Does fibrin glue improve drainage after axillary lymph node dissection? Prospective and randomized study in humans.
The aim of this prospective and randomized study was to establish whether the use of fibrin glue was beneficial after axillary lymph node dissection. From January 1990 to January 1991, 40 women were randomized before surgery for breast cancer: 20 patients (group A) underwent vaporization of fibrin glue (Tissucol, 5 ml of 500 IU thrombin) only in the area of axillary dissection; another 20 patients (group B) served as controls. The two groups were compared for age, number of nodes removed and involved, volume and duration of fluid drainage and complications. Student's t test, Mann-Whitney nonparametric test and the chi 2 test were used when appropriate for statistical analysis. The two groups were well balanced for age, number of nodes removed and involved, staging and histologic findings. The average volume of lymphorrhea in the lymph node dissection area was greater after use of fibrin glue (410.4 ml) than in controls (275.5 ml, p = 0.016). No difference was noted between the two groups for the volume of drainage fluid of the site of mastectomy or lumpectomy, or for the total volume of drainage fluid. Drainage duration as well as duration of hospital stay were similar. Six complications occurred in group A, and one in group B (p = 0.037).(ABSTRACT TRUNCATED AT 250 WORDS)
Vaxman
F
F
Service de Chirurgie Digestive et Générale, Hôpitaux Universitaires de Strasbourg, France.
Kolbe
A
A
Stricher
F
F
Zund
D
D
Volkmar
P
P
Gros
D
D
Grenier
J F
JF
D001365:Axilla; D001943:Breast Neoplasms / Q000601:surgery*; D004322:Drainage; D005260:Female; D015718:Fibrin Tissue Adhesive / Q000627:therapeutic use*; D006801:Humans; D008197:Lymph Node Excision / Q000009:adverse effects; D008206:Lymphatic Diseases / Q000517:prevention & control*; D008209:Lymphedema / Q000517:prevention & control; D008875:Middle Aged; D011183:Postoperative Complications / Q000517:prevention & control*; D011446:Prospective Studies
D015718:Fibrin Tissue Adhesive