Closure of dead space after modified radical mastectomy: Does it reduce the incidence of seroma?

Breast cancer is the commonest cancer among females and considered as one of the leading causes of cancer deaths. Modified radical mastectomy (MRM) is the commonest procedure to be done for treatment of breast cancer in developing countries due to late diagnosis, and lack of screening programs. The...

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Main Author: Ahmed Abdellatif Abdelkader
Format: Article
Language:English
Published: GESDAV 2018-09-01
Series:Archives of Clinical and Experimental Surgery
Subjects:
Online Access:http://www.ejmanager.com/fulltextpdf.php?mno=286579
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author Ahmed Abdellatif Abdelkader
author_facet Ahmed Abdellatif Abdelkader
author_sort Ahmed Abdellatif Abdelkader
collection DOAJ
description Breast cancer is the commonest cancer among females and considered as one of the leading causes of cancer deaths. Modified radical mastectomy (MRM) is the commonest procedure to be done for treatment of breast cancer in developing countries due to late diagnosis, and lack of screening programs. The aim of this study is to assess the importance of dead space closure technique after modified radical mastectomy as regards to; incidence of postoperative seroma, frequency of aspiration, and patient complications. Methods and patients: This study was conducted on 40 female patients admitted to the Surgical Oncology Unit, Alexandria Main University Hospital, and were indicated to MRM during a period from April 2014 to December 2015. The patients were randomly divided into two equal groups; group A (20 patients had MRM with the closure of dead space by suturing the skin flaps to the underlying muscles (quilting), and group B (20 patients had MRM with the closure of wound by the conventional method without closure of dead space. Results: Group (A) showed a significant reduction over the control group as regards to the daily drain output in the initial three postoperative days, the total amount of drained fluid and the drainage period (p=0.009, [Arch Clin Exp Surg 2018; 7(3.000): 116-124]
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spelling doaj.art-024f668202ea43479619d651f54a53c52023-02-15T16:19:02ZengGESDAVArchives of Clinical and Experimental Surgery2146-81332018-09-017311612410.5455/aces.20171226121513286579Closure of dead space after modified radical mastectomy: Does it reduce the incidence of seroma?Ahmed Abdellatif Abdelkader0lecturer of general surgery, Faculty of medicine, Alexandria university, EgyptBreast cancer is the commonest cancer among females and considered as one of the leading causes of cancer deaths. Modified radical mastectomy (MRM) is the commonest procedure to be done for treatment of breast cancer in developing countries due to late diagnosis, and lack of screening programs. The aim of this study is to assess the importance of dead space closure technique after modified radical mastectomy as regards to; incidence of postoperative seroma, frequency of aspiration, and patient complications. Methods and patients: This study was conducted on 40 female patients admitted to the Surgical Oncology Unit, Alexandria Main University Hospital, and were indicated to MRM during a period from April 2014 to December 2015. The patients were randomly divided into two equal groups; group A (20 patients had MRM with the closure of dead space by suturing the skin flaps to the underlying muscles (quilting), and group B (20 patients had MRM with the closure of wound by the conventional method without closure of dead space. Results: Group (A) showed a significant reduction over the control group as regards to the daily drain output in the initial three postoperative days, the total amount of drained fluid and the drainage period (p=0.009, [Arch Clin Exp Surg 2018; 7(3.000): 116-124]http://www.ejmanager.com/fulltextpdf.php?mno=286579Breast cancer surgeryseromadead space closuremodified radical mastectomy (MRM)
spellingShingle Ahmed Abdellatif Abdelkader
Closure of dead space after modified radical mastectomy: Does it reduce the incidence of seroma?
Archives of Clinical and Experimental Surgery
Breast cancer surgery
seroma
dead space closure
modified radical mastectomy (MRM)
title Closure of dead space after modified radical mastectomy: Does it reduce the incidence of seroma?
title_full Closure of dead space after modified radical mastectomy: Does it reduce the incidence of seroma?
title_fullStr Closure of dead space after modified radical mastectomy: Does it reduce the incidence of seroma?
title_full_unstemmed Closure of dead space after modified radical mastectomy: Does it reduce the incidence of seroma?
title_short Closure of dead space after modified radical mastectomy: Does it reduce the incidence of seroma?
title_sort closure of dead space after modified radical mastectomy does it reduce the incidence of seroma
topic Breast cancer surgery
seroma
dead space closure
modified radical mastectomy (MRM)
url http://www.ejmanager.com/fulltextpdf.php?mno=286579
work_keys_str_mv AT ahmedabdellatifabdelkader closureofdeadspaceaftermodifiedradicalmastectomydoesitreducetheincidenceofseroma