Videoendoscopic ablation of a large subcutaneous postoperative anterior abdominal wall seroma

Currently, there is no clear consensus in surgical practice on the treatment of postoperative seromas, including the anterior abdominal wall after abdominoplasty. The gold standard remains the postoperative observation of patients with ultrasound examination of the surgical area and puncture treatment with serom. However, such tactics are possible only in the early postoperative period. If puncture treatment is unsuccessful, the tactics of excision of the mesothelial lining of the seroma more effective. Such operations are performed through a large incision in the skin. The clinical case demonstrates the successful application of the endoscopic technique of ablation of the lining of a large chronic seroma, which was a complication of abdominoplasty. Puncture and drainage treatment in the early postoperative period did not yield results. A decision has been made on endoscopic treatment using minimally invasive technologies. A clinical example of the successful use of endoscopic techniques for the treatment of large (maximum diameter 22 cm) chronic postoperative anterior abdominal wall seroma is shown. This technique can be used in clinical practice as a safe way to treat such postoperative complications. 

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