Abstract
Abstract
Aims
Postoperative seroma is the most frequent sequelae after mastectomy and axillary surgery with no optimal regimens for seroma resolution recommended in routine clinical. Indwelling cannulas with needle and catheter have been widely used in long-term medication therapies, but evidence of indwelling cannulas in seroma management after mastectomy is lacking. The purpose of this study is to evaluate the feasibility of indwelling cannulas in seroma management after mastectomy.
Methods
Patients who underwent modified radical mastectomy (MRM) and developed symptomatic seroma after removal of the drains between August 2017 and December 2018, were randomized into two groups either indwelling cannulas drain of seroma (Group A) or needle aspiration of seroma (Group B). We prospectively compared the number of visits for seroma, the time from removal of the drain to the final seroma resolution and the cost between the methods.
Results
A total of 860 patients underwent MRM between August 2017 and December 2018, among which 86 patients who developed symptomatic seroma after removal of the drains, were randomized into two groups either Group A or Group B. The number of visits for seroma in Group A was 2.35 ± 0.69 times, which was less than those in Group B (4.86 ± 1.06 times). Similarly, the time of drain removal to final seroma resolution in Group A was 4.65 ± 0.78 days, which was shorter than 7.09 ± 1.54 in Group B. In Group A, the total mean cost per patient (25.81 ± 7.71 RMB) was less than the total mean cost per patient (49.30 ± 9.85 RMB) in Group B. Cost savings were noted with using indwelling cannulas in seroma management.
Conclusion
It is feasible to drain indwelling cannulas drain for postmastectomy seroma, with less visits for patients, rapid seroma resolution and less cost. Indwelling cannulas can be an efficient, cost effective solution to treat symptomatic seroma after breast surgery.
Funder
the Natural Science Foundation of Fujian Province
Fujian provincial health technology project
Joint Funds for the innovation of science and Technology, Fujian province
Science and Technology Program of Fujian Province
Publisher
Springer Science and Business Media LLC
Subject
Obstetrics and Gynecology,General Medicine
Reference16 articles.
1. Tejler G, Aspegren K (1985) Complications and hospital stay after surgery for breast cancer: a prospective study of 385 patients. Br J Surg 72(7):542–544
2. Barwell J, Campbell L, Watkins RM, Teasdale C (1997) How long should suction drains stay in after breast surgery with axillary dissection. Ann R Coll Surg Engl 79(6):435–437
3. Woodworth PA, McBoyle MF, Helmer SD, Beamer RL (2000) Seroma formation after breast cancer surgery: incidence and predicting factors. Am Surg 66(5):444–450
4. Kumar S, Lal B, Misra MC (1995) Post-mastectomy seroma: a new look into the aetiology of an old problem. J R Coll Surg Edinb 40(5):292–294
5. McCaul JA, Aslaam A, Spooner RJ, Louden I, Cavanagh T, Purushotham AD (2000) Aetiology of seroma formation in patients undergoing surgery for breast cancer. Breast 9(3):144–148
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