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COMPARISON BETWEEN SINGLE DRAIN VERSUS TWO DRAINS IN THE PREVENTION OF POSTMASTECTOMY SEROMA

Author: Ahmed N Abdulnabi
Journal: Basrah Journal of Surgery مجلة البصرة الجراحية ISSN: 16833589 / ONLINE 2409501X Year: 2018 Volume: 24 Issue: 1 Pages: 52-56
Publisher: Basrah University جامعة البصرة

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Abstract

COMPARISON BETWEEN SINGLE DRAIN VERSUS TWO DRAINS IN THE PREVENTION OF POSTMASTECTOMY SEROMA Ahmed N Abdulnabi MB,ChB, CABS, Specialist Surgeon, Al-Fayhaa General Hospital, Basrah, IRAQ. Abstract Breast cancer is managed with many surgical options. Modified radical mastectomy with axillary dissection is the commonest procedure done nowadays. It is not free from complications, where seroma one of these. A comparative study was conducted to evaluate the effectiveness of single delayed removed drain versus two drains early removed for the prevention of seroma formation. One hundred and fifty patients were treated by modified radical mastectomy with axillary dissection for breast cancer between January 2010 and September 2016 in Al-Fayhaa General Hospital. Patients were divided into two groups, fifty patients were managed with single drain left for nine to ten days and the other one hundred patients had two drains removed after five days for prevention of seroma formation under mastectomy flaps. The highest age group affected by breast cancer was the 36-45 years and the lowest one was the 25-35 years. The incidence of seroma was 12% for the first group and 30% for the second one. The wound infection slightly more in the first group (14%) when compared with the other group (12%). In conclusion, the use of single drain for slightly longer time is better than two drains removed early in the prevention of seroma formation.


Article
Using mesh hernioplasty to patient with inguinal Hernia

Author: Fadhil A. Mohialdeen
Journal: Al-Qadisiyah Medical Journal مجلة القادسية الطبية ISSN: 18170153 Year: 2012 Volume: 8 Issue: 14 Pages: 32-43
Publisher: Al-Qadisiyah University جامعة القادسية

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Abstract

To clinically evaluate the outcome of Inguinal Hernioplasty in terms of haematoma, wound infection and recurrence, with special reference to surgery done by trainee surgeons. A total of 50 patients with inguinal hernia were operated during the study period. The result of the present study concluded that using mesh for surgical operation of hernia is much better than the ordinal operation of hernia because this technique reduces the recurrence of the disease, while the classical operation is related to recurrence of the disease. Also Mesh can reduce the appearing of hematomas, Wound infections after the operation, while the classical operation is related to appearing of the hematomas and Wound infections after the operation. Further more there is no significant difference between the two methods regarding appearing of seromas after the operation however, its appear among those patients which did a classical operation more than those which using mesh for operation. So In our set-up Mesh Hernioplasty has proven to be effective with low complication and recurrence rates.

يهتم البحث في تقييم النتائج السريرية لعمليات ترقيع الفتق الأربي من حيث التجمع الدموي ,خمج الجروح، وامكانية تكرارالفتق مجددا، مع إشارة خاصة إلى العمليات الجراحية التي يتم اجرائها من قبل الجراحين المتدربين. لقدتم اجراء ما مجموعه خمسون عملية للمرضى الذين كانو يعانون من فتق أربي خلال فترة الدراسة. واستخلص نتيجة لهذه الدراسة أن استخدام الشبكة(mesh) في عملية ترقيع الفتق هو أفضل بكثير من العملية التقليدية و يقلل من تكرار لهذا المرض، في حين ترتبط هذه العملية الكلاسيكية إلى تكرار لهذا المرض. أيضا يمكن أن تقلل من ظهور القيلة ،و خمج الجروح، في حين ترتبط العملية الكلاسيكية إلى ظهور التجمعات الدموية والتهابات الجروح ما بعد العملية. ليس هناك فرق كبير بين الطريقتين فيما يتعلق بظهور المصول seromas) ).

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