AI Article Synopsis
- Seromas, which are fluid-filled pockets, are not often seen after creating a special type of blood connection called an arteriovenous fistula.
- An 89-year-old woman had this procedure, and while there was some leakage during the operation, doctors took measures to fix it. Two weeks later, she developed a seroma, but it didn't need to be surgically treated.
- The study suggests that good planning before surgery and checking the patient's veins can help avoid seromas and reminds doctors to keep an eye on patients afterward to prevent future problems.
Article Abstract
Aim Of The Study: Seromas are rarely reported as complications of autologous arteriovenous fistula creation.
Case Description: An 89-year-old woman was hospitalized for hemodialysis and underwent an autologous arteriovenous fistula creation in the forearm. During cephalic vein expansion using a heparinized saline solution, leakage occurred. A suture was placed to control the leakage, and a Penrose drain was inserted. Serosanguineous drainage ceased on postoperative day two; however, a seroma occurred approximately two weeks after the surgery. Follow-up ultrasonography revealed no growth tendency; therefore, excision and aspiration were unnecessary.
Conclusion: This seroma was associated with postoperative dead space, surgical technique, and patient clinical status. Sufficient preoperative ultrasonographic vascular mapping is required to avoid inappropriate handling of veins and prevent seroma formation. Postoperative ultrasonographic follow-up is recommended due to the future risk of fistula dysfunction and infection associated with seroma enlargement, which may necessitate surgical seroma excision.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9714280 | PMC |
| http://dx.doi.org/10.15557/jou.2022.0039 | DOI Listing |
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