Evaluation of surgical dead space obliteration in modified radical mastectomy for incidence of seroma formation, drain volume and duration of drain

Abstract

Background: Modified radical mastectomy (MRM) is commonly performed surgery in Breast Cancer. Seroma formation is commonly seen after MRM. This study was conducted to evaluate three potential dead spaces obliteration (DSO) technique i.e., interpectoral space, space between skin flaps and pectoralis major and axillary spaces for prevention of seroma and other post operative outcome comparison. Methods: A randomized prospective study of sample size 100 patients who were randomized into two groups. Group A undergoes MRM with DSO and group B undergoes only MRM. Post operative outcome were compared. Results: The mean drain output per day, seroma formation, and drain removal duration was statistically less in patients underwent DSO. Conclusions: Surgical dead space obliteration is a safe and feasible procedure which gives lower incidences of Seroma formation lesser postoperative complication and early removal of drain.