Comparative Study between Jackson-Pratt Drain and Redivac Drain in Prevention of Seroma Formation after Oncoplastic Breast Surgery

Document Type : Original Article

Authors

1 The Department of Surgery, Medical Research Institute, Alexandria University

2 Department of Plastic Surgery, Faculty of Medicine; Alexandria University

3 The Department of Surgery*, Medical Research Institute, Alexandria University; Alexandria University

Abstract

Background: Seroma formation is frequently observed in
oncoplastic breast surgeries, seroma development is a common
postoperative complication that causes significant patient
morbidity.
Objective: This study aimed to compare between the effect
of using Jackson-Pratt drain and Redivac drain in patients
undergoing oncoplastic surgeries in seroma formation.
Patients and Methods: Eighty female patients with confirmed
diagnosed cancer breast Underwent different oncoplastic
breast surgery between November 2021 and December 2022
in Medical Research Institute, Alexandria University. All
patients subjected to the same preoperative preparations.
Patients were randomized to both group A and group B by
double blinded randomized controlled method. Group A:
(using Jackson-Pratt drain) and Group B: (using conventional
Redivac drain).
Seroma was detected by clinical examination at 2, 4, 6,
and 8 weeks postoperative.
Results: The mean BMI was 23.0-40.2 (31.0) in group A
Vs. 26.0-35.1 (30.0) in group B. The mean time until drains
removal was 7-16 (11.5) days in group A Vs. 4-18 (10.8) days
in group B. Total drain discharge was in the Jackson drain
group (685.33ml) Vs. (915.27ml) in the redivac drain group.
Five cases of 40 cases came with seroma in group A with
range of amount (190-440) ml and mean amount (278) ml
while fifteen cases in group B with range of amount (100-
810) and mean amount (482.5) ml in group B. The Number
of cases complicated with delayed seroma was 1 case (2.5%)
in group A (n=40) while 4 cases (10%) in group B (n=40).
Pain score was in group A ranged from 1-4 with mean value
3.2±0.7 and in group B ranged from 2-5 with mean value
4.0±1.0.
Conclusion: Using Jackson-pratt drain is reliable and
efficient in reducing seroma formation in different breast
surgery techniques especially reconstructive breast surgeries
and is very successful to minimize pain associated the drain
in comparison to conventional redivac drain.

Keywords

Main Subjects

References

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