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Effect of Clavipectoral Fascia Suturing on Postmastectomy Seroma Formation

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Mohammed M., Hamza H., Omar M. I., Hussein M., Tohamy M., Farouk B., Rezk K.

Polish Journal of Surgery

2023

vol. 96

issue 2

31-37

Introduction: Post-mastectomy seroma formation is a challenging sequela which has a negative impact on patient recovery and quality of life. Aim: We aim to publicize our technique of clavipectoral fascia re-closure and to assess its efficacy in reducing the incidence of seroma formation. Methods: This is a prospective randomized controlled trial, conducted in South Cancer institute, Assiut University, Egypt. It included 84 breast cancer patients who were randomly divided into two groups: a control group (n = 44) and a fascia suture group (n = 40). The patients were followed up until drain removal and then to 3 months after surgery. Results: The fascia suture group showed significantly shorter duration of drain removal with a significant reduction in the total amount of drained fluid and the amount of drained fluid 1 week postoperatively. One patient in the fascia suture group developed Grade 2–3 seroma vs. 7 in the control group (P < 0.05). Conclusions: Clavipectoral fascia suture technique is a simple and effective method for reducing seroma formation after mastectomy in breast cancer patients and is advisable in patients at a high risk for seroma formation.

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1 Polish Journal of Surgery

1 2023

1 Farouk B.

1 Hamza H.

1 Hussein M.

1 Mohammed M.

1 Omar M. I.

1 Rezk K.

1 Tohamy M.

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Effect of Clavipectoral Fascia Suturing on Postmastectomy Seroma Formation