Fascia Suture Technique Is a Simple Approach to Reduce Postmastectomy Seroma Formation

Yizi Cong; Jianqiao Cao; Guangdong Qiao; Song Zhang; Xinjie Liu; Xiaoming Fang; Haidong Zou; Shiguang Zhu

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저자정보: Yizi Cong (Department of Breast Surgery The Affiliated Yantai Yuhuangding Hospital of Qingdao University Yant) Jianqiao Cao (Department of Breast Surgery The Affiliated Yantai Yuhuangding Hospital of Qingdao University Yant) Guangdong Qiao (Department of Breast Surgery The Affiliated Yantai Yuhuangding Hospital of Qingdao University Yant) Song Zhang (Department of Breast Surgery The Affiliated Yantai Yuhuangding Hospital of Qingdao University Yant) Xinjie Liu (Surgery Department of West Area The Affiliated Yantai Yuhuangding Hospital of Qingdao University Y) Xiaoming Fang (Department of Breast Surgery The Affiliated Yantai Yuhuangding Hospital of Qingdao University Yant) Haidong Zou (Department of Breast Surgery The Affiliated Yantai Yuhuangding Hospital of Qingdao University Yant) Shiguang Zhu (Department of Breast Surgery The Affiliated Yantai Yuhuangding Hospital of Qingdao University Yant)

저널정보: 한국유방암학회 Journal of Breast Cancer Journal of Breast Cancer Vol.23 No.5

발행연도: 2020.1

수록면: 533 - 541 (9page)

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Purpose: Seroma formation is a common complication in breast cancer patients undergoing mastectomy, and it negatively affects patient recovery after surgery. The present study aimed to evaluate a simple method using fascia suture technique to fix the flap and reduce the incidence of seroma. Methods: A single-center, prospective, randomized controlled trial was carried out among 160 patients who had undergone mastectomy from May 2018 to September 2019. All patients were randomly divided into the fascia suture group (n = 80) or control group (n = 80) and were followed up for at least 3 months for the assessment of immediate and late complications after surgery. Results: No significant differences were observed between the 2 groups with regard to the basic characteristics. Duration of surgery in the fascia suture group was longer by about 6 minutes compared with that in the control group (114.93 ± 13.67 minutes vs. 108.81 ± 15.20 minutes, p = 0.008). The fascia suture group had a shorter duration of drain placement (10.99 ± 3.26 days vs. 13.85 ± 5.37 days, p < 0.001), a smaller volume of the total drainage (460.95 ± 242.92 mL vs. 574.83 ± 285.23 mL, p = 0.007), and the first 3-day drainage (224.96 ± 101.01 mL vs. 272.3 ± 115.47 mL, p = 0.006), compared with the control group. The incidence of seroma formation (G2 or G3) was significantly lower in the fascia suture group compared with the control group (28.8% vs. 12.5%, p = 0.033). Besides, there was no statistical difference between the 2 groups in the assessment of other complications, including postoperative pain, hematoma, surgical site infections, flap necrosis, and skin dimpling (all p > 0.050). Conclusion: The fascia suture technique is a simple and effective method for reducing seroma formation and should be used to prevent seroma formation after mastectomy.

#Breast neoplasms #Mastectomy #Fascia #Suture techniques #Seroma

참고문헌 (25)

참고문헌 신청

Almond LM / 2010 / Flap anchoring following primary breast cancer surgery facilitates early hospital discharge and reduces costs / Breast Care(Basel) 5:97~101

Tadych K / 1987 / Postmastectomy seromas and wound drainage / Surg Gynecol Obstet 165:483~487

Carless PA / 2006 / Systematic review and meta-analysis of the use of fibrin sealant to prevent seroma formation after breast cancer surgery / Br J Surg 93:810~819

Woodworth PA / 2000 / Seroma formation after breast cancer surgery : incidence and predicting factors / Am Surg 66:444~450

Oertli D / 1994 / Perioperative and postoperative tranexamic acid reduces the local wound complication rate after surgery for breast cancer / Br J Surg 81:856~859

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Yizi Cong

소속기관 Department of Breast Surgery The Affiliated Yantai Yuhuangding Hospital of Qingdao University Yant