Complications
Usually occurs in association with poor wound healing, which may be due to poor wound closure or patient factors such as diabetes or corticosteroid use. Treatment includes oral or intravenous antibiotics, depending on the severity of the infection, and careful wound management.
Occurs if the potential space resulting from the removal of the lipoma is large and leads to serous fluid formation that exceeds the patient's capacity for resorption. Treatment includes aspiration and a compression dressing, or placement of a drain percutaneously.
This complication results from inadequate hemostasis. Usually, this occurs if there is physical straining postoperatively or if a patient is started prematurely on anticoagulation for other medical problems.
Good anatomic knowledge and meticulous dissection are required to avoid this potential complication, which can result in permanent paresthesia/anesthesia.
Major vessels are usually not affected. Meticulous dissection can help reduce the risk of this complication. If vascular compromise of the overlying skin does occur, debridement with skin grafting may be required.
Black people are especially prone to keloid scarring, though all races can develop excessive scarring. Treatment may include corticosteroid injections.
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