ROLE OF QUILTING TECHNIQUE IN REDUCING SEROMA FORMATION AFTER MODIFIED RADICAL MASTECTOMY

Abstract

Objectives: The objective of the study was to evaluate the efficacy of mastectomy flap quilting sutures in reducing post-modified radical mastectomy seroma formation. Methods: The prospective study was conducted by the Department of Surgery Sardar Patel Medical College and A.G. Hospitals, Bikaner, from December 2021 to December 2022. Fifty control and 50 cases of carcinoma breast in the general surgery department were recruited in the study. Results: The mean age of the patients in the cases group was 51.00±12.93 years and control group was 54.16±13.39 years. Mean drain volume of the patients in the cases group was 489.00±10.54 mL and control group was 586.00±22.67 mL and the drain duration of surgery of the patients in the cases group was 8.30±0.44 days and the control group was 12.60±0.80 days. Two (4.00%) patients in cases group and eight (16.00%) patients in control group seroma formation was present (p<0.05). Conclusion: Flap fixation is a surgical technique that obliterates the dead space in patients undergoing modified radical mastectomy. It appears to reduce the total volume of fluid drained, the development of seroma, and the need for seroma aspirations.