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Revista Colombiana de Cirugía

Print version ISSN 2011-7582On-line version ISSN 2619-6107

Abstract

ARANDA, Alcibíades; VALENCIA, Fernando  and  MERCHAN-GALVIS, Ángela. Supranumerary breast: resection by open technique with drain vs without drain. rev. colomb. cir. [online]. 2023, vol.38, n.4, pp.624-631.  Epub June 21, 2023. ISSN 2011-7582.  https://doi.org/10.30944/20117582.2278.

Introduction.

Accessory breast tissue is a congenital anomaly that occurs in 2-6% of the female population. It can develop the same pathologies that in the normal breast. The curative management of this pathology is surgical resection. The objective of this study was to compare the results of the accessory breast tissue open resection technique with a drain vs without a drain.

Methods.

An observational retrospective cohort study was conducted considering two groups of patients with accessory breast tissue: one of them underwent surgical resection using an open technique with a drain and the other group without a drain. In addition, a prospective arm where the quality of life and satisfaction of the patients with the postoperative result was evaluated by the Breast-Q tool.

Results.

Eighty-two patients were included, most of them women; 22 were operated with open technique with drain and 60 without drain. 13.6% of patients presented early complications, with surgical site infection being the most frequent (36.4%) and, in general, complications were more common in the group with drain (40.9% vs 3.4%) with a statistically significant difference (p=0.000). Quality of life was similar in both groups.

Conclusions.

Patients who undergo supernumerary breast resection and leaving drainage in the dissection bed present more postoperative complications compared to those without drain.

Keywords : breast; breast diseases; choristoma; surgery; drainage; postoperative complications.

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