Seroma is a common complication following modified radical mastectomy(MRM). Closed drainage is used routinely to reduce incidence of seroma. Usually two drains are used in patients who underwent MRM to reduce post operative seroma. It is often associated with significant patient discomfort and prolonged fluid drainage. The aim of this study is to evaluate effect of number of drains on seroma formation rate, postoperative pain and hospital stay during the immediate postoperative period after mastectomy for breast cancer.
Modified Radical mastectomy is commonly performed procedure for carcinoma breast. After surgery two drains are placed, one in axilla and one beneath the flap. The use of two drains is associated with significant post operative discomfort and pain. On the other hand two drains have not been proven to decrease post operative seroma formation.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
176
Post modified radical mastectomy with either one or two drains Intervention is use of single or double drain
seroma formation
fluid collection beneath the flap sufficient to cause patient discomfort and pain
Time frame: 30 days post surgery
Duration of hospital stay,,
Time frame: 30 days after surgery
wound infection
as described by center of disease control (CDC) criteria
Time frame: 30 days after surgery
postoperative pain
measured on visual analogue scale (1 to 10) in first 24 hours after surgery.
Time frame: 30 days after surgery
hematoma
blood collection under the flap
Time frame: 30 days after surgery
flap necrosis
flap discoloration due to compromised blood supply of flap
Time frame: 30 days after surgery
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