LymphedemaV1, Main, Exploration, bibRecord, 002524

Should a Drain Be Placed in Early Breast Cancer Surgery?

Identifieur interne : 002524 ( Main/Exploration ); précédent : 002523; suivant : 002525

Should a Drain Be Placed in Early Breast Cancer Surgery?

Auteurs : Florian Ebner [Allemagne] ; Niko Degregorio [Allemagne] ; Elena Vorwerk [Allemagne] ; Wolfgang Janni [Allemagne] ; Achim Wöckel [Allemagne] ; Dominic Varga [Allemagne]

Source :

Breast Care [ 1661-3791 ] ; 2014.

RBID : PMC:4038317

Abstract

SummaryBackground

The current surgical debate has led to a reduction in the extent of surgery performed and thereby to a reduced occurrence of surgical trauma and, over the recent years, reduced seroma formation. This reduction in surgical procedures calls the need for a drain into question.

Method

Using Google Scholar and the National Library of Medicine (PubMed), a literature review was performed on systematic reviews and meta-analyses regarding breast cancer surgery ± axillary dissection. Additionally, randomized trials for the time period after the last systematic review were included and evaluated according to the Jadad score.

Results

The search returned 5 systematic reviews, in which a total of 1,075 patients were included (537 cases and 538 controls). Since the last review, no prospective randomized trial meeting the inclusion criteria has been published. The current reviews conclude that insertion of a drain is associated with a longer hospital stay and reduced seroma formation. The data regarding wound infection and drain insertion is inconclusive. The omission of a drain is associated with early discharge, reduced postsurgical pain, and early mobilization, but also with an increase in outpatient seroma aspirations.

Conclusion

The omission of a drain is possible in early breast cancer surgery (wide local excision and sentinel node biopsy) with adequate surgical techniques and instruments.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4038317

DOI: 10.1159/000360928
PubMed: 24944555
PubMed Central: 4038317

Affiliations:

Allemagne

Le document en format XML

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<author><name sortKey="Ebner, Florian" sort="Ebner, Florian" uniqKey="Ebner F" first="Florian" last="Ebner">Florian Ebner</name>
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<series><title level="j">Breast Care</title>
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<front><div type="abstract" xml:lang="en"><title>Summary</title>
<sec><title>Background</title>
<p>The current surgical debate has led to a reduction in the extent of surgery performed and thereby to a reduced occurrence of surgical trauma and, over the recent years, reduced seroma formation. This reduction in surgical procedures calls the need for a drain into question.</p>
</sec>
<sec><title>Method</title>
<p>Using Google Scholar and the National Library of Medicine (PubMed), a literature review was performed on systematic reviews and meta-analyses regarding breast cancer surgery ± axillary dissection. Additionally, randomized trials for the time period after the last systematic review were included and evaluated according to the Jadad score.</p>
</sec>
<sec><title>Results</title>
<p>The search returned 5 systematic reviews, in which a total of 1,075 patients were included (537 cases and 538 controls). Since the last review, no prospective randomized trial meeting the inclusion criteria has been published. The current reviews conclude that insertion of a drain is associated with a longer hospital stay and reduced seroma formation. The data regarding wound infection and drain insertion is inconclusive. The omission of a drain is associated with early discharge, reduced postsurgical pain, and early mobilization, but also with an increase in outpatient seroma aspirations.</p>
</sec>
<sec><title>Conclusion</title>
<p>The omission of a drain is possible in early breast cancer surgery (wide local excision and sentinel node biopsy) with adequate surgical techniques and instruments.</p>
</sec>
</div>
</front>
</TEI>
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<name sortKey="Degregorio, Niko" sort="Degregorio, Niko" uniqKey="Degregorio N" first="Niko" last="Degregorio">Niko Degregorio</name>
<name sortKey="Janni, Wolfgang" sort="Janni, Wolfgang" uniqKey="Janni W" first="Wolfgang" last="Janni">Wolfgang Janni</name>
<name sortKey="Varga, Dominic" sort="Varga, Dominic" uniqKey="Varga D" first="Dominic" last="Varga">Dominic Varga</name>
<name sortKey="Vorwerk, Elena" sort="Vorwerk, Elena" uniqKey="Vorwerk E" first="Elena" last="Vorwerk">Elena Vorwerk</name>
<name sortKey="Wockel, Achim" sort="Wockel, Achim" uniqKey="Wockel A" first="Achim" last="Wöckel">Achim Wöckel</name>
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Should a Drain Be Placed in Early Breast Cancer Surgery?

Should a Drain Be Placed in Early Breast Cancer Surgery?

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Abstract

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