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The Efficacy of SurgiGuard in prevention of seroma formation after total mastectomy

Not Applicable
Completed
Conditions
Neoplasms
Registration Number
KCT0005637
Lead Sponsor
Gachon University, Donginchoen Gil Hospital
Brief Summary

Seromas frequently develop in patients who undergo total mastectomy with node surgery. We aimed to prospectively explore whether use of oxidized regenerated cellulose (ORC, SurgiGuard®) affects seroma formation after total mastectomy with node surgery (sentinel lymph node biopsy (SLNB) or axillary lymph node dissection (ALND)). Ninety four breast cancer patients were enrolled in the study who underwent total mastectomy with ALND or SLNB. The patients were randomized into two groups, one treated with ORC plus closed suction drainage and the other with closed suction drainage alone. Mean drainage volume was slightly lower in the ORC group on postoperative day 1 (123 ± 54 vs 143 ± 104 ml), but was slightly higher at all other time points; however, these differences were not significant. Mean total drainage volume in patients treated with ORC plus drainage did not differ from that of patients treated with drainage alone (1134 ± 507 ml vs 1033 ± 643 ml, P=0.486). In conclusion, Use of ORC (SurgiGuard®) did not significantly alter the risk of seroma formation.

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
Female
Target Recruitment
94
Inclusion Criteria

1)Patients scheduled to undergo total mastectomy and node surgery (axillary lymph node dissection or sentinel lymph node biopsy) who were diagnosed with invasive breast cancer.
2)Patients who understand the goal and the process of the trial and who want to participate in the trial with written informed consent.
3)No age limitation.

Exclusion Criteria

1)Patients who had a personal history of hypersensitivity or allergic reaction to anticoagulants
2)Patients with obesity (defined as a body mass index >30 kg/m2)
3)Patients who received neoadjuvant chemotherapy or planned to undergo immediate breast reconstruction
4)Patients who have plan to palliative surgery

Study & Design

Study Type
Interventional Study
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
daily seroma amount until discharge
Secondary Outcome Measures
NameTimeMethod
total seroma amount
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