Incidence of postoperative complications in patients with breast cancer depending on the type of drain
Authors:
Viktor Procházka 1
; A. Závadová 1; J. Žatecký 2,3,4
; L. Martínek 1,5
Authors place of work:
Katedra chirurgických oborů, Lékařská fakulta, Ostravská univerzita, Ostrava
1; Ústav nelékařských zdravotnických studií, Fakulta veřejných politik, Slezská univerzita, Opava
2; Chirurgické oddělení, Slezská nemocnice v Opavě, p. o.
3; Klinika operační onkologie, Masarykův onkologický ústav, Brno
4; Chirurgická klinika, Fakultní nemocnice Ostrava
5
Published in the journal:
Rozhl. Chir., 2023, roč. 102, č. 1, s. 17-22.
Category:
Original articles
doi:
https://doi.org/10.33699/PIS.2023.102.1.17–22
Summary
Introduction: Postoperative complications in patients with breast cancer delay the initiation of adjuvant therapy, prolong the length of hospitalization and reduce the patients’ quality of life. Although their incidence can be influenced by many factors, the connection with the type of drain is insufficiently studied in the literature. The aim of this study was to assess whether there is an association between the use of a different drainage system and the occurrence of postoperative complications.
Methods: The data of 183 patients included in this retrospective study were collected from the information system of the Silesian Hospital in Opava and then statistically analyzed. These patients were divided into two groups according to the type of drain used – a Redon drain (active drainage) was used in 96 patients, and a capillary drain (passive drainage) was used in 87 patients. The incidence of seromas and hematomas, the duration of drainage and the amount of wound drainage were compared between the individual groups.
Results: The incidence of postoperative hematomas was 22.92% in the group of patients with the Redon drain, and 10.34% in patients with the capillary drain (p=0.024). The incidence of postoperative seromas was comparable for the Redon drain (39.6%) or the capillary drain (35.6%) (p=0.945). No statistically significant differences were found in the drainage time or the amount of wound drainage.
Conclusion: A statistically significantly lower incidence of postoperative hematomas was observed when using a capillary drain compared to the use of a Redon drain in patients after breast cancer surgery. The drains were comparable with respect to seroma formation. None of the studied drains was significantly more beneficial in terms of the total drainage time and the total amount of wound drainage. Key words: breast cancer, postoperative complications, drain, hematoma
Keywords:
hematoma – breast cancer – postoperative complications – drain
Zdroje
1. CAO Lu, Cheng XU, Gang CAI, et al. How does the interval between completion of adjuvant chemotherapy and initiation of radiotherapy impact clinical outcomes in operable breast cancer patients? Annals of Surgical Oncology [online]. 2021;28(4):2155–2168. doi:10.1245/ s10434-020-09026-z.
2. Zhang QH, FU J-Q, Fu F-M, et al. Survival and time to initiation of adjuvant chemotherapy among breast cancer patients: a systematic review and meta-analysis. Oncotarget [online]. 2018;9(2):2739– 2751. doi:10.18632/oncotarget.23086.
3. Pinto A, Faiz O, Davis R, et al. Surgical complications and their impact on patients’ psychosocial well-being: a systematic review and meta-analysis. BMJ Open [online]. 2016;6(2):e007224. doi:10.1136/ bmjopen-2014-007224.
4. Sosin M, Gulla A, Potdevin L, et al. Timing of radiation therapy in nipple-sparing mastectomy influences outcomes and patient-reported quality of life. The Breast Journal [online]. 2018;24(6):934–939. ISSN 1075122X. doi:10.1111/tbj.13066.
5. Coufal O, Fait V. Chirurgická léčba karcinomu prsu. 1st ed. Praha, Grada 2011. ISBN 978-80-247-3641-9.
6. Vytejčková R. Drény a drenážní systémy [online]. B.m. Ústav ošetřovatelství 3. Available at: http://nas.lf3.cuni.cz/materialy/ CNS002P2/drenaze(5087d2542eb3f). pdf.
7. Bischfberger AS. Drains, bandages, and external coaptation. In: Equine surgery [online]. B.m.: Elsevier 2019:280– 300. doi:10.1016/B978-0-323-48420- 6.00017-X.
8. Linová Ľ, Baková H, Jankechová M. Ošetřovatelský proces v chirurgii. Praha, Grada Publishing 2019. ISBN 978-80-271- 2466-4.
9. Vitug AF, Newman LA. Complications in breast surgery. The Surgical Clinics of North America [online] 2007, 87(2):431– 451. doi:10.1016/j.suc.2007.01.005.
10. Thomson DR, Sadidden H, Furniss D. Wound drainage after axillary dissection for carcinoma of the breast. Cochrane Database of Systematic Reviews [online]. 2013, 2021(11) [vid. 2022-03-25]. ISSN 14651858. doi:10.1002/14651858. CD006823.pub2.
11. Stoyanov GS, Tsocheva D, Marinova K, et al. Drainage after modified radical mastectomy – a methodological mini-review. Cureus [online]. Not dated 9(7):e1454. ISSN 2168-8184. doi:10.7759/ cureus.1454.
12. Nečas E a Universita Karlova. Obecná patologická fyziologie. Praha, Karolinum 2006. ISBN 978-80-246-1291-1.
13. Hýza P, Veselý J, Schwarz D, et al. The effect of blood around a flap pedicle on flap perfusion in an experimental rodent model. Acta Chirurgiae Plasticae 2009;51(1):21–25. ISSN 0001-5423.
14. Wilkins RH, Odom L. Intracranial arterial spasm associated with craniocerebral trauma. Journal of Neurosurgery [online]. 1970;32(6).626–633. doi:10.3171/ jns.1970.32.6.0626.
15. Al-Mufti F, Amuluru K, Changa A, et al. Traumatic brain injury and intracranial hemorrhage–induced cerebral vasospasm: a systematic review. Neurosurgical Focus [online]. 2017;43(5):E14. doi:10.3171/2017.8.FOCUS17431.
16. Ebner F, Friedl TW, De Gregorio A, et al. Seroma in breast surgery: all the surgeons fault? Archives of Gynecology and Obstetrics [online]. 2018;298(5):951– 959. ISSN 1432-0711. Available at: doi:10.1007/s00404-018-4880-8.
17. Cheng H, Clymer JW, Ferko NC, et al. A systematic review and meta-analysis of harmonic technology compared with conventional techniques in mastectomy and breast-conserving surgery with lymphadenectomy for breast cancer. Breast Cancer: Targets and Therapy [online]. 2016;(8):125–140. doi:10.2147/ BCTT.S110461.
18. Žatecký J, Kubala O, Jelínek P, et al. Harmonic scalpel versus traditional ligation in axillary dissection for breast cancer: a retrospective multivariate analysis. Rozhledy V Chirurgii 2020;99(11):502– 508.
19. Strivastava V, Basu S, Shukla VK. Seroma formation after breast cancer surgery: what we have learned in the last two decades. Journal of Breast Cancer [online]. 2012;15(4):373–380. doi:10.4048/ jbc.2012.15.4.373.
20. Okada N, Nirata Y, Takada M, et al. Early removal of drains and the incidence of seroma after breast surgery. Breast Cancer [online]. 2015;22(1):79–83. doi:10.1007/ s12282-013-0457-3.
21. Ezome E, Anebamowo C. Closed suction drainage versus closed simple drainage in the management of modified radical mastectomy wounds. South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde. 2008;98:712–715.
Štítky
Surgery Orthopaedics Trauma surgeryČlánok vyšiel v časopise
Perspectives in Surgery
2023 Číslo 1
- Metamizole at a Glance and in Practice – Effective Non-Opioid Analgesic for All Ages
- Metamizole vs. Tramadol in Postoperative Analgesia
- Spasmolytic Effect of Metamizole
Najčítanejšie v tomto čísle
- Appendiceal tumors and pseudomyxoma peritonei: current recommendations for clinical practice
- Incidence of postoperative complications in patients with breast cancer depending on the type of drain
- Intrapulmonary sequestration with destructive pneumonia and life-threatening hemoptysis in an adult patient: a case report
- Retroperitoneal abscess after urgent resection of the stomach in a geriatric patient treated with a surgical extraperitoneal approach – case report