Type of Wound Drainage and Post Operative Morbidity after Modified Radical Mastectomy
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2018, Vol 3, Issue 12
Abstract
Suction drains are routinely used after modified radical mastectomy and is an important factor contributing to increased hospital stay as the patients are often discharged only after their removal. Amongst various factors that influence the amount of postoperative drainage, the negative suction pressure applied to the drain has been reported to be of great significance. Against this background a prospective clinical study was conducted to compare the associated postoperative morbidity between suction and non- suction dependent drainage in patients following Modified Radical Mastectomy. Patients were randomized using randomly ordered sealed envelopes, which were opened immediately before the closure of the wound, to decide on whether suction or dependent drain was to be given. Tight breast bandages were applied within two hours of surgery. Exercises were started within 24 hours of surgery and continued daily. Drains were removed when output was less than 30 ml per day. Patients were followed up from the day of discharge in the wards and up to 2 months after the day of removal of their drains via personal contact numbers. In this study it was found that there is no significant difference in the incidence of wound infection between post MRM patients with suction and dependent drains. However the risk of developing seroma is significantly less in dependent drain group. Thus it can be safely concluded that suction drains do not have any significant advantage over dependent drains after modified radical mastectomy in breast cancer patients. Also the risk of developing seroma is significantly more in patients with suction drains.
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suction drains
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