Axillary Lymphadenectomy

Petrek, Jeanne A.; Peters, Margaret; Nori, Subhadra; Knauer, Cynthia; Kinne, David W.; Rogatko, André

doi:10.1001/archsurg.1990.01410150100018

Cited by 99 publications

(17 citation statements)

References 2 publications

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“…Studies that have assessed fibrin glue in an attempt to weld tissue flaps to wound bases have had conflicting results [3–6]. In our case series, fibrin glue was not used.…”

Section: Discussionmentioning

confidence: 96%

“…Given the interruption of lymphatic channels this fluid remains in situ and accumulates. This is plausible as it has been shown that degree of lymphatic interruption increases rate of seroma formation [3]. Further potential to reduce seroma formation, or at least clinically detectable seroma may be possible from obliteration of the potential space and minimization of tissue dissection.…”

Section: Introductionmentioning

confidence: 99%

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Prevention of postoperative seromas with dead space obliteration: A case-control study

Aho

Nickerson

Thiels

et al. 2016

International Journal of Surgery

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Introduction Excision of soft tissue masses in the subcutaneous space is a common surgical procedure. Postoperative seromas may occur and often result in additional visits, procedures, and impaired wound healing. Methods A retrospective chart review (2001–2011) identified patients who underwent resection of a soft tissue mass in the subcutaneous tissues. Patients undergoing breast surgery, head and neck surgery, and lymph node dissections were excluded. Patients (n=100) with seromas were identified. These patients were matched to patients not having postoperative seroma (n=100). Results We identified 100 patients with seroma and 100 controls without seroma after soft tissue resection. Patients had no difference in wound characteristics. Patients with a dead space obliterating stitch were less likely to have a postoperative seroma (26% vs 74%, P<.001). Conclusions Dead space closure was associated with a decreased rate of postoperative seroma in subcutaneous resections. Postoperative seroma was associated with increased cost and provider visits.

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“…Studies that have assessed fibrin glue in an attempt to weld tissue flaps to wound bases have had conflicting results [3–6]. In our case series, fibrin glue was not used.…”

Section: Discussionmentioning

confidence: 96%

Section: Introductionmentioning

confidence: 99%

Prevention of postoperative seromas with dead space obliteration: A case-control study

Aho

Nickerson

Thiels

et al. 2016

International Journal of Surgery

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“…Petrek et al [11] in a prospective randomized trial showed that the most significant influencing factors in the causation of seroma were the number and the extent of axillary lymph node involvement. However, Gonzalez et al [12] and Hashemi et al [13] reported that the only statistically significant factor influencing the incidence of seroma formation was the type of surgery.…”

Section: Discussionmentioning

confidence: 99%

The value of mastectomy flap fixation in reducing fluid drainage and seroma formation in breast cancer patients

Sakkary¹

2012

World J Surg Onc

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BackgroundProlonged and excessive drainage of serous fluid and seroma formation constitute the most common complications after mastectomy for breast carcinoma. Seroma formation delays wound healing, increases susceptibility to infection, skin flap necrosis, persistent pain and prolongs convalescence. For this, several techniques have been investigated to improve primary healing and minimize seroma formation.Materials and methodsBetween June 2009 and July 2010 forty patients with breast carcinoma, scheduled for modified radical mastectomy, were randomly divided into 2 groups, the study group (20) and the control group (20). In the study group; the mastectomy flaps were fixed to the underlying muscles in raws, at various parts of the flap and at the wound edge using fine absorbable sutures. In the control group; the wound was closed in the conventional method at the edges. Closed suction drains were used in both groups. Patients, tumor characteristics and operative related factors were recorded. The amount and color of drained fluid were recorded daily. The drains were removed when the amount become less than 50 cc. The total amount and duration of drained fluid and the formation of seroma were recorded and the results were compared between the two groups.ResultsIn the flap fixation group, the drain was removed in significantly shorter time compared to the control group (p < 0.001). Also, the total amount of fluid drained was significantly lower in the flap fixation group (p < 0.001). The flap fixation group showed a significantly lower frequency of seroma formation compared to the control group, both clinically (p = 0.028) and ultrasonographically (p = 0.047).ConclusionsThe mastectomy flap fixation technique is a valuable procedure that significantly decreases the incidence of seroma formation, and reduces the duration and amount of drained fluid. However, it should be tried on a much wider scale to prove its validity.

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“…2 Several factors have been implicated in seroma formation. One study reported that the total amount of drainage increased with a large number of tumor-positive lymph nodes and no previous surgical biopsy, but was 3.4 -+ 3.1 (7) .8181 3 1.0 +-1.7 (6) 0.5 -0.5 (6) .9282 * Mean pain rating (+-SE) on a scale of 1 to 10. Number of patients is shown in parentheses.…”

Section: Discussionmentioning

confidence: 99%

“…not affected by age, weight, height, and level of axillary dissection. 6 Another study suggested that the total amount of drainage reflected the magnitude of lymphatic interruption. 3 There was no reported difference in wound drainage associated with immediate versus delayed shoulder exercises.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of axillary lymphadenectomy without axillary drainage for patients undergoing breast-conserving therapy

Zavotsky

Jones

Brennan

et al. 1998

Annals of Surgical Oncology

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Axillary Lymphadenectomy

Cited by 99 publications

References 2 publications

Prevention of postoperative seromas with dead space obliteration: A case-control study

Prevention of postoperative seromas with dead space obliteration: A case-control study

The value of mastectomy flap fixation in reducing fluid drainage and seroma formation in breast cancer patients

Evaluation of axillary lymphadenectomy without axillary drainage for patients undergoing breast-conserving therapy

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