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128138

TIMING OF DRAIN REMOVAL AFTER MODIFIED RADICAL MASTECTOMY; A PROSPECTIVE RANDOMIZED STUDY

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Last updated: 04 Jan 2025

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Abstract

BACKGROUND : Axillary lymph node dissection (ALND) is a standard procedure in the treatment of breast cancer. Current practice following ALND involves several days of drain­age of the axilla to reduce the forma­tion of seroma. The aim of this study is to compare 5 days to 8 days drain­age after modified radical mastecto­my (MRM). STUDY DESIGN : A pros­pective randomized trial was performed comparing 5 days drain­age to 8 days drainage. The primary outcome measure was duration of hospital stay. Formation of seroma and wound related complications were secondary outcome measures. RESULTS : Thirty patients were ran­domized to the 5 days drainage group (A), 30 patients to 8 days drainage
group (B). Seroma aspiration was re­quired in 46.7% (14 patients) after 5 days drainage, and in 33.3% (10 pa­tients) after 8 days drainage (P= 0.07). Infectious complications were seen in 4 patients after 8 days drain­age versus 1 after 5 days drainage (P = 0.0001). CONCLUSION: Five days drainage following ALND is feasible and facilitates early hospital dis­charge. Furthermore, 5 days drainage is not associated with excess wound related complications compared to long-term drainage.
 
 

DOI

10.21608/mjmu.2005.128138

Keywords

breast cancer, sero­ma, hospital stay

Authors

First Name

Wael

Last Name

Khafagy

MiddleName

-

Affiliation

Department of Surgery, Mansoura University Hospitals, Egypt

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Orcid

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Volume

34

Article Issue

2

Related Issue

19046

Issue Date

2005-12-01

Receive Date

2020-12-07

Publish Date

2005-12-01

Page Start

345

Page End

355

Print ISSN

1110-211X

Online ISSN

2735-3990

Article File

MJMU_Volume 34_Issue 2_Pages 345-355.pdf

PDF . 2.7MB

Link

https://mjmu.journals.ekb.eg/article_128138.html

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https://mjmu.journals.ekb.eg/service?article_code=128138

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6

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Research (original) articles

Type Code

1,453

Publication Type

Journal

Publication Title

Mansoura Medical Journal

Publication Link

https://mjmu.journals.ekb.eg/

MainTitle

TIMING OF DRAIN REMOVAL AFTER MODIFIED RADICAL MASTECTOMY; A PROSPECTIVE RANDOMIZED STUDY

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Article

Created At

23 Jan 2023