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272617

Oncological Safety of Pectoralis Fascia Preservation in Modified Radical Mastectomy

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Last updated: 04 Jan 2025

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Clinical Research (Surgical)

Abstract

Background: In oncological mastectomy procedures, the pectoral fascia (PF) is frequently excised. The risk of bleeding, infections, and seroma following surgery may be lower if the PF is preserved. Better prosthesis coverage may also enhance reconstructive results, decreasing implant extrusion rates and enhancing cosmetic results. Aim: To assess the oncological safety and the early complications of pectoralis fascia preservation in modified radical mastectomy. Patients and Methods: This randomized control experiment was carried out in Suez Canal University Hospitals' operating rooms and surgical inpatient wards. There were two groups of patients: Between June 2020 and March 2022, patients in (Group A) received preservation of the pectoral fascia, and (Group B) underwent excision of the pectoral fascia. Results: Patients who had pectoralis fascia preservation had significantly lower cumulative seroma volume than those who had pectoralis fascia excision (p < 0.001). Conclusion: It is not required to routinely remove the pectoralis fascia. Regardless of tumor staging, PF can be safely preserved when the tumor is more than five millimeters' distant from the deep aspect of the breast. However, care should be taken when handling situations where the breast's excessive distortion makes determining this distance challenge. Research should be done to find more effective techniques than the surgeon's perception of the invasion. Whenever possible, the fascia beneath the tumor should be partially resected.
 

DOI

10.21608/scumj.2022.272617

Keywords

breast cancer, Breast Reconstruction, Breast implants

Authors

First Name

Haidi

Last Name

Mohamed

MiddleName

A.

Affiliation

Department of Surgery, Surgical Oncology Unit, Faculty of Medicine, Suez Canal University hospital, Egypt.

Email

-

City

-

Orcid

-

First Name

Omar

Last Name

Mansy

MiddleName

M.

Affiliation

Department of Surgery, Surgical Oncology Unit, Faculty of Medicine, Suez Canal University hospital, Egypt.

Email

omarmansy93@yahoo.com

City

-

Orcid

-

First Name

Soliman

Last Name

Elkammash

MiddleName

H.

Affiliation

Department of Surgery, Surgical Oncology Unit, Faculty of Medicine, Suez Canal University hospital, Egypt.

Email

-

City

-

Orcid

-

First Name

Emad

Last Name

Hokkam

MiddleName

N.

Affiliation

Department of Surgery, Surgical Oncology Unit, Faculty of Medicine, Suez Canal University hospital, Egypt.

Email

ehokkam@gmail.com

City

-

Orcid

0000-0003-1532-6655

First Name

Ahmed

Last Name

Ramadan

MiddleName

A.

Affiliation

Department of Surgery, Surgical Oncology Unit, Faculty of Medicine, Suez Canal University hospital, Egypt.

Email

-

City

-

Orcid

-

Volume

25

Article Issue

4

Related Issue

37696

Issue Date

2022-12-01

Receive Date

2022-12-04

Publish Date

2022-12-01

Print ISSN

1110-6999

Online ISSN

2090-2581

Link

https://scumj.journals.ekb.eg/article_272617.html

Detail API

https://scumj.journals.ekb.eg/service?article_code=272617

Order

14

Type

Original Article

Type Code

938

Publication Type

Journal

Publication Title

Suez Canal University Medical Journal

Publication Link

https://scumj.journals.ekb.eg/

MainTitle

Oncological Safety of Pectoralis Fascia Preservation in Modified Radical Mastectomy

Details

Type

Article

Created At

22 Jan 2023