Predictive factors of drainage volume and drain duration after the inframammary approach to nipple-areolar-complex sparing mastectomy and implant-based breast reconstruction

• Published in: Archives of Aesthetic Plastic Surgery Vol. 27; no. 1; pp. 23 - 30
• Main Authors: Kim, Yoon Soo, Kim, Ho Sung, Park, Eon Ju, Kim, Hyo Young, Kim, Hong Il, Park, Jin Hyung, Jeon, Chang Wan, Yi, Hyung Suk
• Format: Journal Article
• Language: English
• Published: Korean Society for Aesthetic Plastic Surgery 01.01.2021; 대한미용성형외과학회
• Subjects: breast implants; breast neoplasms; c-reactive protein; drainage; mastectomy; 성형외과학
• ISSN: 2234-0831; 2288-9337
• DOI: 10.14730/aaps.2020.02348

Background The placement of a closed suction drain is indispensable for preventing serious infections; however, closed suction drains are inevitably accompanied by increases in local infections, pain, and length of hospital stay, and delays in breast cancer treatment including postoperative chemotherapy and radiotherapy. We analyzed predictive factors of total drainage volume and duration. Methods Among patients who were diagnosed with primary breast cancer between January 2016 and December 2017, we retrospectively analyzed those who underwent immediate implant-based breast reconstruction. Factors that could affect the total volume and duration of drainage, including lipo-prostaglandin E1 use, preoperative chemotherapy, resected breast issue weight, age, body mass index (BMI), serum white blood cell count, erythrocyte sedimentation rate, and C-reactive protein (CRP) level, were analyzed. Results The mean volume and duration of drainage were 1,213.6 mL and 14.8 days respectively. BMI and CRP on postoperative day (POD) 1 were correlated with the total drainage volume. Age, BMI, and resected breast tissue weight were correlated with the drainage duration. Multiple regression analysis showed that CRP level on POD 1, age, and resected breast tissue weight significantly affected the drainage duration. Multiple regression analysis also showed that the total drainage volume was significantly affected by BMI and CRP level on POD 1. Conclusions The factors found to affect the duration of drainage in patients undergoing implant-based breast reconstruction were CRP on POD 1, age, resected breast tissue weight, and BMI. The CRP level on POD 1 and BMI influenced the total volume of drainage.