctures with a mean punctured fluid of 165,8mL± 224,2mL). The mean hospital stay was shorter for group ND (2,9± 1,8 days) than for group D (4,4+- 1,7 days), P<0,0001.
CONCLUSIONS: Performing an abdominoplasty with quilting suture but drainless doesn\'t seem to increase postoperative complications statistically. The authors recommend, under the guise of a quilting suture, not to systematically drain the abdominoplasties and to reserve this technique for patients at risk of complications (high BMI, significant weight loss and co-morbidities).