Comparison between a Single Drain with Two Drains Following Modified Radical Mastectomy for Breast Cancer

Amritanshu Saurabh

Department of Surgery, Dr. Ram Manohar Lohia Hospital, India

^*Correspondance to: Amritanshu Saurabh 

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Abstract:

Background: The primary modality for treatment of breast cancer is surgery that is mastectomy. In attempt to decrease morbidity the Modified Radical Mastectomy (MRM) was introduced. The complications following breast surgeries include wound infection, seroma, hematoma, chronic pain, venous thromboembolism, surgical dog ear, late sequel-breast fibrosis, lymphedema and recurrent cellulitis. Of these seroma poses a major threat. The aim of this study is to evaluate for seroma formation, post-operative pain, flap necrosis and quality of life in patient with single drain versus two drains following modified radical mastectomy for breast cancer. Methodology: A single center randomized clinical study was conducted at PGIMER and Dr. RML Hospital, New Delhi from November 2015 to March 2017. A total 100 cases of carcinoma breast who met inclusion and exclusion criteria were selected by randomization table method for putting one drain or two drains. Result: 20% (10 out of 50) of patients with double drain had seroma formation and 22% (11 out of 50) of patients with single drain had seroma formation. Chi-square analysis suggests that there was no significant difference in the incidence of seroma formation between two groups. Chi square value was 0.060 and p-value was >0.05. T-test analysis shows higher drain output is significantly associated with seroma formation. The p-value is 0.002 (P<0.05). Post- operative flap necrosis, numbness, lymphedema, VAS pain score and shoulder dysfunction shows no significant difference in between two groups (p-value >0.05). Conclusion: Based on this study, one drain and two drain insertion techniques are equally effective methods to reduce seroma formation and associated complications after modified radical mastectomy. Thus we recommend insertion of a single drain as compare to double drain following modified radical mastectomy

Keywords:

Breast cancer; Modified radical mastectomy; Seroma formation

Cite the Article:

Saurabh A. Comparison between a Single Drain with Two Drains Following Modified Radical Mastectomy for Breast Cancer. Clin Oncol. 2020; 5: 1708.