A prospective randomized trial of high versus low vacuum drainage after axillary dissection for breast cancer
| Autor: | Albert N. van Geel, Paul I.M. Schmitz, David A. Ligtenstein, Jorien Bonnema, Theo Wiggers |
|---|---|
| Přispěvatelé: | Surgery |
| Rok vydání: | 1997 |
| Předmět: |
Adult
medicine.medical_specialty Vacuum medicine.medical_treatment Breast Neoplasms Mastectomy Segmental Statistics Nonparametric Body Mass Index law.invention Mastectomy Modified Radical Postoperative Complications Breast cancer Randomized controlled trial SDG 3 - Good Health and Well-being law Humans Medicine Prospective Studies Drainage Prospective cohort study Aged Aged 80 and over Postoperative Care business.industry Incidence Lumpectomy General Medicine Middle Aged medicine.disease Surgery body regions surgical procedures operative Lymphatic Metastasis Seroma Axilla Lymph Node Excision Equipment Failure Female business Complication Mastectomy |
| Zdroj: | American Journal of Surgery, 173(2), 76-79. Elsevier Inc. |
| ISSN: | 0002-9610 |
| Popis: | Background and methods The influence of negative pressure on fluid production and complication rates after axillary dissection for breast cancer was studied in a prospective randomized trial. Patients were randomized for either a high or a low vacuum drainage system. Drainage volumes and complication rates were recorded. Results No statistically significant differences were found between the low vacuum group (n = 68) and the high vacuum group (n = 73) in volume (728 ml versus 780 ml) and duration (9.5 days versus 10 days) of seroma production, number of wound complications (5 versus 6), or infections (3 versus 2). There was a significant positive relationship between body mass index and seroma production, independent of the drainage system ( P = 0.002). The drainage volume of the separately drained breast wound after mastectomy and lumpectomy was larger for the high vacuum system (55 ml versus 100 ml, P = 0.02). Vacuum loss was more frequent in the high vacuum drain group (11 versus 2, P = 0.01), where as leakage around the drain occurred more often in the low vacuum group (18 versus 6, P = 0.004). Conclusion There are no differences in axillary fluid production or wound complication rates after axillary dissection and subsequent drainage between high and low vacuum drainage systems. |
| Databáze: | OpenAIRE |
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