Effect of Clavipectoral Fascia Suturing on Postmastectomy Seroma Formation

Abstract

Background: Post-mastectomy seroma formation is a challenging sequel which has a negative impact on patient recovery and quality of life. We aim to evaluate the efficacy of clavipectoral fascia re-closure technique in reducing the incidence of seroma formation.Methods: This is a prospective randomized controlled trial, conducted in #### #### Cancer institute, #### University, ####. It included 84 breast cancer patients who were randomly divided into two groups: control group (n = 44) and fascia suture group (n = 40). Patients were followed up until drain removal and then to 3 months after surgery.Results: The fascia suture group showed significantly shorter duration of drain removal with significant reduction in the total amount of drained fluid and the amount of drained fluid after one week postoperatively. One case in fascia suture group developed Grade 2-3 seroma as compared to seven in the control group (P<0.05).Conclusions: Clavipectoral fascia suture technique is simple and effective method for reducing seroma formation after mastectomy in breast cancer patients and is advisable in patients with high-risk for seroma formation.