E-ISSN 0976-2833 | ISSN 0975-3583
 

Research Article 


Effect of Flap Fixation Technique in Modified Radical Mastectomy on Incidence of Postoperative Seroma Formation

Emad Adel H. Soliman, Wael Ibrahim M. El Shelfa, Osama Abd El Aziz M. Eltih, Hassan Rabeaa G. Ashour, Emad A. H. Soliman.

Abstract
Background: The surgical treatment of choice for these patients with breast cancer is either modified radical mastectomy or breast conservation depending upon stage of disease. Seroma formation is the most frequent post-operative complication. The aim of the present study was to study the effect of mechanical closure of dead space by suture fixation of the mastectomy flaps to the underlying chest wall on the amount and duration of postoperative drainage and seroma formation after mastectomy. Patients and methods: This study included fifty-four patients who admitted at the oncosurgery unit, general surgery department, faculty of medicine, zagazig university hospital. The patients were divided into 2 groups, the study group (27) and the control group (27). The diagnosis of breast cancer was determined according to clinical history, clinical examination and the results of different diagnostic procedures such as Ultrasonography, Mammography, FNAC, Core needle biopsy or Excisional biopsy. Results: There is statistically non-significant difference between the studied groups regarding number of lymph nodes removed or positive lymph nodes removed. There The amount of seroma was significantly lower in flap fixation group. There is significant difference between the studied groups regarding days till drain removal which was significantly higher in classic technique group. There is statistically non-significant difference between the studied groups regarding need of neoadjuvant chemotherapy.
Conclusion: The flap fixation technique is a valuable procedure that significantly decrease the incidence of seroma formation, the total amount of drained fluid and also allowing for earlier removal of the drains as well as avoiding the patient the seroma complications.

Key words: Flap Fixation; Breast Cancer; Mastectomy; Seroma Formation


 
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How to Cite this Article
Pubmed Style

Emad Adel H. Soliman , Wael Ibrahim M. El Shelfa , Osama Abd El Aziz M. Eltih, Hassan Rabeaa G. Ashour, Emad A. H. Soliman. Effect of Flap Fixation Technique in Modified Radical Mastectomy on Incidence of Postoperative Seroma Formation. J Cardiovasc. Dis. Res.. 2022; 13(1): 85-93. doi:10.31838/jcdr.2022.13.01.09


Web Style

Emad Adel H. Soliman , Wael Ibrahim M. El Shelfa , Osama Abd El Aziz M. Eltih, Hassan Rabeaa G. Ashour, Emad A. H. Soliman. Effect of Flap Fixation Technique in Modified Radical Mastectomy on Incidence of Postoperative Seroma Formation. http://www.jcdronline.org/?mno=141362 [Access: January 15, 2022]. doi:10.31838/jcdr.2022.13.01.09


AMA (American Medical Association) Style

Emad Adel H. Soliman , Wael Ibrahim M. El Shelfa , Osama Abd El Aziz M. Eltih, Hassan Rabeaa G. Ashour, Emad A. H. Soliman. Effect of Flap Fixation Technique in Modified Radical Mastectomy on Incidence of Postoperative Seroma Formation. J Cardiovasc. Dis. Res.. 2022; 13(1): 85-93. doi:10.31838/jcdr.2022.13.01.09



Vancouver/ICMJE Style

Emad Adel H. Soliman , Wael Ibrahim M. El Shelfa , Osama Abd El Aziz M. Eltih, Hassan Rabeaa G. Ashour, Emad A. H. Soliman. Effect of Flap Fixation Technique in Modified Radical Mastectomy on Incidence of Postoperative Seroma Formation. J Cardiovasc. Dis. Res.. (2022), [cited January 15, 2022]; 13(1): 85-93. doi:10.31838/jcdr.2022.13.01.09



Harvard Style

Emad Adel H. Soliman , Wael Ibrahim M. El Shelfa , Osama Abd El Aziz M. Eltih, Hassan Rabeaa G. Ashour, Emad A. H. Soliman (2022) Effect of Flap Fixation Technique in Modified Radical Mastectomy on Incidence of Postoperative Seroma Formation. J Cardiovasc. Dis. Res., 13 (1), 85-93. doi:10.31838/jcdr.2022.13.01.09



Turabian Style

Emad Adel H. Soliman , Wael Ibrahim M. El Shelfa , Osama Abd El Aziz M. Eltih, Hassan Rabeaa G. Ashour, Emad A. H. Soliman. 2022. Effect of Flap Fixation Technique in Modified Radical Mastectomy on Incidence of Postoperative Seroma Formation. Journal of Cardiovascular Disease Research, 13 (1), 85-93. doi:10.31838/jcdr.2022.13.01.09



Chicago Style

Emad Adel H. Soliman , Wael Ibrahim M. El Shelfa , Osama Abd El Aziz M. Eltih, Hassan Rabeaa G. Ashour, Emad A. H. Soliman. "Effect of Flap Fixation Technique in Modified Radical Mastectomy on Incidence of Postoperative Seroma Formation." Journal of Cardiovascular Disease Research 13 (2022), 85-93. doi:10.31838/jcdr.2022.13.01.09



MLA (The Modern Language Association) Style

Emad Adel H. Soliman , Wael Ibrahim M. El Shelfa , Osama Abd El Aziz M. Eltih, Hassan Rabeaa G. Ashour, Emad A. H. Soliman. "Effect of Flap Fixation Technique in Modified Radical Mastectomy on Incidence of Postoperative Seroma Formation." Journal of Cardiovascular Disease Research 13.1 (2022), 85-93. Print. doi:10.31838/jcdr.2022.13.01.09



APA (American Psychological Association) Style

Emad Adel H. Soliman , Wael Ibrahim M. El Shelfa , Osama Abd El Aziz M. Eltih, Hassan Rabeaa G. Ashour, Emad A. H. Soliman (2022) Effect of Flap Fixation Technique in Modified Radical Mastectomy on Incidence of Postoperative Seroma Formation. Journal of Cardiovascular Disease Research, 13 (1), 85-93. doi:10.31838/jcdr.2022.13.01.09





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