Surgery for breast cancer has changed in the last few decades in favor of more conservative approaches, without compromising loco‐regional control and survival. Common immediate complications fol ‐lowing breast surgery are hematoma, seroma, and wound infection.1Traditionally, surgeons have implemented the use of closed‐suction drains in this setting with the aim of preventing these complications, which can cause discomfort, morbidity, increased follow‐up visits,and possible delay in the beginning of adjuvant therapies.2 On the other hand, potential benefits of performing breast procedures without using a drain have been increasingly considered.3 There is lack of modern and official guidelines on use of drains in breast sur ‐gery, with no consensus regarding their management and the appro‐priate use of antibiotics in this setting. Almost all reports agree withthe use of drains after breast procedures, especially if they are asso‐ciated with reconstruction or axillar lymph node dissection (ALND), but an extreme variability is reported regarding practice patterns.4A national survey regarding the management of drains afterbreast cancer surgery was sent by email on January 2018 to all Breast Centers (BC) registered with Senonetwork Italia. Data col ‐lected by the administrative office of Senonetwork were de‐iden‐tified and exported for statistical analysis. A Steering Committeecomposed of general surgeons and plastic surgeons was appointedto coordinate the survey, which consisted of 22 multiple choicequestions, designed to inquire about surgeons' demographics, use of drains after breast procedures with and without reconstructionand/or ALND, antibiotic use and to characterize drain managementin their clinical practice.
Practice patterns regarding drains management in breast surgery: Results of a survey of Senonetwork Italia breast centers / Pallara T.; Fortunato L.; Folli S.; Roncella M.; Scuderi N.; Friedman D.; Arnez Z.; Ribuffo D.; Manna E.; Persichetti P.; Abonante S.; Altomare V.; Amanti C.; Ambrosiani L.; Andreoli C.; Bafile A.; Ballardini B.; Barbero M.; Battaglia C.; Bianchi A.; Biganzoli L.; Bortul M.; Bravetti P.; Burlizzi S.; Cabula C.; Caponi C.; Caruso F.; Cedolini C.; Cianchetti E.; Corsi F.; Curcio A.; Custodero O.; D'Errico F.; Francesconi D.; Frassoldati A.; Frittelli P.; Generali D.; Giovanazzi R.; Grassi M.M.; Huscher A.; Lazzaretti M.G.; Leone F.; Lolli G.; Magni C.; Mainente P.; Manca L.; Mancini S.; Massarut S.; Massocco A.; Menghini L.; Mirri M.; Mondini G.; Monti M.; Murgo R.; Pacquola M.G.; Paduos A.; Pagani G.; Pagliari C.; Palli D.; Papaccio G.; Passamonti M.; Pellegrini A.; Pellini F.; Pietribiasi F.; Ressa C.M.; Ricci F.; Rovera F.; Rubino C.; Ruggeri E.M.; Rulli A.; Sanguinetti A.; Saturno M.; Scalco G.; Sgarella A.; Stefanini P.; Svegliati F.; Taffurelli M.; Tazzioli G.; Tinterri C.; Trunfio M.; Zagarese P.. - In: THE BREAST JOURNAL. - ISSN 1075-122X. - ELETTRONICO. - 26:3(2020), pp. 560-562. [10.1111/tbj.13602]
Practice patterns regarding drains management in breast surgery: Results of a survey of Senonetwork Italia breast centers
Caruso F.;Francesconi D.;Magni C.;Menghini L.;Pagani G.;Taffurelli M.;
2020
Abstract
Surgery for breast cancer has changed in the last few decades in favor of more conservative approaches, without compromising loco‐regional control and survival. Common immediate complications fol ‐lowing breast surgery are hematoma, seroma, and wound infection.1Traditionally, surgeons have implemented the use of closed‐suction drains in this setting with the aim of preventing these complications, which can cause discomfort, morbidity, increased follow‐up visits,and possible delay in the beginning of adjuvant therapies.2 On the other hand, potential benefits of performing breast procedures without using a drain have been increasingly considered.3 There is lack of modern and official guidelines on use of drains in breast sur ‐gery, with no consensus regarding their management and the appro‐priate use of antibiotics in this setting. Almost all reports agree withthe use of drains after breast procedures, especially if they are asso‐ciated with reconstruction or axillar lymph node dissection (ALND), but an extreme variability is reported regarding practice patterns.4A national survey regarding the management of drains afterbreast cancer surgery was sent by email on January 2018 to all Breast Centers (BC) registered with Senonetwork Italia. Data col ‐lected by the administrative office of Senonetwork were de‐iden‐tified and exported for statistical analysis. A Steering Committeecomposed of general surgeons and plastic surgeons was appointedto coordinate the survey, which consisted of 22 multiple choicequestions, designed to inquire about surgeons' demographics, use of drains after breast procedures with and without reconstructionand/or ALND, antibiotic use and to characterize drain managementin their clinical practice.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
