Incidence and Risk Factors for Seroma after Breast Cancer Surgery in Breast Cancer Patients Receiving Treatment in Photharam Hospital

Abstract

Background: Breast cancer is the most common cancer among Thai women. Surgery is the main treatment that often causes complications after surgery, namely Seroma has an incidence of 3-85%, with several risk factors. This study aim to determine the incidence and risk factors of seroma among breast cancer patients undergoing mastectomy in Photharam Hospital. The results of the study will be important information for risk prevention planning and reduce such complications and be used to create guidelines to prevent the seroma.

Material and Methods: This research is a retrospective analytical study using data from electronic medical records of breast cancer patients undergoing mastectomy in Photharam Hospital, total 115 cases. The study period was from October 1, 2018, to April 30, 2022. By recording and collecting data according to the following topics: Age, Body mass index, Congenital disease, ASA classification, Anti-Coagulant, stage of breast cancer, Number of axillary lymph nodes, Number of malignant axillary lymph nodes, Neoadjuvant Chemotherapy, Surgery method, Placing a drainage tube under the wound after surgery, Time to remove the drainage tube after surgery and record the incidence of seroma.

Result: 115 of breast cancer patients who underwent breast surgery in Photharam Hospital, it was found that all patients had an average age of 58.47 ± 10.89 years, body mass index 25.07 ± 4.43 kg/m2, Number of axillary node 11.23 ± 5.95, Number of malignant axillary node 11.23 ± 5.95, Early Breast Cancer patients were 52 cases (45.2%), 57 cases (49.6%) were locally advanced and 6 (5.2%) metastasis. 22 cases (19.1%) of neoadjuvant chemotherapy, Modified Radical Mastectomy 82 cases (71.3%) and Total Mastectomy with SLNBx 33 cases (28.7%). Patient had a drainage tube inserted under the wound 102 cases (88.7%).The incidence of seroma is 44.3% (51 cases).And not found risk factors are effected on incidence of seroma.

Conclusion: Total mastectomy with sentinel lymph node biopsy in patients with early breast cancer could be developed as a guideline for the care of patients after breast cancer surgery in one-day surgery or ambulatory surgery (ODS) safely.