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.
Authors and Affiliations
suction drains
Keywords
Related Articles
- EP ID EP525009
- DOI -
- Views 114
- Downloads 0
To Evaluate Multiple Organ dysfunction Syndrome And Their Survival Outcome According To Sequential Organ Failure Assessment Score And Simplified Acute Physiology Score Among Patients With Infectious Diseases.
Lack of clinical diagnostic criteria, high cost and non availability of isolation techniques results in misdiagnosis and treatment failure. (1) Due to improper utilization of resources, etiology remains unestablished dur...
Comparison of Transconjunctival and Sub Ciliary Approaches in the Treatment of Infraorbital Bone Fractures: A Clinical Study.
The aim of the study is to compare transconjunctival and sub ciliary incision in the treatment of infraorbital rim and floor fractures, 20 patients with fractures of the infraorbital bone were selected and divided into 2...
Evaluation of Efficacy, Safety And Tolerability of Transdermal Diclofenac Sodium Patch When Compared To Oral Diclofenac Sodium, For Pain Relief Following Minor Oral Surgical Procedures.
Aim To compare efficacy, safety and tolerability of transdermal diclofenac sodium patch with oral diclofenac sodium for pain relief. Method 100 participants requiring minor surgical procedures like Bilateral orthodontic...
Early Management of Hypohidrotic Ectodermal Dysplasia: Conventional Removable Prosthesis.
Introduction Hypohidrotic ectodermal dysplasia (HED) is a genetic disease, the development of ectoderm characterized by malformations of ectodermal structures such as skin, hair, teeth and sweat glands. (2, 17 , 23) It i...
Validating a New Tool on Assessment of Fulfilment of Expectations of Patients with Non-Communicable Diseases – An Ordinal Data Analysis Approach
Introduction: Fulfilment of expectations and attitude to treatment in OPD set-up is an important indicator for quality of service delivery, which is even further important for patients with non-communicable diseases (NCD...