Luis R. Gómez-Álvarez, Departamento de Cirugía General, Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, México
Melissa F. Ochoa-Cortez, Departamento de Anatomía Humana, Facultad de Medicina, Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, México
Alejandro Quiroga-Garza, Departamento de Anatomía Humana, Facultad de Medicina, Universidad Autónoma de Nuevo León, Monterrey, Nuevo León; Servicio de Cirugía General, Hospital de Traumatología y Ortopedia No.21, Instituto Mexicano del Seguro Social, Monterrey, Nuevo León; Mexico
Jorge Gutiérrez-de la O, Departamento de Anatomía Humana, Facultad de Medicina, Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, Mexico
Francisco J. Arrambide-Garza, Departamento de Anatomía Humana, Facultad de Medicina, Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, México
Rodrigo E. Elizondo-Omaña, Departamento de Anatomía Humana, Facultad de Medicina, Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, México
Luis A. Alvarez-Lozada, Departamento de Anatomía Humana, Facultad de Medicina, Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, México
Gerardo E. Muñoz-Maldonado, Departamento de Cirugía General, Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, Mexico
Background: To compare the effect of primary subcutaneous cellular tissue (SCT) closure on the incidence of seromas in midline laparotomy wounds. Methods: A cross-sectional study was designed. Patients undergoing midline laparotomy during the study period were included. Patient characteristics and closure techniques were recorded. A 30-day post-operative follow- up was included. Results: 83 patients underwent midline laparotomy abdominal surgery during the study period. 38.1% (n 16/42) of patients with only skin closure developed post-operative seromas versus 12.2% (n 5/41) of patients with skin and SCT closure, with an odds ratio of 0.22 (95% confidence interval [CI] 0.07-0.69, p = 0.009). Surgical site infection was 11.9% and 22%, respectively. Conclusions: SCT closure helps decrease post-operative seroma. Despite methodological limitations, this study lays the groundwork for future research with more rigorous methodologies that allow for longitudinal analysis and the confirmation of cause and effect.
Keywords: Seromas. Laparotomy. Subcutaneous cellular tissue closure.
