Randomized clinical trial of no wound drains and early discharge in the treatment of women with breast cancer
| Autor: | S Stallard, J.C. Doughty, C Farish, Gordon D Murray, David Young, E McLatchie, Denise Brown, W.D. George, Keith Millar, Arnie Purushotham, Andrew Walker |
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| Rok vydání: | 2002 |
| Předmět: |
medicine.medical_specialty
Randomization medicine.medical_treatment Breast Neoplasms Suction Surgical Flaps law.invention Breast cancer Randomized controlled trial law medicine Humans Prospective Studies Prospective cohort study Early discharge Mastectomy Bed Occupancy Postoperative Care Pain Postoperative Shoulder Joint business.industry Suture Techniques Health Care Costs Length of Stay Middle Aged medicine.disease Patient Discharge Surgery Clinical trial Female business |
| Zdroj: | British Journal of Surgery. 89:286-292 |
| ISSN: | 1365-2168 0007-1323 |
| DOI: | 10.1046/j.0007-1323.2001.02031.x |
| Popis: | Background Women undergoing surgery for primary breast cancer routinely have suction drains inserted deep to the wounds, which are removed approximately 6–8 days after operation, requiring a period of stay of that duration in hospital. The aim of this study was to perform a prospective randomized clinical trial to evaluate a new surgical technique of suturing flaps without wound drainage, combined with early discharge, in women undergoing surgery for breast cancer. Methods A total of 375 patients undergoing surgery for breast cancer were randomized to conventional surgery or suturing of flaps with no drain. The main outcome measures were length of hospital stay, surgical morbidity, psychological morbidity and health economics. Results Suturing of flaps and avoiding wound drainage in women undergoing surgery for breast cancer resulted in a significantly shorter hospital stay. Adopting this surgical technique with early discharge did not lead to any difference in surgical or psychological morbidity. Health economic benefits to the National Health Service resulted from saved bed days with no impact on community costs. Conclusion Wound drainage following surgery for breast cancer can be avoided, thereby facilitating early discharge with no associated increase in surgical or psychological morbidity. |
| Databáze: | OpenAIRE |
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