Evidence map›Paper›PMID 36078992›Full record

ArticleJournal of clinical medicine2022

Management of Postoperative Seroma: Recommendations Based on a 12-Year Retrospective Study.

Athanasios Papanikolaou, Eliane Minger, Michael-Alexander Pais, Mihai Constantinescu, Radu Olariu, Adriaan Grobbelaar, Ioana Lese

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
5.4field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Postoperative outcomes of ligasure use during common femoral artery exposure.Journal of vascular surgery cases and innovative techniques · 2026
    Article
  5. Observational
  6. Taming the persistent seroma: multidisciplinary management following complex spinal revision surgery - a case report.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026
    Review
  7. Article
  8. Article
  9. A comprehensive review of seroma formation, prevention, and treatment approaches.Journal of vascular surgery cases and innovative techniques · 2025
    Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Athanasios PapanikolaouDepartment of Plastic and Hand Surgery, Inselspital, Bern University Hospital, 3008 Bern, Switzerland.
Eliane MingerDepartment of Plastic and Hand Surgery, Inselspital, Bern University Hospital, 3008 Bern, Switzerland.
Michael-Alexander PaisDepartment of Plastic and Hand Surgery, Inselspital, Bern University Hospital, 3008 Bern, Switzerland.
Mihai ConstantinescuDepartment of Plastic and Hand Surgery, Inselspital, Bern University Hospital, 3008 Bern, Switzerland.
Radu OlariuDepartment of Plastic and Hand Surgery, Inselspital, Bern University Hospital, 3008 Bern, Switzerland.ORCID 0000-0002-0204-4432
Adriaan GrobbelaarDepartment of Plastic and Hand Surgery, Inselspital, Bern University Hospital, 3008 Bern, Switzerland.
Ioana LeseDepartment of Plastic and Hand Surgery, Inselspital, Bern University Hospital, 3008 Bern, Switzerland.
University of Bern · CHUniversity Hospital of Bern · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Seroma formation is a serious postoperative complication. Since the management algorithms available in the literature are scarce, we aimed to analyze our experience with postoperative seroma in order to identify indicators for revisional surgery and propose recommendations for management. Methods: This retrospective study included all patients with postoperative seroma treated in a tertiary university hospital from 2008 to 2020. Patients’ demographics, medical history, and seroma treatment details were recorded and analyzed. Results: Overall, 156 patients were included: 41% were initially treated through needle aspiration, with 61% eventually undergoing surgical treatment for postoperative seroma. Comorbidities, such as heart failure and coronary heart disease, were significantly associated with an increased need for revisional surgery (p < 0.05). Both a duration of >40 days of repeated needle aspirations and drain re-insertions were significantly correlated with an increased risk for revisional surgery (p < 0.05). Conclusion: Patients requiring seroma aspiration should be counseled on surgical treatment sooner rather than later, as prolonged aspiration time (over 40 days) greatly increases the risk of surgical revision. Moreover, the reinsertion of a drain should only be used as a temporizing measure, at most, and patients requiring a drain to control the size of the seroma should promptly be scheduled for a surgical revision.

Indexed as

indicators for revisional surgerymanagementseroma

Identifiers

PMID36078992
PMCPMC9457167
OpenAlexW4293730158

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.