Pressure dressing in breast surgery: is this the solution for seroma formation?
Journal of B.U.ON. : official journal of the Balkan Union of Oncology Jan-Mar 2008, vol. 13, no. 1, p. 65-7
Kontos-M, Petrou-A, Prassas-E, Tsigris-C, Roy-P, Trafalis-D, Bastounis-E, Karamanakos-P.
Author affiliation
Hedley Atkins Breast Unit, Guy's Hospital, London, UK. Michalis _Kontos@yahoo.com.
Abstract
PURPOSE: Pressure dressing (PD) after modified radical mastectomy (MRM) for breast cancer is investigated here as an easy-to-apply method to reduce seroma formation and subsequent need for clinical care. PATIENTS AND METHODS: Two hundred mastectomized patients who were treated with PD on the skin flaps and the axilla immediately postoperatively (group A) were compared with a similar non-PD group (B). Surgical technique and perioperative care were the same. Drains were removed when drain output was reduced to 30 ml per day, or on postoperative day 8 regardless of output. RESULTS: Mean time with drains kept in situ was 4.9 and 5.5 days in group A and B, respectively. Five (2.5%) patients in group A and 16 (8%) in group B developed seromas after the removal of the drains. In total, 9 seroma needle aspirations were performed in group A and 26 in group B. Differences were statistically significant. CONCLUSION: Our findings are supportive of PD as an effective, cheap and easy-to-apply method for the reduction (a) of the time with drains in situ after MRM, (b) of the number of patients developing seromas and (c) of the seroma aspirations. This can potentially reduce further complications, needed medical care and cut expenditure.
