Effektivität von Manueller Lymphdrainage zur Behandlung eines Seroms nach Latissimus-dorsi-flap-Brustrekonstruktion

Zusammenfassung

Hintergrund: Der M.-latissimus-dorsi-Flap ist eine nach Brustoperationen oft gewählte Variante zum Wiederaufbau der weiblichen Brust. Postoperativ stellt das dorsale Serom mit ca. 20 % Inzidenz eine der häufigsten Komplikationen dar. Die Behandlung umfasst üblicherweise Punktion und Absaugung.

Ziel: Als alternative Behandlungsmöglichkeit zur Resorption des Seroms wird die Manuelle Lymphdrainage vorgestellt.

Methode: Die bereits 2-mal wegen eines dorsalen Seroms punktierte 47-jährige Patientin wurde nach Wiederansammlung eines Flüssigkeitsdepots mit Manueller Lymphdrainage behandelt.

Ergebnis: Das Serom war schon nach der 1. Behandlung deutlich reduziert und nach der 2. Behandlung nachhaltig verschwunden.

Schlussfolgerung: In dieser Fallstudie stellte die Manuelle Lymphdrainage eine erfolgreiche Behandlung des Seroms nach M.-latissimus-dorsi-Flap dar.

Abstract

Background: M. latissimus dorsi flap is a frequently used reconstruction method after female breast surgery. Dorsal seroma formation as one of the most common postoperative complications has an incidence of about 20 %. Treatment consist of puncture and suction.

Objective: Manual lymphatic drainage is portrayed as alternative therapeutic option to seroma resorption.

Method: The 47-year old woman, already having been punctured twice due to seroma was treated with manual lymphatic drainage after liquid reaccumulation.

Result: After the very first treatment the seroma was distinctively reduced and after the second treatment it lastingly disappeared.

Conclusion: In this case study manual lymphatic drainage was considered to be a successful treatment modality for seroma after latissimus dorsi flap.

Schlüsselwörter

Serom - M.-latissimus-dorsi-Flap - Manuelle Lymphdrainage

Key words

seroma - latissimus dorsi flap - manual lymphatic drainage

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