Methods/Technique: : the use of suction drain vacuum, quilting suture of the flap in the abdominal wall and fibrin sealant for closure of the abdominoplasty, causes collapse of dead space allowing the rest of the flap, thus reducing the factors that interfere with their adherence, helping to reduce complications. Between October/2008 and June/2008 were performed abdominoplasty in 43 women. The sample was randomly assigned to three groups: 15 patients used a suction drain vacuum (group I), 13 patients were made quilting suture between the flap and the abdominal wall lease drain without vacuum suction (Group II) and 15 patients were applied fibrin sealant lease drain without vacuum suction (group III). The study was focused on the evaluation of seroma by ultrasound of the abdominal wall in two periods: 15 days postoperatively (PO) and at 30 days postoperatively (PO)
Results/Complications: There was significant reduction in the formation of seroma in the 15th to the 30 PO in the three groups (group I: p = 0.0003, group II: p = 0.0011 and Group III: p = 0.0003), with no difference between the groups when compared for the percentage differences calculated from the values of 15 and 30 PO. There was significant seroma formation in 15 postoperative in group III (Hcalc = 6.04, p <0.05) when compared with groups I and II.
Conclusion:
the groups of points with membership and drain suction vacuum formed seroma at the first time studied (15 DB) when compared with the group of fibrin sealant (Hcalc = 6.04 and p <0.05). There is no significant difference between groups in the second moment of the study (30 gp). There was a reduction of seroma important reductions of 15 to 30 PO PO in all groups.