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Chinese Journal of Breast Disease(Electronic Edition) ›› 2023, Vol. 17 ›› Issue (05): 277-284. doi: 10.3877/cma.j.issn.1674-0807.2023.05.004

• Original Article • Previous Articles     Next Articles

Summary of best evidences for prevention and treatment of subcutaneous seroma after breast cancer surgery

Bohui Shi, Xiping Ding, Lian Wang, Rong Li, Pingli Guo, Jing Qi, Yao Chen, Na Hao, Yu Ren()   

  1. Department of Breast Surgery, First Affiliated Hospital of Xi’an Jiaotong University, Xi’an 710061, China
    Department of Orthopaedics, Xi’an Central Hospital, Xi’an 710000, China
    Department of Orthopaedics, Shaanxi Provincial Hospital of Chinese Medicine, Xi’an 710003, China.
    Department of Radiotherapy, First Affiliated Hospital of Xi’an Jiaotong University, Xi’an 710061, China
  • Received:2023-01-31 Online:2023-10-01 Published:2023-11-30
  • Contact: Yu Ren

Abstract:

Objective

To search for the related literature and summarize the best evidences for preventing and treating subcutaneous seroma after breast cancer surgery.

Methods

Following the "PIPOST" model, we identified a question, constructed a search strategy and proposed the inclusion and exclusion criteria. Then we systematically searched the databases in Chinese (CNKI, Wanfang Data, CQVIP, CBM and Medlive) and English (PubMed, Embase, Web of Science, Cochrane Library, National Institute for Health and Care Excellence, Cumulative index to nursing and allied health literature, Joanna Briggs Institute Library, National Comprehensive Cancer Network and American Society of Breast Surgeons) for literature related to prevention and treatment of subcutaneous seroma after breast cancer surgery from the establishment to June 10, 2022. Two researchers, who had received evidence-based training, evaluated literature quality and extracted evidence independently.

Results

A total of 23 articles were retrieved, consisting of 6 traditional reviews, 2 expert consensuses and 15 systematic reviews. We summarized 30 items of evidence and categorized them into 6 aspects: surgical skills, pharmacological treatment, drain management, flap fixation, postoperative exercises and fluid monitoring and removal.

Conclusion

The summarized best evidence can provide guidance for preventing and treating subcutaneous seroma after breast cancer surgery. Healthcare professionals should consider real-world clinical settings and cautiously apply the summarized evidence in seroma treatment and nursing.

Key words: Breast neoplasms, Seroma, Prevention, Treatment, Nursing

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