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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


Annals of vascular surgery

Publication Date





801.e9 - 801.e12


St George's Vascular Institute, 4th Floor, St James' Wing, St George's Hospital, Blackshaw Road, London SW17 0QT, England.


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