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العنوان
Comparative study between use of fibrin sealant and quilting sutures in abdominoplasty for reduction of post operative seroma /
المؤلف
Ibrahim, Mostafa Fathy.
هيئة الاعداد
باحث / مصطفي فتحي إبراهيم
dr_mostafa_fathy83@yahoo.com
مشرف / وائل محمد الشاعر
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مشرف / محمد جمال الدين اللبان
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مشرف / مني محمد خلوصي
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الموضوع
Fibrin.
تاريخ النشر
2016.
عدد الصفحات
138 p. :
اللغة
الإنجليزية
الدرجة
الدكتوراه
التخصص
جراحة
الناشر
تاريخ الإجازة
7/6/2016
مكان الإجازة
جامعة بني سويف - كلية الطب - جراحة عامة
الفهرس
Only 14 pages are availabe for public view

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Abstract

Postoperative seroma formation remains the most frequent complication following an abdominoplasty procedure. A number of approaches have been explored to reduce seroma formation in abdominoplasty like fibrin glue and quilting sutures
The purpose of this study was to evaluate seroma formation following abdominoplasty with the classic technique as well as with the use of quilting sutures and with fibrin glue.
Also the different periods needed for the drains removal were analyzed. Also the amount of post-operative fluid collection before its removal. Evaluation complication regarding the techniques
Fifty female patients, underwent abdominoplasty between October 2013 and March 2016 in Beni-Suef university hospital. The patients were randomly allocated to one of three treatment groups: group 1 (n = 20), abdominoplasty with fibrin sealant; group 2 (n = 20), abdominoplasty with quilting suture between the subcutaneous tissue of the flap and musculoaponeurotic layer of the anterior abdominal wall; and group 3 (n = 10), traditional abdominoplasty; all had closed suction drainage applied to the abdomen.
The variables analyzed were: age, body mass index (BMI), time to suction drain removal, total volume of drain output, length of hospital stay and the postoperative complications.
There were no statistically differences between groups respecting age, BMI.
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There were statistically significant differences respecting total volume of drain output, time to drain removal and hospital stay duration.
We concluded that using of fibrin glue in abdominoplasty has a beneficial effect on patient recovery, reducing total drain output, time to drain removal and hospital stay, thus decreasing the risk of seroma formation and postoperative complications.