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THE FREQUENCY OF SEROMA FORMATION AFTER MODIFIED RADICAL MASTECTOMY WITH AND WITHOUT FLAP-MUSCLE SUTURE: A COMPARATIVE ANALYSIS

Dr Naziha Azam,Dr Huma Ali,Dr Hafiz Mohsin Habib

In breast surgical procedure, seroma is an essential complication. This relative research examined the impact of “Seroma Formation after Modified Radical Mastectomy and Fixation of the Flaps” and obscurant the dead space on seroma formation. Patients suffering from altered radical mastectomy were segregated into two random groups of 50 in accordance to wound closure approaches: either flap fixation/mechanical obliteration or regular wound closure group. The substance that accumulated under the flaps examined at the physical evaluation after the drains were eliminated was recognized as a seroma. The patients’ attributes are the period of the operation, amount of drainage, and eradication drains' time, flap necroses, and contamination was reported. Both groups were reviewed via chi-square and Levene tests. Relevance was established for P ≤ 0.05. In both groups, attributes and complication rates had been similar. The rates of seroma in the initial and second groups had been 12 (24%) and 6 (12%), correspondingly (P < 0.05). The normal time for the drains' removal was 6.7 ± 2.6 days in the initial group and 5.6 ± 1.7 days in the other group (P = 0.012). The normal amount of discharge was 873 ± 513 and 630 ± 271 millilitre for the initial and 2nd groups, respectively (P = 0.02). Mechanical blockage in between pectoral muscle and subcutaneous tissue along with stitches at the incision may possibly decline the amount of drainage and play a role to earlier elimination of the drains. Keywords: Formation of Seroma, breast cancer, flap fixation, modified radical mastectomy, risk factor, wound complication

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