title: Aspiration of Periprosthetic Seromas Using the Blunt SeromaCath.
abstract: Postoperative swelling following prosthetic implant breast augmentation and reconstruction is not uncommon. Prompt diagnosis and targeted treatment are critical. Current treatment recommendations achieve a diagnosis using specialized equipment with needle-guided imaging and/or surgical modalities. These techniques are expensive and delay diagnosis and treatment. The authors use an in-office, nonimaging technique to drain periprosthetic fluid after unilateral breast swelling after breast reconstruction or augmentation. Their technique is effective in diagnosing and treating seroma fluid with minimal risk of implant damage or perforation.
authors.affiliation: Boca Raton and Weston, Fla. From the Hilton Becker Clinic of Plastic Surgery; the Department of Plastic and Reconstructive Surgery, Cleveland Clinic Florida; and the Charles E. Schmidt College of Medicine, Florida Atlantic University.
authors.forename: Hilton
authors.initials: H
authors.lastname: Becker
authors.forename: Jaclyn
authors.initials: J
authors.lastname: Klimczak
mesh_terms: D001941:Breast Diseases / Q000209:etiology / Q000601:surgery*; D018427:Breast Implants / Q000009:adverse effects*; D057785:Catheters; D004322:Drainage / Q000295:instrumentation*; D004867:Equipment Design; D005260:Female; D006801:Humans; D016462:Mammaplasty / Q000009:adverse effects*; D011475:Prosthesis Failure; D049291:Seroma / Q000209:etiology / Q000601:surgery*
references.citation: Hall-Findlay EJ. Breast implant complication review: Double capsules and late seromas. Plast Reconstr Surg. 2011;127:56–66
references.citation: Tansley PD, Powell BW. Late swelling after bilateral breast augmentation. J Plast Reconstr Aesthet Surg. 2011;64:261–263
references.citation: Mazzocchi M, Dessy LA, Corrias F, Scuderi N. A clinical study of late seroma in breast implantation surgery. Aesthetic Plast Surg. 2012;36:97–104
references.citation: Spear SL, Rottman SJ, Glicksman C, Brown M, Al-Attar A. Late seromas after breast implants: Theory and practice. Plast Reconstr Surg. 2012;130:423–435
references.citation: Pinchuk V, Tymofii O, Gulyás G, et al. Seroma as a late complication after breast augmentation. Aesthetic Plast Surg. 2011;35:303–314
references.citation: Park BY, Lee DH, Lim SY, et al. Is late seroma a phenomenon related to textured implants? A report of rare complications and a literature review. Aesthetic Plast Surg. 2014;38:139–145
references.citation: Chourmouzi D, Vryzas T, Drevelegas D. New spontaneous breast seroma 5 years after augmentation: A case report. Cases J. 2009;2:7126
references.citation: Adams WP, Bengston BP, Glicksman CA, et al. Decision and management algorithms to address patient and food and drug administration concerns regarding breast augmentation and implants. Plast Reconstr Surg. 2004;114:1252–1257
references.citation: Mazzocchi M, Dessy LA, Marchetti F, Marchetti F, Carlesimo B. The use of the Veress needle to drain mammary periprosthetic fluid. In Vivo. 2010;24:219–222
references.citation: Garcia-Tutor E, Murillo J. Safe drainage by puncture of postmastectomy seroma in a patient with immediate reconstruction using an expander. Plast Reconstr Surg. 2003;111:1357–1358
references.citation: Moyer KE, Potochny JD. Technique for seroma drainage in implant-based breast reconstruction. J Plast Reconstr Aesthet Surg. 2012;65:1614–1617
references.citation: Bengtson B, Brody GS, Brown MH, et al. Managing late periprosthetic fluid collections (seroma) in patients with breast implants: A consensus panel recommendation and review of the literature. Plast Reconstr Surg. 2011;128:1–7
references.citation: Kim B, Roth C, Chung KC, et al. Anaplastic large cell lymphoma and breast implants: A systematic review. Plast Reconstr Surg. 2011;127:2141–2150