Baroudi and Ferreira proposed routine use of quilting sutures for adominoplasty in 1998 based on a 5 year experience with zero seroma rate in 130 patients. There have subsequently been several publications, which repeatedly show that seroma can be eliminated by routine adhesion sutures (variably called Baroudi sutures, progressive tension sutures by Pollock or quilting sutures).[20–22] Directly approximating the flap to the fascia by multiple sutures eliminates dead space, leads to early adhesion, prevents shearing forces between the two layers, enables early mobilisation without fear and also takes away the tension on wound closure. It is the single most important solution to multiple problems of seroma, haematoma, tension and wound healing problems.
- Baroudi R, Ferreira CA. Seroma: How to avoid it and how to treat it. Aesthet Surg J. 1998;18:439–41.[PubMed]
- Pollock TA, Pollock H. Progressive tension sutures in abdominoplasty: A review of 597 consecutive cases. Aesthet Surg J. 2012;32:729–42. [PubMed]
- Andrades P, Prado A, Danilla S, Guerra C, Benitez S, Sepulveda S, et al. Progressive tension sutures in the prevention of postabdominoplasty seroma: A prospective, randomized, double-blind clinical trial. Plast Reconstr Surg. 2007;120:935–46. [PubMed]
- Roje Z, Roje Z, Karanović N, Utrobicić I. Abdominoplasty complications: A comprehensive approach for the treatment of chronic seroma with pseudobursa. Aesthetic Plast Surg. 2006;30:611–5. [PubMed]