Closed suction drainage versus closed simple drainage in the management of modified radical mastectomy wounds
Objective: To compare the outcome of modified radical mastectomy wounds managed by closed wound drainage with suction and without suction. Methods: A prospective randomized trial was conducted at the University College Hospital Ibadan and University of Nigeria Teaching Hospital Enugu, Nigeria. Fifty women who required modified radical mastectomy for breast cancer were randomized to have closed suction wound drainage (26 patients) and closed wound drainage without suction ( 24 patients). Results: There was no significant difference in the intra operative and post operative variables. Suction drainage drained less volume of fluid and stayed shorter in the wound but the differences were not significant. There was no difference in the length of hospital stay, time to stitch removal and number of dressing changes. More haematoma and wound infection occurred in the simple drain group while more seroma occurred in the suction drain group but these were not significant. The suction drain was more difficult to manage and the cost was fifteen times higher than the simple drainage system. Conclusion: Closed simple drains are not inferior to suction drains in mastectomy wounds and when cost and simplicity of post op care are considered, they should be preferred over suction drains.
South African Medical Journal Vol. 98 (9) 2008: pp. 712-715
Copyright remains in the Author’s name. The work is licensed under a Creative Commons Attribution - Noncommercial Works License. Authors are required to complete and sign an Author Agreement form that outlines Author and Publisher rights and terms of publication. The Agreement form should be uploaded along with other submissions files and any submission will be considered incomplete without it [forthcoming].
Material submitted for publication in the SAMJ is accepted provided it has not been published or submitted for publication elsewhere. Please inform the editorial team if the main findings of your paper have been presented at a conference and published in abstract form, to avoid copyright infringement. The SAMJ does not hold itself responsible for statements made by the authors.
Previously published images
If an image/figure has been previously published, permission to reproduce or alter it must be obtained by the authors from the original publisher and the figure legend must give full credit to the original source. This credit should be accompanied by a letter indicating that permission to reproduce the image has been granted to the author/s. This letter should be uploaded as a supplementary file during submission.