Serome, eine häufige und ungewünschte postoperative Komplikation – Übersicht zum aktuellen Stand der Forschung

Zusammenfassung

Serome stellen eine relativ häufige postoperative Komplikation dar, die durch die Ansammlung klarer Lymphflüssigkeit in einem neu entstandenen Gewebehohlraum gekennzeichnet ist. Besonders nach operativen Eingriffen, bei denen größere Gewebemengen entfernt werden, kann es zur Serombildung kommen. Die genaue Pathophysiologie ist noch nicht abschließend geklärt, doch verschiedene Risikofaktoren und operative Techniken beeinflussen das Auftreten maßgeblich. Diese Arbeit beleuchtet Definition, Ätiologie, klinische Einteilung, Diagnostik sowie aktuelle Therapie- und Präventionsstrategien im Umgang mit postoperativen Seromen, mit besonderem Fokus auf das gefäßchirurgische Management.

Abstract

Seromas are a relatively common postoperative complication characterized by the accumulation of clear lymphatic fluid in a newly formed tissue cavity. Seroma formation can occur particularly after surgical procedures involving the removal of large amounts of tissue. The exact pathophysiology is not yet fully understood, but various risk factors and surgical techniques significantly influence their occurrence. This article reviews the definition, etiology, clinical classification, diagnostics, and current treatment and prevention strategies for postoperative seromas, with a particular focus on vascular surgical management.

Schlüsselwörter

Serom - Phlebologie - Varizenchirurgie - Komplikationsmanagement - seroma - phlebology - varicosis - postoperative complications

Publication History

Received: 12 October 2025

Accepted after revision: 07 January 2026

Article published online:
11 February 2026

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