Enfoque multidisciplinar en las endoprótesis de cadera y rodilla: un nuevo conceptoMultidisciplinary approach in hip and knee endoprothesis: a new concept. Después de la cirugía de reemplazo de rodilla. Mantenerse alerta a los coágulos de sangre. La cirugía lo hace más propenso a desarrollar coágulos de sangre. Mantenga un registro de sus ejercicios. ¿Qué es una serie? ¿Qué es una repetición? El ejercicio a menudo se mide en repeticiones (a veces llamadas reps) y.

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Healthy women 62 years severe right hip arthrosis with great functional limitation Prosthesis Endoproteais. How erythromycin sclerotherapy can be an effective and safe option for the treatment of seroma in orthopedic surgery.

Pelvis, Hip and Thigh. Sotero del Rio Hospital. Address of Roeilla Dr. The presence of postoperative seromadesis is common, corresponding to the presence of serum in the subcutaneous tissue post a surgical event. Erythromycin has been reported as sclerosing, although not in orthopedic surgery. We report a case of erythromycin seromadesis in orthopedic surgery. We present a case of a year-old woman having undergone femoral prosthesis surgery and endopotesis hip replacement with a subfacial seroma without findings of infection, refractory to standard treatment of compression bandages, massage and cleaning surgery in two oportunities.

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A literature review was undertaken to obtain the therapeutic alternatives where erythromycin seromadesis is chosen with excellent response. Erythromycin sclerotherapy should be considered as an effective and safe option in the treatment of seroma in general surgery and traumatology. More studies are necessary to get a better evidence. We believe that this is the first study of use of erythromycin as rldilla in a traumatology case. A seroma is the collection of fat, liquid, serum and lymph in one area of the body following a traumatic or surgical event.

Usually, it is formed in a wound in the immediate postoperative period, usually in the first week, although it may be delayed.

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It is a common complication in mastectomies, herniorrhaphies and plastic surgery. Generally it is benign, but often annoying to the patient and has a moderate risk of infection.

The presence of a seroma may be asymptomatic, or may have swelling, pain and exude from the wound. The diagnosis can be by inspection and palpation of the wound, with computed tomography and the ultrasound beign useful for identifying fluid collection. This is true especially in prosthetic surgery,with greater chances of infection of prosthetic components and failure of the joint replacement associated with high costs, lengthy hospitalizations, and at times need for a subsequent surgery.


Treatment options can be categorized as preventive or curative, xonsisting of intraoperative application of sclerosing chemicals as hypertonicsaline [1] and talc [2] in humans and gram positive anaerobe like Corynebacterium parvum in rat models [3], tissue adhesives fibrin or platelet concentratesuse of negative pressure drainage, repeated percutaneous aspiration and surgical drainage with complete removal of seroma and its capsule.

There is no evidence of a clear superiority of one method over the other. The use of erythromycin as a sclerosing agent was described in animal studies, that was first assessed as a pleural sclerosant, proving effective and with fewer sideeffects than talc, tetracycline and diazepam.

There are no reports of its use in orthopedics, and we believe that this is the first study of endoprotesiss kind. Case Presentation A female patient of year-old presented to our orthopaedic department with prosthetic loosening of the isoelastic stem Fig. Endoprotess had good clinical evolution with the drain removed at the first postoperative day with output of cc. Patient was discharged rodillz good condition on the fifth postoperative day.

Five days later, patient was re-admitted to the emergency room for increased volume in relation to wound without infectious signs. The blood inflammatory parameters are normal. Soft tissue ultrasonography subfascial evidence seroma with estimated volume of cc is taken. To avoid superinfection of a large extent surgery, it was decided to make an early cleaning surgery, in order to drain and take tissue samples and fluid culture.

A collection is located under muscle planes adjacent to the aloprotesis, with communication between up fascia lata muscleplane.

After the cleaning surgery and drainage, equally the seroma is maintained for 5 days with daily output of cc of serous endoprotesjs. It was decided to perform a new scouring, with obliteration of third space, massage and Compression bandages. Negative cultures were obtained. Given the persistence of seroma, a literature review was undertaken to obtain therapeutic alternatives.

Finally, surgical cleanliness was performed with resection of pseudocapsule seroma with curettage, making crops and application of 2 g. The next day, the drainage measured serohematic liquid cc, and 60cc was measured on the 2nd day. On the 3rd day, 10 cc of endoprotessi was measured, and the drainage was removed on the 4th day.

Subsequently, the patient was discharged in good condition without signs of infection, tension, edema or collection in the thigh wound. Discussion It has been assessed that there are certain factors that could favor the formation of seroma, such as a high bodymass index, use of electrocautery to dissect, early withdrawal of drain within 24 hoursobliteration of dead space and use endoproesis drains under vacuum.


In our case, it is highlighted that the drainage was removed on the first postoperative day, which could have favored the formation of seroma. Although, rodiola a drainage for more number of days also increases the risk of infection.

It is important ridilla consider the differential diagnosis of surgical wound infection, hence blood inflammatory parameters were evaluated, and fluid cultures of the wound were taken. If an infection is confirmed, systemic antibiotic treatment should be given.

In addition, open the wound, drain the liquid and perform irrigation and debridement endoprotezis by wound closure. The current evidence allows the use of this therapy in this patient, although there is no evidence in trauma surgery.

It is necessary to conduct more studies to evaluate the effectiveness and reproducibility of this therapy. Endoprotesid It is known that erythromycin as sclerosing product tends to be very effective with fewer adverse effects than other compounds used for the same condition. It has evaluated with satisfactory results in pleurodesis, non-neoplastic adnexalcyst, and plastic surgery.

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Erythromycin use as sclerosing product in orthopedic surgery must be evaluated as a effective and safe therapeutic alternative. Clinical Message The presence of a seroma may facilitate a surgical infection and surgical failure.

Rodillaa seromas can be managed expectantly, while large collections should be drained. Safe and efficient sclerosing products may be used as associated therapy.

Erythromycin also seems to be an excellent example in orthopedic cases. Endoprogesis saline for treatment of seroma. Seroma prevention by using Corynebacterium parvum in a rat mastectomy model. Seroma Formation after Breast Cancer Surgery: What We Have Learned in the last two decades.

Journal of Breast Cancer ;15 4: Sclerotherapy for the treatment of postmastectomy seroma. Polidocanol foam sclerotherapy of persisting postoperative seromas after varicose vein surgery: Phlebology Oct;28 7: Comparison of pleurodesis by erythromycin, talc, doxycycline, and diazepam in a rabbit model. Hip Arthrosis Prosthesis Introduction A seroma is the collection of fat, liquid, serum and lymph in one area of the body following a traumatic or surgical event.

Erythromycin Seromadesis in Orthopedic Surgery. Ingresa con fractura en la cadera derecha. How to Cite This Article: