no drain, no gain’’. Simultaneous seroma drainage and tissue expansion in pre-pectoral tissue expander-based breast reconstruction
Abstract Seromas represent the most frequent complication following immediate breast reconstruction surgery, in
particular when acellular dermal matrix or synthetic
meshes are used to add coverage to implants. Little information regarding breast seroma management is available in
the literature. When seroma becomes clinically significant,
current methods for its management consist of repeated
needle aspiration. We report a fast, efficient, easy and
riskless technique to perform serum aspiration in patients
who underwent breast reconstruction with a tissue expander that allows simultaneous drainage and expansion of the
implant at once. This procedure is safe, painless, does not
need special supplies or additional costs and can be easily
performed in ambulatory setting to manage breast seromas