Background: Seroma is a strange gathering of serous fluid within the dead space of post-mastectomy skin flaps and axilla, or after breast-conserving surgery [BCS]. Seroma is one of the most commonly reported early post-operative problems following breast cancer [BC] surgery. According to several studies, after a modified radical mastectomy [MRM] or axillary lymph node dissection [ALND], the incidence ranges from 10% to 85%. The Aim of The Work: The current study aimed to investigate the efficiency of two methods in preventing seroma development after BC surgery. Patients and Methods: From December 2018 to January 2022, this prospective comparative study was conducted in the Department of General Surgery, Faculty of Medicine, Al-Azhar University, Assiut, Egypt. Throughout the study period, cases scheduled for MRM had randomly assigned to one of two groups: mastectomy flap fixation [15 cases] or ipsilateral shoulder immobilization [15 cases]. Results: Throughout the study period, 30 patients were recruited, 15 patients in group A [flap fixation] and 15 patients in group B [shoulder immobilization]. The proportion of patients who developed seroma requiring aspiration was 40% [n=6] in shoulder immobilization group and no reported cases [n=0] in Flap fixation group [p= 0.006]. In addition, the total amount of drained fluid was 803.3 ml in flap fixation group and 950 mL in shoulder immobilization [p= 0.003]. Regarding Shoulder stiffness, 60% [n=9] in shoulder immobilization group and no reported cases [n=0] in Flap fixation group [p= 0.006]. Flap fixation was determined to be the most effective technique for preventing seroma formation, with a low rate of established seroma and associated problems. Ipsilateral shoulder immobilization, on the other hand, has a limited function in the prevention of established seroma following MRM. Conclusion: The mastectomy flap fixation operation is an effective maneuver to decrease seroma and reducing the volume and duration of drained fluid.
Hassan, A., Khalaf, A. (2022). Comparison between Flap Fixation and Shoulder Immobilization in Prevention of Seroma Formation Post-surgery for Breast Cancer. International Journal of Medical Arts, 4(4), 2279-2286. doi: 10.21608/ijma.2022.122891.1434
MLA
Ahmed Mohamed Hassan; Adel M. Khalaf. "Comparison between Flap Fixation and Shoulder Immobilization in Prevention of Seroma Formation Post-surgery for Breast Cancer". International Journal of Medical Arts, 4, 4, 2022, 2279-2286. doi: 10.21608/ijma.2022.122891.1434
HARVARD
Hassan, A., Khalaf, A. (2022). 'Comparison between Flap Fixation and Shoulder Immobilization in Prevention of Seroma Formation Post-surgery for Breast Cancer', International Journal of Medical Arts, 4(4), pp. 2279-2286. doi: 10.21608/ijma.2022.122891.1434
VANCOUVER
Hassan, A., Khalaf, A. Comparison between Flap Fixation and Shoulder Immobilization in Prevention of Seroma Formation Post-surgery for Breast Cancer. International Journal of Medical Arts, 2022; 4(4): 2279-2286. doi: 10.21608/ijma.2022.122891.1434
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