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Tumescent technique in modified radical mastectomy – Does it differ?

Ahmed Abdellatif Abdelkader, Ahmed Elsayed Abdelmageed, Ahmed Tarek Fouad Awad.

Abstract
Introduction: Breast cancer is the most common cancer among women, accounting for approximately 26% of all incident cancers among women. Surgery is the main treatment of breast cancer either breast conserving surgery (BCS) or modified radical mastectomy (MRM). The aim of this study is to compare between the effect of using the tumescent technique and the conventional electrocautery technique in patients undergoing modified radical mastectomy (MRM).
Patients and Methods: This study was conducted on 60 female patients admitted to the Surgical Oncology Unit, Alexandria Main University Hospital, and were indicated to modified radical mastectomy (MRM) during a period from April 2014 till October 2015, the patients were randomly divided into two equal groups; group A (30 patients had MRM in which the tumescent fluid is injected to help elevation of the skin flaps using the scalpel or scissors), and group B (30 patients had MRM using the electrocautery during the procedure).
Results and Conclusions: It was found that tumescent technique may provide a safe alternative method to electrocautery technique causing easier dissection of tissues without direct thermal injury. It significantly decreases the operative time and the time needed for raising the skin flaps. In addition, it significantly decreases the amount of intra-operative bleeding and the amount of seroma in the drain post-operative leading to early removal of the drain.

Key words: Tumescent technique modified radical mastectomy breast cancer

 

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How to Cite this Article
Pubmed Style

Abdelkader AA, Abdelmageed AE, Awad ATF. Tumescent technique in modified radical mastectomy – Does it differ?. doi:10.5455/aces.20170607095817


Web Style

Abdelkader AA, Abdelmageed AE, Awad ATF. Tumescent technique in modified radical mastectomy – Does it differ?. www.scopemed.org/?mno=254089 [Access: August 19, 2017]. doi:10.5455/aces.20170607095817


AMA (American Medical Association) Style

Abdelkader AA, Abdelmageed AE, Awad ATF. Tumescent technique in modified radical mastectomy – Does it differ?. doi:10.5455/aces.20170607095817


Vancouver/ICMJE Style

Abdelkader AA, Abdelmageed AE, Awad ATF. Tumescent technique in modified radical mastectomy – Does it differ?. doi:10.5455/aces.20170607095817


Harvard Style

Abdelkader, A. A., Abdelmageed, A. E. & Awad, A. T. F. (2018) Tumescent technique in modified radical mastectomy – Does it differ?. doi:10.5455/aces.20170607095817


Turabian Style

Abdelkader, Ahmed Abdellatif, Ahmed Elsayed Abdelmageed, and Ahmed Tarek Fouad Awad. 2018. Tumescent technique in modified radical mastectomy – Does it differ?. doi:10.5455/aces.20170607095817


Chicago Style

Abdelkader, Ahmed Abdellatif, Ahmed Elsayed Abdelmageed, and Ahmed Tarek Fouad Awad. “Tumescent technique in modified radical mastectomy – Does it differ?.” doi:10.5455/aces.20170607095817


MLA (The Modern Language Association) Style

Abdelkader, Ahmed Abdellatif, Ahmed Elsayed Abdelmageed, and Ahmed Tarek Fouad Awad. “Tumescent technique in modified radical mastectomy – Does it differ?.” doi:10.5455/aces.20170607095817


APA (American Psychological Association) Style

Abdelkader, A. A., Abdelmageed, A. E. & Awad, A. T. F. (2018) Tumescent technique in modified radical mastectomy – Does it differ?. doi:10.5455/aces.20170607095817