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Prospective Study on Avoiding Seroma Formation by Flap Fixation After Modified Radical Mastectomy.

Musluh Hakseven1, Gökhan Avşar1, Özhan Çetindağ1

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|May 15, 2023
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Summary

Flap fixation using absorbable sutures after mastectomy significantly reduces seroma formation and fluid drainage. This technique allows for earlier drain removal, improving patient recovery and treatment timelines.

Keywords:
Vicryl stitchesadjuvant chemotherapy timebreast cancerdrained fluidflap fixation

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Area of Science:

  • Surgical Oncology
  • Breast Surgery
  • Plastic Surgery

Background:

  • Seroma is a frequent complication following mastectomy, leading to increased healthcare utilization and treatment delays.
  • Current strategies aim to mitigate seroma development, a common post-operative issue.
  • This study investigates flap fixation as a novel approach to seroma prevention.

Purpose of the Study:

  • To evaluate the efficacy of flap fixation with absorbable sutures in reducing seroma after modified radical mastectomy (MRM).
  • To compare seroma development and early complications between flap fixation and classical wound closure methods.

Main Methods:

  • Retrospective analysis of prospectively collected data from 72 patients undergoing MRM.
  • Patients were divided into two groups: flap fixation with absorbable sutures (Group A) and classical closure (Group B).
  • Comparison of outcomes including seroma incidence, drain duration, fluid volume, and re-aspiration rates.

Main Results:

  • Group A demonstrated significantly shorter drain removal times and lower total drained fluid volumes compared to Group B (P < .001).
  • Significantly less seroma was aspirated in Group A during follow-up examinations (P < .05).
  • Group B required significantly more re-aspirations for seroma management (P < .05).

Conclusions:

  • Flap fixation with absorbable sutures effectively reduces seroma formation and drained fluid post-mastectomy.
  • This technique facilitates early drain removal, potentially expediting adjuvant therapy initiation.
  • The method offers patient and physician comfort, is cost-effective, and simplifies post-operative care.