Vasanth Kumar, K (2020) A Study on Role of Flap Tacking in Post-Mastectomy Seroma Reduction in Carcinoma Breast. Masters thesis, Stanley Medical College, Chennai.
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Abstract
BACKGROUND: Seroma, is the most frequent post operative complication after breast cancer surgery/modified radical mastectomy (MRM), developing in approximately 30% of cases. The pathophysiology and mechanism of seroma formation in breast cancer surgery remains controversial and not fully understood, as little attention has been paid in the literature to etiologic factors. AIMS & OBJECTIVES: 1. To know and assess the effect of flap tacking in modified radical mastectomy patients of carcinoma breast 2. To compare the role of flap tacking and with that of standard wound closure in reducing postmastectomy seroma METHODS: Patients with breast cancer undergoing Modified Radical Mastectomy were included in the study. The proportions were compared using unpaired t test was used to determine the statistical difference. The data was analyzed using SPSS package. RESULTS: 52 patients were enrolled in this study and in this 24 patients underwent conventional closure and 28 patients underwent flap tacking and the average day of drain removal was 8 days in patients of flap tacking and the quantity of seroma was less whereas the average day of drain removal was more in patients of conventional closure. CONCLUSION: The patients who underwent flap tacking was found to have significant seroma reduction than patients who underwent conventional closure. Thus the role of flap tacking in Modified Radical Mastectomy has reduced the seroma formation significantly and has led to reduced early removal of drains, instituition of 1st cycle of chemotherapy before discharge and thus reducing the stay in hospital. It has also led to reduced incidence of flap necrosis post operatively. However, further studies are needed to stratify whether flap tacking is solely responsible for the reduction in seroma.
| Item Type: | Thesis (Masters) |
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| Additional Information: | 221711071 |
| Uncontrolled Keywords: | Seroma, modified radical mastectomy, post-mastectomy, flap tacking, breast carcinoma. |
| Subjects: | MEDICAL > General Surgery |
| Depositing User: | Subramani R |
| Date Deposited: | 09 Feb 2021 02:28 |
| Last Modified: | 09 Feb 2021 02:28 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/13958 |
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