First, the patients in this study had low BMI values, and obesity (BMI >23 kg/m 2) is a known as a significant contributor to the formation of seroma.[13],[14],[15] Second, we used harmonic focus shears to transect and elevate the LD muscle in
Scarpa's fascia. These shears can cut and coagulate tissues while simultaneously sealing vessels, including invisible lymphatic vessels.
Infectious cases originating from the genitalia, the infecting bacteria probably pass through Buck's fascia of the penis and spread along the dartos fascia of the scrotum and penis, Colles' fascia of the perineum, and
Scarpa's fascia of the anterior abdominal wall.
Real-time scanning is used to guide bilateral injections into the sub-pubic space, deep to
Scarpa's fascia either side of the midline fundiform ligament.