SEROMA FORMATION AFTER SURGERY FOR BREAST CARCINOMA
Dr. Kareem A. Ahmed Alobaidy (FICMS)* and Dr. Mohamad Theyab Hamad Hussein (D.G.S, M.R.C.S)
ABSTRACT
Background: Seroma is fluid developed under the skin flap and axillary dead space after mastectomy and axillary clearance. Seroma comes from separation of blood into blood clots and yellow fluid (serum) or leak of yellow fluid (lymphatic fluid) from the tissues or capillary endothelial cells lining the blood vessels go sick. It is acommon complication after breast surgery for carcinoma. Objectives: The aim of our study is to investigate the effects of age, type of surgery, lymph node involvement and drain uses on seroma formation. Patients and Methods: Areview of patients who had surgery for breast carcinoma with either modified radical mastectomy (MRM) or breast preservation (BP) was carried out. The data informations were taken from patient records. Seroma was studied in relation to age, type of surgery, lymph node involvement and type and duration of drainage. Results: Atotal of 188 patients with breast carcinoma were studied. The mean age of the patients was 46.6 years. 154 patients (81.9%) underwent modified radical mastectomy and the remaining 34 patients (18.1%) underwent breast preservation. Seroma occurred in 48 patients (25.5%). Postoperative seroma formation noted with modified radical mastectomy in 44 patients (28.6%) while in breast preservation only in 4 patients (11.8%). Also the duration of drain found to have an affect on seroma formation after breast cancer surgery.It is about (36.6%) if removed within three days while it is about (16.9%) if stayed for more than three days.
Keywords: Seroma, Breast Surgery.
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