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9141

Evaluation of Fixation of Mastectomy Flaps in Reduction of Seroma Formation in Breast Cancer Patients

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Last updated: 03 Jan 2025

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Abstract

Background: Seroma is the most common complication following modified radical mastectomy (MRM), as post mastectomy dead space left between skin and anterior chest wall where seroma is formed causing multiple health issues.
Aim of the Work: Is to evaluate the feasibility and efficacy of fixation of skin flaps to anterior chest wall for closing postoperative space with drainage as an alternative to the classic form of mastectomy closure with closed suction drain for MRM for female patients with breast cancer.
Patients and Methods: A total of 60 patients, admitted to the following hospitals: Sydnawy Insurance Hospital, and Ain Shames University Hospitals with a diagnosis of breast cancer and were treated by modified radical mastectomy. Patients were divided into 2 groups group A (n=30) were flap fixing group and group B (n=30) were non flap fixing group all patient were presented with breast cancer with age range of 32 to 75, postoperative patients were followed and their data were collected and compared.
Results: All 60 patients were evaluated as we had no patients who were lost in follow up. Patients' demographics were not different in the two groups. We reported less overall complication in group A than group B, also reduced total seroma volume in group A and reduced number of drain days in group A than B. Conclusions: Fixation of skin flaps to chest wall and closure of dead space post modified radical mastectomy actually reduce incidence of seroma formation

DOI

10.21608/ejhm.2018.9141

Keywords

Modified Radical Mastectomy, seroma, Reducing seroma, Fixation of skin flaps

Authors

First Name

Ahmed

Last Name

M.

MiddleName

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Affiliation

Department of General surgery, Ain Shams University

Email

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City

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Orcid

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First Name

Nabil

Last Name

E.S.

MiddleName

-

Affiliation

Department of General surgery, Ain Shams University

Email

-

City

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Orcid

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First Name

Samy

Last Name

R.

MiddleName

-

Affiliation

Department of General surgery, Ain Shams University

Email

-

City

-

Orcid

-

First Name

Samy

Last Name

G.

MiddleName

-

Affiliation

Department of General surgery, Ain Shams University

Email

-

City

-

Orcid

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Volume

72

Article Issue

3

Related Issue

1778

Issue Date

2018-07-01

Receive Date

2018-07-15

Publish Date

2018-07-01

Page Start

4,218

Page End

4,223

Print ISSN

1687-2002

Online ISSN

2090-7125

Article File

EJHM_Volume 72_Issue 3_Pages 4218-4223.pdf

PDF . 254.4kB

Link

https://ejhm.journals.ekb.eg/article_9141.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=9141

Order

29

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Evaluation of Fixation of Mastectomy Flaps in Reduction of Seroma Formation in Breast Cancer Patients

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Type

Article

Created At

22 Jan 2023