WORLD JOURNAL OF ADVANCE
HEALTHCARE RESEARCH

( An ISO 9001:2015 Certified International Journal )

An International Peer Review Journal for Medical Science and Pharma Professionals

An Official Publication of Society for Advance Healthcare Research (Reg. No. : 01/01/01/31674/16)

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Indexing

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  • Google Scholar
  • Index Copernicus
  • SOCOLAR, China
  • Research Bible, Fuchu, Tokyo. JAPAN
  • Cosmos Impact Factor
  • Scientific Indexing Services (SIS)
  • UDLedge Science Citation Index
  • International Impact Factor Services
  • International Society for Research Activity (ISRA) Journal Impact Factor (JIF)
  • IFSIJ Measure of Journal Quality
  • Scientific Journal Impact Factor (SJIF)
  • International Scientific Indexing, UAE (ISI) (Under Process)
  • International Impact Factor Services (IIFS)
  • Web of Science Group (Under Process)
  • Directory of Research Journals Indexing
  • Scholar Article Journal Index (SAJI)
  • International Scientific Indexing ( ISI )
  • Academia
  • Scope Database

Abstract

A COMPARATIVE STUDY OF SEROMA FORMATION AFTER EARLY AND LATE REMOVAL OF DRAINAGE IN MODIFIED RADICAL MASTECTOMY MRM

*Omeed Abdullah Mohammad Rasheed, Ali Allosh and Samer Kanaan

ABSTRACT

Background: Seroma following modified radical mastectomy is the most common wound complication. Various techniques are being practiced in the management of seroma, but whether early or late drain removal after mastectomy remains controversial. Objective: The aim of this study was to assess whether early drain removal after radical mastectomy influences the incidence of complications and quality of life. Patients and Methods: A Prospective Randomized Clinical Trial conducted for the period one year (May 2021 – May 2022) at Tishreen University Hospital in Lattakia-Syria. The study included two groups of women were compared: group I consisted of 22 women (47.8%)who underwent mastectomy and receive early drain removal, whereas group II consisted of 24 women (52.2%) who underwent mastectomy and received standard drain removal. Final outcome regarding complications and quality of life post-surgery were compared between two groups. Results: A total of 46 women with mean age of 50.1±9.4 years were included in the study. Seroma was occurred more frequently in group 1(36.4% versus 25%, p:0.4). The rate of additional drainage tube insertion after drain removal didn't differ significantly between the two groups (27.3% in group 1 versus 16.7% in group 2, p: 0.3) with a mean number of drainage in group 1(5.08±2.08) versus (1.9±1.31) in group 2, p: 0.5. Compared to late drain removal, early type reduced significantly hospital length of stay (1.77±0.7 versus 2.54±1.4, p:0.02), improved quality of life regarding the following variables; absence of shoulder pain post-surgery (81.8% versus 66.7%, p:0.01), limitation in daily activities and personal care (50% versus 79.2%, p:0.0001), nursing care needs at home after discharge (22.8% versus 91.7%, p:0.0001), restricted range of motion(27.3% versus 66.7%,p:0.0001), limitation in activities due to caring of wound (9.1 % versus 41.7 %, p:0.0001), and effects on social activities(18.2 % versus 54.2%, p:0.0001). Conclusion: The current study demonstrated favorable results in efficiency of early removal of drain to an early return to normal life without increasing complications.

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