4.Early Complications of Modified Radical Mastectomy with Level II Axillary Clearance
Rab Nawaz Malik1, Asim Shafi1, Shabbir Ahmed1, Bushra Ghulam1, Umair Tahir1 and Muhammad Aamir Shahzad2
ABSTRACT
Objective: To assess the early complications of Modified Radical Mastectomy (MRM) with Level II axillary clearance.
Study Design: Prospective Observational Study
Place and Duration of Study: This study was conducted at the Department of General surgery, Bakhtawar Amin Medical and Dental College, Multan from July 2019 to June 2021 for a period of two years.
Materials and Methods: Total patients with breast carcinoma with confirmed diagnosis were added in this study were 288. Under general anesthesia, patients had a MRM with level II axillary clearance. Drain was used and held in for 3 to 6 days and when amount produced decreased from 20ml the drain was removed. Follow up period was of one month in the outpatient department. Complications occurred after surgical procedure, were noted from day 4 to 7 during hospital stay, day 10 and one month of surgery. After 10 days of surgical procedure the stitches were removed. Predesigned form was used for collection of data and SPSS (version 16) was used for data analysis. Data was presented in descriptive statistics.
Results: The average tumor size of the patients was 6.34±2.21 cm with the majority of the patients 191 (66.3%) had >5 cm. 197 (68.4%) patients had axillary nodes involvement and no any patients did not develop distant metastasis. (Table. I).Seroma collection was the most common 102 (35.4%) complication and lymphedema was the least common 5 (1.7%) complication. (Table. II). (Figure. I)
Conclusion: Following a modified radical mastectomy and axillary clearing, seroma development was the most prevalent consequence. Seroma formation leads to high risk of infection of wound, wound dehiscence, and skin flap necrosis, all of which increases morbidity and enhances the length of hospital stays.
Key Words: Complications, Modified Radical Mastectomy, Axillary Clearance, Seroma, Surgical site infection
Citation of article: Malik RN, Shafi A, Ahmed S, Ghulam B, Tahir U, Shahzad MA. Early Complications of Modified Radical Mastectomy with Level II Axillary Clearance. Med Forum 2022;33(2):15-18.