Effect of mechanical closure of dead space on seroma formation after Breast surgery
- 136 Downloads
Seroma, a collection of serous fluid, is the most common problem after breast surgery. The aim of this study was to review the effect of mechanical closure of dead space on seroma formation after breast surgery. There are two mechanical methods for closure of the dead space beneath skin flaps: compression by external pressure, and fixation of the flaps with sutures. There is no evidence to suggest that the routine use of a pressure garment or compression dressing is beneficial. However, it appears that suture flap fixation does reduce seroma formation, simplify postoperative care and dressing, and thus allow early removal of drains and discharge. Drains are helpful for mechanical closure of dead space, but in breastconserving surgery this technique may preclude the use of a drain. However, previous studies have often been small in scale and poor in quality. Further studies should examine the effect of this technique on quality of life, cosmesis, and medical economics.
Key wordsSeroma Flap fixation Prevention Breast cancer
Functional axillary lymphadenectomy
Randomized controlled trial
Unable to display preview. Download preview PDF.
- 3).Halsted WS: Developments in the skin grafting operations for cancer of the breast.JAMA 60:416–451, 1913.Google Scholar
- 13).Hamy A, Bouchot-Hermouet FB, Bouchot O, Drianno JC, Guillard Y: Wadding of the axilla in the conservative treatment of cancer of the breast. Prevention of lymphocele.J Chir (Paris) 127:99–102, 1990.Google Scholar
- 16).Gamier JM, Hamy A, Classe JM, Laborde O, Sagot P, Lopes P, Boog G, Drianno JC, Guillard Y: A new approach to the axilla: functional axillary lymphadenectomy and padding.J Gynecol Obstet Biol Reprod (Paris) 22:237–242, 1993.Google Scholar
- 19).Classe JM, Dupre PF, Francois T, Robard S, Theard JL, Dravet F: Axillary padding as an alternative to closed suction drain for ambulatory axillary lymphadenectomy: a prospective cohort of 207 patients Kuroi K, et al with early breast cancer.Arch Surg 137:169–172; discussion 173, 2002.PubMedCrossRefGoogle Scholar
- 20).Kuroi K, Tajima Y, Nakanishi MKK: The effect of tacking suture on seroma formation after mastectomy.Jpn J Breast Cancer 17:311–315, 2002.Google Scholar
- 22).Murphey DR: The uuse of atomospheric pressure in obliterating axillary dead space following radical mastectomy.South Surg 13:372–375, 1947.Google Scholar