Abstract |
The lymphocele is the most frequently encountered complication after axillary dissection performed for breast cancer (15-81%). This study compares the efficacy of a lympho- hemostatic combipatch TachoSil(®) versus conventional implementation of a suction drain on the incidence and severity of lymphoceles. This is a case (group TachoSil(®)n=20) control (drainage group) n=40 study. In our study, we demonstrated an increased rate of postoperative complications (<3weeks) in the group TachoSil(®) (P=0.0265) explained by a lymphocele rate significantly higher (P=0.0194). However, no significant difference was demonstrated on the severity of these lymphoceles. Beyond 3weeks postoperatively, the two groups were comparable in terms of postoperative complications. The TachoSil(®) does not prevent the formation of seroma but their severity is not increased. In addition, it reduces of more than 48hours the duration of hospitalization stay (P=0.002).
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Authors | C Lacoste, L Ouldamer, G Body, H Marret |
Journal | Gynecologie, obstetrique & fertilite
(Gynecol Obstet Fertil)
Vol. 41
Issue 2
Pg. 141-3
(Feb 2013)
ISSN: 1769-6682 [Electronic] France |
Vernacular Title | L'utilisation du TachoSil permet-elle de réduire la morbidité du curage axillaire ? |
PMID | 23375637
(Publication Type: English Abstract, Journal Article)
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Copyright | Copyright © 2013 Elsevier Masson SAS. All rights reserved. |
Chemical References |
- Drug Combinations
- TachoSil
- Fibrinogen
- Thrombin
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Topics |
- Axilla
- Breast Neoplasms
(surgery)
- Drug Combinations
- Female
- Fibrinogen
(therapeutic use)
- Humans
- Lymph Node Excision
(adverse effects, methods)
- Lymphocele
(etiology, prevention & control)
- Postoperative Complications
(prevention & control)
- Thrombin
(therapeutic use)
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