Quilting of Mastectomy Flaps; a Simple Way to Avoid Postmastectomy Seroma

  • Ahmed Tarek Awad
  • Mahmoud A. Alhussini
  • M. Ashraf BalbaaEmail author
Original Article


Mastectomy is still one of the fundamental options for treatment of breast cancer. Postmastectomy seroma formation is a common complication that can lead to significant morbidity. A lot of studies focused on mechanical obliteration of the postmastectomy dead space assuming it is the primary factor for seroma development. The aim of this study was to evaluate the efficacy of quilting technique in reducing the incidence of postmastectomy seroma. The study included 800 patients who were randomized into two equal groups; A and B, where quilting has been performed to “group B.” The patients were followed up to measure daily drain output with monitoring of seroma formation in the next 14 days after drain removal. “Group B” showed significant reduction in the mean of fluid drained (246.08 ± 78.94 mL) (P < 0.001) compared with “group A” (664.75 ± 69.43 mL) together with significant reduction in incidence of seroma formation with incidence of 21.75% and 3.5% (P < 0.001) for groups A and B, respectively. Quilting is an effective technique in reducing the incidence of postmastectomy seroma formation.


Breast cancer Mastectomy Postmastectomy dead space Quilting technique Seroma 


Compliance with Ethical Standards

As the study has been conducted on humans, the authors ensure that the performed procedure in the current study was in accordance with the ethical standards of the institutional and national research committee and with the 1964 Helsinki declaration. An informed consent was obtained from all individual participants included in the study.

Conflict of Interest

All the authors declare that they have no conflict of interest.


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Copyright information

© Association of Surgeons of India 2019

Authors and Affiliations

  • Ahmed Tarek Awad
    • 1
  • Mahmoud A. Alhussini
    • 1
  • M. Ashraf Balbaa
    • 2
    Email author
  1. 1.Department of Surgery, Faculty of MedicineAlexandria UniversityAlexandriaEgypt
  2. 2.Department of Surgery, Faculty of MedicineMenoufia UniversityMenoufiaEgypt

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