Potential Risk Factors Influencing the Formation of Postoperative Seroma After Breast Surgery - A Prospective Study
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Potential Risk Factors Influencing the Formation of Postoperative Seroma After Breast Surgery - A Prospective Study. / Unger, Julia; Rutkowski, Rico; Kohlmann, Thomas; Paepke, Stefan; Zygmunt, Marek; Ohlinger, Ralf.
in: ANTICANCER RES, Jahrgang 41, Nr. 2, 02.2021, S. 859-867.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Potential Risk Factors Influencing the Formation of Postoperative Seroma After Breast Surgery - A Prospective Study
AU - Unger, Julia
AU - Rutkowski, Rico
AU - Kohlmann, Thomas
AU - Paepke, Stefan
AU - Zygmunt, Marek
AU - Ohlinger, Ralf
N1 - Copyright © 2021 International Institute of Anticancer Research (Dr. George J. Delinasios), All rights reserved.
PY - 2021/2
Y1 - 2021/2
N2 - BACKGROUND/AIM: This trial intended to identify patient- and therapy-specific risk factors influencing the genesis of seroma and the extent of its formation.PATIENTS AND METHODS: Within a prospective randomized controlled trial, 70 patients (n=35 TissuGlu®; n=35 drain) underwent a mastectomy with or without sentinel lymphonodectomy. Specific seroma-associated risk factors were recorded. Regular outpatient aftercare was performed during a 90-day postoperative follow-up.RESULTS: A statistically significant increase in the postoperative seroma rate was demonstrated for those with pre-adiposity compared to normal body weight (p=0.016), as well as for the state of health evaluated by the score of American Society of Anesthesiologists (ASA) (ASA III compared to I; p=0.046), the presence of diabetes mellitus (p<0.001) and the reduction of the length of the surgical procedure (p=0.044).CONCLUSION: A high body mass index, a poor state of health (ASA score), and diabetes mellitus, as well as a shorter duration of surgery, favor the incidence of postoperative seroma.
AB - BACKGROUND/AIM: This trial intended to identify patient- and therapy-specific risk factors influencing the genesis of seroma and the extent of its formation.PATIENTS AND METHODS: Within a prospective randomized controlled trial, 70 patients (n=35 TissuGlu®; n=35 drain) underwent a mastectomy with or without sentinel lymphonodectomy. Specific seroma-associated risk factors were recorded. Regular outpatient aftercare was performed during a 90-day postoperative follow-up.RESULTS: A statistically significant increase in the postoperative seroma rate was demonstrated for those with pre-adiposity compared to normal body weight (p=0.016), as well as for the state of health evaluated by the score of American Society of Anesthesiologists (ASA) (ASA III compared to I; p=0.046), the presence of diabetes mellitus (p<0.001) and the reduction of the length of the surgical procedure (p=0.044).CONCLUSION: A high body mass index, a poor state of health (ASA score), and diabetes mellitus, as well as a shorter duration of surgery, favor the incidence of postoperative seroma.
U2 - 10.21873/anticanres.14838
DO - 10.21873/anticanres.14838
M3 - SCORING: Journal article
C2 - 33517291
VL - 41
SP - 859
EP - 867
JO - ANTICANCER RES
JF - ANTICANCER RES
SN - 0250-7005
IS - 2
ER -