Intra-operative use of arista (microporus polysaccharide haemosphere) in breast surgeries reduces post-operative risk of seroma formation: a case series and literature review

The risk of seroma formation is a very common post-operative complication in breast surgeries like mastectomy, wide local excision, axillary dissection. The use of arista which is microporus polysaccharide haemosphere (MPH) can reduce the risks of seroma post-operatively. A case series study has been planned to be conducted using database of patient underwent breast surgeries requiring intra-operative Arista. Database of single surgeon’s 22 patients having breast surgeries in 1 year (2021-2022) were analysed. Out of 22 patients, majority of patients (20 patients) had no seroma with the use of Arista intra-operatively where variables accounted are patients age, type of surgery, amount of arista use, duration of drain, drain out-put, patient’s BMI, anticoagulation status, tissue histopathology, formation of seroma. The expected outcome would be use of MPH reduces risks of complications of breast surgeries like seroma and haematoma.