دورية أكاديمية
Prospective Study to Evaluate Efficacy of Single Versus Double Drains in Breast Cancer Patients Undergoing Surgery.
| العنوان: | Prospective Study to Evaluate Efficacy of Single Versus Double Drains in Breast Cancer Patients Undergoing Surgery. |
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| المؤلفون: | Roy S; Faculty of Medical Sciences, King George's Medical University, Lucknow, Uttar Pradesh India., Gupta SS; Faculty of Medical Sciences, King George's Medical University, Lucknow, Uttar Pradesh India., Singh U; Faculty of Medical Sciences, King George's Medical University, Lucknow, Uttar Pradesh India., Anand R; Faculty of Medical Sciences, King George's Medical University, Lucknow, Uttar Pradesh India., Bhat G; Department of Endocrine Surgery, Shatabdi Phase II Hospital, King George's Medical University, Shah Mina Shah Road, Chowk, Lucknow, 226003 Uttar Pradesh India., Sooraj R; Department of Endocrine Surgery, Shatabdi Phase II Hospital, King George's Medical University, Shah Mina Shah Road, Chowk, Lucknow, 226003 Uttar Pradesh India., Raam M; Department of Endocrine Surgery, Shatabdi Phase II Hospital, King George's Medical University, Shah Mina Shah Road, Chowk, Lucknow, 226003 Uttar Pradesh India., Aswinee R; Department of Endocrine Surgery, Shatabdi Phase II Hospital, King George's Medical University, Shah Mina Shah Road, Chowk, Lucknow, 226003 Uttar Pradesh India., Ramakant P; Department of Endocrine Surgery, Shatabdi Phase II Hospital, King George's Medical University, Shah Mina Shah Road, Chowk, Lucknow, 226003 Uttar Pradesh India., Singh KR; Department of Endocrine Surgery, Shatabdi Phase II Hospital, King George's Medical University, Shah Mina Shah Road, Chowk, Lucknow, 226003 Uttar Pradesh India., Misra AK; Department of Endocrine Surgery, Shatabdi Phase II Hospital, King George's Medical University, Shah Mina Shah Road, Chowk, Lucknow, 226003 Uttar Pradesh India. |
| المصدر: | Indian journal of surgical oncology [Indian J Surg Oncol] 2024 Jun; Vol. 15 (2), pp. 437-445. Date of Electronic Publication: 2024 Mar 16. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Springer India Country of Publication: India NLM ID: 101532448 Publication Model: Print-Electronic Cited Medium: Print ISSN: 0975-7651 (Print) Linking ISSN: 09757651 NLM ISO Abbreviation: Indian J Surg Oncol Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Original Publication: New Delhi : Springer India |
| مستخلص: | Seroma formation is a common sequel following modified radical mastectomy (MRM), which hinders healing, may prolong hospital stay, and cause a delay in adjuvant treatment. Closed suction drains have been used to prevent formation of seroma; however, the use of a single drain in the axilla along with draining the mastectomy flaps and axilla separately remains a topic of debate. This prospective randomized dual-arm study was conducted in the Department of Endocrine Surgery. All female patients with carcinoma breast diagnosed on core tissue biopsy, undergoing modified radical mastectomy, upfront or post neoadjuvant systemic therapy were included. Patients were randomized into two groups. In the first group, a single drain was placed in the axilla whereas in the second group, a drain each was placed below the mastectomy flaps and the axilla. Patients' particulars and the weight of the mass excised along with the operative details were documented. The volume of the drain was recorded daily. The flap drain was removed on postoperative day 5 and the axillary drain was removed when the drain volume was less than 30 mL/24 h for 2 consecutive days. The period of drain placement, volume of drainage, volume of seroma (if formed), and other complications (if any) were recorded. Patients in the single drain group had a significantly earlier drain removal time as compared to those with double drains ( p = 0.01). The number of patients in whom seroma formation had occurred was more in the double drain group, but the difference was not significant. The average volume of aspirated seroma fluid was insignificantly more in the single drain group. The only other complication noticed was flap necrosis-in 5% patients of the double drain group. Total volume of drainage ( p < 0.0001) and type of drain ( p = 0.0208) were associated with higher rates of seroma formation, whereas BMI ( p = 0.0516), weight of excised breast mass ( p = 0.407), and age ( p = 0.6379) were not associated with the rate of seroma formation. Outcomes in terms of drain volume or seroma formation were statistically indifferent between the two groups. Still, use of only a single axillary drain should be promoted, keeping in mind the earlier drain removal period, better patient compliance, and reduced hospital stay. Competing Interests: Conflict of InterestThe authors declare no competing interests. (© The Author(s), under exclusive licence to Indian Association of Surgical Oncology 2024. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.) |
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| فهرسة مساهمة: | Keywords: Axillary drain; Breast cancer; Modified radical mastectomy; Pectoroaxillary drain; Seroma |
| تواريخ الأحداث: | Date Created: 20240514 Latest Revision: 20240515 |
| رمز التحديث: | 20240515 |
| مُعرف محوري في PubMed: | PMC11088602 |
| DOI: | 10.1007/s13193-024-01923-z |
| PMID: | 38741623 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 0975-7651 |
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| DOI: | 10.1007/s13193-024-01923-z |