EFFECT OF LOCAL GLANDULAR FLAP ON SEROMA IN CONESRVATIVE BREAST SURGERY

Abstract

reast cancer is a major health problem globally, and the most common female cancer worldwide. Treatment of the disease is undergoing improvements and modifications continuously, and the recent two decades have witnessed major reforms in the management options. Seroma is an abnormal collection of serous fluid in the dead space of post-mastectomy skin flap, axilla or following breast conserving surgery and is the most common early wound sequel. Seroma represent the most frequent complication of breast cancer surgery. The reported incidence of seroma ranges from 25% to 50% and the rate for axillary dissection is approximately 25%. This complication may prolong recovery, length of hospital stay and health budget. It can also delay the initiation of adjuvant therapy, predispose to wound infection, delay wound healing and has also been linked to arm lymphoedema. The main pathophysiology of seroma is still poorly understood.