Introduction: The CPF (clavipectoral fascia) is reported to offer several benefits. It may aid in the reduction of
postoperative bleeding and seroma development due to its role in lymph drainage.
Aim of the study: Reporting our experience in re-aligning the CPF after breast surgery with ALND can help avoid
the development of AWS.
Patients and methods: A randomized clinical trial for 290 patients undergoing unilateral breast surgery with ALND.
Results: Post-operatively, there was a high significant incidence increase in excised CPF group, regarding seroma formation. Otherwise, there was no difference regarding time for drain removal besides three days drain output.
Conclusion: Pectoral fascia re-alignment has many benefits such as lower incidence of seroma formation, and AWS prevention.