الفهرس 
EMBRYOLOGY AND ANATOMY OF THE BREASTOnly 14 pages are availabe for public view
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Abstract
I
n this study, an evaluation of the effectiveness of the type of the breast surgery (MRM and BCS) and the type of the method used in flap dissection (surgical scalpel and electrocautery)in patients with early breast cancer and comparing the results with each other regarding the incidence of post operative seroma formation were done through a prospective study.
from Jan. 2006 to Dec. 2008 Sixty patients with early breast cancer were treated by MRM and BCS using surgical scalpel and electrocautry in dissection. Out of those patients, 15 patients were treated by MRM using surgical scalpel (Group I), 15 patients were treated by MRM using electrocautry (Group II), 15 patients were treated by BCS using surgical scalpel (Group III), and 15 patients were treated by BCS using electrocautry (Group IV).
The evaluation was based upon the following:
- History taking.
- Mammographic studies.
- Evaluation of the seroma formation.
- Need for further interventions for seroma resolution.
The aim of this study was to evaluate the incidence of post operative seroma formation in patients with early breast cancer and comparing this incidence between MRM and BCS using either surgical scalpel or electrocautery in flap dissection.
It was found that the main factor affecting the post operative seroma formation was the type of breast surgery with higher incidence following modified radical mastectomy (MRM) more than breast conservation surgery (BCS).
Also in our study it was found that the incidence of post operative seroma formation with the use of electrocautery in flap dissection was more than using the surgical scalpel.
Also we found that the need for further interventions for post operative seroma management that developed in patients treated by MRM or electrocautary was more than in those treated by BCS or surgical scalpel.
from our study we concluded that the main factors influencing post operative seroma formation in breast cancer patients are the type of surgery and the method of flap dissection. We suggest that in order to decrease the incidence of post operative seroma formation we may need to decrease the use of electrocautery in flap dissection and shift to BCS whenever possible.