ROLE OF QUILTING TECHNIQUE IN REDUCING SEROMA FORMATION AFTER MODIFIED RADICAL MASTECTOMY
DOI:
https://doi.org/10.22159/ajpcr.2024.v17i2.48340Keywords:
Seroma, Mastectomy, Quilting techniqueAbstract
Objectives: The objective of the study was to evaluate the efficacy of mastectomy flap quilting sutures in reducing post-modified radical mastectomy seroma formation.
Methods: The prospective study was conducted by the Department of Surgery Sardar Patel Medical College and A.G. Hospitals, Bikaner, from December 2021 to December 2022. Fifty control and 50 cases of carcinoma breast in the general surgery department were recruited in the study.
Results: The mean age of the patients in the cases group was 51.00±12.93 years and control group was 54.16±13.39 years. Mean drain volume of the patients in the cases group was 489.00±10.54 mL and control group was 586.00±22.67 mL and the drain duration of surgery of the patients in the cases group was 8.30±0.44 days and the control group was 12.60±0.80 days. Two (4.00%) patients in cases group and eight (16.00%) patients in control group seroma formation was present (p<0.05).
Conclusion: Flap fixation is a surgical technique that obliterates the dead space in patients undergoing modified radical mastectomy. It appears to reduce the total volume of fluid drained, the development of seroma, and the need for seroma aspirations.
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Malangoni MA, Rosen MJ, Townsend CM, Beauchamp RD, Evers BM, Mattox KL. Sabiston Textbook of Surgery: The Biologic Basis of Modern Surgical Practice. Netherlands: Elsevier;2021.
Brunicardi F, Andersen D, Billiar T, Dunn D, Hunter J, Matthews J, et al. Schwartz”s Principles of Surgery. 10th ed. United States: McGraw-hill; 2014.
Sainsbury RC. Bailey and Love’s Short Practice of Surgery. 25th ed. London: Edward Arnold Ltd.; 2008. p. 827-35.
Aitken DR, Minton JP. Complications associated with mastectomy. Surg Clin North Am 1983;63:1331-52. doi: 10.1016/s0039-6109(16)43192- 0, PMID 6359504
Bland KI, Copeland EM, Klimberg VS, Gradishar WJ. The Breast e-book: Comprehensive Management of Benign and Malignant Diseases. Amsterdam: Elsevier Health Sciences; 2017.
Douay N, Akerman G, Clément D, Malartic C, Morel O, Barranger E. Seroma after axillary lymph node dissection in breast cancer. Gynecol Obstet Fertil 2008;36:130-5. doi: 10.1016/j.gyobfe.2007.07.040, PMID18243754
Gambardella C, Clarizia G, Patrone R, Offi C, Mauriello C, Romano R, et al. Advanced hemostasis in axillary lymph node dissection for locally advanced breast cancer: New technology devices compared in the prevention of seroma formation. BMC Surg 2019;18 Suppl 1:125.
Khater A. Harmonic scalpel as a single instrument in modified radical mastectomy. Is it more cost effective than electrocautery and ligature Egypt J Surg 2010;29:959-62.
Baloch TA, Iqbal P. Breast carcinoma in Karachi: Clinical and pathological features. Med Channel 2006;12:47-8.
Benz CC. Impact of aging on the biology of breast cancer. Crit Rev Oncol Hematol 2008;66:65-74. doi: 10.1016/j.critrevonc.2007.09.001, PMID 17949989
Kiyingi AK, Macdonald LJ, Shugg SA, Bollard RC. Harmonic dissection versus electrocautery in breast surgery in regional Victoria. ANZ J Surg 2015;85:358-62. doi: 10.1111/ans.12594, PMID 24698128
Huang J, Yu Y, Wei C, Qin Q, Mo Q, Yang W. Harmonic scalpel versus electrocautery dissection in modified radical mastectomy for breast cancer: A meta-analysis. PLoS One 2015;10:e0142271. doi: 10.1371/ journal.pone.0142271, PMID 26544716
Hashemi E, Kaviani A, Najafi M, Ebrahimi M, Hooshmand H, Montazeri A. Seroma formation after surgery for breast cancer. World J Surg Oncol 2004;2:44. doi: 10.1186/1477-7819-2-44, PMID 15588301
Purushotham AD, McLatchie E, Young D, George WD, Stallard S, Doughty J, et al. Randomized clinical trial of no wound drains and early discharge in the treatment of women with breast cancer. Br J Surg 2002;89:286-92. doi: 10.1046/j.0007-1323.2001.02031.x, PMID 11872051
Carcoforo P, Soliani G, Maestroni U, Donini A, Inderbitzin D, Hui TT, et al. Octreotide in the treatment of lymphorrhea after axillary node dissection: A prospective randomized controlled trial. J Am Coll Surg 2003;196:365-9. doi: 10.1016/S1072-7515(02)01757-X, PMID 12648685
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Copyright (c) 2023 Dr. Rajesh Kumar, Dr. Bhupendra Sharma, Dr. Gaurav Modi, Dr. Sarita Parihar
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