Year : 2022 | Volume
: 11 | Issue : 1 | Page : 11--16
Clinical outcomes after modified radical mastectomy in a tertiary care hospital: An observational study
Akshita Bhandari1, Pankaj P Rao1, Arvind Tyagi2, Dronacharya Routh1, Simarjit S Rehsi1
1 Department of Surgery, Armed Forces Medical College, Pune, Maharashtra, India
2 Department of Oncosurgery, Yashoda Super Specialty Hospital, Ghaziabad, Uttar Pradesh, India
Background: Despite advances in medical sciences, modified radical mastectomy (MRM) remains the mainstay of treatment in breast cancer management in India. However, a wide range (0.8%–26%) of postoperative complications occur following MRM. Lacunae exist in the existing extensive medical literature regarding any correlation between preoperative staging and demographic profile of such patients with the incidence of these complications, which might aid in adapting a preventive approach accordingly.
Aim: The aim of this work was to study the association of preoperative tumor size, nodal status, and clinical profile (age, diabetes mellitus, hypertension) of breast cancer patients with the postoperative complications (seroma formation, surgical site infection, wound dehiscence, flap necrosis, paresthesia, and lymphedema).
Methods: All patients diagnosed with carcinoma breast and undergoing MRM.
a. Settings and Design: This was a prospective observational study at a tertiary care hospital.
b. Duration: Two years.
c. Statistical Analysis Used: Data were recorded in an Excel datasheet and statistically analyzed by using the SPSS version 22.0.
Results: A significant positive association was established between seroma formation, wound dehiscence with increasing age (P = 0.006), tumor staging (P = 0.003), and nodal staging (P = 0.022). However, no significant correlation could be established between the other parameters that were studied.
Conclusion: Meticulous surgical techniques and postoperative care should be used to reduce Seroma formation and wound dehiscence in patients with advanced age, higher tumor, and nodal staging.
Dr. Simarjit S Rehsi
Department of Surgery, Armed Forces Medical College, Pune - 411 040, Maharashtra
|How to cite this article:|
Bhandari A, Rao PP, Tyagi A, Routh D, Rehsi SS. Clinical outcomes after modified radical mastectomy in a tertiary care hospital: An observational study.J NTR Univ Health Sci 2022;11:11-16
|How to cite this URL:|
Bhandari A, Rao PP, Tyagi A, Routh D, Rehsi SS. Clinical outcomes after modified radical mastectomy in a tertiary care hospital: An observational study. J NTR Univ Health Sci [serial online] 2022 [cited 2023 Mar 21 ];11:11-16
Available from: https://www.jdrntruhs.org/article.asp?issn=2277-8632;year=2022;volume=11;issue=1;spage=11;epage=16;aulast=Bhandari;type=0