Commentary on: Use of Quilting Sutures During Abdominoplasty to Prevent Seroma Formation: Are They Really Effective?

Abstract

Of the many methods described to reduce seroma formation after abdominoplasty, the use of internal suture techniques to secure the deep surface of the abdominoplasty flap to the superficial fascia of the abdominal wall seems to have the best track record. Although somewhat different in actual technique, both quilting sutures and progressive tension sutures appear to have the same result: no increase in seroma rates while allowing for shorter times to drain removal or even the elimination of drains altogether. This retrospective study by Sforza et al was able to show that among the three groups studied, quilting sutures dramatically reduced clinically detectable seroma formation.1 Unfortunately, the author's hospital policy required placement of at …