Quilting Prevents Seroma Formation Following Breast Cancer Surgery: Closing the Dead Space by Quilting Prevents Seroma Following Axillary Lymph Node Dissection and Mastectomy

Abstract

Quilting is an effective method for preventing seroma and its complications.

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

“…Ten Wolde et al identified the increase in surgery time and the potential increase in postoperative pain as potential drawbacks to the closure of dead space technique [37]. Results from the present study did not show any significant difference in postoperative pain.…”

Identification of complications in mastectomy with immediate reconstruction using tissue expanders and permanent implants for breast cancer patients

“…Seromas contribute to patient discomfort, delay of the adjuvant treatment, repeated aspirations, and surgical site infection [34,35,36]. As possible, we perform seroma aspirations for the patients with discomfort of surgical site by accumulation of seroma.…”

“…It has been hypothesized that seromas form as an exudate from an acute inflammatory reaction following surgical trauma [38]; however, an efficient method of prevention of seroma formation has not been established [39]. Wolde et al [36] described that quilting suture is a method of minimizing dead space to lower the incidence of seroma and significantly decrease the incidence of seroma, the number and amount of aspirations, and surgical site infections. We usually fill TEs with the saline as adequate as possible to obliterate dead space.…”

Effect of Mechanical Closure of Dead Space on Seroma Formation in Modified Radical Mastectomy

“…[5,14] Some recent evidence suggests that quilting suture reduces the incidence of seroma. [15][16][17] Quilting suture consists in suturing the skin flaps to the underlying musculature to reduce 'dead space'. [18] The aim of the present study was to detect the efficiency of dead space obliteration technique to reduce postmastectomy seroma formation and early drain removal.…”