Progressive Tension Sutures in Abdominoplasty: A Review of 597 Consecutive Cases

摘要: Background: Although abdominoplasty and other body-contouring procedures are being performed more frequently, the incidence of seroma complications has remained relatively unchanged. In 2000, a small retrospective series introduced progressive tension sutures (PTS) in to reduce without use drains. Objectives: The authors review PTS technique their experience with procedure. Methods: A chart 597 consecutive patients treated over 12 years was performed. Collected data included surgical setting, concomitant procedures, complications. Results: Of abdominoplasties, 52.4% were hospital 47.6% an American Association for Accreditation Ambulatory Surgery Facilities (AAAASF)-accredited facility. 63.7% cases, combined another procedure(s). Liposuction on flap or adjacent area dissection 67% patients. average amount fat aspirate from these areas 953 mL. No drains placed. rate local 4.2%; all but one (seroma; 0.1%) minor. There no systemic related venous thromboembolisms. Conclusions: adjunct that can minimize potentially decrease complications. They provide secure fixation eliminate motion broadly transfer superficial fascial system. Drains safely be eliminated abdominoplasty, even when liposuction is Systemic may avoided patient recovery expedited.