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Seroma Prevention in a Rat Mastectomy ModelUse of a Light‐Activated Fibrin Sealant

 

作者: Jeffrey Wang,   Norman Goodman,   Lester Amiss,   Diem Nguyen,   George Rodeheaver,   Marcia Moore,   Raymond Morgan,   Robert Abbott,   William Spotnitz,  

 

期刊: Annals of Plastic Surgery  (OVID Available online 1996)
卷期: Volume 37, issue 4  

页码: 400-405

 

ISSN:0148-7043

 

年代: 1996

 

出版商: OVID

 

数据来源: OVID

 

摘要:

Seroma formation following mastectomy and axillary dissection remains a common and significant problem contributing to patient morbidity and health-care costs. Previous data have suggested that fibrin sealant (FS), a biological adhesive, is capable of controlling lymphatic leakage and assisting with skin graft adhesion. In this study, the use of an experimental, light-activated FS under development by CryoLife (CFS) was evaluated in a rat mastectomy model in order to reduce seroma formation. CFS is a premixed form of FS, containing an inactivator that is reversed in the presence of light, causing sealant to form. In this model, rats underwent mastectomy and extensive dissection of the axillary lymphovasculature. Next, 1 ml of saline or FS was applied to the operative site and the wound was closed. Three groups of animals were evaluated 5 days postoperatively by measuring the volume (in milliliters) of seroma able to be aspirated from the surgical site. The saline control group (N = 20) had a seroma volume (mean ± standard deviation [SD]) of 4.2 ± 2.9 ml, while a form of CFS containing human fibrinogen (80 to 100 mg per milliliter) and human thrombin (20 U per milliliter) (N = 20) had a significantly smaller seroma volume of 1.1 ± 1.6 ml (p< 0.001 analysis of variance). University of Virginia (UVA) FS, containing human fibrinogen (20 mg per milliliter) and bovine thrombin (500 U per milliliter) (N = 20), had a serorna volume of 2.0 ± 1.6 ml (p< 0.01, compared to control;p> 0.2, compared to CFS). Thus, this form of CFS significantly reduced seroma formation compared to saline control and also appeared to result in a smaller fluid accumulation than with UVA FS, although this trend was not statistically significant. These data suggest that the use of CFS may help to reduce seroma formation in humans.

 

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