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The Role of Surgical Drainage on Complications after Sentinel Lymph Node Biopsy for Melanoma
The real benefit of using drains for reducing the risk of complications in sentinel lymph node biopsy (SLNB) has not been investigated yet. We aimed to evaluate the role of drain after SLNB and to determine if a correlation exists between drains and early complications. METHODS: This is a retrospect...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Lippincott Williams & Wilkins
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9633079/ https://www.ncbi.nlm.nih.gov/pubmed/36348751 http://dx.doi.org/10.1097/GOX.0000000000004642 |
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author | Torresetti, Matteo Scalise, Alessandro Pelliccioni, Michele Taddei, Francesco Mauro Junior Di Benedetto, Giovanni |
author_facet | Torresetti, Matteo Scalise, Alessandro Pelliccioni, Michele Taddei, Francesco Mauro Junior Di Benedetto, Giovanni |
author_sort | Torresetti, Matteo |
collection | PubMed |
description | The real benefit of using drains for reducing the risk of complications in sentinel lymph node biopsy (SLNB) has not been investigated yet. We aimed to evaluate the role of drain after SLNB and to determine if a correlation exists between drains and early complications. METHODS: This is a retrospective study of patients who underwent SLNB for melanoma from 2016 to 2021. Patients were dichotomized into two groups according to the use of drain. The between-group comparison (drainage group versus no drainage group) was performed by using Mann-Whitney U test and chi-square test. A regression analysis was conducted to identify predictors of complications. RESULTS: Of 218 individuals analyzed, 18 (8.4%) had postoperative complications. The most common complications were seroma (5.1%) and wound dehiscence (1.4%). The between-group analysis showed no significant differences in complication rate, whereas the operative time was significantly higher in the drainage group (P = 0.007), as well as the hospital stay (P ≤ 0.0001) and the duration of postoperative antibiotic therapy (P = 0.02). The regression analysis found body mass index and multiple basins of SLNB (axilla with groin) to be significant predictors of having a complication (P = 0.03 and P = 0.05, respectively). The operative time was found to be a predictor of seroma (P = 0.04). CONCLUSIONS: Drainage use in SLNB prolonged hospital stays and duration of postoperative antibiotic therapy, thus resulting in higher costs. The preemptive use of drainage is suggested in selected settings of patients. |
format | Online Article Text |
id | pubmed-9633079 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Lippincott Williams & Wilkins |
record_format | MEDLINE/PubMed |
spelling | pubmed-96330792022-11-07 The Role of Surgical Drainage on Complications after Sentinel Lymph Node Biopsy for Melanoma Torresetti, Matteo Scalise, Alessandro Pelliccioni, Michele Taddei, Francesco Mauro Junior Di Benedetto, Giovanni Plast Reconstr Surg Glob Open Reconstructive The real benefit of using drains for reducing the risk of complications in sentinel lymph node biopsy (SLNB) has not been investigated yet. We aimed to evaluate the role of drain after SLNB and to determine if a correlation exists between drains and early complications. METHODS: This is a retrospective study of patients who underwent SLNB for melanoma from 2016 to 2021. Patients were dichotomized into two groups according to the use of drain. The between-group comparison (drainage group versus no drainage group) was performed by using Mann-Whitney U test and chi-square test. A regression analysis was conducted to identify predictors of complications. RESULTS: Of 218 individuals analyzed, 18 (8.4%) had postoperative complications. The most common complications were seroma (5.1%) and wound dehiscence (1.4%). The between-group analysis showed no significant differences in complication rate, whereas the operative time was significantly higher in the drainage group (P = 0.007), as well as the hospital stay (P ≤ 0.0001) and the duration of postoperative antibiotic therapy (P = 0.02). The regression analysis found body mass index and multiple basins of SLNB (axilla with groin) to be significant predictors of having a complication (P = 0.03 and P = 0.05, respectively). The operative time was found to be a predictor of seroma (P = 0.04). CONCLUSIONS: Drainage use in SLNB prolonged hospital stays and duration of postoperative antibiotic therapy, thus resulting in higher costs. The preemptive use of drainage is suggested in selected settings of patients. Lippincott Williams & Wilkins 2022-11-03 /pmc/articles/PMC9633079/ /pubmed/36348751 http://dx.doi.org/10.1097/GOX.0000000000004642 Text en Copyright © 2022 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (https://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. |
spellingShingle | Reconstructive Torresetti, Matteo Scalise, Alessandro Pelliccioni, Michele Taddei, Francesco Mauro Junior Di Benedetto, Giovanni The Role of Surgical Drainage on Complications after Sentinel Lymph Node Biopsy for Melanoma |
title | The Role of Surgical Drainage on Complications after Sentinel Lymph Node Biopsy for Melanoma |
title_full | The Role of Surgical Drainage on Complications after Sentinel Lymph Node Biopsy for Melanoma |
title_fullStr | The Role of Surgical Drainage on Complications after Sentinel Lymph Node Biopsy for Melanoma |
title_full_unstemmed | The Role of Surgical Drainage on Complications after Sentinel Lymph Node Biopsy for Melanoma |
title_short | The Role of Surgical Drainage on Complications after Sentinel Lymph Node Biopsy for Melanoma |
title_sort | role of surgical drainage on complications after sentinel lymph node biopsy for melanoma |
topic | Reconstructive |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9633079/ https://www.ncbi.nlm.nih.gov/pubmed/36348751 http://dx.doi.org/10.1097/GOX.0000000000004642 |
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