title: Successful use of talc sclerodesis to control a persistent high-output groin seroma following endovascular abdominal aortic aneurysm repair.
abstract: Groin wound lymphatic complications after vascular procedures are accompanied by increased risk of infection, prolonged hospital stay, and greater patient morbidity. High-output groin seromas can be difficult to manage and refractory to established interventions. Although subcutaneous talc has been used to prevent seroma accumulation in other high-risk surgical fields, such as after axillary lymph node dissection, it has not been described in the context of vascular surgery. This article presents the first reported case of a persistent high-output groin seroma after endovascular abdominal aortic aneurysm repair managed successfully with intraoperative application of sterile talc.
authors.affiliation: St George's Vascular Institute, 4th Floor, St James' Wing, St George's Hospital, Blackshaw Road, London SW17 0QT, England.
authors.forename: David
authors.initials: D
authors.lastname: Metcalfe
authors.forename: Sidhartha
authors.initials: S
authors.lastname: Sinha
authors.forename: Norah
authors.initials: N
authors.lastname: Sadek
authors.forename: Andrew L
authors.initials: AL
authors.lastname: Ho
authors.forename: Alan
authors.initials: A
authors.lastname: Karthikesalingam
authors.forename: Keith G
authors.initials: KG
authors.lastname: Jones
authors.forename: Robert J
authors.initials: RJ
authors.lastname: Hinchliffe
authors.forename: Matt M
authors.initials: MM
authors.lastname: Thompson
authors.forename: Stephen A
authors.initials: SA
authors.lastname: Black
mesh_terms: D000287:Administration, Topical; D000369:Aged, 80 and over; D017544:Aortic Aneurysm, Abdominal / Q000601:surgery*; D057510:Endovascular Procedures / Q000009:adverse effects*; D005500:Follow-Up Studies; D006119:Groin; D006801:Humans; D021621:Imaging, Three-Dimensional; D008297:Male; D011183:Postoperative Complications / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D049291:Seroma / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D013627:Talc / Q000008:administration & dosage / Q000627:therapeutic use*; D014057:Tomography, X-Ray Computed; D018616:Ultrasonography, Doppler, Duplex
chemical_list: D013627:Talc