Factors that Affect Drain Indwelling Time after Breast Cancer Surgery

Objective: The most common procedure to prevent seroma formation, a common complication after breast and axillary surgery, is to use prophylactic surgical drains. Ongoing discussions continue regarding the ideal time for removing drains after surgical procedures. In this study, we aimed to investiga...

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Main Authors: Ömer Uslukaya, Ahmet Türkoğlu, Metehan Gümüş, Zübeyir Bozdağ, Ahmet Yılmaz, Hatice Gümüş, Şeyhmus Kaya, Mesut Gül
Format: Article
Language:English
Published: Galenos Publishing House 2016-07-01
Series:European Journal of Breast Health
Subjects:
Online Access: http://www.eurjbreasthealth.com/archives/archive-detail/article-preview/factors-that-affect-drain-ndwelling-time-after-bre/42141
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author Ömer Uslukaya
Ahmet Türkoğlu
Metehan Gümüş
Zübeyir Bozdağ
Ahmet Yılmaz
Hatice Gümüş
Şeyhmus Kaya
Mesut Gül
author_facet Ömer Uslukaya
Ahmet Türkoğlu
Metehan Gümüş
Zübeyir Bozdağ
Ahmet Yılmaz
Hatice Gümüş
Şeyhmus Kaya
Mesut Gül
author_sort Ömer Uslukaya
collection DOAJ
description Objective: The most common procedure to prevent seroma formation, a common complication after breast and axillary surgery, is to use prophylactic surgical drains. Ongoing discussions continue regarding the ideal time for removing drains after surgical procedures. In this study, we aimed to investigate factors that affect drain indwelling time (DIT).Materials and Methods: From 2014 to 2015, a total of 91 consecutive patients with breast cancer were included in the study. The demographic characteristics of the patients, treatment methods, histopathologic features of the tumor, size of removed breast tissue (BS), tumor size (TS), number of totally removed lymph nodes (TLN), and metastatic lymph nodes (MLN), whether they had neoadjuvant chemotherapy, and the DIT were retrospectively recorded from the hospital database.Results: The mean age of the patients was 48.9 years, and the mean DIT was 4.8 days. The mean size of breast removed was 17.3 cm and tumor size was 4.7 cm, and the mean number of metastatic lymph nodes was 3.3, and mean total number of lymph nodes was 14.1. Patients who had neoadjuvant chemotherahpy had longer DIT. There was a positive correlation between the BS, TS, TLN, MLN, length of hospital stay, and DIT. Linear regresion analysis revealed that the BS, TLN, and history of neoadjuvant chemotherahpy were independent risk factors for DIT.Conclusion: DIT primarily depends on BS, TLN, and history of neoadjuvant chemotherahpy. A policy for the management of removing drains to prevent seroma formation should thus be individualized.
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spelling doaj.art-07c14d8daa0547ca8d65c4bdd97b68732023-02-15T16:20:00ZengGalenos Publishing HouseEuropean Journal of Breast Health2587-08312016-07-0112310210610.5152/tjbh.2016.307013049054Factors that Affect Drain Indwelling Time after Breast Cancer SurgeryÖmer Uslukaya0Ahmet Türkoğlu1Metehan Gümüş2Zübeyir Bozdağ3Ahmet Yılmaz4Hatice Gümüş5Şeyhmus Kaya6Mesut Gül7 Department of General Surgery, Dicle University School of Medicine, Diyarbakır, Turkey Department of General Surgery, Dicle University School of Medicine, Diyarbakır, Turkey Department of General Surgery, Dicle University School of Medicine, Diyarbakır, Turkey Department of General Surgery, Dicle University School of Medicine, Diyarbakır, Turkey Department of Family Medicine,, Dicle University School of Medicine, Diyarbakır, Turkey Department of Radiology, Dicle University School of Medicine, Diyarbakır, Turkey Department of Pathology, Dicle University School of Medicine, Diyarbakır, Turkey Department of General Surgery, Dicle University School of Medicine, Diyarbakır, Turkey Objective: The most common procedure to prevent seroma formation, a common complication after breast and axillary surgery, is to use prophylactic surgical drains. Ongoing discussions continue regarding the ideal time for removing drains after surgical procedures. In this study, we aimed to investigate factors that affect drain indwelling time (DIT).Materials and Methods: From 2014 to 2015, a total of 91 consecutive patients with breast cancer were included in the study. The demographic characteristics of the patients, treatment methods, histopathologic features of the tumor, size of removed breast tissue (BS), tumor size (TS), number of totally removed lymph nodes (TLN), and metastatic lymph nodes (MLN), whether they had neoadjuvant chemotherapy, and the DIT were retrospectively recorded from the hospital database.Results: The mean age of the patients was 48.9 years, and the mean DIT was 4.8 days. The mean size of breast removed was 17.3 cm and tumor size was 4.7 cm, and the mean number of metastatic lymph nodes was 3.3, and mean total number of lymph nodes was 14.1. Patients who had neoadjuvant chemotherahpy had longer DIT. There was a positive correlation between the BS, TS, TLN, MLN, length of hospital stay, and DIT. Linear regresion analysis revealed that the BS, TLN, and history of neoadjuvant chemotherahpy were independent risk factors for DIT.Conclusion: DIT primarily depends on BS, TLN, and history of neoadjuvant chemotherahpy. A policy for the management of removing drains to prevent seroma formation should thus be individualized. http://www.eurjbreasthealth.com/archives/archive-detail/article-preview/factors-that-affect-drain-ndwelling-time-after-bre/42141 breast cancermastectomiesdrainagesuction
spellingShingle Ömer Uslukaya
Ahmet Türkoğlu
Metehan Gümüş
Zübeyir Bozdağ
Ahmet Yılmaz
Hatice Gümüş
Şeyhmus Kaya
Mesut Gül
Factors that Affect Drain Indwelling Time after Breast Cancer Surgery
European Journal of Breast Health
breast cancer
mastectomies
drainage
suction
title Factors that Affect Drain Indwelling Time after Breast Cancer Surgery
title_full Factors that Affect Drain Indwelling Time after Breast Cancer Surgery
title_fullStr Factors that Affect Drain Indwelling Time after Breast Cancer Surgery
title_full_unstemmed Factors that Affect Drain Indwelling Time after Breast Cancer Surgery
title_short Factors that Affect Drain Indwelling Time after Breast Cancer Surgery
title_sort factors that affect drain indwelling time after breast cancer surgery
topic breast cancer
mastectomies
drainage
suction
url http://www.eurjbreasthealth.com/archives/archive-detail/article-preview/factors-that-affect-drain-ndwelling-time-after-bre/42141
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