Seroma Formation after Mastectomy with or without Thoracoabdominal Binder – A Randomized Control Trial
Keywords:Breast Care, Drainage, Mastectomy, Seroma, Thoracoabdominal Binders
The study’s main objective is to reduce seroma production post-mastectomy with the help of using thoracoabdominal binders. The randomized controlled trial (RCT) included patients (No=40) that received breast surgery. They were divided into two groups; the control group (No=20) was the one that did Not use the binders, and the study group (No=20), complied with adorning the thoracoabdominal binder for two weeks post-breast surgery. The drainage of both breasts and axillary drains was examined during this duration. The amount of drainage was Noted, and charts were created on that basis. A total of 40 patients initially became a part of this trial, equally divided into two groups of 20 patients each. All of the participants of this group had undergone breast surgery (either mastectomy or MRM) and had to appear for the follow-up examination 2-3 weeks post-surgery. In these follow-up meetings in the outpatient clinic, the drainage charts were maintained, including the levels of drain output and compliance rate of the thoracoabdominal binder group; some patients were excluded from the study due to exclusion criteria.There was No difference between both groups in the drainage output, thus imposing No major impact of thoracoabdominal binders on seroma reduction. Other implications of binders in breast care post-surgery were explored to add to the positive effects of binders. This suggests that more studies need to be done to find the best management methods for postoperative seroma formation.
Agrawal, A., Ayantunde, A. A., & Cheung, K. L. (2006). Concepts of seroma formation and prevention in breast cancer surgery. ANZ Journal of surgery, 76(12), 1088-1095.
Bourke, J., Balfour, T., Hardcastle, J., & Wilkins, J. (1976). A comparison between suction and corrugated drainage after simple mastectomy: a report of a controlled trial. Journal of British Surgery, 63(1), 67-69.
Carless, P. A., & Henry, D. A. (2006). Systematic review and meta-analysis of the use of fibrin sealant to prevent seroma formation after breast cancer surgery. Br J Surg, 93(7), 810-819. https://doi.org/10.1002/bjs.5432
Cheifetz, O., Lucy, S. D., Overend, T. J., & Crowe, J. (2010). The effect of abdominal support on functional outcomes in patients following major abdominal surgery: a randomized controlled trial. Physiotherapy Canada, 62(3), 242-253.
Chowbey, P., Sharma, A., Khullar, R., Mann, V., Baijal, M., & Vashistha, A. (2000). Laparoscopic ventral hernia repair. Journal of Laparoendoscopic & Advanced Surgical Techniques, 10(2), 79-84.
Chowbey, P. K., Sharma, A., Khullar, R., Mann, V., Baijal, M., & Vashistha, A. (2000). Laparoscopic ventral hernia repair. J Laparoendosc Adv Surg Tech A, 10(2), 79-84. https://doi.org/10.1089/lap.2000.10.79
Daniel, W., & Matheson, N. (1969). Postoperative abdominal support. Journal of the Royal College of Surgeons of Edinburgh, 14(5), 294-296.
de Rooij, L., van Kuijk, S. M., van Haaren, E. R., Janssen, A., Vissers, Y. L., Beets, G. L., & van Bastelaar, J. (2020). A single-center, randomized, non-inferiority study evaluating seroma formation after mastectomy combined with flap fixation with or without suction drainage: protocol for the Seroma reduction and drAin fRee mAstectomy (SARA) trial. BMC cancer, 20(1), 1-8.
Droeser, R., Frey, D., Oertli, D., Kopelman, D., Peeters, M. B.-V., Giuliano, A., Dalberg, K., Kallam, R., & Nordmann, A. (2009). Volume-controlled vs no/short-term drainage after axillary lymph node dissection in breast cancer surgery: a meta-analysis. The Breast, 18(2), 109-114.
Ebner, F., deGregorio, N., Vorwerk, E., Janni, W., Woeckel, A., & Varga, D. (2014). Should a drain be placed in early breast cancer surgery? Breast Care, 9(2), 116-116.
Edwards, J. R., Peterson, K. D., Mu, Y., Banerjee, S., Allen-Bridson, K., Morrell, G., Dudeck, M. A., Pollock, D. A., & Horan, T. C. (2009). National Healthcare Safety Network (NHSN) report: data summary for 2006 through 2008, issued December 2009. American journal of infection control, 37(10), 783-805.
Fagevik Olsén, M., Josefson, K., & Wiklund, M. (2009). Evaluation of abdominal binder after major upper gastrointestinal surgery. Advances in Physiotherapy, 11(2), 104-110.
Hashemi, E., Kaviani, A., Najafi, M., Ebrahimi, M., Hooshmand, H., & Montazeri, A. (2004). Seroma formation after surgery for breast cancer. World journal of surgical oncology, 2, 1-5.
Hematoma, toenail, gross. (2013). https://webpath.med.utah.edu/ATHHTML/ATH040.html
Hoda, S. A., & Cheng, E. (2017). Robbins basic pathology. In: Oxford University Press US.
Jiang, N., Hao, B., Huang, R., Rao, F., Wu, P., Li, Z., Song, C., Liu, Z., & Guo, T. (2021). The clinical effects of abdominal binder on abdominal surgery: a meta-analysis. Surgical Innovation, 28(1), 94-102.
Jin, J., Schomisch, S., & Rosen, M. J. (2009). In vitro evaluation of the permeability of prosthetic meshes as the possible cause of postoperative seroma formation. Surgical Innovation, 16(2), 129-133.
Kontos, M., Petrou, A., Prassas, E., Tsigris, C., Roy, P., Trafalis, D., Bastounis, E., & Karamanakos, P. (2008). Pressure dressing in breast surgery: is this the solution for seroma formation? J buon, 13(1), 65-67.
Kopelman, D., Klemm, O., Bahous, H., Klein, R., Krausz, M., & Hashmonai, M. (1999). Postoperative suction drainage of the axilla: for how long? Prospective randomised trial. The European journal of surgery, 165(2), 117-120.
Kumar, S., Lal, B., & Misra, M. C. (1995). Post-mastectomy seroma: a new look into the aetiology of an old problem. J R Coll Surg Edinb, 40(5), 292-294.
Kurian, A. W., Lichtensztajn, D. Y., Keegan, T. H., Nelson, D. O., Clarke, C. A., & Gomez, S. L. (2014). Use of and mortality after bilateral mastectomy compared with other surgical treatments for breast cancer in California, 1998-2011. JAMA, 312(9), 902-914.
Kuroi, K., Shimozuma, K., Taguchi, T., Imai, H., Yamashiro, H., Ohsumi, S., & Saito, S. (2006). Effect of mechanical closure of dead space on seroma formation after breast surgery. Breast Cancer, 13(3), 260-265. https://doi.org/10.2325/jbcs.13.260
Kwan, W., Jackson, J., Weir, L. M., Dingee, C., McGregor, G., & Olivotto, I. A. (2002). Chronic arm morbidity after curative breast cancer treatment: prevalence and impact on quality of life. J Clin Oncol, 20(20), 4242-4248. https://doi.org/10.1200/jco.2002.09.018
Larson, C. M., Ratzer, E. R., Davis-Merritt, D., & Clark, J. R. (2009). The effect of abdominal binders on postoperative pulmonary function. Am Surg, 75(2), 169-171.
Larson, C. M., Ratzer, E. R., Davis-Merritt, D., & Clark, J. R. (2009). The effect of abdominal binders on postoperative pulmonary function. The American Surgeon, 75(2), 169-171.
LeBlanc, K. (2004). Laparoscopic incisional and ventral hernia repair: complications—how to avoid and handle. Hernia, 8(4), 323-331.
LeBlanc, K. A. (2004). Laparoscopic incisional and ventral hernia repair: complications-how to avoid and handle. Hernia, 8(4), 323-331. https://doi.org/10.1007/s10029-004-0250-5
Masià, J., Group, i. W., Salgarello, M., Cattelani, L., Parodi, P. C., Ribuffo, D., Onesti, M. G., Berna, G., Cawthorn, S. J., & Bozza, F. (2020). The largest multicentre data collection on prepectoral breast reconstruction: The iBAG study. Journal of surgical oncology, 122(5), 848-860.
Masia, J., Pons, G., & Nardulli, M. L. (2016). Combined surgical treatment in breast cancer-related lymphedema. Journal of reconstructive microsurgery, 32(01), 016-027.
Neumayer, L., Schifftner, T. L., Henderson, W. G., Khuri, S. F., & El-Tamer, M. (2007). Breast cancer surgery in Veterans Affairs and selected university medical centers: results of the patient safety in surgery study. Journal of the American College of Surgeons, 204(6), 1235-1241.
Newman, L. A. (2014). Contralateral prophylactic mastectomy: is it a reasonable option? JAMA, 312(9), 895-897.
Petrek, J., Peters, M., Cirrincione, C., & Thaler, H. (1992). A prospective randomized trial of single versus multiple drains in the axilla after lymphadenectomy. Surgery, gynecology & obstetrics, 175(5), 405-409.
Pogson, C., Adwani, A., & Ebbs, S. (2003). Seroma following breast cancer surgery. European Journal of Surgical Oncology (EJSO), 29(9), 711-717.
Prospero, E., Cavicchi, A., Bacelli, S., Barbadoro, P., Tantucci, L., & D’errico, M. (2006). Surveillance for surgical site infection after hospital discharge: a surgical procedure–specific perspective. Infection Control & Hospital Epidemiology, 27(12), 1313-1317.
Rettenmaier, M. A., Micha, J. P., Lopez, K. L., Wilcox, A. M., & Goldstein, B. H. (2017). A Prospective, Observational Trial Assessing the Efficacy of Abdominal Compression in Reducing Laparoscopic-Induced Shoulder Pain. Surg Innov, 24(6), 552-556. https://doi.org/10.1177/1553350617718080
Rhodes, V. A., McDaniel, R. W., Homan, S. S., Johnson, M., & Madsen, R. (2000). An instrument to measure symptom experience. Symptom occurrence and symptom distress. Cancer Nurs, 23(1), 49-54. https://doi.org/10.1097/00002820-200002000-00008
Rothman, J. P., Gunnarsson, U., & Bisgaard, T. (1966). Abdominal binders may reduce pain and improve physical function after major abdominal surgery-a systematic review. database, 2013.
Salgarello, M. (2012). Breast Reconstruction: Current Techniques. BoD–Books on Demand.
Srivastava, V., Basu, S., & Shukla, V. K. (2012). Seroma formation after breast cancer surgery: what we have learned in the last two decades. Journal of breast cancer, 15(4), 373-380.
Tanner, L. (2014). Double mastectomy doesn’t boost survival for most. https://web.archive.org/web/20140914001755/; http://bigstory.ap.org/article/double-mastectomy-doesnt-boost-survival-most
Terrell, G., & Singer, J. (1992). Axillary versus combined axillary and pectoral drainage after modified radical mastectomy. Surgery, gynecology & obstetrics, 175(5), 437-440.
Thoren, L. (1964). Z-plasty and suction drainage in radical mastectomy. Acta chirurgica Scandinavica, 128, 75-84.
Van Bastelaar, J., Beckers, A., Snoeijs, M., Beets, G., & Vissers, Y. (2016). Flap fixation reduces seroma in patients undergoing mastectomy: a significant implication for clinical practice. World journal of surgical oncology, 14(1), 1-5.
van Bemmel, A. J., van de Velde, C. J., Schmitz, R. F., & Liefers, G. J. (2011). Prevention of seroma formation after axillary dissection in breast cancer: a systematic review. Eur J Surg Oncol, 37(10), 829-835. https://doi.org/10.1016/j.ejso.2011.04.012
Vitug, A. F., & Newman, L. A. (2007). Complications in breast surgery. Surgical Clinics of North America, 87(2), 431-451.
Whitfield, P., & Rainsbury, R. (1994). Suction versus siphon drainage after axillary surgery for breast cancer: a prospective randomized trial. Journal of British Surgery, 81(4), 547-547.
Woodworth, P. A., McBoyle, M. F., Helmer, S. D., & Beamer, R. L. (2000). Seroma formation after breast cancer surgery: incidence and predicting factors. The American Surgeon, 66(5), 444-451.
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