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

Shaikh, Shiraz; Munir, Ambreen; Abro, Shahnawaz; Khatoon, Shahida; Laghari, Zameer Hussain; Memon, Aisha

doi:10.48036/apims.v17i1.499

Cited by 3 publications

(1 citation statement)

References 6 publications

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“…In our study mean drain volume at 7 th post operative day was 39.77 ml wit SD 14.99 ml. Shiraz Sheikh et.al in their study showed mean drain volume of 230ml 14 while Ramadanus in his study found 149 ml post MRM drain volume. 15 In our study seroma formation was observed in 14(28%) patients in electrocautery dissection and 8(16%) patients in scalpel dissection.…”

Section: Discussionmentioning

confidence: 85%

Frequency of seroma formation after modified radical mastectomy. A comparison between electrocautery and scalpel dissection techniques.

Bashir¹,

Taimur²,

Imran³

et al. 2023

TPMJ

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Objective: To compare the use of electrocautery and scalpel dissection while performing modified radical mastectomy in terms of frequency of seroma formation. Study Design: Randomized Clinical Trial. Setting: Department of Surgery, Fauji Foundation Hospital, Rawalpindi. Period: 19-06-2019 to 22-06-2022. Material & Methods: A total of one hundred (n=100) female patients between age 22-60 years, who underwent modified radical mastectomy for breast carcinoma were enrolled in the study and randomized into two groups. Electrocautery dissection was performed in group A while patient in group B will undergo Scalpel dissection. Outcome was measured in terms of seroma formation at 7th day postoperatively. Results: Mean age of patients in our study was 42.39 years and standard deviation 8.26. At day 7 after the surgery, mean drain volume was 39.77 ml in our patients. Seroma formation was observed in a total of 14(28%) patients in group A (electrocautery) and 8(16%) patients in group B (Scalpel). Conclusion: Frequency of seroma formation was significantly lower with scalpel dissection as compared to those with electrocautery dissection after MRM.

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Section: Discussionmentioning

confidence: 85%

Frequency of seroma formation after modified radical mastectomy. A comparison between electrocautery and scalpel dissection techniques.

Bashir¹,

Taimur²,

Imran³

et al. 2023

TPMJ

View full text Add to dashboard Cite

show abstract

Prospective Study to Evaluate Efficacy of Single Versus Double Drains in Breast Cancer Patients Undergoing Surgery

Roy,

Gupta,

Singh

et al. 2024

Indian J Surg Oncol

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Single vs. double drain in modified radical mastectomy: A randomized controlled trial

Khan¹,

Khan

Wasim³

2023

Turk J Surg

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Objective: It was aimed to test the hypothesis that the use of a double drain results in less seroma formation, duration of the hospital stay, surgical site infection (SSI), postoperative pain, hematoma, flap necrosis compared to a single drain in patients undergoing modified radical mastectomy. Material and Methods: This parallel-group, single-institution randomized controlled trial was conducted at the department of surgery of our institute between April 2015 and July 2018. Women undergoing modified radical mastectomy were randomly allocated to either a single drain (n= 98) or double drain (n= 98). Results: Both groups were comparable for baseline variables such as age, co-morbidity, BMI, and tumor characteristics. The variables of single drain yielded no better outcomes compared to double drain with estimated blood loss (101.67 ± 25.14 vs.101.67 ± 24.40, p> 0.001), drain volume (898.81 ± 116.42 vs 803.97 ± 103.22 mL, p> 0.001), duration of surgery in minutes (103.19 ± 15.96, 103.19 ± 15.93) and seroma formation (13.4% vs 6.1%, p= 0.082). However, single drain yielded less postoperative pain (mean 2.5 ± 0.70 vs 5.22 ± 5.10, p< 0.000). On multivariable Cox regression analysis, single drain was associated with a lower risk of significant postoperative pain [adjusted relative risk 0.14 (95% confidence interval (CI) 0.070-0.25)] and overall complications [adjusted relative risk 0.47, (95% CI 0.26-0.86)]. On multiple linear regression, the duration of drains in the single drain group was 0.01 days less than double drain (r2= 0.00, b= 0.388, p> 0.001). Conclusion: The use of a single drain significantly reduces postoperative discomfort and pain while demonstrating similar morbidity to the patient with two drains. We thus recommend preferential use of a single drain in modified radical mastectomy (NCT02411617).

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

Cited by 3 publications

References 6 publications

Frequency of seroma formation after modified radical mastectomy. A comparison between electrocautery and scalpel dissection techniques.

Frequency of seroma formation after modified radical mastectomy. A comparison between electrocautery and scalpel dissection techniques.

Prospective Study to Evaluate Efficacy of Single Versus Double Drains in Breast Cancer Patients Undergoing Surgery

Single vs. double drain in modified radical mastectomy: A randomized controlled trial

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