Of breast cancer is a common malignancy of women in China in recent years, the incidence of breast cancer showed a gradual upward trend in serious impact on women’s health. Treatment of breast cancer is based on radical surgery, in conjunction with chemotherapy, radiotherapy and endocrine treatment of comprehensive treatment. Now commonly used in clinical treatment of breast cancer surgery with standard radical mastectomy (Halsted operation), modified radical mastectomy (modified radical mastectomy), breast cancer, extended radical mastectomy, simple mastectomy, partial excision of the breast and breast-conserving therapy surgery. Any surgical complications are possible complications mainly for skin flap necrosis, subcutaneous fluid, and ipsilateral upper extremity swelling, complications occurred only in patients with prolonged hospitalization time, and to patients in the spiritual and the economy brought about by a heavy burden.
Complications of breast seroma:
The cause of subcutaneous fluid and control measures after the liquid produced mainly by the excessive and poor drainage caused by the liquid to produce too much because the lymphatic leakage and wound exudate, poor drainage due to improper drainage tube placement and drainage of tube distortion, obstruction or undue pressure leading to exudate, oozing accumulate in the wound fluid within the formation or accumulation of blood, more common in the armpits and below the collarbone, also seen in parasternal. Subcutaneous fluid prevention and treatment measures:
(1) surgical wound thoroughly ligation of bleeding, to prevent postoperative wound lymphatic leakage and bleeding.
(2) The proper placement of drainage tubes, built-in flap length appropriate to prevent too long, so as not to cause drainage tube after suture flap fold.
(3) in the armpit and collarbone broken yarn used under pressure before, thoroughly out of fluid under the armpits and flap and then connect vacuum suction apparatus, postoperative drainage tubes to ensure smooth and continuous suction in the state, if it flap Under the fluid can be under strict sterile fluid after repeated suction pressure bandage, or flap repeatedly (every other day one times) injection sclerotherapy (PYM, hypertonic sugar, fish glycerol sodium) until the effusion disappeared. In addition, if drainage tube obstruction caused by fluid, you can re-replacement of the drainage tube.
