Seroma prevention after modified radical mastectomy.
Identifieur interne : 001724 ( Ncbi/Curation ); précédent : 001723; suivant : 001725Seroma prevention after modified radical mastectomy.
Auteurs : T R Chilson [États-Unis] ; F D Chan ; R R Lonser ; T M Wu ; D R AitkenSource :
- The American surgeon [ 0003-1348 ] ; 1992.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Aspiration (technique) (), Aspiration (technique) (instrumentation), Aspiration (technique) (normes), Californie (épidémiologie), Cicatrisation de plaie, Complications postopératoires (), Complications postopératoires (épidémiologie), Complications postopératoires (étiologie), Consultation médicale (), Femelle, Humains, Incidence, Lambeaux chirurgicaux (), Lambeaux chirurgicaux (instrumentation), Lambeaux chirurgicaux (normes), Lymphadénectomie, Mastectomie radicale modifiée (), Mastectomie radicale modifiée (effets indésirables), Soins postopératoires (), Sujet âgé, Sujet âgé de 80 ans ou plus, Techniques de suture (normes), Études rétrospectives.
- MESH :
- effets indésirables : Mastectomie radicale modifiée.
- normes : Aspiration (technique), Lambeaux chirurgicaux, Techniques de suture.
- épidémiologie : Aspiration (technique), Californie, Complications postopératoires, Lambeaux chirurgicaux.
- étiologie : Complications postopératoires.
- Adulte, Adulte d'âge moyen, Aspiration (technique), Cicatrisation de plaie, Complications postopératoires, Consultation médicale, Femelle, Humains, Incidence, Lambeaux chirurgicaux, Lymphadénectomie, Mastectomie radicale modifiée, Soins postopératoires, Sujet âgé, Sujet âgé de 80 ans ou plus, Études rétrospectives.
English descriptors
- KwdEn :
- Adult, Aged, Aged, 80 and over, California (epidemiology), Female, Humans, Incidence, Lymph Node Excision, Mastectomy, Modified Radical (adverse effects), Mastectomy, Modified Radical (methods), Middle Aged, Office Visits (statistics & numerical data), Postoperative Care (statistics & numerical data), Postoperative Complications (epidemiology), Postoperative Complications (etiology), Postoperative Complications (prevention & control), Retrospective Studies, Suction (instrumentation), Suction (methods), Suction (standards), Surgical Flaps (instrumentation), Surgical Flaps (methods), Surgical Flaps (standards), Suture Techniques (standards), Wound Healing.
- MESH :
- geographic , epidemiology : California.
- adverse effects : Mastectomy, Modified Radical.
- epidemiology : Postoperative Complications.
- etiology : Postoperative Complications.
- instrumentation : Suction, Surgical Flaps.
- methods : Mastectomy, Modified Radical, Suction, Surgical Flaps.
- prevention & control : Postoperative Complications.
- standards : Suction, Surgical Flaps, Suture Techniques.
- statistics & numerical data : Office Visits, Postoperative Care.
- Adult, Aged, Aged, 80 and over, Female, Humans, Incidence, Lymph Node Excision, Middle Aged, Retrospective Studies, Wound Healing.
Abstract
The most common mastectomy-associated complication is seroma formation. Seromas can be associated with other more serious complications such as skin flap necrosis, delayed wound healing, infection, and lymphedema. The flap tacking procedure that closes the axillary fossa dead space and tacks the mastectomy flaps to the chest wall has been suggested as one potential technique to reduce the incidence of postmastectomy seromas. This institution-wide study of modified radical mastectomies demonstrated a significant decrease (P < 0.0381) in the incidence of seroma when flap tacking was performed. Women who developed a seroma, compared to those who did not, averaged nearly twice as any office visits in the first 2 months after the operation. Distribution of office visits between the seroma patients and nonseroma patients was significant (P < 0.0001). When practiced by several surgeons, the flap tacking procedure 1) reduces postmastectomy seromas and 2) reduces the amount of postoperative patient office visits and care.
PubMed: 1456600
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pubmed:1456600Le document en format XML
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over</term><term>Female</term><term>Humans</term><term>Incidence</term><term>Lymph Node Excision</term><term>Middle Aged</term><term>Retrospective Studies</term><term>Wound Healing</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Aspiration (technique)</term><term>Cicatrisation de plaie</term><term>Complications postopératoires</term><term>Consultation médicale</term><term>Femelle</term><term>Humains</term><term>Incidence</term><term>Lambeaux chirurgicaux</term><term>Lymphadénectomie</term><term>Mastectomie radicale modifiée</term><term>Soins postopératoires</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Études rétrospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The most common mastectomy-associated complication is seroma formation. Seromas can be associated with other more serious complications such as skin flap necrosis, delayed wound healing, infection, and lymphedema. The flap tacking procedure that closes the axillary fossa dead space and tacks the mastectomy flaps to the chest wall has been suggested as one potential technique to reduce the incidence of postmastectomy seromas. This institution-wide study of modified radical mastectomies demonstrated a significant decrease (P < 0.0381) in the incidence of seroma when flap tacking was performed. Women who developed a seroma, compared to those who did not, averaged nearly twice as any office visits in the first 2 months after the operation. Distribution of office visits between the seroma patients and nonseroma patients was significant (P < 0.0001). When practiced by several surgeons, the flap tacking procedure 1) reduces postmastectomy seromas and 2) reduces the amount of postoperative patient office visits and care.</div></front></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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