Study the early complications of modified radical mastectomy performed
DOI:
https://doi.org/10.18203/2349-2902.isj20185480Keywords:
Breast cancer, Modified radical mastectomy, Post-operative complication, Seroma, Wound dehiscenceAbstract
Background: According to the national and regional cancer registries, breast cancer is the most common cancer among women in Delhi, Mumbai, Kolkata, Ahmadabad and Thiruvananthapuram.
Methods: The present Prospective and observational study was conducted in the Department of Surgery of Acharya Vinoba Bhave Rural Hospital attached to Jawaharlal Nehru Medical College. Forty-one patients of carcinoma breast were treated with modified radical mastectomy from September 2013 to September 2015.
Results: The mean age of cases was 50.90 years with a standard deviation of 11.61 years. only 1 male patient (2.44%) was diagnosed with carcinoma breast and 40 female patients (97.56%) out of 41 total cases. In all the 41 cases (100%) chief complaint was lump in breast, followed by axillary swelling in 11 cases (26.83%) and history of pain (in lump) in 8 cases (19.51%). ecchymosis of the flap was seen in 8 patients (19.51%). The 10 cases (24.39) had surgical site infection, Minimal seroma collection (<10ml) was seen in 9 cases. 3 cases (7.32%) had pain at the surgical site. Tissue necrosis was observed in 7 cases (17.07%).
Conclusions: It was concluded that Post-operative complications of MRM included wound dehiscence, seroma, surgical site infection, hematoma, altered sensation and pain.
Metrics
References
Ferlay J, Steliarova-Foucher E, Lortet-Tieulent J, Rosso S, Coebergh JW, Comber H, et al. Cancer incidence and mortality patterns in Europe: estimates for 40 countries in 2012. Eur J Cancer. 2013 Apr 1;49(6):1374-403.
What is breast cancer? Available at: http://www.cancer.org/cancer/breastcancer/overview. Accessed 1 January 2012,
Hudis CA, Norton L. Adjuvant drug treatment for resectable breast cancer. Oncologist. 1997 Dec 1;2(6):351-8.
Thompson AM. Axillary node clearance for breast cancer. J Royal Coll Surg Edinburgh. 1999 Apr;44(2):111-7.
Prospero E, Cavicchi A, Bacelli S, Barbadoro P, Tantucci L, D'errico MM. Surveillance for surgical site infection after hospital discharge: a surgical procedure-specific perspective. Infect Control Hospital Epidemiol. 2006 Dec;27(12):1313-7.
Ruvalcaba-Limón E, Robles-Vidal C, Poitevin-Chacón A, Chávez-MacGregor M, Gamboa-Vignolle C, et al. Complications after breast cancer surgery in patients treated with concomitant preoperative chemoradiation: a case–control analysis. Breast Cancer Res Treatment. 2006 Jan 1;95(2):147-52.
Kumar S, Lal B, Misra MC. Post-mastectomy seroma: a new look into the aetiology of an old problem. J Royal Coll Surgeons Edinburgh. 1995 Oct;40(5):292-4.
Coveney EC, O'Dwyer PJ, Geraghty JG, O'Higgins NJ. Effect of closing dead space on seroma formation after mastectomy--a prospective randomized clinical trial. Eur J Surg Oncol. 1993 Apr;19(2):143-6.
Vitug A, Newman L. Complications in breast surgery. Surg Clin North Am. 2007 Apr;87(2):431-51.
Tasmuth T, Von Smitten K, Kalso E. Pain and other symptoms during the first year after radical and conservative surgery for breast cancer. Br J Cancer. 1996 Dec;74(12):2024-31.
Larson DL, Basir Z, Bruce T. Is oncologic safety compatible with a predictably viable mastectomy skin flap?. Plastic Reconstructive Surg. 2011 Jan 1;127(1):27-33.
Vinton AL, Traverse LW, Jolly PC. Wound complications after modified radical mastectomy compared with tylectomy with axillary lymph node dissection. Am J Surg. 1991 May 1;161(5):584-8.
Dahri FJ, Awan MS, Qazi AR, Khaskheli NM, Soomro IA. Early wound complications following modified radical mastectomy with axillary clearance. J Surg Pak (Int). 2011 Oct;16(4).
Sandhu DS, Sandhu S, Karwasra RK, Marwah S. Profile of breast cancer patients at a tertiary care hospital in north India. Indian J Cancer. 2010 Jan 1;47(1):16-22.
Weiss JR, Moysich KB, Swede H. Epidemiology of male breast cancer. Cancer Epidemiol Prevention Biomarkers. 2005 Jan 1;14(1):20-6.
Srivastava V, Basu S, Shukla VK. Seroma formation after breast cancer surgery: what we have learned in the last two decades. J Breast Cancer. 2012 Dec 1;15(4):373-80.
Somers RG, Jablon LK, Kaplan MJ, Sandler GL, Rosenblatt NK. The use of closed suction drainage after lumpectomy and axillary node dissection for breast cancer. A prospective randomized trial. Ann Surg. 1992 Feb;215(2):146.
Wedgwood KR, Benson EA. Non-tumour morbidity and mortality after modified radical mastectomy. Ann Royal Coll Surg England. 1992 Sep;74(5):314.
Bhatty I, Ibrahim M, Chaudhry ML. Complications after modified radical mastectomy in early breast cancer. Pakistan J Med Sci. 2004;20(2):125-30.
Altinyollar H, Kapucuoglu N, Pak I, Berberoglu U. Lymphatic mapping and sentinel lymphadenectomy in early stage breast carcinoma. J Experiment Clin Cancer Res. 2000;19(2):141-4.
Davis GB, Peric M, Chan LS, Wong AK, Sener SF. Identifying risk factors for surgical site infections in mastectomy patients using the National Surgical Quality Improvement Program database. Am J Surg. 2013 Feb; 205(2):194-9.
Compte DV, Castillejos A, Hernandez-Mello N, Vidal CR, Volkow P. Characteristics and treatment of surgical site complications in patients undergoing mastectomy at a cancer hospital in Mexico. Wounds 2010;22(12):316-21.
Shaikh FB, Memon AA, Kumar M, Soomro E. Complications of modified radical mastectomy in carcinoma breast patients. Medical Channel. Jan-Mar 2014;20(1):43-6.
Shaikh K, Shabbir MN, Ahmed I, Soomro S, Najam MS. Frequency of early complications after modified radical mastectomy in breast cancer in tertiary care centre. Pak J Surg. 2013;29(1):17-22.
Alam Jan W, Haq MI, Haq MAU, Khan AS. Early complications of modified radical mastectomy with axillary clearance. J Postgrad Med Inst. 2006;20(5):249-51.
Downloads
Published
How to Cite
Issue
Section
