Literature DB >> 8103359

Fibrin adhesive in radical mastectomy.

P Udén1, K Aspegren, G Balldin, J P Garne, S A Larsson.   

Abstract

OBJECTIVE: To find out if fibrin adhesive glue applied locally would reduce the incidence of seroma after modified radical mastectomy for breast cancer.
DESIGN: Prospective randomised study.
SETTING: City hospital, Sweden.
SUBJECTS: 68 women undergoing modified radical mastectomy with axillary clearance for breast cancer. MAIN OUTCOME MEASURES: Amount of postoperative drainage, number of seromas aspirated volumes; length of hospital stay, influence of surgeon operating.
RESULTS: Seromas developed in a total of 40/68 patients (59%), 23/36 in the fibrin adhesive group (64%) and 17/32 in the control group (53%); p = 0.5 (95% confidence interval of the difference--0.13 to 0.34). There were no significant differences in the volume of aspirations or in hospital stay. The skill of the surgeon influenced the incidence of seromas, but the differences were not significant (p = 0.5).
CONCLUSION: Local application of a fibrin adhesive glue has no effect on the incidence of seroma formation after modified radical mastectomy.

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Year:  1993        PMID: 8103359

Source DB:  PubMed          Journal:  Eur J Surg        ISSN: 1102-4151


  8 in total

1.  Porcine Dermal Collagen Prevents Seroma Formation After Mastectomy and Axillary Dissection in Rats.

Authors:  Cihan Ağalar; Ali İbrahim Sevinç; Anıl Aysal; Tufan Egeli; Özkan Süleyman Aksoy; Mehmet Ali Koçdor
Journal:  Eur J Breast Health       Date:  2017-10-01

2.  Effects of Fibrin Sealant on Seroma Reduction for Patients with Breast Cancer Undergoing Axillary Dissection: Meta-Analysis of Randomized Controlled Trials.

Authors:  Ya-Ting Chang; Shen-Liang Shih; El-Wui Loh; Ka-Wai Tam
Journal:  Ann Surg Oncol       Date:  2020-06-20       Impact factor: 5.344

3.  Potential risk factors for the development of seroma following mastectomy with axillary dissection.

Authors:  Xiao-Feng Pan; Jin-Liang Huan; Xian-Ju Qin
Journal:  Mol Clin Oncol       Date:  2014-09-25

Review 4.  Whether drainage should be used after surgery for breast cancer? A systematic review of randomized controlled trials.

Authors:  Xiao-Dong He; Zhi-Hui Guo; Jin-Hui Tian; Ke-Hu Yang; Xiao-Dong Xie
Journal:  Med Oncol       Date:  2010-09-09       Impact factor: 3.064

Review 5.  Fibrin glue instillation under skin flaps to prevent seroma-related morbidity following breast and axillary surgery.

Authors:  Muhammad S Sajid; Kristian H Hutson; Ignazio F Rapisarda; Riccardo Bonomi
Journal:  Cochrane Database Syst Rev       Date:  2013-05-31

Review 6.  Fibrin Sealants and Axillary Lymphatic Morbidity: A Systematic Review and Meta-Analysis of 23 Clinical Randomized Trials.

Authors:  Maria Luisa Gasparri; Thorsten Kuehn; Ilary Ruscito; Veronica Zuber; Rosa Di Micco; Ilaria Galiano; Siobana C Navarro Quinones; Letizia Santurro; Francesca Di Vittorio; Francesco Meani; Valerio Bassi; Nina Ditsch; Michael D Mueller; Filippo Bellati; Donatella Caserta; Andrea Papadia; Oreste D Gentilini
Journal:  Cancers (Basel)       Date:  2021-04-24       Impact factor: 6.639

7.  Does LigaSure reduce fluid drainage in axillary dissection? A randomized prospective clinical trial.

Authors:  M Antonio; T Pietra; Lg Domenico; D Massimo; R Ignazio; N Antonio; C Luigi
Journal:  Ecancermedicalscience       Date:  2007-11-29

8.  Fibrin sealant does not decrease seroma output or time to drain removal following inguino-femoral lymph node dissection in melanoma patients: a randomized controlled trial (NCT00506311).

Authors:  Melinda M Mortenson; Yan Xing; Storm Weaver; Jeffrey E Lee; Jeffrey E Gershenwald; Anthony Lucci; Paul F Mansfield; Merrick I Ross; Janice N Cormier
Journal:  World J Surg Oncol       Date:  2008-06-18       Impact factor: 2.754

  8 in total

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