Quilting Suture of Mastectomy Dead Space Compared with Conventional Closure with Drain

Annals of Surgical Oncology
L OuldamerG Body

Abstract

This study was designed to compare conventional closure with a drain and quilting suture of mastectomy dead space for preventing wound seroma. Consecutive patients undergoing mastectomy for breast cancer were included in this retrospective observational study. Patients received conventional closure with drainage or quilting suture for wound closure. Propensity score (PS) matching was performed based on potential confounders to minimize selection bias. The primary outcome was the rate of type 2 or 3 wound seroma according to the common terminology criteria for adverse events (CTCAE) definition. A total of 119 patients were included (quilting suture n = 59; conventional closure n = 60). Type 2 or 3 seroma was observed in 6.8 % of the quilting suture group and 21.7 % of the conventional closure group (crude odds ratio 0.26; 95 % confidence interval 0.08-0.86; p = 0.03). The overall seroma rate was 15.2 % in the quilting suture group and 51.7 % in the conventional closure group (p < 0.001). Persistent pain at days 15-21 was significantly less frequent in the quilting suture group than in the conventional suture group. PS matched analysis confirmed these findings, in particular the lower rate of type 2 or 3 seroma in the quilting su...Continue Reading

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Citations

Nov 21, 2019·Aesthetic Surgery Journal·Eric M PittelkowSidhbh Gallagher
Oct 19, 2017·Breast Cancer Research and Treatment·J van BastelaarY Vissers
May 31, 2019·Annals of Surgical Oncology·B Ten WoldeL J A Strobbe
Jan 13, 2021·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Ho Won LeeHyong Nyun Kim
Oct 15, 2020·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·L De RooijJ van Bastelaar
Apr 23, 2021·Updates in Surgery·Nunzio VelottiMario Musella

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