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Principles of Rodent Surgery for the New Surgeon
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[Should surgeons keep performing drainage after breast reduction?]

N Vidali1, A Chevet-Noel2, P Ringenbach1

  • 1Service de chirurgie plastique, reconstructrice et esthétique, centre hospitalier de Mulhouse, 20, avenue du Dr-René-Laennec, 68100 Mulhouse, France.

Annales De Chirurgie Plastique Et Esthetique
|April 14, 2018
PubMed
Summary
This summary is machine-generated.

Breast reduction surgery may not require drains, as they do not reduce complications. This study found no significant difference in complication rates between patients with and without surgical drains, suggesting drains are often unnecessary.

Keywords:
Ambulatory surgeryBreast reductionChirurgie ambulatoireComplicationsDrainDrainageRéduction mammaire

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Area of Science:

  • Plastic Surgery
  • Surgical Techniques

Background:

  • Closed suction drainage is standard in breast surgery to reduce fluid and dead space, aiming to prevent complications.
  • Evidence-based medicine has not established the necessity of drains in all breast reduction procedures.

Purpose of the Study:

  • To evaluate if surgical drains impact the postoperative complication rate in breast reduction surgery.
  • To determine if eliminating drains affects outcomes such as seroma, hematoma, infection, or necrosis.

Main Methods:

  • A retrospective comparative study analyzed two groups of breast reduction patients: one with drains and one without.
  • Complications including seroma, hematoma, infection, wound breakdown, necrosis, and reoperation were recorded and statistically analyzed.

Main Results:

  • A total of 138 breast reductions were analyzed (37 drained, 32 non-drained).
  • No statistically significant difference in complication rates was observed between the drained and non-drained groups.
  • Results align with existing literature suggesting drains may not be essential.

Conclusions:

  • Surgical drains are generally not indicated for breast reduction, except in specific cases like gigantomasty.
  • Drains do not appear to reduce postoperative complications and may increase hospital stay, costs, and patient discomfort.
  • Eliminating drains can potentially improve patient experience by reducing pain and anxiety.