Taming the persistent seroma: multidisciplinary management following complex spinal revision surgery – a case report
This case highlights the challenges of managing postoperative wound complications in spinal surgery, particularly in the context of prior infection, hardware exposure, and suspected cerebrospinal fluid leak. A pedicled SGAP flap provided durable coverage, and doxycycline sclerotherapy proved an effective salvage treatment for persistent seroma after unsuccessful surgical revision.
Authors
- Dominik André‐Lévigne (ORCID: https://orcid.org/0000-0002-0396-7511)
- Jérôme Martineau (ORCID: https://orcid.org/0000-0002-9385-6312)
- Matteo Scampa (ORCID: https://orcid.org/0000-0003-0461-7596)
- Daniel Felix Kalbermatten (ORCID: https://orcid.org/0000-0002-6626-1233)
- Vladimir Mégevand (ORCID: https://orcid.org/0009-0009-0319-0501)
- Enrico Tessitore (ORCID: https://orcid.org/0000-0002-7116-6302)
- Clelia Dogny (ORCID: https://orcid.org/0009-0009-3504-0073)
- Axelle Serre (ORCID: https://orcid.org/0009-0001-6161-1775)
Institutions
- University Hospital of Geneva (CH)
Publication Details
- Journal
- European Spine Journal
- Published
- 2025-11-21
- DOI
- https://doi.org/10.1007/s00586-025-09597-z
- Primary Topic
- Surgical site infection prevention
- Type
- article
- Field-Weighted Citation Impact
- 0.00