Abstract:
BACKGROUND:Seromas constitute a common complication following surgery for breast cancer, and closed drainage is used routinely to reduce its incidence. The aim of this study was to evaluate the influence of number of drains on patient discomfort, seroma formation, and hospital stay during the immediate postoperative period after mastectomy for breast cancer. PATIENTS AND METHODS:Based on a retrospective review of our clinical database, 110 consecutive patients from January 2004 through January 2006 who had undergone a mastectomy and axillary clearance for breast cancer were sent a simple postal questionnaire for collection of data. RESULTS:A total of 70 patients responded (all women; mean age, 69.4 +/- 11.4 years). Twenty-seven patients (38.57%) had 3 drains implanted unilaterally, 24 (34.28%) had 2, and 19 (27.14%) had 1 drain. They were divided into 2 groups: the first group with 1 drain (19 patients) and the other with 2 or 3 drains (51 patients). Median postoperative hospital stay was 2 days (range, 1-8 days); patients with 1 drain had a significantly shorter postoperative hospital stay (median, 2 days [range, 1-4 days] vs. 2 days [range, 1-8 days]; Mann-Whitney U test, P = .02). A total of 15 patients (21.43%) complained of a seroma. There was no difference in seroma rates between groups. Patients who had a single drain implanted had a significantly lower rate of discomfort (median, 2 [range, 1-5] vs. 3 [range, 1-7]; Mann-Whitney U test; P = .04). CONCLUSION:The number of drains used after a mastectomy for breast cancer did not significantly affect the rate or amount of seromas in this study, but the use of a single drain after mastectomy was significantly associated with less discomfort and shorter postoperative hospital stay.
journal_name
Clin Breast Cancerjournal_title
Clinical breast cancerauthors
Saratzis A,Soumian S,Willetts R,Rastall S,Stonelake PSdoi
10.3816/CBC.2009.n.041subject
Has Abstractpub_date
2009-11-01 00:00:00pages
243-6issue
4eissn
1526-8209issn
1938-0666pii
H240221JG21M8414journal_volume
9pub_type
杂志文章abstract:BACKGROUND:Despite margin-negative breast-conserving surgery (BCS), phyllodes tumors (PT) of the breast show high local recurrence (LR) rates. In this study we aimed to assess the site and grade of LR to identify high-risk patients after initial treatment of malignant and borderline PT using BCS alone. PATIENTS AND ME...
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pub_type: 杂志文章,多中心研究
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pub_type: 杂志文章,多中心研究
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journal_title:Clinical breast cancer
pub_type: 杂志文章
doi:10.1016/j.clbc.2017.10.019
更新日期:2018-08-01 00:00:00
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pub_type: 临床试验,杂志文章,随机对照试验
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journal_title:Clinical breast cancer
pub_type: 杂志文章,多中心研究
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journal_title:Clinical breast cancer
pub_type: 杂志文章
doi:10.1016/j.clbc.2014.09.002
更新日期:2015-02-01 00:00:00
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journal_title:Clinical breast cancer
pub_type: 杂志文章,多中心研究
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更新日期:2014-04-01 00:00:00
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journal_title:Clinical breast cancer
pub_type: 杂志文章
doi:10.1016/j.clbc.2015.06.001
更新日期:2015-12-01 00:00:00
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journal_title:Clinical breast cancer
pub_type: 杂志文章
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更新日期:2010-02-01 00:00:00
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journal_title:Clinical breast cancer
pub_type: 杂志文章,评审
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更新日期:2012-02-01 00:00:00
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journal_title:Clinical breast cancer
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.clbc.2011.09.002
更新日期:2012-02-01 00:00:00
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journal_title:Clinical breast cancer
pub_type: 杂志文章
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journal_title:Clinical breast cancer
pub_type: 杂志文章,评审
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journal_title:Clinical breast cancer
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journal_title:Clinical breast cancer
pub_type: 杂志文章,评审
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pub_type: 杂志文章,评审
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更新日期:2017-07-01 00:00:00
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journal_title:Clinical breast cancer
pub_type: 杂志文章,评审
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journal_title:Clinical breast cancer
pub_type: 杂志文章
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更新日期:2017-07-01 00:00:00
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journal_title:Clinical breast cancer
pub_type: 杂志文章
doi:10.3816/CBC.2008.n.014
更新日期:2008-04-01 00:00:00
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journal_title:Clinical breast cancer
pub_type: 杂志文章,评审
doi:10.3816/cbc.2004.s.006
更新日期:2004-01-01 00:00:00
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journal_title:Clinical breast cancer
pub_type: 杂志文章,评审
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更新日期:2020-08-01 00:00:00
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journal_title:Clinical breast cancer
pub_type: 杂志文章,评审
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更新日期:2001-01-01 00:00:00
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journal_title:Clinical breast cancer
pub_type: 杂志文章,评审
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journal_title:Clinical breast cancer
pub_type: 杂志文章
doi:10.1016/j.clbc.2020.07.009
更新日期:2020-07-23 00:00:00
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journal_title:Clinical breast cancer
pub_type: 杂志文章
doi:10.3816/CBC.2006.n.045
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