Multiple Pseudocysts. A Potential Complication Following Progressive Tension Sutures.

Abstract

Pseudocyst formation after abdominoplasty is a rare complication. The pathogenesis of these cysts is due to the
encapsulation of the potential dead space resulting after undermining of the abdominal flap. The potential incidence of these cysts is likely to be enhanced if liposuction is performed together wit abdominoplasty. Lymphatic
draining system is overwhelmed with the overload of lymph, blood, fat, extravasated fluid and wetting solution
used as infiltrate. Two raw surfaces created as a direct result of undermining result in shearing and rubbing, the
process further exacerbates extravasation of fluid. To reduce friction between two raw surfaces of abdominoplasty flap and anterior abdominal musculature, progressive tension sutures are used. These sutures compartmentalized and stabilized the raw surfaces. Progressively enlarging multiple pseudo cysts arising from these compartments following the use of progressive tension is described as a case report.
Key Words: Seroma, Progressive tension sutures, Abdominoplasty complications, Pseudo cyst, Quilting, Liposuction.