scholarly journals Effect of Intraoperative Wound Irrigation with Topical Phenytoin on Postoperative Seroma Formation after Modified Radical Mastectomy

2022 ◽  
Vol 86 (1) ◽  
pp. 362-365
Author(s):  
Salah Mansour Abdel-Aal ◽  
Mohamed Ibrahim Abdelhamid Elsayed ◽  
Mohamed Mohamed Abdelsalam ◽  
Loay Mohamed Elhady Gertallah
Keyword(s):  
Radical Mastectomy ◽  
Seroma Formation ◽  
Modified Radical Mastectomy ◽  
Wound Irrigation

Comparison of Outcome of one Versus two Drains Insertion for Seroma Formation Following Modified Radical Mastectomy in Breast Carcinoma

2021 ◽  
Vol 17 (1) ◽  
pp. 52-55
Author(s):  
Shiraz Shaikh ◽  
Ambreen Munir ◽  
Shahnawaz Abro ◽  
Shahida Khatoon ◽  
Zameer Hussain Laghari ◽  
...  
Keyword(s):  
Breast Carcinoma ◽  
General Surgery ◽  
Stable Condition ◽  
Radical Mastectomy ◽  
Seroma Formation ◽  
University Hospital ◽  
P Value ◽  
Modified Radical Mastectomy ◽  
Group A ◽  
Group B

Objective: Comparative outcome of one versus two drains insertion for in the term of seroma formation following modified radical mastectomy in breast carcinoma. Methodology: This Prospective Interventional trial was conducted at Department of General Surgery, Liaquat University Hospital Hyderabad from February 2018 to January 2019.  Females with breast carcinoma admitted for modified radical mastectomy were included. Patients were divided into two groups.  Groups I underwent one drain placement and group II underwent two drains placement. All patients were observed to measure and record the volume of the fluid. Patients were discharged from Hospital in stable condition and after removal of drains, and followed up weekly for one month. Data was recorded on self-made proforma and analyzed by using SPSS-20. Results: Total of 80 patients were selected, 38 in group A and 42 in group B. Mean age of patients of group A was 49.08 ± 9.89 years and group B was 51.40 ± 13.59 years. , Excised Mass weight was lesser in group A as compared to group B. Mean volume of drain discharge was significantly higher in Group B 323.43 ± 158.88 ml, while it was in group A 230.29± 200.98, findings were statistically significant 0.013. Seroma formation was statistically insignificant among both groups as 8(21.1%) in group A and   10(23.8%) in group B, p-value 0.768. Conclusion: One-drain and two-drain insertion are equally effective to reduce the seroma formation after modified radical mastectomy; however, one drain insertion leads to more patient compliance and comfort with probably less morbidity and cost.

scholarly journals Comparison of electrocautery and plasmablade on ischemia and seroma formation after modified radical mastectomy for locally advanced breast cancer

2017 ◽  
Vol 7 (1) ◽  
Author(s):  
Husnu Alptekin ◽  
Huseyin Yılmaz ◽  
Bahadir Ozturk ◽  
Ilhan Ece ◽  
Mehmet Ertugrul Kafali ◽  
...  
Keyword(s):  
Locally Advanced Breast Cancer ◽  
Statistical Significance ◽  
Locally Advanced ◽  
Radical Mastectomy ◽  
Seroma Formation ◽  
Modified Radical Mastectomy ◽  
Drainage Volume ◽  
Drain Removal ◽  
Postoperative Drainage ◽  
The Mean

The aim of this study was to compare postoperative drainage volumes and IMA levels in patients who underwent modified radical mastectomy (MRM) with using PlasmaBlade (PB) or electrocautery (EC). A total of 36 patients who underwent MRM with PB or EC in our clinic between August 2012 to February 2013 were enrolled. Number of removed and positive lymph nodes, duration of drainage and total drainage volume was recorded. Seroma formation after drain removal and number of aspirations were also recorded. Serum ischemia modified albümine (IMA) levels were analysed before surgery, 1 hour and 24 hour after surgery. In total, 36 patients were treated with MRM in the study period. Of the 36 patients, 16 underwent MRM with PB, and 20 underwent MRM with EC. The patients demographics were similar in both groups. The mean drainage volume and seroma formation were significantly higher in the PB group when compared with EC group (P<0.05). Number of aspirations due to the seroma were also high in PB group. The total aspiration volume of seroma was not different in both groups. IMA levels 24 hours after surgery in the PB group was significantly higher than EC group. There was no statistical significance between the groups for IMA levels at 1st hour. PB is a monopolar energy device and is associated with increased levels of ischemia. This situation resulted with an increased volume of total axillary drainage and elevated risk of seroma formation.

scholarly journals Efficacy of axillary exclusion on seroma formation after modified radical mastectomy

2016 ◽  
Vol 14 (1) ◽  
Author(s):  
Mohammed Faisal ◽  
Sameh T Abu-Elela ◽  
Waleed Mostafa ◽  
Osama Antar
Keyword(s):  
Radical Mastectomy ◽  
Seroma Formation ◽  
Modified Radical Mastectomy

Does Axillary Tucking During Modified Radical Mastectomy Reduce Seroma Formation? – a Randomised Control Trial in 100 Patients

2017 ◽  
Vol 29 (3) ◽  
pp. e78
Author(s):  
R. Venkatesan ◽  
K.G. Bagul ◽  
G. Goel ◽  
N.Y. Sannappanavar ◽  
D.K. Vijaykumar
Keyword(s):  
Radical Mastectomy ◽  
Seroma Formation ◽  
Randomised Control Trial ◽  
Modified Radical Mastectomy

scholarly journals Randomized Controlled Trial of Modified Radical Mastectomy with and Without Quilting Technique and Its Effect on Seroma Formation

2021 ◽  
pp. 1-4
Author(s):  
Munazzah Aziz ◽  
Keyword(s):  
Randomized Controlled Trial ◽  
Controlled Trial ◽  
Radical Mastectomy ◽  
Seroma Formation ◽  
Control Group ◽  
Modified Radical Mastectomy ◽  
Randomized Controlled ◽  
Group I ◽  
Flap Fixation ◽  
Group Ii

Objective: To determine the frequency of seroma formation after flap fixation by quilting technique in MRM patients as compared to control group. Study Design: Randomized controlled trial. Place and Duration of study: This study was conducted from 11th November ,2017 to 10th May , 2018 in Department of Surgery, Holy family Hospital, Rawalpindi. Patients and Method: A total of 60 patients were included in the study having histologically proven breast cancer stage 2 or 3 in age group of 40-70 years undergoing modified radical mastectomy. Patients were allocated to group1 or 2 by random selection. In group I patients, flap fixation was done by quilting technique during MRM . In group II , no quilting was done. Post operative follow up was done after 05 days in OPD and development of seroma was observed clinically. Results: Mean age of patients was 55.23 ± 7.94 years. Mean BMI was 30.05 ± 2.63 kg/m2. Seroma formation was seen in 04 patients (13.33%) in group I (flap fixation by quilting technique ) and 19 patients (63.33%) in group II (control group) with p-value of 0.0001. Conclusion: This study concluded that there is significantly low incidence of post mastectomy seroma formation in MRM patients with quilting technique as compared to the conventional method of wound closure in MRM

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