Quilting Suture Technique After Mastectomy: A Meta-Analysis

被引:1
作者
Drivas, Eleni [1 ]
Gachabayov, Mahir [1 ]
Kajmolli, Agon [1 ]
Stadlan, Zehavya [2 ]
Felsenreich, Moritz [1 ]
Castaldi, Maria [1 ,2 ,3 ]
机构
[1] Westchester Med Ctr, Dept Surg, Valhalla, NY USA
[2] New York Med Coll, Dept Surg, Valhalla, NY USA
[3] Westchester Med Ctr, New York Med Coll, Dept Surg, Breast Surg, 100 Woods Rd, Valhalla, NY 10595 USA
关键词
mastectomy; breast cancer; quilting suture technique; meta-analysis; systematic review; RANDOMIZED CLINICAL-TRIAL; BREAST-CANCER SURGERY; SEROMA FORMATION; DEAD SPACE; CLOSURE; DRAINS; RATES;
D O I
10.1177/00031348231173995
中图分类号
R61 [外科手术学];
学科分类号
摘要
Background There is no level 1a evidence testing quilting suture (QS) technique after mastectomy on wound outcomes. The aim of this systematic review and meta-analysis evaluates QS and association with surgical site occurrences as compared to conventional closure (CC) for mastectomy. Methods MEDLINE, PubMed, and Cochrane Library were systematically searched to include adult women with breast cancer undergoing mastectomy. The primary endpoint was postoperative seroma rate. Secondary endpoints included rates of hematoma, surgical site infection (SSI), and flap necrosis. The Mantel-Haenszel method with random-effects model was used for meta-analysis. Number needed to treat was calculated to assess clinical relevance of statistical findings. Results Thirteen studies totaling 1748 patients (870 QS and 878 CC) were included. Seroma rates were statistically significantly lower in patients with QS (OR [95%CI] = .32 [.18, .57]; P < .0001) than CC. Hematoma rates (OR [95%CI] = 1.07 [.52, 2.20]; P = .85), SSI rates (OR [95%CI] = .93 [.61, 1.41]; P = .73), and flap necrosis rates (OR [95%CI] = .61 [.30, 1.23]; P = .17) did not significantly vary between QS and CC. Conclusion This meta-analysis found that QS was associated with significantly decreased seroma rates when compared to CC in patients undergoing mastectomy for cancer. However, improvement in seroma rates did not translate into a difference in hematoma, SSI, or flap necrosis rates.
引用
收藏
页码:6045 / 6052
页数:8
相关论文
共 50 条
[41]   Outcomes of robotic nipple-sparing mastectomy versus conventional nipple-sparing mastectomy in women with breast cancer: a systematic review and meta-analysis [J].
de la Cruz-ku, Gabriel ;
Chambergo-Michilot, Diego ;
Perez, Armando ;
Valcarcel, Bryan ;
Pamen, Larissa ;
Linshaw, David ;
Chatterjee, Abhishek ;
LaFemina, Jennifer ;
Boughey, Judy C. .
JOURNAL OF ROBOTIC SURGERY, 2023, 17 (04) :1493-1509
[42]   Outcomes of robotic nipple-sparing mastectomy versus conventional nipple-sparing mastectomy in women with breast cancer: a systematic review and meta-analysis [J].
Gabriel De la Cruz-Ku ;
Diego Chambergo-Michilot ;
Armando Perez ;
Bryan Valcarcel ;
Larissa Pamen ;
David Linshaw ;
Abhishek Chatterjee ;
Jennifer LaFemina ;
Judy C. Boughey .
Journal of Robotic Surgery, 2023, 17 :1493-1509
[43]   Local Breast Cancer Recurrence after Mastectomy and Breast-Conserving Surgery for Paget's Disease: A Meta-Analysis [J].
Li, Yu-Jie ;
Huang, Xiao-E ;
Zhou, Xiao-Dong .
BREAST CARE, 2014, 9 (06) :431-434
[44]   Effects of Traditional Chinese Medicine in Treatment of Breast Cancer Patients After Mastectomy: A Meta-Analysis [J].
Wei Wang ;
Lin Xu ;
Chaoyan Shen .
Cell Biochemistry and Biophysics, 2015, 71 :1299-1306
[45]   Effects of Traditional Chinese Medicine in Treatment of Breast Cancer Patients After Mastectomy: A Meta-Analysis [J].
Wang, Wei ;
Xu, Lin ;
Shen, Chaoyan .
CELL BIOCHEMISTRY AND BIOPHYSICS, 2015, 71 (03) :1299-1306
[46]   Randomised controlled study of seroma rates after mastectomy with and without quilting the skin flap to pectoralis muscle [J].
Yilmaz, S. ;
Aykota, M. R. ;
Baran, T. Y. ;
Sabir, N. ;
Erdem, E. .
NIGERIAN JOURNAL OF CLINICAL PRACTICE, 2021, 24 (12) :1779-1784
[47]   LigaSure technique for splenectomy: A systematic review and meta-analysis [J].
Huang, Long ;
Yu, Qingsheng ;
Peng, Hui ;
Zhen, Zhou .
MEDICINE, 2023, 102 (35) :E34719
[48]   Survival after radiotherapy in gastric cancer: Systematic review and meta-analysis [J].
Valentini, Vincenzo ;
Cellini, Francesco ;
Minsky, Bruce D. ;
Mattiucci, Gian Carlo ;
Balducci, Mario ;
D'Agostino, Giuseppe ;
D'Angelo, Elisa ;
Dinapoli, Nicola ;
Nicolotti, Nicola ;
Valentini, Chiara ;
La Torre, Giuseppe .
RADIOTHERAPY AND ONCOLOGY, 2009, 92 (02) :176-183
[49]   Safety of Pregnancy After Surgical Treatment for Breast Cancer A Meta-Analysis [J].
Luo, Ming ;
Zeng, Jian ;
Li, Fu ;
He, Liusheng ;
Li, Tiangang .
INTERNATIONAL JOURNAL OF GYNECOLOGICAL CANCER, 2014, 24 (08) :1366-1372
[50]   The current state of tranexamic acid in mastectomy and breast reconstruction: A systematic review and meta-analysis [J].
Fung, Ethan ;
Godek, Maxwell ;
Roth, Jacquelyn M. ;
Montalmant, Keisha E. ;
Yu, Bernice Z. ;
Henderson, Peter W. .
JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY, 2025, 104 :259-272