title: Early drain removal following modified radical mastectomy: a randomized trial.
abstract: The dilemma of increasing costs of medical care and shrinking health budgets has stimulated attempts to implement stricter control on expenditure without affecting the quality of care. This study shows that in patients with operable breast cancer, a policy of early discharge after a mastectomy did not have deleterious effects on wound healing and was well accepted by patients. In a randomized trial, drains were removed after either 3 or 6 days postmastectomy, and in both groups of patients there was no difference between the mean volumes of seromas aspirated or the number of aspirations and return visits to the hospital. This suggests that a policy of early discharge is safe, acceptable, economical, and may improve bed utilization.
authors.affiliation: Imperial Cancer Research Fund Clinical Oncology Unit, Guy's Hospital, London, England.
authors.forename: H K
authors.initials: HK
authors.lastname: Parikh
authors.forename: R A
authors.initials: RA
authors.lastname: Badwe
authors.forename: C M
authors.initials: CM
authors.lastname: Ash
authors.forename: H
authors.initials: H
authors.lastname: Hamed
authors.forename: R
authors.initials: R
authors.lastname: Freitas
authors.forename: M A
authors.initials: MA
authors.lastname: Chaudary
authors.forename: I S
authors.initials: IS
authors.lastname: Fentiman
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001943:Breast Neoplasms / Q000601:surgery; D003362:Cost-Benefit Analysis; D004322:Drainage / Q000379:methods*; D005260:Female; D006801:Humans; D007902:Length of Stay; D015411:Mastectomy, Modified Radical / Q000191:economics; D008875:Middle Aged; D011182:Postoperative Care / Q000379:methods*; D011446:Prospective Studies; D013997:Time Factors