TITLE:
Interest of the Padding in the Prevention of Lymphocele Production after Mastectomy with Axillary Dissection for Breast Cancer at Joliot Curie Cancer Center
AUTHORS:
Mohamed Ezzet Charfi, Sidy Ka, Jaafar Thiam, Adja Coumba Diallo, Papa Souleymane Dieng, Ahmadou Dem
KEYWORDS:
Mastectomy, Axillary Dissection, Lymphocele, Padding
JOURNAL NAME:
Journal of Cancer Therapy,
Vol.11 No.12,
December
29,
2020
ABSTRACT: Introduction: The principal postoperative complication of mastectomies
with axillary dissection is the lymphocele that can last
many months after surgery. The purpose of our study was to prevent its formation
using the padding. Methods: Sixty-one patients have been included in our study. The follow-up was 6 months.
The patients were divided in two groups through a random draw (simple drainage and
drainage associated with padding). All patients had a mastectomy with axillary dissection
following the Madden technique. All quantities of lymphoceles during postoperative
hospitalization and ambulatory care have been noted. Results: Twenty-five patients had benefited from the padding and 36 of a simple axillary drainage. Six
months after the surgery, the patients benefitting from the padding had a quantity
of lymphocele equal to half that of the control group (761.83 mL against 1373.60
mL; p = 0.01). During the postoperative hospitalization, the quantities were of
362.80 mL for the padding group versus 630.83 mL; p Conclusion: The production
of postoperative lymphocele is heterogenous, varying from one patient to another.
Nevertheless, the padding of the mastectomy compartment and of the axillary cavity
allows a noticeable
reduction of the produced quantity and of the hospitalization period at the expense
of more pain.