Appraisal of Closed Active Surgical Drainage in High-Definition Torso Sculpting
The Egyptian Journal of Plastic and Reconstructive Surgery
Lipoplasty techniques have evolved over the last century passing through several points of transmission and advancement from primitive curetting techniques to highdefinition sculpting; this path has been aided by the advent of the tumescent technique and VASER technology. VASER Assisted High Definition Liposculpting (VAHDL) has achieved an advanced three dimensional aesthetic results with minimal complication rate. Seroma formation is one of the most common complications that should be
... to preserve sculpting results. There is nearly a consensus in literature about the active role of the surgical drainage in preventing this complication; however the type of this surgical drainage remains an issue of dispute that is still subjected to literature evaluation. Most of the previous studies have depended on the open drainage with many regards about the need for frequent dressing change. Aim of Work: This study was designed to do an appraisal on the closed active drainage as a more convenient substitute for torso HDL patients. Methods: From April 2016 to March 2019, a prospective case series study was carried out on 120 VAHDL patients presented with limited torso areas of fat accumulation. All patients were operated for the sculpting purpose by selecting those who presented with good muscle tone, BMI less than 35, and without excessive skin laxity. Results: The age of the patients ranged from 21 to 45 years; with female predominance (75 cases) representing 62.5% and BMI from 25 to 35. Overall satisfactory result has been achieved in 105 patients representing 87.5% with higher satisfactory rate among male patients. Complication rate was 25.8% (31 cases) with unequal distribution among variety of possible lipoplasty complications. Conclusion: Closed active drainage in spite of the problem of the clogged drain, still has the ability to achieve many advantages regarding effective prevention of seroma formation, elimination of the need for frequent dressing change, accurate drainage volume recording, less post-operative pain, ecchymosis, time needed for wearing compression garments, rapid recovery of post-operative edema and unmasking of sculpting aesthetics.