Comparative Study between Jackson-Pratt Drain and Redivac Drain in prevention of Seroma Formation after Oncoplastic Breast Surgery | ||
| The Egyptian Journal of Plastic and Reconstructive Surgery | ||
| Articles in Press, Accepted Manuscript, Available Online from 13 March 2023 | ||
| Document Type: Research article | ||
| DOI: 10.21608/ejprs.2023.185031.1260 | ||
| Authors | ||
| Ahmed Alaaeldin Shaat* 1; Nasser Ahmed Ghozlan2; Yasser Sayed Hamed3; Ayman Farouk Mohamed3; mostafa ramadan abouelsoud3; Ahmed Saad Zidan3 | ||
| 1Surgery Department, Medical Research Institute, Alexandria University, Alexandria, Egypt | ||
| 2Plastic surgery department , Faculty of Medicine, Alexandria University , Alexandria Egypt | ||
| 3surgery department, medical research institute, Alexandria University, Alexandria, Egypt | ||
| Abstract | ||
| Background: Seroma formation is frequently observed in oncoplastic breast surgeries, seroma development is a common postoperative complication that causes significant patient morbidity. This study aimed to compare between the effect of using Jackson-Pratt drain and Redivac drain in patients undergoing oncoplastic surgeries in seroma formation. Patients and methods: Eighty female patients with confirmed diagnosed cancer breast Underwent different oncoplastic breast surgery between November 2021 and December 2022 in medical research institute , Alexandria university .All patients subjected to the same preoperative preparations. Patients were randomized to both group A and group B by double blinded randomized controlled method. Group A: (using Jackson-Pratt drain) and Group B: (using conventional Redivac drain). Seroma was detected by clinical examination at 2, 4, 6, and 8 weeks postoperative . Results: The mean BMI was 23.0-40.2 (31.0) in group A Vs. 26.0-35.1 (30.0) in group B. The mean time until drains removal was 7-16 (11.5) days in group A Vs. 4-18 (10.8) days in group B. Total drain discharge was in the Jackson drain group (685.33 ml) Vs. (915.27 ml) in the redivac drain group. Five cases of 40 cases came with seroma in group A with range of amount (190-440) ml and mean amount (278) ml while fifteen cases in group B with range of amount (100-810) and mean amount (482.5) ml in group B. The Number of cases complicated with delayed seroma was 1 case (2.5%) in group A (n=40) while 4 cases (10%) in group B (n=40). Pain score was in group A ranged from 1-4 with mean value 3.2±0.7 and in group B ranged from 2-5 with mean value 4.0±1.0. Conclusion: using Jackson-pratt drain is reliable and efficient in reducing seroma formation in different breast surgery techniques especially reconstructive breast surgeries and is very successful to minimize pain associated the drain in comparison to conventional redivac drain. Disclosure: there is no conflict of interest, according to the authors | ||
| Keywords | ||
| Breast Cancer; oncoplastic; seroma | ||
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