Effect of Mechanical Closure of Dead Space on Seroma Formation After Breast Surgery

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  • Kuroi Katsumasa
    Department of Surgery, Breast Oncology, Medical Corporation Nyuwakai Oikawa Hospital
  • Shimozuma Kojiro
    Department of Healthcare and Social Services, University of Marketing and Distribution Sciences
  • Taguchi Tetsuya
    Department of Surgical Oncology, Osaka University Graduate School of Medicine
  • Imai Hirohisa
    Department of Epidemiology National Institute of Public Health
  • Yamashiro Hiroyasu
    Department of Gastroenterological Surgery Kyoto University Graduate School of Medicine
  • Ohsumi Shozo
    Department of Surgery National Hospital Organization Shikoku Cancer Center
  • Saito Shinya
    Department of Health Science Kochi Women's University

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Abstract

Seroma, a collection of serous fluid, is the most common problem after breast surgery. The aim of this study was to review the effect of mechanical closure of dead space on seroma formation after breast surgery. There are two mechanical methods for closure of the dead space beneath skin flaps: compression by external pressure, and fixation of the flaps with sutures. There is no evidence to suggest that the routine use of a pressure garment or compression dressing is beneficial. However, it appears that suture flap fixation does reduce seroma formation, simplify postoperative care and dressing, and thus allow early removal of drains and discharge. Drains are helpful for mechanical closure of dead space, but in breast-conserving surgery this technique may preclude the use of a drain. However, previous studies have often been small in scale and poor in quality. Further studies should examine the effect of this technique on quality of life, cosmesis, and medical economics.

Journal

  • Breast Cancer

    Breast Cancer 13 (3), 260-265, 2006

    The Japanese Breast Cancer Society

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