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With a prevalence of up to 25%, seroma formation is among the most common complications of body contouring procedures such as abdominoplasty. Small amounts of fluid are reabsorbed by the body spontaneously, however, larger seroma volumes need to be evacuated via puncture aspiration to prevent wound healing disturbances and infection, leading to major patient discomfort and a prolonged hospital stay. There is increasing controversy regarding the efficacy of surgical drains in seroma prevention. This study compares the incidence rate of seroma in three study arms with different usage of drains.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Suction drain | No Intervention | Conventional body contouring procedure, application of Redon suction drains, drain removal when output is less than 30 ml in 24 hours or at the latest on postoperative day 7 | |
| Passive drain | Active Comparator | Conventional body contouring procedure, application of drains without suction (passive drainage), drain removal when output is less than 30 ml in 24 hours or at the latest on postoperative day 7 |
|
| No drain | Active Comparator | Conventional body contouring procedure, no application of drains |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Variable drain usage | Procedure | Influence of drain usage on seroma formation rate |
|
| Measure | Description | Time Frame |
|---|---|---|
| Rate of seroma formation | As primary outcome this study measures the rate of seroma requiring evacuation via puncture aspiration (fluid retention > 20 cc) in each group. | Weekly follow-up until postoperative week 6. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Alexandra Anker, Dr. med. univ. | Contact | 0049 941 782 3110 | aanker@caritasstjosef.de |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Department of Plastic Surgery, University Hospital of Regensburg | Recruiting | Regensburg | Bavaria | 93053 | Germany |
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| ID | Term |
|---|---|
| D049291 | Seroma |
| ID | Term |
|---|---|
| D007249 | Inflammation |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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