A comparison of the efficacy of autologous fibrin glue/platelet-poor plasma versus suction drainage in preventing hematoma and seroma in rhytidectomy: A randomized, double-blind, controlled study.
J Plast Reconstr Aesthet Surg
; 74(9): 2290-2295, 2021 Sep.
Article
em En
| MEDLINE
| ID: mdl-33583759
ABSTRACT
BACKGROUND:
One of the most feared complications of rhytidectomy is the formation of hematoma and seroma, which may harm patients' health and compromise the surgical outcome.OBJECTIVE:
To compare the efficacy of autologous fibrin glue/platelet-poor plasma versus suction drainage in preventing surgical complications such as hematoma and seroma following rhytidectomy procedures.METHODS:
A prospective, randomized, double-blind, controlled study was conducted to compare the efficacy of the two interventions. Seventy-two patients were selected and divided into two groups of 36 (autologous fibrin glue versus suction drainage). Forty-eight hours after the procedures, all patients underwent ultrasound examination, always by the same radiologist, to measure the volume of exudate under the facial skin flaps.RESULTS:
The mean total volume of exudate was 3.21â¯mL in the suction drainage group and 1.02â¯mL in the fibrin glue group, with effect size of 68.1% and confidence interval of 55.3 to 77.2 (P < 0.001).CONCLUSIONS:
Results significantly favor the use of fibrin glue and show that it was 68.1% more effective than suction drainage in preventing hematoma or seroma in rhytidectomy procedures.Palavras-chave
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Plasma
/
Complicações Pós-Operatórias
/
Ritidoplastia
/
Adesivo Tecidual de Fibrina
/
Drenagem
/
Seroma
/
Hematoma
Tipo de estudo:
Clinical_trials
/
Observational_studies
Limite:
Adult
/
Aged
/
Female
/
Humans
/
Middle aged
Idioma:
En
Revista:
J Plast Reconstr Aesthet Surg
Ano de publicação:
2021
Tipo de documento:
Article