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Title: Frequency of seroma formation after modified radical mastectomy. A comparison between electrocautery and scalpel dissection techniques.
Authors: Zain Bashir, Muhammad Taimur, Muhammad Imran, Inamullah Shah, Mahvish Noor, Burhan Ahmad
Journal: The Professional Medical Journal (TPMJ)
Publisher: Independent Medical College, Faisalabad- Pakistan
Country: Pakistan
Year: 2023
Volume: 30
Issue: 8
Language: English
DOI: 10.29309/TPMJ/2023.30.08.7524
Keywords: Modified radical mastectomyCarcinoma BreastSeromaScalpelElectrocauteryDissection
Objective: To compare the use of electrocautery and scalpel dissection while performing modified radical mastectomy in terms of frequency of seroma formation. Study Design: Randomized Clinical Trial. Setting: Department of Surgery, Fauji Foundation Hospital, Rawalpindi. Period: 19-06-2019 to 22-06-2022. Material & Methods: A total of one hundred (n=100) female patients between age 22-60 years, who underwent modified radical mastectomy for breast carcinoma were enrolled in the study and randomized into two groups. Electrocautery dissection was performed in group A while patient in group B will undergo Scalpel dissection. Outcome was measured in terms of seroma formation at 7th day postoperatively. Results: Mean age of patients in our study was 42.39 years and standard deviation 8.26. At day 7 after the surgery, mean drain volume was 39.77 ml in our patients. Seroma formation was observed in a total of 14(28%) patients in group A (electrocautery) and 8(16%) patients in group B (Scalpel). Conclusion: Frequency of seroma formation was significantly lower with scalpel dissection as compared to those with electrocautery dissection after MRM.
To compare the use of electrocautery and scalpel dissection while performing modified radical mastectomy in terms of frequency of seroma formation.
Randomized Clinical Trial conducted at the Department of Surgery, Fauji Foundation Hospital, Rawalpindi. 100 female patients aged 22-60 years undergoing modified radical mastectomy for breast carcinoma were randomized into two groups: Group A (electrocautery dissection) and Group B (scalpel dissection). Seroma formation was measured at the 7th day postoperatively.
graph TD;
A["Enroll 100 Female Patients for MRM"] --> B["Randomize into Two Groups"];
B --> C["Group A: Electrocautery Dissection"];
B --> D["Group B: Scalpel Dissection"];
C --> E["Measure Seroma Formation at 7th Day Post-op"];
D --> E;
E --> F["Analyze and Compare Seroma Formation Rates"];
F --> G["Conclusion"];
Seroma formation is a common postoperative complication of modified radical mastectomy, leading to delayed recovery and increased risk of infection. The study suggests that while electrocautery may reduce blood loss, it increases the rate of seroma formation compared to scalpel dissection. Meticulous dissection techniques are crucial to minimize seroma formation.
Seroma formation was observed in 14 (28%) patients in the electrocautery group (Group A) and 8 (16%) patients in the scalpel group (Group B). The frequency of seroma formation was significantly lower with scalpel dissection.
The frequency of seroma formation was significantly lower with scalpel dissection compared to electrocautery dissection after modified radical mastectomy.
- A total of 100 patients were enrolled in the study. (Confirmed in Methods and Results)
- Seroma formation was observed in 14 (28%) patients in the electrocautery group. (Confirmed in Results)
- Seroma formation was observed in 8 (16%) patients in the scalpel group. (Confirmed in Results)
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