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Submitted
13 February 2019
Accepted
2 December 2021
Published
7 December 2021
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Abstract

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  1. Modification of radical mastectomy with flap fixation treatment in seroma production in breast cancer patients was analyzed.
  2. The number of seromas from the drain removal time in patients undergoing modified radical mastectomy with flap fixation was reduced.
 Abstract: 

Seroma is the most common complication after mastectomy procedure. This study was conducted to analyse the treatment of flap fixation in seroma production after modified radical mastectomy in breast cancer patients.  An interventional prospective clinical study in 35 female patients with breast cancer who underwent modified radical mastectomy with flap fixation in the period August-December 2018 and 35 patients without flap fixation through historical data of patient who underwent modified radical mastectomy in the period 2016-2017 at RSUD Dr. Soetomo Surabaya. Data of characteristic patients will be presented descriptively and analyzed statistically using the appropriate test.  The result of the statistical test using Chi Square with a 95% significance level obtained a value of p = 0.000 (p <0.05), it was said statistically that there was a significant relationship between the treatment of flap fixation and the time of releasing drain in this study. The treatment of flap fixation will reduce drainage time by <10 days. The results of the odds ratio (OR) obtained OR = 16 and CI: 95% (4.094 – 62.528) which means that the treatment of flap fixation will reduce the releasing time of the drain 16 times more effectively than not performing flap fixation. Correlation between the treatment of flap fixation and the time of releasing drain was considered to be moderately positive (Contingency Coefficient Chi Square = 0.476). There was a significant reduction in the number of seroma assessed from the time of releasing drain faster in patients who underwent modified radical mastectomy with flap fixation.

Keywords

Seroma flap fixation modified radical mastectomy health risk

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How to Cite
Kustono, P. C. A., & Purwanto, H. (2021). The Implication of Mastectomy Flap Fixation in Decreasing the Incidence of Seroma on Breast Cancer Patient. Folia Medica Indonesiana, 57(4), 277–282. https://doi.org/10.20473/fmi.v57i4.12009
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References

  1. Audrina GW (2014). Faktor-faktor yang mempengaruhi tingkat keberhasilan pemberian kemoterapi pada pasien penderita kanker payudara di RSUD Dr. Soetomo dengan menggunakan regresi logistik ordinal. Jurnal Sains dan Seni 3, 2337-3520.
  2. Bland KI (2011). Master techniques in general surgery: Breast surgery. Lippincott Williams & Wilkins, Philadelphia.
  3. Brunicardi FC (2014). Schwartz's principles of surgery: 10th ed. Mc GrawHill, Philadephia.
  4. Cong Y, Cao J, Qiao G, et al (2020). Fascia suture technique is a simple approach to reduce postmastectomy seroma formation. Journal of Breast Cancer 23, 533-541.
  5. Dahri FJ, Awan MS, Qazi AR, et al (2011). Early wound complications following modifeid radical mastectomy with axillary clearance. Journal of surgery Pakistan 16, 165-169.
  6. DeVita V, Lawrence TS, Rosenberg SA (eds) (2014). Cancer: Principles and practice of oncology: 10th ed. Wolters Kluwer Health Adis (ESP), United States.
  7. Edge SB (2010). Breast. In: AJCC cancer staging manual. Springer, New York.
  8. Faisal M, Abu-Elela ST, Mostafa W, et al (2016). Efficacy of axillary exclusion on seroma formation after modified radical mastectomy. World Journal of Surgical Oncology 14, 1-5.
  9. Kurnia A, Suhandi A, Budiningsih S (2016). Correlation between obesity and seroma following modified radical mastectomy. New Ropanasuri J Surg 5, 3-6.
  10. Mackay-Wiggan J (2016). Suturing techniques: Background, indications, technical consideration. Available from https://emedicine.medscape.com. Accessed January 11, 2020.
  11. Ouldamer L, Bonastre J, Brunet-Houdard S, et al (2016). Dead space closure with quilting suture versus conventional closure with drainage for thr prevention of seroma after mastectomy for breast cancer (QUISERMAS): Protocol for a multicentre randomised controlled trial. BMJ Open 6, 1-8.
  12. Purwanto H, Handojo J, Haryono S (2015). Panduan penatalaksanaan kanker payudara. PERABOI, Jakarta.
  13. Ridha M (2017). Perbandingan jumlah seroma antara modified radical mastectomy dengan dan tanpa fiksasi flap kulit di RSUP H Adam Malik Medan. Available from https://repositori.usu.ac.id. Accessed January 12, 2020.
  14. Ridha M, Suyatno S, Pasaribu ET (2017). Comparison of total seromas between Modified Radical Mastectomy (MRM) with and without skin flap fixation at Dr H. Adam Malik Hospital, Medan Indonesia. Bali Medical Journal 6, 357-362.
  15. Sakkary MA (2012). The value of mastectomy flap fixation in reducing fluid drainage and seroma formation in breast cancer patients. World Journal of Surgical Oncology 10, 1-6.
  16. Sampathraju S, Rodrigues G (2010). Seroma formation after mastectomy: Pathogenesis and prevention. Indian J Surg Oncol 4, 328-333.
  17. Skandalakis LJ, Skandalakis JE (2014). Surgical anatomy and technique: 4th ed. Springer, Atlanta.
  18. Sobri FB, Azhar Y, Wibisana IGNG, et al (2017). Manajemen terkini kanker payudara. Media Aesculapius, Jakarta.
  19. Suyatno S, Pasaribu ET (2014). Bedah onkologi diagnosis dan terapi. Sagung Seto, Jakarta.
  20. van Bastelaar J, Beckers A, Snoeijs M, et al (2016). Flap fixation reduces seroma in patients undergoing mastectomy: A significant implication for clinical practice. World Journal of Surgical Oncology 14, 1-5.
  21. Yildiz BD, Sulu B (2013). Effects of dextran-40 on flap viability after modified. Can J Plast Surg 21, 83-86.
  22. Yilmaz KB, Dogan L, Nalbant H, et al (2011). Comparing scapel, electrocautery and ultrasonic dissector effects: the impact on wound complication and pro-inflammatory cytokine levels in wound fluid from mastectomy patients. Journal of Breast Cancer 8, 58-63.
  23. Zielinski J, Jaworski R, Irga N, et al (2013). Analysis of selected factors influencing seroma formation in breast cancer patients undergoing mastectomy. Arch Med Sci 9, 86-92.
  24. Zollinger RM, Ellison E (2011). Zollinger's atlas of surgical operations: 9th ed. Mc Graw Hill Medical, New York.