Studio prospettico randomizzato sulla rimozione precoce dei drenaggi nella chirurgia del cancro della mammella.

Translated title of the contribution: Randomized prospective study of early removal of drainage in breast cancer surgery

C. Amanti, L. Regolo, I. Pucciatti, M. Lo Russo, A. Moscaroli, S. Conte, M. Coppola, L. Angelini

Research output: Contribution to journalArticlepeer-review

Abstract

Axillary seroma is absolutely the most frequent complication of breast cancer surgery. The Authors have accrued 100 consecutive breast cancer patients in a randomized study in order to compare seroma incidence by removing drains on 2nd postoperative day (1st arm) versus 3rd postoperative day (2nd arm); 48 patients were accrued in the first arm and 52 in the second. All patients received a standard axillary dissection. Two suction drains were placed. A compressive medication was applied after surgery. Patients started physiotherapy on the 1st postoperative day. The overall seroma prevalence was 21%. We have 8/48 (16%) seromas in the 1st group and 13/52 (25%) in the 2nd. No significant differences were registered between two arms. Clinical seroma was treated by needle aspiration and medication with a steroid. Conclusions coming out from this study are: 1) early drains removal doesn't increase seroma rate; 2) axillary clearance has to be performed removing en bloc the fatty tissue respecting surgical plains; 3) apply a compressive bandaging; 4) early arm physiotherapy; 5) medication with steroid may reduce the fluid formation.

Translated title of the contributionRandomized prospective study of early removal of drainage in breast cancer surgery
Original languageItalian
Pages (from-to)401-406
Number of pages6
JournalGiornale di Chirurgia
Volume22
Issue number11-12
Publication statusPublished - Nov 2001

ASJC Scopus subject areas

  • Surgery

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