9003-442 Ersek
Ersek RA, Schade K.
Subcutaneous pseudobursa secondary to suction and surgery. Plast Reconstr Surg. 1990 Mar;85(3):442-5. PMID: 2304996 [PubMed - indexed for MEDLINE]
Comment in:
Plast Reconstr Surg. 1991 May;87(5):997-8.
Department of Plastic Surgery, University of Texas Medical Science Center,
Austin.
Suction lipectomy has been used throughout the regions of the body to remove
vast amounts of subcutaneous fat. The blunt technique allows for a multiplicity
of small (4 to 6 mm) channels to be created and the fat removed by suction with
little disturbance of the overlying skin, the supporting septa, vessels, or
nerves. Abdominolipectomy has been successfully performed for decades, in which
large amounts of skin and subcutaneous fat are removed by sharp dissection. The
undermining involved in an adbominolipectomy extending from the xiphoid to pubis
and laterally to the level of the iliac crest and then supplemented by the
suction technique has led to the formation, in some cases, of chronic seromas
not relieved by multiple aspirations. Healing and contractions of these seromas
causes a deformity of the overlying skin, because it is puckered and drawn upon
itself. This results in the formation of a subcutaneous pseudobursa lined by
collagen sheets but no epithelial cells. We present 9 patients who have
demonstrated this phenomenon. We suggest that in the largest resections, safety
is best served by waiting a period of at least 6 weeks between suction and
subsequent resection.
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