A comparative prospective randomized study of LigaSure versus electrocautery for axillary dissection in modified radical mastectomy with half pressure suction drain: impact on seroma formation
DOI:
https://doi.org/10.18203/2349-2902.isj20260456Keywords:
Modified radical mastectomy, LigaSure, Electrocautery, Axillary dissection, SeromaAbstract
Background: Seroma formation remains the most frequent complication following modified radical mastectomy (MRM). The choice of dissection technique plays a role in its incidence. This study compared LigaSure with conventional electrocautery for axillary dissection in terms of seroma formation and related outcomes.
Methods: A prospective randomized study was conducted on 50 female patients with unilateral FNAC/Biopsy proven breast carcinoma undergoing MRM, at Aadhar health institute, Hisar, Haryana. Patients were randomized into two groups: group A (electrocautery, n=25) and group B (LigaSure, n=25). Standardized half-pressure negative suction drains were placed in all cases. Outcomes compared in terms of operative time, daily drain output, duration of drainage, incidence of seroma formation, and number of seroma aspirations.
Results: The mean operative time, was shorter in the LigaSure group, though not significant statistically. Drain output up to postoperative day 3 was significantly lower in the LigaSure group (p<0.05), but from POD 4 to POD14, cumulative drain output was statistically non-significant. Seroma incidence was reduced with LigaSure (28%) compared to electrocautery (32%), though not statistically significant. The seroma aspirations were also lower in the LigaSure group in number, but non-significant.
Conclusions: LigaSure reduces operative time and drainage volume, with a trend toward fewer seroma formation compared to electrocautery. Although the difference in seroma incidence did not reach statistical significance, LigaSure appears to be a safer and more efficient option for axillary dissection in MRM.
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References
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