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Meme kitlelerinde eksizyonel biyopsiden sonra drenaj gerekli midir?

Is drainage necessary arter excisional biopsy for breast masses?

Journal Name:

  • Selçuk Tıp Dergisi

Publication Year:

  • 2003

Key Words:

Keywords (Original Language):

Author NameUniversity of Author
Abstract (2. Language): 
Between the period December 1999 and February 2001, 93 vvomen who undervvent excision biopsy of the breast were included into a controlled randomized trial to determine the effect on postoperative morbidity and hospital stay of drainage of the biopsy cavity. Among the 93 patients, drain was used in 45 (group I) and 48 (group II) had no drain. The wounds were examined seven days after operation with ultrasonography. Collections such us haematoma or seroma were preseni in 41 (%91.1) patients with undrained wounds compared mth 39 (%81) patients wuth drained wounds. Median collection volume was 30.67ml±24.87(SD) (range 0-140) in the undrained group and 25,00+16.47 mi (SD) (range 0-80) in the drained group. There was one infection (% 2.2) in undrained group and two (% 4.1) in drained group. While there was no significant difference between two groups in terms of wound infection and seroma (p>0.05), the length of hospital stay was statistically longer in drainage group (p<0.01). We conclude that breast biopsy cavity drainage with penro.se drain, does not prevents wound collections and İnfections.
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Abstract (Original Language): 
Eksizyonel meme biyopsisi sonrasında penrose dren kullanımının postoperatif hematom, yara enfeksiyonu ve hastanede kalış süresine etkisini araştırmak amacıyla Aralık 1999 - Şubat 2001 tarihleri arasında eksizyonel meme biyopsisi yapılan 93 hasta, kontrollü randomize çalışmaya alındı. Hastaların 45'inde dren kullanılmazken (Grup I), 48'inde drenaj uygulandı (Grup II). Tüm hastalarda biyopsi kavitesi koleksiyon açısından ameliyat sonrası yedinci günde ultrasonografiyle değerlendirildi. Drene edilmeyen grupta 41 hastada (%91.1), drene edilen grupta 39 hastada (% 81) seroma tespit edildi. Ortalama seroma volümü drenaj uygulanmayan grupta 30.67 mi ± 24.87 (standart sapma) (0 - 140 mi), drene edilen grupta 25.00±16.47 ml (standart sapma) (0 - 80 mi) idi. Drene edilmeyen grupta 1 (% 2.2), diğer grupta 2 (% 4.1) yara enfeksiyonu vardı. Gruplar arasında yara enfek¬siyonu ve rezidüe! kavitede kolelksiyon gelişimi açısından anlamlı fark bulunmazken (p>0.05), drenaj uygulanan grupta hastanede kalış süresi anlamlı olarak uzundu (p<0.01). Çalışmanın sonucunda meme biyopsilerinde, pen¬rose dren kullanımının, yara enfeksiyonu ve seroma gelişimini engellemediği kanaatine varıldı.
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  • 1
41-44
  • Turkish

REFERENCES

References: 

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