Modified Radical Mastectomy in Female Breast Cancer - A Relative Clinical Outcomes of Half Versus Full Vacuum Suction Drainage
Md. Latiful Bari*, Chishti Tanhar Bakth Choudhury, Saifuddin Ahmed and Samia Mubin
October 11, 2023
DOI : 10.56831/PSMPH-03-095
Abstract
Background: Vacuum suction drainage is an obligatory practice following mastectomy for breast cancer. recent studies showing that the pressure of the vacuum suction drainage is of value in determining the volume of seroma formation and thereby the drain indwelling time, duration of hospital stays and patient morbidity. Half vacuum suction may be of greater value in this regard comparing full vacuum suction drainage.
Objectives: To assess and compare the clinical outcome of half versus full vacuum suction drainage following modified radical mastectomy in breast cancer.
Methods: Forty patients of histologically proven breast cancer had been chosen purposively and systematically randomized in two equal groups. Group A with half vacuum suction (device was squeezed up to half of its vertical length) and Group B with full vacuum suction (device was squeezed to its maximum). The outcome measured were postoperative drainage, drain indwelling time and post-surgery length of hospital stay.
Results: Patients having half vacuum suction had a significantly reduced mean total drainage volume (364.25 ± 128.52 ml versus 822.00 ± 251.30 ml), drain indwelling time (5.50 ± 1.32 days versus 9.05 ± 1.90 days) and post-surgery hospital stay (7.15 ± 2.58 days versus 10.25 ± 2.55 days) in comparison to the full vacuum suction group.
Conclusion: low vacuum suction drain ensures a lower drain collection and were removed earlier and hence reduced the length of hospital stay significantly than high vacuum suction drains.
Keywords: Breast cancer; modified radical mastectomy; vacuum suction drainage; seroma; Drain Indwelling Time (DIT); Length of Hospital Stay (LOS)
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