Comparative Study between Jackson-Pratt Drain and Redivac Drain in prevention of Seroma Formation after Oncoplastic Breast Surgery

Background: Seroma formation is frequently observed in oncoplastic breast surgeries, seroma development is a common postoperative complication that causes significant patient morbidity. Objective: This study aimed to compare between the effect of using Jackson-Pratt drain and Redivac drain in patients undergoing oncoplastic surgeries in seroma formation. Patients and Methods: Eighty female patients with confirmed diagnosed cancer breast Underwent different oncoplastic breast surgery between November 2021 and December 2022 in Medical Research Institute, Alexandria University. All patients subjected to the same preoperative preparations. Patients were randomized to both group A and group B by double blinded randomized controlled method. Group A: (using Jackson-Pratt drain) and Group B: (using conventional Redivac drain). Seroma was detected by clinical examination at 2, 4, 6, and 8 weeks postoperative. Results: The mean BMI was 23.0-40.2 (31.0) in group A Vs. 26.0-35.1 (30.0) in group B. The mean time until drains removal was 7-16 (11.5) days in group A Vs. 4-18 (10.8) days in group B. Total drain discharge was in the Jackson drain group (685.33ml) Vs. (915.27ml) in the redivac drain group. Five cases of 40 cases came with seroma in group A with range of amount (190-440) ml and mean amount (278) ml while fifteen cases in group B with range of amount (100810) and mean amount (482.5) ml in group B. The Number of cases complicated with delayed seroma was 1 case (2.5%) in group A (n=40) while 4 cases (10%) in group B (n=40). Pain score was in group A ranged from 1-4 with mean value 3.2±0.7 and in group B ranged from 2-5 with mean value 4.0±1.0. Conclusion: Using Jackson-pratt drain is reliable and efficient in reducing seroma formation in different breast surgery techniques especially reconstructive breast surgeries and is very successful to minimize pain associated the drain in comparison to conventional redivac drain.