【摘 要】
：
Background: Drains for seroma are part of standard of care universally in BCT and oncoplastc surgery following, Axillary lymph adeneetomy which remains as the "gold standard" of care in node positive
【机 构】
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Cancer Division and Surgical Oncology and Lake Shore Hospital & Research Centre India
【出 处】
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BIT‘s2nd Annual World Cancer Congess-2009 (2009第二届癌症大会)
论文部分内容阅读
Background: Drains for seroma are part of standard of care universally in BCT and oncoplastc surgery following, Axillary lymph adeneetomy which remains as the "gold standard" of care in node positive early breast cancers.Drains increase hospital stay, morbidity, delays adjuvant treatment and doesnt guarantee prevention of subsequent seroma.Saline instillation into the dissected dead spaces leading to pressure above central venous pressure is a novel; unique and easily reproducible method to block lympho venous ooze from dissected area.This reduces morbidity, hospital stay, more than 80% of cost, improves compliance and offers best quality of life.Objective: Development of a safe, universally acceptable and reproducible, technique to prevent morbidity of drains and seroma in BCT and Oncoplastic surgery.Conclusion: This novel drain less technique is cost effective,, helps in faster rehabilitation in terms of psychological, physical, occupational, emotional and sexual aspects, reduces morbidity, shortens adjuvant treatment time interval ,reduces hospital stay and costs incurred ,better acceptable for family, and improves quality of life.These results are reproducible across the globe as it is simple and cost effective.This simple technique may change the philosophy of local management of breast cancer world over in terms of reducing morbidity, cost, introducing day care service, and offering best quality of life.
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