SEROMA FORMATION AND ITS RELATIONSHIP WITH MECHANICAL DEAD SPACE OBLITERATION FOLLOWING MODIFIED RADICAL MASTECTOMY
Keywords:
Modified radical mastectomy, seroma formation, flap fixation, dead space obliteration, breast cancerAbstract
Breast cancer remains the most prevalent site-specific malignancy among women globally, necessitating effective surgical interventions. Modified radical mastectomy, a common approach in breast cancer treatment, often leads to seroma formation, posing challenges to patient recovery. This retrospective study investigates the relationship between flap fixation and seroma formation, focusing on the obliteration of mechanical dead space. Our findings contribute valuable insights into minimizing postoperative morbidity and optimizing patient care.
Methods:
A retrospective analysis was conducted on 120 females undergoing modified radical mastectomy, with 60 patients undergoing conventional procedures and 60 with flap fixation. Flap fixation involved suturing subcutis to the pectoralis major muscle, aiming to close mechanical dead space. Patient characteristics, operation duration, drainage amount, removal time, flap necrosis, and infection rates were recorded and compared using t tests.
Results:
Flap fixation demonstrated a significant reduction in drained serous fluid and duration of drain removal compared to the control group (p < 0.001). Infection rates were comparable between the study (25%) and control (18%) groups (p = 0.22). The study group showed a mean duration of drain removal of 11.18 days, significantly shorter than the control group's 14.22 days (p < 0.001).
Discussion:
Our findings align with previous studies emphasizing the efficacy of flap fixation in reducing seroma formation and improving patient outcomes. The shorter duration of drain removal supports the notion that flap fixation plays a crucial role in dead space obliteration.
Conclusion:
Flap fixation emerges as a promising technique in reducing seroma formation and addressing mechanical dead space after modified radical mastectomy. This study advocates for the adoption of flap fixation in routine surgical practice, offering surgeons an effective strategy to enhance postoperative recovery and minimize patient morbidity.
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