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Case Reports
. 2020 Jan 20;7(1):16-19.
doi: 10.1080/23320885.2020.1714446. eCollection 2020.

Free ALT-flap can treat chronic seroma: a case report

Hien Pham  1 , Nikolaos Tsapralis  1 , Damir Kosutic  1
Affiliations
Case Reports

Free ALT-flap can treat chronic seroma: a case report

Hien Pham et al. Case Reports Plast Surg Hand Surg. .

Abstract

Seroma formation after axillary lymph node dissection for metastatic melanoma is a common problem. We present the use of free microvascular tissue transfer to treat a chronic postoperative seroma developed after axillary lymph node dissection for metastatic melanoma.

Keywords: ALT-flap; chronic seroma; encapsulated seroma; free flap.

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Conflict of interest statement

No potential conflict of interest was reported by the authors.

Figures

Figure 1.
Figure 1.
Preoperative CT scan image showing left axillary chronic seroma.
Figure 2.
Figure 2.
Preoperative left lateral view of the patient showing the presence of the large left axillary encapsulated seroma.
Figure 3.
Figure 3.
Preoperative posterior view of the patient showing the presence of the large left axillary encapsulated seroma and the malignant melanoma scar.
Figure 4.
Figure 4.
Post resection Intraoperative view of the large encapsulated seroma.
Figure 5.
Figure 5.
ALT flap inset in the axillary area to obliterate dead space.
Figure 6.
Figure 6.
CT scan image 1-month post-resection of chronic seroma capsule and free ALT-flap inset.
Figure 7.
Figure 7.
CT scan image 3-month post-resection of chronic seroma capsule showing almost complete resolution.
See this image and copyright information in PMC

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