VALUE OF QUILTING SUTURE FOR REDUCTION OF SEROMA AFTER MODIFIED RADICAL MASTECTOMY
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Keywords
Quilting Suture, Seroma, Modified Radical Mastectomy, Mastectomy Flap
Abstract
Background: Breast cancer has increased in most countries worldwide. The world's less developed regions account for about 47% of cancer cases and 55% of cancer deaths. Rapid urbanization and economic expansion in many emerging nations are causing people to adopt "Western" diets and lifestyle patterns, which is increasing the burden of disease.
Objective: Evaluate the efficacy of fixation of mastectomy flap to the anterior chest wall using the quilting suturing in minimizing or preventing postoperative seroma formation.
Methods: This prospective randomized clinical trial was carried out on 50 female patients. The participants were allocated into two equal groups: Group A: patients who had the quilting sutures during the mastectomy procedure and group B: patients who had the mastectomy procedure without quilting.
Results: The amount of drain discharge showed a significant decline in Group A, and that was evident in the initial six postoperative days (p = 0.001). The surgical drains were removed earlier in group A (p = 0.004 The number of aspiration episodes showed a significant decline in Group A patients who developed seroma compared to Group B (p = 0.033).
Conclusions: Post-mastectomy seroma impact is significantly reduced in patients who have quilting sutures. It leads to a significant reduction in its incidence and the number of aspiration episodes, if developed.
References
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Mohamed Yehea Mohamed
General surgeon specialist, Hospital Health Insurance Banha.
Maha Abd Elmongy Abd Elrahman
Department of General Surgery, Faculty of Medicine for Girls, Al-Azhar University
Rasha Abd Elaziz Abd Elghany
Department of General surgery, Faculty of Medicine for Girls, Al-Azhar University