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KMID : 1147320170040010018
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Journal of Surgical Ultrasound
2017 Volume.4 No. 1 p.18 ~ p.24
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Usefulness of Ultrasound-guided Aspiration Using Intravenous Cannulas for Patients with Peri-prosthetic Seroma
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Jeon Hyun-Jeong
Park Ho-Yong
Jung Jin-Hyang
Kim Wan-Wook
Chung Jin-Ho
Moon So-Hyang
Lim Yang-Soo
Choi Hyun-Jung
Yang Jung-Dug
Lee Jeong-Woo
Lee Ji-Yeon
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Abstract
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Purpose: Skin sparing mastectomy with implant insertion as immediate breast reconstruction is a good surgical option for breast cancer. However, peri-prosthetic seroma is a common complication after implant insertion surgery that is difficult to manage following removal of the drainage tube. Here, the authors introduce a novel procedure to manage peri-prosthetic seroma and evaluate its efficacy and safety.
Methods: Between January 2016 and March 2017, a retrospective review of 33 patients underwent implant insertion with or without skin sparing mastectomy in Kyungpook National University Hospital. When peri-prosthetic seroma was detected during ultrasonography, ultrasound- guided aspiration procedure using intravenous cannulas was performed. In this study, clinico-pathologic factors were analyzed based on the medical records of these patients.
Results: The mean number of aspirations was 4.11 (SD, ± 4.22 times), and the mean volume of aspirated seroma was 19.10 ml/time (SD, ± 20.60 ml/time). The mean interval of the aspiration procedure was 5.6 days (SD, ± 7.2 days) and the mean score of pain degree was 1.3 (SD, ± 0.19).
Conclusion: Ultrasound-guided aspiration using an intravenous cannula is a safe and feasible procedure for management of peri-prosthetic seroma.
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KEYWORD
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Mastectomy, Implant, Seroma, Ultrasound, Aspiration
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