Volume 20 No 9 (2022)
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A study of role of pectoral flap fixation in seroma reduction after modified radical mastectomy
Dr Sharath Chandra BJ, Dr Lavanya Raghupathi(Corresponding Author), Dr Deepak Naik P
Abstract
The main surgical management of carcinoma breast is modified radical mastectomy especially in cases
of locally advanced breast carcinoma. Following modified radical mastectomy, the commonest
complication which occurs is seroma formation. Seroma formation also results in increase in wound
infection, need for repeated aspiration, need for prolonged hospital stay, increased morbidity. Pectoral
flap fixation is one of the valuable technique which can be done along with modified radical
mastectomy. Flap fixation results in obliteration of excess dead space resulting in less incidence of
seroma formation, decrease in the amount of drain fluid resulting in early removal of drain, thereby
decreasing morbidity and encouraging early mobilisation.
In this study, the subjects were subjected to flap fixation after they fulfil the inclusion and exclusion
criteria. Postoperative incidence of seroma, day of drain removal and the amount and character of drain
was assessed regularly. Patients were examined regularly for SSI and complications of flap fixation like
flap necrosis. Thus the aim to analyse the role. of flap fixation in decreasing the seroma formation and
the decreasing the amount of drain fluid resulting in early postoperative recovery
Keywords
Seroma formation, flap fixation in MRM
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