Quilting suture after mastectomy in prevention of postoperative seroma: a prospective observational study

The occurrence of a postoperative seroma is the main complication of mastectomy. In 2011, Ouldamer et al. adapted a quilting technique used in reconstructive surgery in mastectomy closure. The aim of this study is to evaluate the impact of quilting in the prevention of postoperative seroma. This is...

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Bibliographic Details
Published in:Gynécologie, obstétrique & fertilité obstétrique & fertilité, 2015-03, Vol.43 (3), p.205-212
Main Authors: Trefoux-Bourdet, A, Body, G, Jacquet, A, Hébert, T, Kellal, I, Marret, H, Ouldamer, L
Format: Article
Language:fre
Subjects:
Breast Neoplasms - surgery
Drainage
Female
Humans
Mastectomy - adverse effects
Mastectomy - methods
Pain, Postoperative - epidemiology
Postoperative Complications - prevention & control
Prospective Studies
Seroma - etiology
Seroma - prevention & control
Surgical Flaps
Suture Techniques
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Summary:The occurrence of a postoperative seroma is the main complication of mastectomy. In 2011, Ouldamer et al. adapted a quilting technique used in reconstructive surgery in mastectomy closure. The aim of this study is to evaluate the impact of quilting in the prevention of postoperative seroma. This is an observational prospective study to the Centre Hospital-University of Tours. Hundred and forty-four patients who underwent a mastectomy between January 1st, 2011 and October 1st, 2012 were included. Patients were divided into 2 groups, one with a classic wound closure with drainage and the second with quilting suture of skin flaps to the underlying musculature after mastectomy without drainage. Quilting suture significantly reduces the postoperative seroma appearance (OR=0.15; CI95% [0.06-0.39]; P
ISSN:1769-6682
DOI:10.1016/j.gyobfe.2015.01.007