Sclerotherapy as an alternative treatment for complex, refractory seromas

Area of Science:

• Interventional Radiology
• Surgical Oncology
• Regenerative Medicine

Background:

• Traditional seroma management includes compression, aspiration, drainage, or surgery.
• Complex, treatment-refractory seromas pose a significant clinical challenge.
• Limited evidence exists for sclerotherapy in complex, post-operative seromas.

Observation:

• A case series explored sclerotherapy using interventional radiology for chronic, high-volume post-operative seromas.
• Patients had complex medical histories and failed multiple traditional treatments.
• Sclerotherapy was used as an alternative or adjunctive treatment.

Findings:

• Seromas resolved after a maximum of four sclerotherapy rounds.
• Various combinations of sclerosants were utilized.
• Long-term follow-up confirmed resolution.

Implications:

• Sclerotherapy is a viable alternative for recalcitrant post-operative seromas.
• Interventional radiology offers effective management for complex seroma cases.
• This approach may reduce the need for repeated surgical interventions.