دورية أكاديمية
Prospective Study on Avoiding Seroma Formation by Flap Fixation After Modified Radical Mastectomy.
| العنوان: | Prospective Study on Avoiding Seroma Formation by Flap Fixation After Modified Radical Mastectomy. |
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| المؤلفون: | Hakseven M; Department of Surgical Oncology, School of Medicine, Ankara University, Ankara, Turkey., Avşar G; Department of Surgical Oncology, School of Medicine, Ankara University, Ankara, Turkey., Çetindağ Ö; Department of Surgical Oncology, School of Medicine, Ankara University, Ankara, Turkey., Deryol R; Department of Surgical Oncology, School of Medicine, Ankara University, Ankara, Turkey., Benk MS; Department of Surgical Oncology, School of Medicine, Ankara University, Ankara, Turkey., Sırgancı G; Department of Measurement and Evaluation, Bozok University Faculty of Education, Yozgat, Turkey., Culcu S; Department of Surgical Oncology, School of Medicine, Ankara University, Ankara, Turkey., Ünal AE; Department of Surgical Oncology, School of Medicine, Ankara University, Ankara, Turkey., Bayar S; Department of Surgical Oncology, School of Medicine, Ankara University, Ankara, Turkey. |
| المصدر: | The American surgeon [Am Surg] 2024 Apr; Vol. 90 (4), pp. 533-540. Date of Electronic Publication: 2023 May 15. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: SAGE Publications in association with Southeastern Surgical Congress Country of Publication: United States NLM ID: 0370522 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1555-9823 (Electronic) Linking ISSN: 00031348 NLM ISO Abbreviation: Am Surg Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2020- : [Thousand Oaks, CA] : SAGE Publications in association with Southeastern Surgical Congress Original Publication: Atlanta Ga : Southeastern Surgical Congress |
| مواضيع طبية MeSH: | Breast Neoplasms*/surgery , Surgeons*, Humans ; Female ; Mastectomy, Modified Radical ; Prospective Studies ; Mastectomy ; Retrospective Studies ; Seroma/etiology ; Seroma/prevention & control |
| مستخلص: | Introduction: Seroma development after mastectomy is a common complication. Continued seroma causes increased outpatient visits, repeated aspirations, infection, delayed healing, delayed adjuvant therapy, and increased cost. Various treatments are being attempted to prevent and reduce seroma development. We examined the effects of flap fixation on seroma using absorbable sutures after modified radical mastectomy (MRM). Methods: The prospectively recorded data of patients who underwent surgery for breast cancer were analyzed retrospectively. 72 consecutive patients who underwent MRM were included in the study. Patients who underwent MRM in the same way by the same surgeon were divided into two groups: the group whose wound was closed by fixing the flap to the chest wall with an absorbable suture (group A), and the group whose wound was closed with the classical method (group B). The groups were compared in terms of seroma development, clinicopathological data, and early complications. Results: Drain removal time and the total amount of drained fluid in group A patients were significantly lower than drain removal time and the total amount of drained fluid in group B patients ( P < .001). Similarly, the amount of aspirated seroma in the control examinations of group A patients was significantly lower than that in group B ( P < .05). Group B needed re-aspiration significantly more than group A ( P < .05). Conclusions: Flap fixation with suture after MRM is a method that reduces seroma formation and the amount of drained fluid, enables early removal of the drain, prevents delay in starting adjuvant treatment, is more comfortable for the patient and physician, and is also inexpensive. Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. |
| فهرسة مساهمة: | Keywords: Vicryl stitches; adjuvant chemotherapy time; breast cancer; drained fluid; flap fixation |
| تواريخ الأحداث: | Date Created: 20230515 Date Completed: 20240304 Latest Revision: 20240304 |
| رمز التحديث: | 20240304 |
| DOI: | 10.1177/00031348231175497 |
| PMID: | 37183415 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1555-9823 |
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| DOI: | 10.1177/00031348231175497 |