Publication:

Evaluation of quilting technique for reduction of post mastectomy seroma formation

Background Seroma formation is a common complication after mastectomy, causing discomfort and delayed recovery. The quilting technique, which reduces tissue dead space, may minimize seroma formation and improve patient outcomes.

Methods This randomized controlled trial assigned patients to either an intervention group (quilting technique) or a control group. Clinical parameters included age, nutritional status, tumour size, and lymph node involvement. Surgical parameters assessed were quilting, drain output, days until drain removal, and seroma formation.

Results Seromas occurred in 21% of participants, with 80% of those affected not undergoing quilting. The p=0.042 suggests quilting reduces seroma risk. Factors like tumor size, weight, and lymph node involvement also influenced seroma development.

Conclusions Quilting may reduce seroma formation, enhancing comfort, shortening recovery, and reducing healthcare costs. The study’s limitation is its focus on short-term outcomes; long-term effects, including patient satisfaction and quality of life, should be explored in future research.