摘要
<strong>Introduction:</strong><span style="font-family:Verdana;"> The principal postoperative complication of mastectomies with</span><span style="font-family:Verdana;"> axillary dissection is the lymphocele that can last many months after surgery. The purpose of our study was to prevent its formation using the padding.</span><span style="font-family:""> </span><b><span style="font-family:Verdana;">Methods:</span></b><span style="font-family:Verdana;"> Sixty-one patients have been included in our study. The follow-up was 6 months. The patients were divided in two groups through a random draw (simple drainage and drainage associated with padding). All patients had a mastectomy with axillary dissection following the Madden technique. All quantities of lymphoceles during postoperative hospitalization and ambulatory care have been noted.</span><span style="font-family:""> </span><b><span style="font-family:Verdana;">Results:</span></b><span style="font-family:Verdana;"> Twenty-five patients had benefited f</span><span style="font-family:Verdana;">rom</span><span style="font-family:Verdana;"> the padding and 36 of a simple axillary drainage. Six months after the surgery, the patients benefitting from the padding had a quantity of lymphocele equal to half that of the control group (761.83 mL against 1373.60 mL;p = 0.01). During the postoperative hospitalization, the quantities were of 362.80 mL for the padding group versus 630.83 mL;p < 0.01. The hospitalization period was shorter for the padding patients (3.72 days vs 5.14 days;p = 0.01). However, pain was greater for the padding group upon 6 months (0.26 vs 0.10;p = 0.04). On another note, padding does not influence the duration of the surgery.</span><span style="font-family:""> </span><b><span style="font-family:Verdana;">Conclusion:</span></b><span style="font-family:Verdana;"> The production of postoperative lymphocele is heterogenous, varying from one patient to another. Nevertheless, the padding of the mastectomy compartment and of the axillary cavity allow</span><span style="font-family:Verdana;">s</span><span style="font-family:Verdana;"> a noticeable reduction of the produced quantity and of the hospitalization period at the expense of more pain.</span>
<strong>Introduction:</strong><span style="font-family:Verdana;"> The principal postoperative complication of mastectomies with</span><span style="font-family:Verdana;"> axillary dissection is the lymphocele that can last many months after surgery. The purpose of our study was to prevent its formation using the padding.</span><span style="font-family:""> </span><b><span style="font-family:Verdana;">Methods:</span></b><span style="font-family:Verdana;"> Sixty-one patients have been included in our study. The follow-up was 6 months. The patients were divided in two groups through a random draw (simple drainage and drainage associated with padding). All patients had a mastectomy with axillary dissection following the Madden technique. All quantities of lymphoceles during postoperative hospitalization and ambulatory care have been noted.</span><span style="font-family:""> </span><b><span style="font-family:Verdana;">Results:</span></b><span style="font-family:Verdana;"> Twenty-five patients had benefited f</span><span style="font-family:Verdana;">rom</span><span style="font-family:Verdana;"> the padding and 36 of a simple axillary drainage. Six months after the surgery, the patients benefitting from the padding had a quantity of lymphocele equal to half that of the control group (761.83 mL against 1373.60 mL;p = 0.01). During the postoperative hospitalization, the quantities were of 362.80 mL for the padding group versus 630.83 mL;p < 0.01. The hospitalization period was shorter for the padding patients (3.72 days vs 5.14 days;p = 0.01). However, pain was greater for the padding group upon 6 months (0.26 vs 0.10;p = 0.04). On another note, padding does not influence the duration of the surgery.</span><span style="font-family:""> </span><b><span style="font-family:Verdana;">Conclusion:</span></b><span style="font-family:Verdana;"> The production of postoperative lymphocele is heterogenous, varying from one patient to another. Nevertheless, the padding of the mastectomy compartment and of the axillary cavity allow</span><span style="font-family:Verdana;">s</span><span style="font-family:Verdana;"> a noticeable reduction of the produced quantity and of the hospitalization period at the expense of more pain.</span>
