Breast

Cancer and Reconstruction

Fibrin sealant decreases postoperative drainage in immediate breast reconstruction by deep inferior epigastric perforator flap after mastectomy with axillary dissection

Hivelin M, Heusse JL, Matar N, et al (Henri Mondor Hosp, Creteil, France; Hôpital Sud-Rennes-Rennes Univ, France) Microsurgery 31:18-25, 2011^§

Abstract

Background

Serosanguinous drainage after breast reconstruction by deep inferior epigastric perforator flap (DIEP) can limit patient’s discharge. We introduced fibrin sealant in immediate breast reconstruction by DIEP flap to reduce drainage after mastectomy with axillary dissection.

Materials and Methods

We performed an open study on 30 consecutive female aged from 28 to 63 years old. All underwent immediate breast reconstructions by DIEP flaps after mastectomy and axillary dissection for cancer. Patients were divided in group 1 (N = 15) without fibrin sealant and group 2 (N

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