Details

Autor(en) / Beteiligte

• ten Wolde, Britt
• van den Wildenberg, Frits J.H.
• Polat, Fatih
• de Wilt, Johannes H.W.
• Strobbe, Luc J.A.

Titel

Can Gentamicin-collagen Sponges Prevent Seroma Formation Following Mastectomy?

Ist Teil von

• Clinical breast cancer, 2018-10, Vol.18 (5), p.e1023-e1026

Ort / Verlag

United States: Elsevier Inc

Erscheinungsjahr

2018

Link zum Volltext

Quelle

Elsevier ScienceDirect Journals Complete

Beschreibungen/Notizen

• A retrospective cohort study was performed and showed that gentamicin-collagen sponges significantly lower the seroma incidence following breast cancer surgery. The incidence of surgical site infections was halved, although this was not significant. The aim of this study was to investigate whether gentamicin-collagen (GC) sponges can lower the incidence of seroma and surgical site infections following breast cancer surgery. A retrospective cohort study was performed. Two consecutive cohorts of patients who underwent a mastectomy with or without an axillary lymph node dissection were compared. The first cohort was treated conventionally (n = 38), the second cohort received GC sponges (n = 39). Endpoints were the incidence of clinical significant seroma (CSS) and surgical site infections (SSI), the mean number of aspirations, and the mean aspirated volume. GC sponges lowered the CSS incidence from 73.7% to 38.5% (P = .002). The mean number of aspirations and the mean aspirated volume were not affected. SSI incidence was 15.8% in the conventional cohort compared with 7.7% in the GC cohort (P = .23). Application of GC sponges significantly lowered the incidence of CSS. The incidence of SSI was halved, although this was not significant.