Document Detail

Should a drain be placed in early breast cancer surgery?
MedLine Citation:
PMID:  24944555     Owner:  NLM     Status:  PubMed-not-MEDLINE    
BACKGROUND: The current surgical debate has led to a reduction in the extent of surgery performed and thereby to a reduced occurrence of surgical trauma and, over the recent years, reduced seroma formation. This reduction in surgical procedures calls the need for a drain into question.
METHOD: Using Google Scholar and the National Library of Medicine (PubMed), a literature review was performed on systematic reviews and meta-analyses regarding breast cancer surgery ± axillary dissection. Additionally, randomized trials for the time period after the last systematic review were included and evaluated according to the Jadad score.
RESULTS: The search returned 5 systematic reviews, in which a total of 1,075 patients were included (537 cases and 538 controls). Since the last review, no prospective randomized trial meeting the inclusion criteria has been published. The current reviews conclude that insertion of a drain is associated with a longer hospital stay and reduced seroma formation. The data regarding wound infection and drain insertion is inconclusive. The omission of a drain is associated with early discharge, reduced postsurgical pain, and early mobilization, but also with an increase in outpatient seroma aspirations.
CONCLUSION: The omission of a drain is possible in early breast cancer surgery (wide local excision and sentinel node biopsy) with adequate surgical techniques and instruments.
Florian Ebner; Niko deGregorio; Elena Vorwerk; Wolfgang Janni; Achim Wöckel; Dominic Varga
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Breast care (Basel, Switzerland)     Volume:  9     ISSN:  1661-3791     ISO Abbreviation:  Breast Care (Basel)     Publication Date:  2014 May 
Date Detail:
Created Date:  2014-06-19     Completed Date:  2014-06-19     Revised Date:  2014-06-23    
Medline Journal Info:
Nlm Unique ID:  101254060     Medline TA:  Breast Care (Basel)     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  116-22     Citation Subset:  -    
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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