Document Detail


Use of multiple drains after mastectomy is associated with more patient discomfort and longer postoperative stay.
MedLine Citation:
PMID:  19933080     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Seromas constitute a common complication following surgery for breast cancer, and closed drainage is used routinely to reduce its incidence. The aim of this study was to evaluate the influence of number of drains on patient discomfort, seroma formation, and hospital stay during the immediate postoperative period after mastectomy for breast cancer. PATIENTS AND METHODS: Based on a retrospective review of our clinical database, 110 consecutive patients from January 2004 through January 2006 who had undergone a mastectomy and axillary clearance for breast cancer were sent a simple postal questionnaire for collection of data. RESULTS: A total of 70 patients responded (all women; mean age, 69.4 +/- 11.4 years). Twenty-seven patients (38.57%) had 3 drains implanted unilaterally, 24 (34.28%) had 2, and 19 (27.14%) had 1 drain. They were divided into 2 groups: the first group with 1 drain (19 patients) and the other with 2 or 3 drains (51 patients). Median postoperative hospital stay was 2 days (range, 1-8 days); patients with 1 drain had a significantly shorter postoperative hospital stay (median, 2 days [range, 1-4 days] vs. 2 days [range, 1-8 days]; Mann-Whitney U test, P = .02). A total of 15 patients (21.43%) complained of a seroma. There was no difference in seroma rates between groups. Patients who had a single drain implanted had a significantly lower rate of discomfort (median, 2 [range, 1-5] vs. 3 [range, 1-7]; Mann-Whitney U test; P = .04). CONCLUSION: The number of drains used after a mastectomy for breast cancer did not significantly affect the rate or amount of seromas in this study, but the use of a single drain after mastectomy was significantly associated with less discomfort and shorter postoperative hospital stay.
Authors:
Athanasios Saratzis; Soni Soumian; Rachel Willetts; Sarah Rastall; Paul S Stonelake
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Clinical breast cancer     Volume:  9     ISSN:  1938-0666     ISO Abbreviation:  Clin. Breast Cancer     Publication Date:  2009 Nov 
Date Detail:
Created Date:  2009-11-25     Completed Date:  2010-02-16     Revised Date:  2010-04-06    
Medline Journal Info:
Nlm Unique ID:  100898731     Medline TA:  Clin Breast Cancer     Country:  United States    
Other Details:
Languages:  eng     Pagination:  243-6     Citation Subset:  IM    
Affiliation:
Department of General Surgery, Russells Hall Hospital, Dudley, UK.
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Drainage*
Female
Humans
Length of Stay
Mastectomy / adverse effects*
Middle Aged
Pain, Postoperative / etiology*
Retrospective Studies
Seroma / etiology*,  therapy*
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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