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Reevaluating the need for routine drainage in reduction mammaplasty

A Matarasso1, S G Wallach, M Rankin

  • 1Albert Einstein College of Medicine, Manhattan, Eye, Ear, and Throat Hospital, Rutgers University, New York, NY, USA.

Plastic and Reconstructive Surgery
|November 12, 1998
PubMed
Summary
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Reduction mammaplasty without drains showed a low complication rate, comparable to procedures using drains. Routine drainage may be unnecessary for this breast reduction surgery.

Area of Science:

  • Plastic Surgery
  • Surgical Outcomes
  • Breast Surgery

Background:

  • Reduction mammaplasty aims to reduce breast size and alleviate symptoms.
  • The use of surgical drains in reduction mammaplasty is a common practice, but its necessity is debated.

Purpose of the Study:

  • To evaluate the complication incidence in reduction mammaplasty performed without surgical drains.
  • To compare outcomes of drainless reduction mammaplasty with historical data from procedures using drains.

Main Methods:

  • Retrospective analysis of 50 bilateral reduction mammaplasty procedures.
  • Data collection on patient demographics, surgical techniques (Pitanguy, inferior pedicle, free nipple graft), volume removed, and complications.
  • Statistical comparison using the chi-squared test.

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Main Results:

  • A total of six complications occurred in three patients out of 50 procedures.
  • Complications included two cases of fat necrosis and one wound disruption.
  • One patient experienced hematoma, wound disruption, and partial nipple loss; no infections were reported.

Conclusions:

  • Reduction mammaplasty can be safely performed without closed suction drains.
  • The complication rate in this drainless series is comparable to published data for procedures with drains.
  • Routine use of drains in reduction mammaplasty should be reconsidered.