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Groin wound lymphatic complications after vascular procedures are accompanied by increased risk of infection, prolonged hospital stay, and greater patient morbidity. High-output groin seromas can be difficult to manage and refractory to established interventions. Although subcutaneous talc has been used to prevent seroma accumulation in other high-risk surgical fields, such as after axillary lymph node dissection, it has not been described in the context of vascular surgery. This article presents the first reported case of a persistent high-output groin seroma after endovascular abdominal aortic aneurysm repair managed successfully with intraoperative application of sterile talc.

Original publication




Journal article


Ann vasc surg

Publication Date





801.e9 - 801.e12


Administration, Topical, Aged, 80 and over, Aortic Aneurysm, Abdominal, Endovascular Procedures, Follow-Up Studies, Groin, Humans, Imaging, Three-Dimensional, Male, Postoperative Complications, Seroma, Talc, Tomography, X-Ray Computed, Ultrasonography, Doppler, Duplex