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Updated: Jun 28, 2026

Collecting And Measuring Wound Exudate Biochemical Mediators In Surgical Wounds

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Published on: October 20, 2012

Collaboration in developing a protocol for nurse-led seroma aspiration.

Melissa Warren¹

¹The Royal Marsden NHS Foundation Trust, London.

British Journal of Nursing (Mark Allen Publishing)

|November 6, 2008

Summary

A seroma is a fluid collection after breast cancer surgery. This protocol guides nurses in safely performing seroma aspiration, improving patient care and clinical nurse specialist practice.

Area of Science:

Oncology Nursing
Surgical Complications Management

Background:

Seroma formation is a common complication after breast cancer surgery, particularly mastectomy with axillary lymph node dissection.
Managing seromas effectively is crucial for patient recovery and preventing further complications.

Purpose of the Study:

To develop a protocol for nurse-led seroma aspiration in breast cancer care.
To empower breast cancer clinical nurse specialists (CNSs) to perform seroma aspiration confidently and safely.

Main Methods:

Collaboration with the breast multidisciplinary team to create a comprehensive protocol.
Defining clear steps and guidelines for nurse-led seroma aspiration.
Establishing training and clinical supervision requirements for CNSs.

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Main Results:

A structured protocol for nurse-led seroma aspiration has been developed.
The protocol facilitates extended practice for breast cancer CNSs.
Emphasis on training, supervision, and competency assessment before independent practice.

Conclusions:

Nurse-led seroma aspiration, guided by a robust protocol, enhances patient care following breast cancer surgery.
The protocol supports the professional development of CNSs in managing surgical complications.
Early evaluation of patient satisfaction through clinical audit is recommended.